Chemotherapy and hair loss: Can hair loss be prevented?

No treatment exists that can guarantee your hair won't fall out during or after chemotherapy. The best way for you to deal with impending hair loss is to plan ahead and focus on making yourself comfortable with your appearance before, during and after your cancer treatment.

Several treatments have been investigated as possible ways to prevent hair loss, but none has been absolutely effective, including:

• Scalp hypothermia (cryotherapy). During your chemotherapy infusions, ice packs or similar devices are placed on your head to slow blood flow to your scalp. This way, chemotherapy drugs are less likely to have an effect on your hair.

  Studies of scalp hypothermia have found it works somewhat in the majority of people who have tried it. However, the procedure also causes a small risk of cancer recurring in your scalp, as this area doesn't receive the same dose of chemotherapy as the rest of your body. People undergoing scalp hypothermia report feeling uncomfortably cold and having headaches.

• Minoxidil (Rogaine). Applying minoxidil — a drug approved for hair loss in men and women — to your scalp before and during chemotherapy isn't likely to prevent your hair loss, although some research shows it may speed up your hair regrowth. More research is needed to understand whether minoxidil is effective in regrowing hair after cancer treatment.