Massaging the scalp can potentially enhance blood circulation in the hair.

However, it is all transitory. The act of massaging the scalp for an adequate
duration during the day has been suggested to enhance blood circulation.
This, in turn, may reduce hypertension by dilating blood vessels and
capillaries, thereby promoting hair retention. However, it is important to note
that if an individual has a strong genetic predisposition to hair loss, this
method is unlikely to completely halt or reverse the process. Nonetheless, it
may serve as a means to slow down hair loss or maintain existing hair [13].

Another drug, Tadalafil, has been found to have similar effects as minoxidil at
low doses. Tadalafil is commonly known by its brand name, Cialis, and is
primarily used to treat erectile dysfunction at dosages ranging from 2.5
milligrams to 5 milligrams. The primary application of this treatment modality
was to address prostate health concerns through the augmentation of blood
circulation to the prostate gland, thereby mitigating certain age-related
complications associated with the prostate. The mechanism of action involves
augmentation of blood circulation to the stem cell microenvironment, thereby
promoting hair maintenance. While it may not be effective in reversing hair
loss, the utilization of low doses to decelerate hair loss can be viewed as a
logical mechanistic approach akin to the rationale behind the use of minoxidil
in mitigating hair loss rates. The main objective is to enhance the circulation of
blood to facilitate the sustenance of the stem cell microenvironment situated
beneath the hair follicle.

Currently, PRP (platelet-rich plasma) has emerged as a prevalent treatment

for hair loss. Medical professionals in Europe, Canada, and the United States