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A MyBCTeam Member asked a question 💭
Philadelphia Area, PA
January 17
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Can cold caps be used during chemotherapy for metastatic breast cancer?

Yes, cold caps can be used during chemotherapy for metastatic breast cancer. Since chemotherapy is a common treatment for metastatic breast cancer and nearly everyone with this diagnosis will receive it at some point, cold caps remain an option to help Show Full Answer

Can cold caps be used during chemotherapy for metastatic breast cancer?

Yes, cold caps can be used during chemotherapy for metastatic breast cancer. Since chemotherapy is a common treatment for metastatic breast cancer and nearly everyone with this diagnosis will receive it at some point, cold caps remain an option to help minimize hair loss during these treatments.

Cold caps work by cooling the scalp, which slows down activity in hair cells and narrows blood vessels around hair follicles. This makes hair cells less likely to be targeted by chemotherapy drugs and reduces the amount of medication reaching them.

There are two main types available:

- Manual cooling systems that need to be stored in a freezer and replaced every 20-30 minutes
- Automated cooling systems that attach to a refrigeration unit and provide continuous cooling

Studies show cold caps have an overall effectiveness rate of about 61 percent in reducing hair loss, though results can vary from 27 to 90 percent depending on the specific chemotherapy drugs used.

Keep in mind that cold caps require extra time at treatment sessions, can cause temporary discomfort like headaches or chilliness, and involve additional costs. They also only protect hair on your head, not eyelashes, eyebrows, or body hair.

Talk with your oncologist about whether cold caps would be effective with your specific chemotherapy regimen.

January 17

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