There may be a protective element to using the cold cap with little hair. I continued to use the cold cap even though by the end of the second treatment most of imy hair was on it’s way out. I had a buzz cut but kept my fringe because when I stuck a hat on, I still looked like me!! I have very thick hair and it may be that the cold could not penetrate the follicles.
I missed the third cold cap but then decided to cold cap for the remaining three treatments even though I had very little hair. I used a thin sleep cap to protect my head, after discussion with Mr Paxman. I did my research incase any nurses were to say it could not be used as I had lost so much hair blah blah. I decided to continue using it as I thought it may protect my follicles from the rare potential permanent effects of taxotere. I see NICE guidelines from 2018 state that medical staff should discuss the potential permanent effects on hair regrowth prior to use. In 2016, I really felt I was educating medical staff about this as Onco seemed unaware. I could cope with hair loss via chemo but did not think wearing a cold cap for 3 more treatments to be too much of an ordeal in order to reduce risk of permanent loss. My hair started to regrow on Tax treatment. I finished chemo in mid March and by Mid May I had a decent thick head covering so it was goodbye hats and the wig has never left it’s box. Perhaps it also helped to speed regrowth.