Just seen your query by chance. Hope you are doing ok.
Apart from keeping my fringe bits long (so I could have it sticking out of my hats to make me feel more like myself!), I had very little hair as I had it shaved. I had substantially less than 50%.
After I had my head shaved I did have one treatment without it. Then I researched a bit and decided there was benefit to pursuing it. At the next session, I just said to the nurses that I was continuing with it and that Mr Paxman had said that it would not cause injury even if the head was uncovered but it would be more comfortable with some kind of cover. He suggested a surgical cap (which hospital could hopefully provide) or if I was using my jersey cap, that it needed to be very thin. Fortunately I had been given a free very thin jersey cap which was fit for pirpose. I don;t remember wetting my hair/actual scalp beforehand but I think we sprayed my cap and any fringe bits. Wetting the hair etc beforehand is to make it easier to put on and take off I think.
As far as I was concerned, if I wanted to endure the cold cap on my shaved head and the cold cap was offered on the ward, then I was entitled to use it. I didn't care too much what anyone else thought about it.
You can always contact the Paxman Company. I found them very helpful.
Wishing you well x
I had FEC-T in 2011 for triple negative breast cancer, aged 38 at the time. Unfortunately after the taxotere my hair didn’t grow back much and I was left with my only option of wearing a wig full time which devastated me. I’ve had therapy as it’s left me feeling so down about my appearance and I found such a lack of help from the hospital even though my nurse has since admitted they’ve had more women in recent years reporting continued hair loss. I didn’t try the cold cap as I assumed my hair would grow back, but given a chance to go back I would definitely try it in the hope it would help. I understand it’s not pleasant and some women can’t tolerate it but I would say please please persevere if you can, as continued hair loss should it happen is devastating.
I am having the same dilemma as you. I had my 3rd FEC yesterday and I found the cold cap really painful and uncomfortable this time. I have lost about 80% of my hair but have decided not to shave it's very wispy and I have trimmed off some of the longer bits. The nurses were concerned that using the cap with so little hair could cause freeze burns to my scalp. I am thinking that I will probably not be using it for the next 2 but might go on the Paxman site to ask there advice.