Hair Loss in Women – Causes, Diagnosis and Treatments

Until recently, the problem of hair loss in women was believed to be uncommon. Recent research, though, has revealed that it is far more widespread than previously thought. Some estimates say as many as 25 million American women (or more) experience noticeable hair loss and the distressing effects that often go along with it. Female hair loss causes are somewhat different than those typically found in men, and the emotional effects can be quite different as well.

Appearance of Hair Loss in Women

The appearance of hair loss in most females is usually different from its appearance in men. Women usually do not go bald or partially bald, and they generally do not have bald spots on the crown of the head. In women, hair loss typically shows up as overall thinning of the hair, both the quantity of hair on the head and the thickness of each individual hair. Some women do have a receding hairline, but rarely as pronounced and noticeable as what many men experience.

Emotional Effects of Hair Loss in Women

A woman’s self esteem and sense of self are typically much more dependent on the way they look than is generally the case for men. Of course, men find it distressing to lose their hair, but for females the emotional effects can be particularly devastating.

When you think of how much money and effort goes into advertising women’s hair care products, styling products, cosmetics and hair care appliances such as blow dryers and curling irons, it is easy to understand why women find it so distressing to experience hair loss. Our society places so much emphasis on looks, especially for women, that female hair loss can lead to a great deal of emotional pain, anxiety, and even trigger episodes of depression.

Medical Causes of Hair Loss in Women

The most common female hair loss causes are related to medical conditions and hormonal changes. While many are similar to those experienced by men, many more are specific to women.

Hormones – Women experience far more hormonal issues than men do, and at a much greater frequency. Pregnancy, childbirth and menopause are all conditions unique to women that can affect the amount and permanence of hair loss and cause balding.

Medication – Several medications can cause or contribute to female hair loss, including anti-depressants, blood thinners, birth control pills, anti-cholesterol drugs and chemotherapy drugs.

Illness/Surgery – Many common illnesses can cause female hair loss, such as diabetes and thyroid over- or under-activity, as can conditions that put the body under stress such as high fevers or major surgery.

Other Causes – Anemia, anorexia, bulimia, excess vitamin A, fungal infections, and zinc or fatty acid deficiency can also be the cause of hair loss in women.

Genetic Causes of Hair Loss in Women

Female pattern baldness, or androgenetic alopecia, is estimated to occur in 15% or less of American women. The chemical process in the body is similar, in that hormones and dehydrotestosterone (DHT) combine to cause hair follicles to shut down. Even though the chemical process is the same, the appearance of the hair loss in females is generally different, with women experiencing general thinning of hair rather than the bald spots or pronounced receding hairline so common in men.

Some experts theorize that differences in hair follicles between males and females may contribute to differences in the appearance of hair loss. In men, hair tends to grow straight up out of the follicle, causing oil and other secretions on the scalp to build up and block follicles. In women, however, hair tends to grow out of the follicle at an angle, allowing oil and secretions to flow more readily out of the follicle.

Everyday Causes of Hair Loss in Women

Women subject their hair to many everyday stresses that can lead to hair damage and hair loss. A few such female hair loss causes include:

o Harsh shampoos

o Hair coloring

o Hair bleaching

o Permanent waves

o Frequent use of blow dryers, curling irons and other heated appliances

o Improper or harsh brushing and/or combing

o Frequent wearing of tight ponytails, braids, and other hair restraints

While these things generally do not cause immediate or permanent hair loss in females, they do often lead to dry, damaged hair that is more likely to break off and thus appear thinner and more brittle. In women whose hair is already thin due to hormonal changes that come with aging, actions such as these can have a large impact on hair appearance.

Proper Diagnosis

Women experiencing hair loss should consult their doctor for an accurate diagnosis of what is causing them to lose hair. In the case of an undiagnosed condition such as diabetes or thyroid problems, treating the medical condition can often stop and even reverse hair loss problems. If the doctor finds that hormonal issues related to menopause and aging are the cause, then he or she is the best resource for information and advice on effective female hair loss solutions.

Topical Hair Loss Treatment

There is only one topical female hair loss treatment approved by the FDA for use by women – minoxidil. This medication is marketed under the name Rogaine and is readily available over the counter in most drug stores, grocery stores, and online.

Rogaine is effective at restoring hair growth and decreasing the appearance of thinning hair in women, but it often takes several months for results to become noticeable in most females. It is quite easy and convenient to apply in the privacy of home, but must be continued indefinitely in order to maintain hair regrowth. If Rogaine use is discontinued, any hair that has regrown will be lost once again.

Surgical Hair Restoration

Surgical hair loss treatments such as hair grafting are quite effective for male pattern baldness, but because the nature of hair loss is different in women, females are generally not good candidates for such treatment. Hair grafting is a process of harvesting hair from actively growing parts of the head and transplanting them to areas of thinning and dormant growth. Because females tend to lose their hair all over the head instead of in a concentrated location, grafting does not usually have much effect. For those women who do have definite balding spots or patches, though, surgical treatment may be an option. It is best to consult an experienced hair restoration surgeon who will diagnose the cause and suggest a suitable solution.

What Causes Hair Loss?

It is normal to lose between 50-100 hairs a day, this is part of the hair renewal process. However most people suffer from excessive hair loss at one time in their life. There are many reasons for this including medication, radiation, chemotherapy, exposure to chemicals, hormonal and nutritional factors, thyroid disease, generalized or local skin disease, and stress.

Many of these causes are temporary and a few are permanent. These are some of the more common reason for hair loss.

HORMONAL BEHAVIOUR

Since hormones both stimulate hair growth and cause hair loss, hormonal changes by far have the biggest impact on hair loss. These can affect both men and women in the following ways:

This is the most common cause of thinning and affects both men and women. Men generally have hair loss concentrated in a specific pattern from the front through to the crown. Women tend to have thinning throughout their head without being in any specific pattern. This type of hair loss is caused by the androgen DHT, or Dihydrotestosterone. Since everyone has DHT that is produced by their bodies and only some people suffer from hair loss there has to be another factor involved. This other factor is having follicles that have a greater number of Androgen receptors for the DHT to attach to. This is the component that is inherited through the genes. To date the most effective preventative treatments are anti androgens, drugs that prevent the creation of DHT. In the future gene therapy will one day be able to alter the genes to prevent the follicles from being affected by DHT.

Childbirth

After pregnancy many women experience a loss of hair, this is caused many hair simultaneously entering the resting (telogen) phase. Within two to three months after giving birth, some women will notice large amounts of hair coming out in their brushes and combs. This can last one to six months, but resolves completely in most cases. This condition is caused by the hormonal changes that take place after a woman’s body recovers from her pregnancy.

Birth control pills

Women who have a genetic predisposition to suffer from Androgenic Alopecia can have it occur at a much younger age by taking birth control pills. The hormonal changes that occur trigger the onset of the Androgenic Alopecia. If a woman has a history of female pattern loss in her family she should advise her doctor before going on the pill. After the discontinuation of the pill the woman may notice that her hair begins shedding two or three months later. This may continue for six months when it usually stops. In some cases the process cannot be reversed and the woman may not regrow some of the hair that was lost.

DISEASE OR ILLNESS INFLUENCES

Since the follicle is a very sensitive it does respond to imbalances in the body. Most hair loss causes by disease or illness is temporary and resolves itself after the body has returned to a healthy condition.

High fever, severe infection, severe flu

Sometimes one to three months after a high fever, severe infection or flu, a person may experience hair loss, this is usually temporary and corrects itself.

Thyroid disease

Both an overactive thyroid and an underactive thyroid can cause hair loss. Thyroid disease can be diagnosed by your physician with laboratory tests. Hair loss associated with thyroid disease can be reversed with proper treatment.

Deficient diet

Some people who go on low protein diets, or have severely abnormal eating habits, may develop protein malnutrition. To help save protein the body shifts growing hair into the resting phase. If this happens massive amounts of hair shedding can occur two to three months later. A sign of this is if the hair can be pulled out by the roots fairly easily. This condition can be reversed and prevented by eating the proper amount of protein. Its very important when dieting to maintain an adequate protein intake.

Medications

Some prescription drugs may cause temporary hair shedding in a small percentage of people. Examples of such drugs include some of the medicines used for the following: gout, arthritis, depression, heart problems, high blood pressure, or blood thinner. High doses of vitamin A may also cause hair shedding.

Cancer treatments

Chemotherapy and radiation treatment will cause hair loss because it stops hair cells from dividing. Hairs become thin and break off as they exit the scalp. This occurs one to three weeks after the treatment. Patients can lose up to 90 percent of their scalp hair. The hair will regrow after treatment ends and patients may want to get wigs before treatment. There are some drugs in development to help prevent this hair loss from occurring.

Low serum iron

Iron deficiency occasionally produces hair loss. Some people don’t have enough iron in their diets or may not fully absorb iron in their diets. Women who have heavy menstrual periods may develop iron deficiency. Low iron can be detected by laboratory tests and can be corrected by taking iron pills.

Major surgery/chronic illness

Anyone who has a major operation – a tremendous shock to the system – may notice increased hair shedding within one to three months afterwards. The condition reverses itself within a few months but people who have a severe chronic illness may shed hair indefinitely. A relatively unknown fact is that hair transplantation surgery can actually cause additional hair loss or “shock fallout”. Hairs lost from shock fallout usually don’t regrow.

Alopecia Areata

This type of hair loss is believed to be caused by the immune system reacting to hair follicles as if they were antibodies and shutting them down. The hair loss is usually limited to a coin sized area and all the hair in the area is lost leaving a totally smooth round patch. In a more severe rarer condition called Alopecia Totalis, all hair on the entire body is lost, including the eyelashes. Treatments include topical medications, a special kind of light treatment, or in some cases drugs.

Fungus Infection (Ringworm) of the scalp

Caused by a fungus infection, ringworm (which has nothing to do with worms) begins with small patches of scaling that can spread and result in broken hair, redness, swelling, and even oozing. This contagious disease is most common in children and oral medication will cure it.

Stress
n cause hair loss is some people. Usually it occurs 3 months after the stressful event has occurred and it may take 3 months after the stress period has ended for the hair growth to resume. In most cases it is temporary if the person is not predisposed to genetic or Androgenic Alopecia, if they are stress may trigger the onset of genetic hair loss or may worsen existing Androgenic hair loss.

MECHANICAL DAMAGE CAUSES HAIR LOSS

Damage to the hair can be self inflicted either by intentional or unintentional means. Some people going through stress continuously pull at their hair until it comes out. Styling hair by bleaching, braiding and straightening can also cause damage and results in hair being lost.

Trichotillomania or Hair Pulling

Some children and less often adults play with their hair by pulling on it or twisting it. This can be part of a behavioral problem or a bad habit that is often done unconsciously. If the behavior is not stopped permanent hair loss can result from the constant stress on the hair. Its best to seek the help of a mental health professional to solve this problem.

Hair Styling Treatments

Many people change the appearance of their hair by using chemical treatments like dyes, tints, bleaches, straighteners, relaxers and permanent waves. If correctly done and done using reputable products, its rare to have any damage. However, hair can become weak and break if any of these chemicals are used too often. Hair can also break if the solution is left on too long, if two procedures are done on the same day, or if bleach is applied to previously bleached hair. Some chemical relaxers do contain powerful chemicals and there have been instances of people get chemical burns from these products resulting in permanent hair loss. Only go to qualified hair stylists and if doing it yourself make sure you only use reputable products and follow the product directions.

Male Hair Loss Causes and Treatments – Understanding Male Pattern Baldness and What You Can Do

There is a wide range of male hair loss causes, and thanks to modern medicine, many choices of hair loss treatment for you to consider. The majority of men lose their hair thanks to inherited genes and the normal aging process, but there are other causes as well. The key to selecting an effective hair loss treatment is to determine the underlying cause of hair loss and then select among the assortment of hair loss solutions to find the most appropriate treatment.

Male Pattern Baldness

Up to 90% of all male hair loss is due to male pattern baldness, also called androgenetic alopecia. In this situation, the cause of hair loss is due to genes inherited from the father, the mother, or both. The older a man gets the more likely balding is to occur, although some men begin to lose their hair as early as their late teens or early twenties.

Male pattern baldness generally appears in one of two ways – thinning hair on the crown of the head or a receding hairline. One way to predict the balding a man will experience is to look at hair loss and causes in his relatives. This is not always accurate, though, as sometimes male pattern baldness can skip a generation.

Cause of Male Pattern Baldness

Experts say that as many as 50% of all men will experience hair loss, ranging from mild to moderate, by the time they turn 50 years old, and 65% of males will have perceptible baldness by the time they are 60 years old. Whether due to aging, genetics or a combination of the two, why exactly is it that hair loss occurs?

The answer is a chemical called dehydrotestosterone, or DHT. It is a male hormone that collects and builds up around hair follicles, eventually causing the follicle and the hair growing out of it to be killed. As DHT levels rise with aging, more and more follicles are affected by it and hair loss becomes more pronounced.

Other Male Hair Loss Causes

If 90% of male pattern baldness is due to genes and aging, what about the other 10% of men who have lost or are losing their hair? For these men the causes of hair loss can range from medical conditions to damage caused by extreme hairstyles or harsh hair care. Examples can include:

Medication – Some anti-depressants, blood thinners and medications for the treatment of gout can cause hair loss, as can excess Vitamin A. Chemotherapy medications also often cause hair loss.

Severe Illness/Surgery – The body undergoes tremendous stress during a severe illness or major surgery, often causing hair loss within three to four months following the illness or surgery.

Disease – Hair loss in males can be the cause of an undiagnosed medical condition such as lupus or diabetes, or a fungal infection of the scalp.

Hormones – The human body contains an assortment of hormones, both male and female, that can become imbalanced and cause hair loss. Hormonal problems due to an overactive or underactive thyroid gland can also lead to hair loss.

Proper Diagnosis

Because there are medical as well as genetic causes of male pattern baldness, it is important to correctly diagnose the exact cause before selecting the most appropriate hair loss treatment. The best course of action is to consult with your doctor before starting any treatment.

If the cause of hair loss in males is something other than genetics and aging, the good news is that it is often reversible just by reducing or eliminating the medicine or condition that is causing it. The danger of self-diagnosis is that an underlying illness or medical condition could continue untreated, leading to more serious medical issues.

Strong feelings and emotions related to hair loss are understandable, but should not be used as an excuse to avoid consulting a doctor. A doctor can confirm that there is no medical condition requiring treatment and provide advice about potential solutions.

Understanding Hair Loss Treatments

For the 90% of men whose hair loss is due to causes such as common male pattern baldness, there are several treatment options to consider. These range from topical medications to oral medications to surgical techniques, all of which come with varying advantages, disadvantages, costs, and other considerations.

The key to selecting an appropriate treatment for a male’s hair loss is considering convenience, short term and long terms impacts to daily life, cost, effectiveness and ongoing maintenance requirements. The best solution for one man may be very different from the best treatment for another man, so it is important to make a decision based on personal circumstances and desired outcome.

Topical Hair Loss Treatment

By far the most common type of hair loss treatment for males is topical application of hair loss products. These products can range from special shampoos and conditioners to scalp stimulating oils to chemical medications.

The most effective topical hair loss treatment to date is minoxidil, marketed under the brand name Rogaine. Previously available only by prescription, this treatment is now available over the counter at nearly any drugstore, grocery store or large discount retailer. To maintain hair growth, Rogaine must be used on an ongoing basis; when use is discontinued, any hair regrowth of hair that occurred will be lost again. Rogaine is the only hair loss treatment approved by the FDA for use by both males and females.

Many other topical treatments for males are available that have not been proven effective. Beware of any product that is promoted as an “instant cure” or “miraculous hair growth” remedy. While these hair loss products typically will not cause particular harm or damage to the scalp or hair, neither will they effectively promote new hair growth. They are most often a waste of money that could otherwise be spent on a medically proven treatment.

Oral Hair Loss Treatment

Another effective hair loss treatment for males is finasteride, marketed under the brand name Propecia. This medication is available by prescription only and comes in the form of a pill that is taken each day. As with Rogaine, if use of Propecia is stopped then any hair regrowth that has occurred will be lost.

Propecia is an FDA approved hair loss product for use by males only, and in fact comes with a strong warning to women because it can cause serious birth defects. Women who are pregnant or could become pregnant are strongly advised not to even handle Propecia tablets, because the medication could potentially be absorbed through the skin.

Surgical Hair Loss Treatment

A number of good surgical hair loss treatments are available. These treatments have improved dramatically over the years thanks to better techniques and better medical technology. The results typically look extremely natural in most males and do not disappear over time.

The most common surgical treatment for males is hair grafting, a process by which hair from one part of the head is transplanted to balding areas. Grafts can be as small as a single hair, making it possible for the surgeon to create a very natural-looking hairline.

Another surgical option for males is more invasive, involving the cutting away of bald areas and stretching the areas that still have hair over the excised area. Recovery time is longer for this type of treatment, and not all hair loss patients will be good candidates for the procedure.

If you are experiencing male pattern baldness, consult your doctor or dermatologist who can diagnose the underlying cause of your hair loss and suggest the best treatment for your particular situation.

Hair Loss in Men And Women – Is It A Real Nightmare

Male Hair loss generally refers to the male pattern baldness. It is medically referred as “Androgenic Alopecia”. Male hair loss affects a person at any time after puberty. The hair usually recedes the letter “M” and the crown hair becomes thinner as age advances. Hair loss is common in men and women. But a lot more men suffer from hair loss than women.

Treatment of male hair loss differs a lot from female hair loss treatment. Propecia is a good example for
a male hair loss product that should not be used by women.. If a women is pregnant Propecia may injure the baby in the womb.

Propecia will also cause hair growth on parts of the body where women do not like to have hair (body, face)
Hence Propecia is not recommended for women. Male hair loss can be treated with propecia but with some side effects. The side effects include impotency and lack of sex drive. So you should consult your physician before taking this medicine.

In early days, Rogaine was used to treat high blood pressure, but now it is primarily used to stop hair loss. Rogaine should be used continuously for three to four months to have some fruitful results.

The reason for male hair loss is mainly due to the levels of DHT (Dihydro testosterone) in the scalp. The DHT is present in a person immediately after his puberty and the purpose of DHT is to develop secondary sexual characteristics. DHT gets attached to the hair follicle and prevents the assimilation of nutrients to the follicles which in turn cause thinning out of hair and finally shedding of hair which results in hair loss.

In order to prevent hair loss there are many products available on the market. The most important igredients, which prevent hair loss is saw palmetto. It is clearly evident that saw palmetto blocks DHTs and is a natural medication. A product called Hair Genesis consists of saw palmetto and is extensively used to cure hair loss.

Hair energizer hair products by Ferm-T are also being used for treating hair loss. Even women can use this product without any side effect. The Hair energizer helps to stop hair thinning and hair loss. The Hair Energizer kit comes with a bottle of Follicle spray, 15 ml tube Jojoba oil, a bottle of shampoo, and 60 tablets of vitamins & minerals. Advecia, another product helps a lot to treat hair loss. It is essential for revitalizing the hair follicles. This is useful in treating the follicles, which are deprived of nutrients.

In contrast generally Women’s hair loss does not result in total hair loss as like that of men. Even though women’s hair loss is partial, it is devastating for the individual when it does happen.

The psychological impact of women’s hair loss is extensive when compared to men since women consider their hair as a vital part of their beauty and find it to be an important part of their outer appearance.

Women’s hair loss has different reasons. Heredity is one of those. Moreover the treatment of women’s hair loss is entirely different than that of men, because the medication offered for re-growth of hair may cause the growth of hair on other parts of the body such as chest, back, and face. Most women don’t like facial hair growth.

Women suffering from hair loss need to consult a doctor to find out what causes the hair loss. Once the cause has been ascertained, the physician will be able to prescribe the suitable medication. For women’s hair loss, many physicians prescribe estrogen to correct the condition.

Women’s hair loss can be treated with lucocorticoids. Topical application of Minoxodil or Anthralin is the only recommended treatment available for women’s hair loss. Women’s hair loss in the initial stage can be treated well and the response to the treatment is also extremely good. So if you are losing hair, see a doctor as soon as possible.

An important condition called Androgenic alopecia is found to be affecting about 2% of the population. This condition causes complete hair loss all over the body. Women’s hair loss falling under this category is found to be difficult to cure. Doctors may prescribe certain medicines to reduce the symptoms of Androgenic alopecia.

Women who have just given birth to a child also suffer from hair loss very often. This type of hair loss is temporary and may stop within 6 months after birth. This is mainly due to the fact that there is a higher estrogen level during pregnancy, which might result in keeping the hair follicles in the growth phase. Immediately after childbirth, there is a sudden withdrawl of estrogen, which may cause the hair to enter into the hair loss phase. Hair may grow again after 6 months, but applying hair tonic may hasten re-growth of hair.

Sometimes crash diets may lead to women’s hair loss and also rapid weight loss over a short period. In addition to this, emotional and physical stress may also result in hair loss. Immediately after the alleviation of the stress, the hair falling will be stopped.

Frequent dyeing and chemicals e.g. Perming solutions used on hair may cause hair falling. This condition may occur when a woman uses chemicals very frequently. The hair begins to break off. The hair
falling treatment products when applied on the scalp may strengthen the follicles.

Once you have identified the main cause of hair loss, choose the right treatment at the right time to ensure better hair growth. In most serious cases of women’s hair loss, it is always advisable to seek the help of a dermatologist for complete diagnosis and
treatment plan.

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