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Female Pattern Hair Loss
(Androgenetic Alopecia)
The
most common type of hair loss seen
in women is androgenetic alopecia,
also known as female pattern
alopecia or baldness. This is seen
as hair thinning predominantly over
the top and sides of the head. It
affects approximately one-third of
all susceptible women, but is most
commonly seen after menopause,
although it may begin as early as
puberty. Normal hair fall is
approximately 100-125 hairs per day.
Fortunately, these hairs are
replaced. True hair loss occurs when
lost hairs are not regrown or when
the daily hair shed exceeds 125
hairs. Genetically, hair loss can
come from either parents side of the
family.
There are two different types of
hair loss, medically known as anagen
effluvium and Telogen effluvium.
Anagen effluvium is generally due to
internally administered medications,
such as chemotherapy agents, that
poison the growing hair follicle.
Telogen effluvium, is due to an
increased number of hair follicles
entering the resting stage.
The most common causes of telogen
effluvium are:
-
Physical stress: surgery,
illness, anemia, rapid weight
change.
-
Emotional stress: mental
illness, death of a family
member.
-
Thyroid abnormalities.
-
Medications: High doses of
Vitamin A, Blood pressure and
Gout medications.
-
Hormonal causes: pregnancy,
birth control pills, menopause.
When the above causes of telogen
effluvium are reversed or altered
you should see the return of normal
hair growth.
Diet Considerations
Hair loss may also occur due to
dieting. Franchised diet programs
which are designed or administered
under the direction of a physician
with prescribed meals, dietary
supplements and vitamin ingestion
have become popular. Sometimes the
client is told that vitamins are a
necessary part of the program to
prevent hair loss associated with
dieting. From a dermatologists's
standpoint, however, the vitamins
cannot prevent hair loss associated
with rapid, significant weight loss.
Furthermore, many of these
supplements are high in vitamin A
which can magnify the hair loss.
Physical and Emotional Stress
Surgeries, severe illnesses and
emotional stress can cause hair
loss. The body simply shuts down
production of hair during periods of
stress since it is not necessary for
survival and instead devotes its
energies toward repairing vital body
structures. In many cases there is a
three month delay between the actual
event and the onset of hair loss.
Furthermore, there may be another
three month delay prior to the
return of noticeable hair regrowth.
This then means that the total hair
loss and regrowth cycle can last 6
months or possibly longer when
induced by physical or emotional
stress. There are some health
conditions which may go undetected
that can contribute to hair loss.
These include anemia or low blood
count and thyroid abnormalities.
Both of these conditions can be
detected by a simple, inexpensive
blood test.
Hormonal
Considerations
Hormonal changes are a common cause
of female hair loss. Many women do
not realize that hair loss can occur
after pregnancy or following
discontinuation of birth control
pills. It is important to remember
that the hair loss may be delayed by
three months following the hormonal
change and another three months will
be required for new growth to be
fully achieved.
Myths Related to Hair Loss
-
Frequent shampooing contributes
to hair loss.
-
Hats and wigs cause hair loss.
-
100 strokes of the hair brush
daily will create healthier
hair.
-
Permanent hair loss is caused by
perms, colors and other cosmetic
treatments.
Women are expected to develop
significant hair loss if they
are healthy.
-
Shaving one's head will cause
the hair to grow back thicker.
-
Standing on one's head will
cause increased circulation and
thereby stimulate hair growth!
-
Dandruff causes permanent hair
loss.
-
There are cosmetic products that
will cause the hair to grow
thicker and faster.
-
Stress causes permanent hair
loss.
-
Hair loss does not occur in the
late teens or early twenties.
-
Hair loss affects only
intellectuals.
-
There is a cure for androgenetic
Alopecia.
These are only a few of the common
myths heard by physicians and other
hair loss specialists on a daily
basis. The American Hair Loss
Council suggests that you first have
your hair loss diagnosed by a
competent dermatologist who sees
hair loss patients on a regular
basis. Once you know the diagnosis
you will have a better understanding
of exactly which treatment option
may be best for you.
Treatment Options Available for
Female Pattern Hair Loss
Perms, color and other cosmetic
options to give a fuller appearance
to hair.
Medical therapy - Rogaine (topical
minoxidil). Rogaine is the only FDA
approved medication currently
available for female pattern hair
loss.
Hair Transplant Surgery - Modern
surgical techniques have made
transplantation for females a viable
treatment option providing they are
qualified candidates and have
realistic expectations.
Hair Replacement Hair Systems --
Modern forms of hair additions have
also made recent improvements in
simulating a natural appearance. A
consultation with a skilled
specialist to discuss your options
is advised.

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