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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:
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Physical stress: surgery, illness, anemia, rapid weight
change.
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Emotional stress: mental illness, death of a family
member.
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Thyroid abnormalities.
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Medications: High doses of Vitamin A, Blood pressure and
Gout medications.
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Hormonal causes: pregnancy, birth control pills,
menopause.
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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
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Frequent shampooing contributes to hair loss.
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Hats
and wigs cause hair loss.
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100
strokes of the hair brush daily will create healthier
hair.
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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.
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Standing on one's head will cause increased circulation
and thereby stimulate hair growth!
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Dandruff causes permanent hair loss.
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There
are cosmetic products that will cause the hair to grow
thicker and faster.
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Stress
causes permanent hair loss.
-
Hair
loss does not occur in the late teens or early twenties.
-
Hair
loss affects only intellectuals.
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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
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Perms,
color and other cosmetic options to give a fuller
appearance to hair.
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Medical therapy - Rogaine (topical minoxidil). Rogaine
is the only FDA approved medication currently available
for female pattern hair loss.
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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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