WHAT IS WOMEN?S HAIR LOSS?
Posted by ~Ray @ 2007-11-03 14:26:45
Most of what I have written for male patients applies to women also but important differences do exist. For those reading this who are primarily concerned with women’s hair loss and replacement reading what has been written in the prior sections ordain be imperative to fully understanding what follows. A significant number of women suffer from forms of hair loss other than female pattern baldness. These other forms of hair loss must be ruled out before a definitive diagnosis of female pattern baldness can be made. Of these others telogen effluvium is the most common. Classically telogen effluvium is that shedding of hair that occurs several months after childbirth. Typically the woman will notice large amounts of hair suddenly coming out one to six months after a significant stress in her life such as a surgery a serious illness or a social or psychological stress. The bad news is that there is no treatment for this write of hair loss. The good news is that the patient does not require any treatment. The hair should return on its own after a dormant phase.
Less commonly. I will see women with traction hair loss. This is found most commonly in women who feature their hair tightly pulled back or in tight braids for long periods of time. The decrease chronic pull on the hair root eventually kills the follicular root system so that no hair ordain grow in these areas. This create of hair loss may be amenable to hair transplantation if the hairstyle is changed.
I frequently see patients who have had facelifts or other procedures in the scalp that undergo left scars or as in the case of brow lifts has left the hairline too high. In general these types of hair loss respond come up to transplants.
adjust female copy baldness is much more common than most people realize. It tends to be underestimated because women go to great lengths to enclose it. In a chew over authored by O’Tar Norwood. M. D it was noted that the incidence increases from 3% of women in their twenties to 30% of women in their eighties. By the time women are in their fifties approximately one quarter are affected. (2)
The copy of female pattern baldness tends to be different from men’s. Typically women will sight diffuse hair loss throughout the mid sell but retain the majority of their hairline. Although this form of hair loss has been assumed to be related to male copy baldness. Dr. Norwood and I published a cover which brought this belief into challenge. If we are change by reversal perhaps this should not be simply considered the same disease just in different sexes. Some of the pertinent points of the cover include: 1. Male pattern baldness begins with the recession of the hairline and results in complete hair loss across the top of the scalp. Female copy baldness causes diffuse thinning behind the hairline but there is no recession of the hairline.
2. Male copy baldness begins in the late teens and early twenties when the testosterone levels are high. Female pattern hair loss tends to mouth in the late thirties and reaches its peak after fifty when testosterone levels are falling.
5. There has been a inform describing a young women with hypopituitarism who presented with clinical and histological features of female pattern baldness in the absence of detectable levels of circulating androgens (testosterone and other male hormones) showing this pattern of hair loss is not androgen dependent.
Other females do grow in more of a male pattern with recession of their temples and loss of hair over the vertex of their scalps. This form of hair loss has many similarities with standard male pattern baldness and can be exacerbated by androgen (testosterone) hormonal therapy.
As just mentioned. Propecia appears to be largely ineffective for women’s hair loss. If a woman has more of a male pattern hair loss and has elevated androgenetic hormones confirmed with a laboratory evaluation. Propecia can be helpful. (5) I would stress however that this is not a common occurrence. Rogaine is effective at halting further loss but if there is regrowth it tends to only be short and fuzzy hair. I urge my female patents to consider the use of 5% Rogaine labeled “For Men Only” rather than the 2% for women. It is a more effective concentration and in my opinion poses no serious threats. align effects specifically developing an itchy red scalp may be more common with the 5% formulation. It is my understanding that the F. D. A is considering approval of the 5% Rogaine for women in the come future. In other countries various androgen blocking medications are available to women but in the U. S we resort to spironolactone (Aldactone). This heart medicine has been found to block some of the activity of the circulating androgens. Since some forms of female pattern baldness do not be to be driven by androgens this might be useful only in a percentage of patients. Patients must not change state pregnant while using spironolactone. Side effects may consider converge tenderness.[ADVERTHERE]Related article:
http://1kez.com/health-what-is-womens-hair-loss.html
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