Female Pattern Baldness: Diagnosis and Treatments

Clinical features of pattern baldness in women usually occur during early teens and late middle age. This is shown by the gradual thinning of hair over the frontal area. Usually, pattern baldness in women is not accompanied by increased shedding of hair, but unlike telogen effluvium, hair loss may be seen from the start. The scalp becomes more and more visible as the disease progresses.

Most of the time, the central part of the head widens due to diffused reduction of the hairs density, which involves the frontal scalp and crown. Some women may experience hair loss on some small areas of the frontal scalp while others may experience the effect on the entire scalp including the areas of parietal and occipital. During hair loss, women usually retain a rim of hair along the frontal hairline.

In some cases, hair volume may still appear normal but the hair would stop growing to its previous length and normally results to thin distal ends. Female pattern hair loss is seen on women by visual decrease in hair density while in men, it is by baldness on the affected areas.

Treatment of Androgenetic Alopecia

Hair loss is a result of abnormal hair cycle. Because of this, it is theoretically reversible. However, the current treatment options have limits in their performance and in some cases, only small improvements in hair density can be seen. Advanced pattern baldness may already be difficult to treat because irreparable damages may have already taken place on the follicular stem cell when inflammation surrounded the bulge area of the follicle. Some systematic treatment plans for this case include:

The current treatment for pattern baldness is Minoxidil. The exact mechanism by which Minoxidil works is not known but the treatment appears to affect the hair follicle in three ways: it increases the span of time follicles spend in anagen, it rouses follicles that are in catagen and it enlarges the actual follicles. In effect, vellus hairs enlarge and are converted to terminal hairs, and shedding is reduced.

Finasteride has been effective on men with pattern baldness but definitely it was risky on women. This regimen is not advisable for women who are still in their childbearing age because of the presence of 5a-reductase inhibitors that may cause external genitalia abnormalities in male fetuses.

Hairstyling, teasing, coloring, permanents, and the use of hair spray are means of coping with the cosmetic effects of pattern baldness. However, when the hair loss is grave, the affected person may opt to use wigs.

Hair transplantation is another option since it has already been accepted in treating pattern baldness on men. Now, it is also being used to treat female hair loss although only a very few women go for this type of treatment because of the cost and the possible trauma that may go with it.

For those women who have encountered ineffective and unsuccessful treatments for hair loss, surgery may be another option and thus, the most suited method for them.

Female Hair Loss

Hair loss is a common problem amongst all the men and women. Many of the women of our society are facing the problems of hair fall and even going almost bald. The cause may be any but sometime it affects the confidence of women more in comparison to their male counterparts. Hair of a woman is the important asset to make her healthy and gorgeous. For many of the women hair problems are not only a biological setbacks but a part of self-esteem too.

The root cause of hair loss in women is not genetic but it is related to several other metabolic problems like, pregnancy, stress, chemotherapy, crash diets / anorexia, thyroid hormone deficiency, major surgery, sever infection or high fever. Hair loss in female due to above mentioned factors is normally temporary, so if you are facing hair loss and at the same time going through any of the above mentioned trauma, dont be panic, keep patience, take prescriptions and precautions and after all a diet rich in proteins, vitamins and minerals. Definitely your hair will grow again and as healthy as before.

The pattern of hair loss in females is completely different from males. While males go bald, the baldness in females is rare. The normally occurring pattern of hair loss in females are found as thinning and lessening in shaft hair diameter around the forehead and crown of the scalp. The pattern is more to be found in females in the forties. This pattern may also found in the females with the beginning of menopause. According to clinical trial and statistics, about 13 percent of females experience hair problems before menopause while this number is alarmingly high, about 37% for post menopause.

As a female grew old, the intensity and level of a hormone called Estrogen drops in her body. The estrogens blocks the steroid hormone pre menopause, which results in low level of DHT. Post menopause the level of DHT in females rises and some time it is so high that it causes hair problems.

Amongst commonly occurring post menopause hair problems are decline in hair growth, thinning of hair and general effluvium. As a female enters into her 80s, the follicle shrinks completely and hair growth stops.

Major Causes of Hair Loss in Females

The most common type hair problems diagnosed in females is Androgenetic alopecia inherited. However, this is most common cause of hair problems in males as well. Androgenic alopecia in females is seen as hair thinning which means the number of hair on female head heavily reduces. Since the reason of hair loss varies individual to individual and hence proper medical help is of utmost importance.

Some other common causes of hair problems of females are mentioned here:

1.Alopecia areata- This is patchy loss of hair from the scalp. Sometime eyebrows and other hair bearing parts begin losing hair. This type of hair loss is considered to be due to autoimmune.

2.Traction alopecia- This type of hair loss occurs because of continuous traction pressure on hair follicles. Sometime this may occur because of tight braiding or corn rowing of hair.

3.Trichtotillomania- This type is supposed to be cause of stress or result of some other psychological disorder.

4.Telogen effluvium- This is associated with poor nutrition, drugs and stress.

5.Loose anagen syndrome- This disease is more common in fair haired ladies. This is the situation in which bunch of hairs drops down while combing, shampooing, etc. Normally the scalp hair comes out very easily and this lessens the hair density on your head.

Female Hair Loss Vitamins

Hair loss is one of the most common problems, and also the most difficult to tackle. While healthy hair indicates good general health, hair loss can be an indicator of a deeper internal health problem.

Hair loss in women has been attributed to several factors till now: stress, lack of iron or anemia, condition of the scalp, condition of vital internal organs like the kidneys, liver, thyroid etc., emotional disturbances, menstrual problems, illness or lack of essential vitamins and other nutrients in the body etc.

Hair loss generally indicates a deficiency in vitamin B1, vitamin C, lysine and iron. Vitamin Cs antioxidant properties help to make skin and hair healthy by aiding body metabolism, and converting fat and carbohydrates into energy. It helps in the development of healthy collagen that binds tissues together.

Hence it is effective in preventing breakage and split ends. Vitamin C is present in good quantities in Citrus fruits, strawberries, pineapple, tomatoes, green peppers, potatoes and most dark green vegetables. A daily dose of 60 mg is recommended for good health. Vitamin B1 or Thiamine aids in protein building and thus makes the hair healthy, giving it volume, shine and a good texture.

This is ensured by providing nutrition to the scalp. Other vitamins that help to prevent hair loss in women are: other Vitamin B complex vitamins like Biotin, Inositol, Niacin and vitamin E. Minerals like iron, zinc, magnesium are also effective in preventing hair loss. The most common food-based sources of these vitamins are: citrus fruits, green vegetables, fruits like pineapple, strawberries, kiwi, potatoes, green peppers, vegetable oils, soybean, raw seeds, dried beans, wheat germ oil, brewers yeast, whole grains, eggs, liver, rice, milk, fish, turkey, chicken and red meat. Other products found to be efficient in combating hair loss are Saw Palmetto, nettle root, pumpkin, gotu kola, eleuthero, Uva-Ursi, Muria Puama and others.

There are hundreds of products in the market today that promise to prevent hair loss. These products are generally prescribed by experts though some over the counter drugs are also available. There are companies that specialize exclusively in the production of hair loss drugs.

Information about these products is also available on the Internet on the websites of these companies. However, it is better to consult a physician to know the exact cause of hair loss before using any of these products.

Did I Inherit A Hair Loss Gene?

Men who start to go bald even before a mid-life crisis may have their mothers to blame, according to a new study. Researchers have found that the main construction manual for a full head of hair is located on the X chromosome, which sons always inherit from their mothers.

This genetic storage space contains the so-called androgen receptor gene, a long time balding suspect. Looking at men who were losing their hair at a relatively young age, a team led by Markus Nothen, PhD, of the Life & Brain Center at Bonn University, Germany systematically examined all of the genetic patterns within the X chromosome to see why certain hairlines recede faster than others. Its not a pretty picture.

The study, published in the American Journal of Human Genetics, claims that a single alteration in the androgen-receptor gene is the major reason why some men end up going bald before their fathers. Nearly half of bald men would not be bald if they did not have this genetic variation. The hair loss in these younger men, he added, was much more severe than in the men who still had a reason to use a comb in their 60s.

The two approved medicines to treat hair loss (Rogaine and Propecia) need to be taken for a long time to see results. With Propecia, doctors sometimes advise their patients not to expect any results before at least six to eight months. And both need to be used indefinitely to maintain its effect. Once you stop, hair loss will continue.

Although there are only two medicines approved by the Food and Drug Administration (FDA) to treat hair loss, many people are interested in other, alternative treatments. The herb saw palmetto has been used for many years in Europe to treat symptoms of an enlarged prostate and there is some evidence that it may also be effective in treating hair loss.