Tag: Female Pattern Baldness

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Female Pattern Baldness

Female pattern baldness a.k.a. alopecia in women is the most common form of hair problem that women come across. It involves a typical hair loss pattern, resulting from hormones, aging and genetic predisposition.

Hair loss pattern resulting from alopecia in women

Unlike in men, female pattern baldness does not cause hair loss in a well-defined pattern. The hair starts thinning all over the head though there is no hair line receding. It is rare for alopecia in women to result in total baldness.

In the case of females, the scalp hair loss may begin at any age though usually after 40.
The patterns of female pattern baldness can vary considerably in appearance and may include:

Diffuse thinning all over the scalp often with more noticeable thinning toward the back of the scalp.

Diffuse thinning all over the scalp with more noticeable thinning toward the front of the scalp but not involving the frontal hair line.

Diffuse thinning all over the scalp with more noticeable thinning toward the front of the scalp, involving and sometimes breaching the frontal hairline.

Symptoms of alopecia in women

In normal condition a woman tends to lose around 100-125 hairs per day. Losing more hair than that indicates that the condition is not normal.

The following two conditions indicate alopecia in women

Hair thinning over the entire head

Hair loss at the crown or hair line, from mild to moderate

Causes of female pattern baldness

The disease is triggered by the presence of a male hormone called testosterone in female body. Testosterone is produced by androgen hormone.

Certain women are decidedly more sensitive to testosterone than others. This sensitivity results in hair thinning on their scalp. Testosterone interacts with the enzyme 5 alpha reductase produced by the body. The interaction causes the production of DHT within the hair follicle.

DHT causes production of shorter and finer hairs. When DHT is not received well by hair follicles, it causes reduced blood supply and it causes hair thinning on the scalp.

Diagnosis of female pattern baldness

Women tend to have less obvious hair loss patterns than men and they face non-pattern hair loss more frequently than men. Diagnosis of female hair loss should be conducted by a trained and experienced physician.

The physician diagnoses this hair disease on the basis of hair loss appearance and pattern. He also checks whether other possible hair loss causes can be ruled out. He may also go for a skin biopsy or other procedures to diagnose the medical disorders.

Treatment

The diagnosis of female pattern baldness should be followed by a proper treatment. The patient is usually administered Rogaine. Another medicine is Aldactone, which is useful especially for the women experiencing hair fall after menopause. A modern and popular method used in the case of female pattern baldness is hair transplantation.

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.

Are Women Good Candidates for Hair Transplant Surgery?

Balding is not just a men’s problem; women often lose hair as they get older as well. You might wonder, if that is the case, why more women do not have hair transplant surgery. You may be surprised to know that many women are not good candidates.

Women usually have a different type of hair loss than men. Male pattern baldness uncovers parts of the top of the head. However, the sides and back of the head are usually covered with healthy balding-resistant hair follicles.

Men with this pattern of balding will have donor hair that survives the hair transplant process and flourishes long afterward. That is because a naturally-occurring enzyme in the body combines with testosterone to create a chemical called DHT. This chemical is responsible for the hair loss on the tops of men’s heads when they have male pattern baldness.

However, it does not affect the back and sides of their hair in most cases. These areas have healthy hair follicles and make excellent donor sites for hair transplant surgery. These are called stable sites because they remain unchanged over time rather than shrinking like the hair follicles affected by DHT do.

Female pattern baldness is different. In most cases, they do not have large areas of stable balding-resistant hair follicles. The sides and back of their hair tends to thin just as the front and top of the head do. The DHT affects all the areas of their hair.

Any hair follicles that are affected by DHT will simply fall out if they are moved by hair transplant procedures. Moving them from one place to another does not affect the basic nature of the hair follicle.

Also, women do not have the problem of receding hairlines in most cases. Their hair is lost in a more diffuse manner, thinning uniformly all over the head. It is not so much where their hair is that is the problem, but how much they have. Hair transplant surgery will not correct this problem. It is best used to move hair from one place to another.

There is a very small percentage – about 5% of all women with baldness problems – who are good candidates for hair transplant surgery. The thing that all these women have in common is that they all have healthy areas of hair follicles that can be used as donor sites.

For example, women with mechanical or traction Alopecia have lost their hair because they have scratched their head for a long period of time, they have used tight rollers or their hair has been pulled or stretched in any manner. These women almost always have an area of their hair that is unaffected. If they do, they can have hair transplant procedures.

Some women have cosmetic surgery and suffer hair loss around the incision sites. In these cases, hair transplant surgery can help. Other women actually have a pattern of hair loss that is similar to male pattern baldness. These women are able to have the surgery, too.

Finally, women who have suffered trauma from accidents or burns are good candidates for hair transplant procedures. If you are a woman with balding problems, is worth the time to consult with a doctor to find out if you are one of the women who can benefit from hair transplant surgery.