I explained to Emily that The Iowa Writers’ Workshop wasn’t really in the business of handing out medical degrees, but that since my hair was also thinning, and since I was curious, and since I supposed we weren’t the only two women on the planet who wanted some answers, I’d do some research. This is what I came up with for how to handle hair loss during perimenopause.
In either sex, hair loss from androgenetic alopecia occurs because of a genetically determined shortening of anagen, a hair's growing phase, and a lengthening of the time between the shedding of a hair and the start of a new anagen phase. (See "Life cycle of a hair.") That means it takes longer for hair to start growing back after it is shed in the course of the normal growth cycle. The hair follicle itself also changes, shrinking and producing a shorter, thinner hair shaft — a process called "follicular miniaturization." As a result, thicker, pigmented, longer-lived "terminal" hairs are replaced by shorter, thinner, non-pigmented hairs called "vellus."
Side effects and concerns: Minoxidil is safe, but it can have unpleasant side effects even apart from the alcohol-related skin irritation. Sometimes the new hair differs in color and texture from surrounding hair. Another risk is hypertrichosis — excessive hair growth in the wrong places, such as the cheeks or forehead. (This problem is more likely with the stronger 5% solution.)
Traumas such as childbirth, major surgery, poisoning, and severe stress may cause a hair loss condition known as telogen effluvium,[19] in which a large number of hairs enter the resting phase at the same time, causing shedding and subsequent thinning. The condition also presents as a side effect of chemotherapy – while targeting dividing cancer cells, this treatment also affects hair’s growth phase with the result that almost 90% of hairs fall out soon after chemotherapy starts.[20]
Oral Medication: “In cases of androgenetic alopecia, finasteride is still the gold standard,” says Fusco. (Finasteride is the generic version of Propecia, which can be prescribed by your dermatologist and is also available via mail subscriptions.) Fusco says that even younger men can slow or delay hair loss by starting a daily finasteride prescription. “This medication works by inhibiting an enzyme that leads to hair loss,” she notes. “In clinical trials, 90 percent of the patients either gained hair or maintained their hair over a five-year period.”
Prescription medications, while effective, can carry high risk and be incredibly expensive. The most common drug therapy for treating the 34 menopause symptoms in the U.S is hormone replacement therapy. This may be a quick and strong way to combat hormonal imbalance, but unfortunately, it entails serious side effects and increases the risk of blood clots and stroke, as the following study has shown.
In other words, no one’s truly safe from the condition. But even in the face of these seemingly insurmountable odds, not all hope is lost for your precious locks. To show your hair some TLC (and prevent further thinning), look out for these surprising culprits—and combat them accordingly. And if you need a quick way to mask any thinning hair, just check out the 15 Best Haircuts for Looking Instantly Younger.
I've never worn a wig, the remaining hair I do have is thick and really curly so it tends to hide things for me. I feel if it significantly progressed and I couldn't control it any more, then I almost definitely would. The high quality ones are very expensive though, which is a barrier for a lot of sufferers. I'm considering shaving my hair at the moment; but I know it'd be impossible for me not to pull the re-growth entirely.

Hair transplantation may help IF the woman has enough donor hair. So far the only way we do hair transplant is to take hair from one area of the scalp – usually at the back, near the nape of the neck, and move some of that hair to the thinning areas. Women however, don’t lose in the pattern as men do and have thick hair still in the back. While we may lose in a pattern--widening part--we also thin diffusely, over all our scalp. So hair transplant might not be right for everyone. Again, this is a discussion with a dermatologist and a hair transplant surgeon. But have realistic expectations of what it can and cannot accomplish. I go into this at length in my book.


Hair loss can start as soon as puberty ends, depending on your hereditary sensitivity to DHT. That phrasing is key: Bauman stresses that it is not DHT production that causes hair loss, it's the inherited sensitivity to DHT that causes the loss. Those with high sensitivity will be the first to experience a weakening in their follicles. This results in thinning around the crown and hairline, and lighter pigment in the hair. Behaviors that increase DHT production will magnify the loss depending on sensitivity. These behaviors include smoking, creatine supplements, resistance and weight training exercise, stress, and taking anabolic steroids or testosterone hormone replacement.


Minoxidil (Rogaine) is a nonprescription medication approved for male pattern baldness and alopecia areata. In a liquid or foam, it is rubbed into the scalp twice a day. Some people have an allergic reaction to the propylene glycol in the minoxidil solution and a minoxidil foam was developed without propylene glycol. Not all users will regrow hair. The longer the hair has stopped growing, the less likely minoxidil will regrow hair. Minoxidil is not effective for other causes of hair loss. Hair regrowth can take 1 to 6 months to begin. Treatment must be continued indefinitely. If the treatment is stopped, hair loss resumes. Any regrown hair and any hair susceptible to being lost, while Minoxidil was used, will be lost. Most frequent side effects are mild scalp irritation, allergic contact dermatitis, and unwanted hair in other parts of the body.[30]

For women going through menopause, the cause of hair loss is almost always related to hormonal changes. However, there are many other factors that can contribute to hair loss during menopause. These include extremely high levels of stress, illness, or a lack of certain nutrients. Diagnostic blood tests that can help rule out other causes of hair loss include thyroid tests, and/or a complete blood count.


Similar to hitting the gym too often, restricting your diet in unhealthy ways can have severe consequences for your luscious locks. If you’re majorly restricting your daily calorie intake, this will slow down your metabolism and your bodily functions, including the growing cycle of your hair. Aside from that, your hair will be thirsty for those essential nutrients that it is no longer receiving. If you really must diet, start taking biotin supplements to maintain hair growth.

I noticed that Prince William is losing his hair very fast and soon will be as bald as I am. And he is only 35 years old. What a lucky guy! I wonder if Kate Middleton, his wife, loves it as much as my wife loves it? I hope so. I suspect I’m not the only guy out there who loves male pattern baldness and that there are a lot of guys who regret that they will never be bald. I tried shaving off all my hair, but that didn’t satisfy me. I hated the ‘hair shadow’ effect and the stubble that would reappear just hours after shaving. No, I wanted male pattern baldness. I wanted to be permanently smooth and shiny bald on top. I am and couldn’t be happier about it. Hey, if you are going to be bald, it’s much better if you enjoy it and I do enjoy it.

2.Omega-3 Fatty acids -Omega-3 is an essential fatty acid that plays an important role in the maintenance of the cardiovascular system and tissue maintenance. Omega-3 can be found in fish oil supplements. Fish oil supplements are extracted from food sources high in omega-3, and deliver two potent fatty acids for the body. These are docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA).Clinical studies have found that these omega-3 fatty acids can boost mental health, improving mental skills such as concentration, focus and memory. EPA and DHA can also help lower inflammation and reduce bad cholesterol, therefore reducing the risk of stroke and heart diseaseomega-3 fatty acids are extremely helpful for promoting healthy hair. Researchers publishing in Advances in Therapy analysed data collected from 30 women aged 38 to 67 years who had experienced hair loss. It was found that omega-3 significantly reduced hair loss in women.Other clinical studies found that lack of omega-3 can lead to opaque and dry looking hair which in turn can end in dandruff or an itchy scalp. Omega-3 contributes to lubricating hair follicles and so add elasticity and brightness to your hair.The best thing is that you’ll hardly struggle to eat an adequate amount of omega-3 in order to take advantage of its health-enhancing benefits. Two units of fatty fish alone provide the weekly recommended dose of DHA and EPA. The choice is vast: salmon, halibut, sardines, trout, catfish, cod, tuna and herring.Other dietary sources of omega-3 include nuts, flaxseed, shellfish, canola oil and eggs. An easy way to consume omega-3 is through fish oil supplements
2) I’m 32 and my hairline has receded from the temples on back, which started when I was 15. Since then my hair has thinned out a bit on top. The hairless at 15 started abruptly… Strands upon strands fell over over a period of a few months… Which was mortifying to me! However, since then my hair loss has slowed dramatically… Since I have these small peach fuzz like hairs on my temples, and although it’s been 17 years since the hair size shrunk drastically…. Do you think it’s possible to revive these hairs into thicker, terminal hairs?
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Too Much “Hair Care”: Believe it or not, hair loss can be caused by “over caring” for your hair or by certain cosmetic procedures. Shampooing too often, applying heat or braiding your hair tightly can cause damage to the hair follicles. Another cause of hair loss includes chemical processes like dying, bleaching, or perms. Typically, this is not a reason for baldness, though, and the hair will grow back.
I started taking Multivitamin pills daily around February,2018, and then started taking Biotin and Fish Oil supplements daily around March also, and as a result I started noticing my crown start to to get thinner and my temples started to recede as time went by. I stopped taking the Fish oil and biotin supplements first thinking that was the problem, then I stopped taking the multivitamin pills. Its been around a month now and my crown is still pretty thin, and my temples are also not borderline thin but not as full as they used to be. My question to you is did I somehow screw up my hormones now or something to the point to where I cant grow my hair like I used to because I took these supplements? Is this temporary, and will my hair go back since I stopped taking the supplements? Do I need to go see a doctor about this? What are your recommendations to how I can get my hair back to the way it used to be ? It would mean the world to me if you replied! Thank You!
Finasteride is taken once daily in pill form. It works by preventing testosterone from being converted into DHT in the oil glands, hair follicles, and prostate. DHT is the form of testosterone responsible for hair loss. There can be some side effects with this medication and your doctor will be able to explain those in greater detail during your consultation.
Reducing your stress should be your number one priority as it sounds like this could have been the original trigger. If you feel like your scalp is greasy then this could be to do with your diet. Take account of what you eat and try to remove fried foods or any foods containing vegetable oils. Processed foods in general should be avoided ideally. Seeing a doctor to find out what kind of hair loss yours is, is a good first step. Then you’ll be able to find the right treatment for it.
Another sneaky culprit of hair loss is alopecia areata, an autoimmune disease that confuses the hair for an attack on the immune system. According to Marc Glashofer, MD, a dermatologist in New York City, if your hair loss is occurring in round circles on your scalp, then you most likely are a victim of alopecia. Alopecia can be treated with steroids and even over-the-counter products like Rogaine.
You need to Consult best Doctor for your baldness as they provide you best Solution for early Hair Loss and and this could be right age to get recovery time for Hair Transplant which tend to Gave you best result and when you Choose best Clinic For treatment like Hair Clinic in Ahmedabad you will Notice that the Doctor is so good and highly experience which help you to Get Best Result For long lasting through best method.

Other approaches to hair thinning include using cosmetic "camouflage" sprays and powders that cover the scalp with a color close to one’s own hair color, which reduces the contrast between hair and scalp and makes the hair loss less noticeable. Surgical hair transplants are an option, but you must have enough "donor" hair to spare at the back of your scalp. A new treatment approved by the F.D.A. uses low-level laser lights on the scalp but the benefit is “modest,” Dr. Mirmirani said.
Turns out I may be on to something. Research shows that if scalp massages are done with essential oils, including lavender, cedarwood, thyme, and rosemary (the latter being especially effective), they do indeed stimulate hair growth. Of course, the nice thing is, we don’t need to embarrass ourselves by making crazy requests to fancy hair salons (although, if the salon is fancy enough, of course, no request will be seen as crazy); we can give scalp massages to ourselves. And if your sleeping partner doesn’t care, or if you sleep by yourself, then for an additional benefit, you can do what I sometimes do, which is rub rosemary oil with coconut oil into my scalp before bed, and then sleep with it in my hair/head all night.
In 1991, The National Institute of Health (NIH) launched the Women's Health Initiative (WHI), the largest clinical trial ever undertaken in the United States. The WHI was designed to provide answers concerning possible benefits and risks associated with use of HRT. This study was canceled in July 2002, after it was observed that synthetic hormones increase risks of ovarian and breast cancer as well as heart disease, blood clots, and strokes. The findings were published in the Journal of the American Medical Association (JAMA).
One especially effective supplement has emerged in the last few years, and Fusco calls it “a real game changer.” It’s a multivitamin blend called Nutrafol for Men. (Fusco is not paid to endorse it.) She says they many of her patients have “seen regrowth, thicker hair and a healthier scalp after using it. It’s packed with botanical ingredients that help multiple causes of poor hair health, including hair loss from inflammation, stress, hormone imbalance, genetics, and environmental toxins.”
Yes, the frontal hair loss is more as compared to other sides, but I can notice thin hair on sides and back too. Now, I can see my scalp easily when I comb, this shows that hair is thinning and falling from other sides too, I would say it’s androgenetic alopecia because I am losing hair from temples and the hair line is also receding. My scalp feels itchy from nearly 5 years and my hair fall problem started nearly 18 months ago…
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