This study in males age 60 years and older was designed to determine whether the histology and hormonal findings in older males with hair thinning are similar to Androgenetic Alopecia in young males. Males who experienced the first onset of scalp hair thinning after age 60 were compared to age-matched males (controls) without a history of hair thinning. Four scalp biopsies, two from the frontal and two from the occipital scalp, were obtained for horizontal sectioning and biochemical assay. Histologic findings were primarily follicular downsizing. Follicular drop out was not detected using elastic tissue staining, and there was no significant difference in number of follicles in frontal compared to occipital scalp.
Yes. Doctors use the Savin scale. It ranges from normal hair density to a bald crown, which is rare. The scale helps document female pattern baldness, a condition your doctor might call androgenic alopecia. You probably know it as male pattern baldness, but it affects about 30 million American women. Experts think genes and aging play a role, along with the hormonal changes of menopause. Your hair could thin all over, with the greatest loss along the center of the scalp. 
This is a hereditary condition that affects about 30 million American women, according to the America Academy of Dermatology, and is the most common kind of hair loss Rogers sees in her practice. She tells WebMD that it happens to about 50% of women. Although it mostly occurs in the late 50s or 60s, it can happen at any time, even during teenage years, Rogers says.
There are also other visual cues that women can look for over time. Although men’s hair tends to recede from the forehead or the crown of the head, women tend to notice thinning on the top third to one half of the scalp. Sometimes their frontal line stays intact, says Nicole Rogers, MD, of Old Metairie Dermatology in Metairie, La. Women may see a part that is gradually becoming wider or see more of their scalp than normal when their hair is pulled back.
I personally love short hair on women, I cut my own hair very short a couple of times. But it's hard to shake off that feeling that somehow you've failed as a woman, because you don't have luscious flowing locks. The amount of times I've had guys ask me if I was a lesbian when I had short hair just illustrates the fact that we live in a world where people judge even your sexuality by what your hair looks like!
Daily hair counts are normally done when the pull test is negative. It is done by counting the number of hairs lost. The hair from the first morning combing or during washing should be counted. The hair is collected in a clear plastic bag for 14 days. The strands are recorded. If the hair count is >100/day, it is considered abnormal except after shampooing, where hair counts will be up to 250 and be normal.[citation needed] 

Yes. Doctors use the Savin scale. It ranges from normal hair density to a bald crown, which is rare. The scale helps document female pattern baldness, a condition your doctor might call androgenic alopecia. You probably know it as male pattern baldness, but it affects about 30 million American women. Experts think genes and aging play a role, along with the hormonal changes of menopause. Your hair could thin all over, with the greatest loss along the center of the scalp. 
Hair loss is a pretty tricky topic and most experts and doctors are never really able to pinpoint the cause. However, if you are looking to reduce your chance of hair loss or slow hair loss that is already progressing, you should consider the factors listed above. Your doctor may help you determine if a hormone imbalance or other medical condition may be the cause of your premature hair loss. If so, they may suggest hormone therapy, diet changes or other medications and treatments to help manage to condition or balance your hormones, which may naturally solve your hair loss problem.
Anti-androgens. Androgens include testosterone and other "male" hormones, which can accelerate hair loss in women. Some women who don't respond to minoxidil may benefit from the addition of the anti-androgen drug spironolactone (Aldactone) for treatment of androgenic alopecia. This is especially true for women with polycystic ovary syndrome (PCOS) because they tend to make excess androgens. Doctors will usually prescribe spironolactone together with an oral contraceptive for women of reproductive age. (A woman taking one of these drugs should not become pregnant because they can cause genital abnormalities in a male fetus.) Possible side effects include weight gain, loss of libido, depression, and fatigue.
Hi Gabriel, the hair rinse tonic is a daily thing, it won’t clean the hair, it just provides ingredients to stimulate growth. We don’t want to clean the hair too much. So if you use the shampoo once or twice per week then there’s no real need to use the tonic on the same day. I would certainly stop using Alpecin C1, the SLS in it will damage your scalp.

Anagen effluvium is rapid hair loss resulting from medical treatment, such as chemotherapy. These potent and fast-acting medications kill cancer cells, but they may also shut down hair follicle production in the scalp and other parts of the body. After chemotherapy ends, hair usually grows back on its own. Dermatologists can offer medication to help hair grow back more quickly.


What sometimes surprises women is that female pattern hair loss has the same cause as male pattern baldness: an inherited sensitivity to the testosterone-byproduct dihydrotestosterone (DHT). While men’s hair loss treatment for makes use of a clinically-proven drug named finasteride 1mg to block its production, this is not a suitable option for women.
Nutrition can play a part. If you're not eating a well-balanced diet or are severely dieting or anorexic, it will affect your hair. However, if it is nutritional, it will be a temporary hair loss. Return to a well-balanced diet and hair should return in 4 – 6 months. Supplements must be used with caution and women must understand that vitamins in excess, even those purported to help grow hair, can be detrimental and have an adverse affect. In this day and age, people are rarely deficient in the hair loss vitamins folic acid and biotin. There would be other symptoms beyond hair loss. A B-vitamin rich supplement can help grow hair, but it might not make more hair. I advise using any supplement with caution and eating vitamin-rich foods instead. And ALWAYS tell your physician the vitamins, herbs, and medications (over the counter and prescription) you are using.
Viviscal has Biotin in it — and calcium. And vitamin C. It also contains shark cartilage, oyster extract, and a “marine complex” — which is apparently the secret elixir that gives the ingredient its power. The U.S. National Library of Medicine published an article with a double-blind placebo controlled study that showed the efficacy of this product; “significantly more” women who took Viviscal than the placebo noticed hair growth after 90 days, and even more after 180 days. Now it’s true that the funding for the study was provided by the makers of Viviscal, but double-blind is double-blind. Furthermore, in an entirely separate article, Beauty Editor writer Katrina Persad tried Viviscal for 6 months and documented her results in a quite convincing photo essay and article that showed fairly dramatic results — and Viviscal (as far as I know) did not pay her for her trouble. (Though she does seem to have gotten the product for free, which is quite a perk; the tablets cost about $40 a month.)

If you are looking for a temporary cosmetic solution for hair loss, consider trying Toppik Hair Building Fibers to cover any areas of thinning hair or scalp show-through. Available in nine shades that can be mixed to match almost any hair color, Hair Fibers come in four sizes to help with a wide arrange of hair loss needs. You can either shake or spray the Hair Fibers into thinning hair, and watch as your hair is instantly transformed. This is the quickest way to get the confidence you once had with a full head of hair. 

Some hair loss is associated with stress although male pattern baldness is a genetic condition found in many men. If you find your hair is falling out in clumps or at unpredictable times, it is most likely to be the symptom of something else. This could be stress related but is unlikely to be caused by sexual frustration. The best thing to do is to see your GP for a check up.
The warning signs for men and women with genetic hair loss are slightly different. For men, the two “danger zones” are the crown and the hairline, which are usually where evidence of thinning hair can signal the start of male pattern hairloss – although less eagle-eyed or image-conscious individuals may take many months or even years to notice the gradual changes.
Another way to diagnose what the problem is just by looking and listening, Rogers says. She asks what a patient’s mother, aunts, or grandmothers look like - if they have similar, or greater amounts, of hair loss. Using magnification on the scalp can show if a woman’s follicles vary in size - with some thick and others thin. These are two telltale signs of female pattern hair loss, also called androgenetic alopecia.
Although it’s generally only prescribed as a last resort for menopausal symptoms, hormone replacement therapy is a common and very effective hair loss treatment for some women — as long as they are menopausal or post-menopausal and are not at higher risk for adverse effects from HRT. It's most often prescribed for women who have androgenetic alopecia, also called pattern baldness. Hormone replacement therapy has a number of benefits for both general health and symptom management, but also a number of side effects — which range from unpleasant to dangerous.
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A new medication can bring about a whole host of changes to your body—while also affecting the rate at which hair grows on your entire body. Certain medications can lead to two types of hair loss: telogen effluvium and anagen effluvium. Telogen effluvium can begin to take effect within the first two to four months after taking a new medication. If you notice more hair loss than usual, notify your doctor immediately to save your most prized possession from further damage. The second type of hair loss, anagen effluvium, is most common in cancer patients receiving regular doses of chemotherapy. This type of hair loss prevents your matrix cells from producing new hair altogether, meaning that you may lose hair on other parts of your body as well. And for more ways to make the most of your mane, check out these 15 Top Hair Tips from Top Hollywood Stylists.
decrease in your blood Prostate Specific Antigen (PSA) levels. Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you have a PSA test done you should tell your healthcare provider that you are taking Finasteride because Finasteride decreases PSA levels. Changes in PSA levels will need to be evaluated by your healthcare provider. Any increase in follow-up PSA levels from their lowest point may signal the presence of prostate cancer and should be evaluated, even if the test results are still within the normal range for men not taking Finasteride. You should also tell your healthcare provider if you have not been taking Finasteride as prescribed because this may affect the PSA test results. For more information, talk to your healthcare provider.
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.”
Congenital triangular alopecia – It is a triangular, or oval in some cases, shaped patch of hair loss in the temple area of the scalp that occurs mostly in young children. The affected area mainly contains vellus hair follicles or no hair follicles at all, but it does not expand. Its causes are unknown, and although it is a permanent condition, it does not have any other effect on the affected individuals.[24]
These three levels of approaches are not mutually exclusive. A woman may use different approaches at different times or any combination of them depending on the duration and severity of symptoms. Today, more and more women find that dealing with menopause symptoms is best accomplished via a combination of healthy lifestyle and alternative treatments.

Minoxidil is the only medically-proven hair loss treatment suitable for women that has been shown to regrow hair and stop female pattern hair loss. Whilst it is licensed by the MHRA and approved by its US counterpart, the FDA for the treatment of genetic hair loss in both men and women, minoxidil is also known to be effective for other hair loss conditions.
Ever feel like pulling your hair out?  Menopause can do that to you.  Hot flashes, weight gain, crankiness—but wait—there’s more!  Just when the mind reels from those menopausal symptoms, one day you notice your hair is not quite as thick and shiny as it used to be.  In fact, there are some tiny patches where you can actually see scalp!  What is going on?

I am a 20 year old male, and I suffered severe hair loss for the past eighteen months. The hair loss was not specific to any area of my scalp, but i noticed a marked decrease in my hair density. Any of my immediate family members never showed signs of balding before 55 years of age. My hair loss has stopped now, and it is under control with me losing not more than 5-8 hair strands a day. I... READ MORE


Nowadays, it has become analytical of concerns which are extra serious. Too much hair fall is a main symptom representing alopecia. Unnecessary to say that a strong diet plus lifestyle will perform to you moreover your hair follicles good on the other hand it’s vital to get an ultimate appraisal of your hair loss in order that any option you build in terms of action will be the greatest one for you long-term. Easy lifestyle changes for example receiving 7 hours of sleep, having a glass of water each hour are very important. You have to know that strands are made up of minerals that only water can refill) moreover consuming protein-rich foods at normal intervals can bring a propos an 80 per cent change.
decrease in your blood Prostate Specific Antigen (PSA) levels. Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you have a PSA test done you should tell your healthcare provider that you are taking Finasteride because Finasteride decreases PSA levels. Changes in PSA levels will need to be evaluated by your healthcare provider. Any increase in follow-up PSA levels from their lowest point may signal the presence of prostate cancer and should be evaluated, even if the test results are still within the normal range for men not taking Finasteride. You should also tell your healthcare provider if you have not been taking Finasteride as prescribed because this may affect the PSA test results. For more information, talk to your healthcare provider.
If you find yourself snacking at night before bed, it may be because you're bored or anxious — not truly hungry — and eating makes you feel better. Try eating a healthy dinner a bit later in the evening. If your stomach is truly growling before bed, try a protein-based snack like a hard-boiled egg or a slice of cheese. A few spoonfuls of yogurt or some fruit is another good option. 
Whether you've had thin hair your entire life or you're just starting to notice that your mane isn't looking quite as full as it used to, chances are, you've sought solutions to thicken or regrow the strands on your scalp. If this is the case, you're not alone – hair loss can and does happen to a lot of people. Visible hair loss tends to be more noticeable around certain parts of the scalp, like the top of the head or around the sides by the temples, but stimulating new growth can be attempted naturally at home and with just a few inexpensive items.
Just because hair loss is a visible condition doesn’t mean that you’ll see it right away. In fact, people often don’t notice that they are experience hair loss until half of the process has occurred. It’s important to keep an eye on the following symptoms so that you can treat the condition as early as possible. The earlier you treat hair loss, the better your results will be. Here are a few common female hair loss symptoms:
I posted some pictures because I am not sure if I am loosing my hair. I have recently noticed some thining in the front and back but I am not sure if I am really loosing my hair or if it recently has just been looking different. I also notice when I stroke my hand through it a lot of strands are easy to pull out. What can I do? Progaine? Rogaine? I am 22. Thanks! READ MORE
Beginning at perimenopause in their 40s, women may see the effects of menopause on hair, including thinning hair, dull, graying and hair loss. Experts previously thought hair loss due to menopause was caused by low estrogen levels. But new research shows that hair loss in older women is likely due to lower levels of both estrogen and progesterone, causing hair follicles to thin and hair to fall out.
The notion that only middle-aged men experience baldness isn’t only false, it’s damaging. It causes 20-year-old men to feel self-conscious about their hair loss, meaning that most of them refuse to confront the reality that their hair is thinning. Accepting this reality is the first step towards preventing hair loss from accelerating and getting worse.
Terrible diet may not be the reason of what is strictly defined as “balding”. Though, lack of essential nutrients for example proteins, vitamins, keratin, plus minerals can guide to harsh hair fall which could report to baldness. Fair meals make sure good furnish of nutrients to hair follicles. Furthermore, healthy food suppresses hormones for example DHT. Dihydrotestosterone otherwise DHT is a hormone which plays a main role in causing hairlessness in men.
If suffering from hair loss in their mid 20s, most people tend to opt for non-invasive hair loss prevention treatments, usually in the form of a lotion or tablet. Other options may include hair transplant, especially if it’s likely that the hair loss in mid 20s will be permanent, that is to say the hair loss is progressive and unrelenting. Hair transplants are a popular way to restore hair these days since the effects are completely natural-looking and involve hair restoration using hair from the patient’s own head. Hair transplant can be performed on both men and women and is only impossible if Alopecia Totalis has already occurred (complete hair loss through the death of the hair follicles).
Tightly pulling back your hair in ponytails, cornrows or braids can lead to traction alopecia, characterized by hair breakage along the hairline and temples. Women athletes who often wear their hair pulled back are particularly at risk. A change in hairstyle usually helps; however, hair loss may be permanent if the tight styling techniques have been used too long.
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About half of all women find their hair thinning by age 50. Although some websites promote estrogen as a way to prevent hair loss, the hormone’s effects on hair growth are not well known, and long-term hormone therapy is linked to serious health risks, “so unless you need to take it for other reasons, it’s not something I would recommend,” said Dr. Paradi Mirmirani, the regional director for hair disorders at Kaiser Permanente-Northern California.
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.)
Treatment of pattern hair loss may simply involve accepting the condition.[3] Interventions that can be tried include the medications minoxidil (or finasteride) and hair transplant surgery.[4][5] Alopecia areata may be treated by steroid injections in the affected area, but these need to be frequently repeated to be effective.[3] Hair loss is a common problem.[3] Pattern hair loss by age 50 affects about half of males and a quarter of females.[3] About 2% of people develop alopecia areata at some point in time.[3]
The main type of hair loss in women is the same as it is men. It's called androgenetic alopecia, or female (or male) pattern hair loss. In men, hair loss usually begins above the temples, and the receding hairline eventually forms a characteristic "M" shape; hair at the top of the head also thins, often progressing to baldness. In women, androgenetic alopecia begins with gradual thinning at the part line, followed by increasing diffuse hair loss radiating from the top of the head. A woman's hairline rarely recedes, and women rarely become bald.
Like anything else, genes from mom can play a role. But she’s only half the pie. You can also inherit these genes from your father, says Dr. Alan J. Bauman, Hair Restoration Physician and founder of Bauman Medical. “Hair-loss genes can be inherited from either your mother's or father's side of the family, or a combination of the two,” he says. He adds that there are roughly 200 different genes that regulate your hair growth, so the combination of these genes—from both parents—can be unique and won’t always pattern itself from one sibling to the next.
Yes. Doctors use the Savin scale. It ranges from normal hair density to a bald crown, which is rare. The scale helps document female pattern baldness, a condition your doctor might call androgenic alopecia. You probably know it as male pattern baldness, but it affects about 30 million American women. Experts think genes and aging play a role, along with the hormonal changes of menopause. Your hair could thin all over, with the greatest loss along the center of the scalp. 
Hypothyroidism (an under-active thyroid) and the side effects of its related medications can cause hair loss, typically frontal, which is particularly associated with thinning of the outer third of the eyebrows (also seen with syphilis). Hyperthyroidism (an over-active thyroid) can also cause hair loss, which is parietal rather than frontal.[23][unreliable medical source?]
Hi Will. I have a question regarding on my hair loss problem. Currently, I’m still on my 19 but I already have that M-shaped on my hairline which is really absurd and devastating for me. I met a doctor one month ago and he prescribed me with ketoconazole shampoo. The result is quite impressive as my hair didn’t feel itchy anymore. The thing is, the hair on my hairline is still not growing as much as the other parts of my head but the fine hair didn’t fall out. Is it going to be like that or is there anything that I should consider to make it grow back?
A key aspect of hair loss with age is the aging of the hair follicle.[43] Ordinarily, hair follicle renewal is maintained by the stem cells associated with each follicle. Aging of the hair follicle appears to be primed by a sustained cellular response to the DNA damage that accumulates in renewing stem cells during aging.[44] This damage response involves the proteolysis of type XVII collagen by neutrophil elastase in response to the DNA damage in the hair follicle stem cells. Proteolysis of collagen leads to elimination of the damaged cells and then to terminal hair follicle miniaturization.
The pull test helps to evaluate diffuse scalp hair loss. Gentle traction is exerted on a group of hairs (about 40–60) on three different areas of the scalp. The number of extracted hairs is counted and examined under a microscope. Normally, fewer than three hairs per area should come out with each pull. If more than ten hairs are obtained, the pull test is considered positive.[27]
Nowadays, it has become analytical of concerns which are extra serious. Too much hair fall is a main symptom representing alopecia. Unnecessary to say that a strong diet plus lifestyle will perform to you moreover your hair follicles good on the other hand it’s vital to get an ultimate appraisal of your hair loss in order that any option you build in terms of action will be the greatest one for you long-term. Easy lifestyle changes for example receiving 7 hours of sleep, having a glass of water each hour are very important. You have to know that strands are made up of minerals that only water can refill) moreover consuming protein-rich foods at normal intervals can bring a propos an 80 per cent change.
Minoxidil (Rogaine) is approved by the FDA for female pattern hair loss. It can slow or stop it in most women and may help hair grow back. But the benefits go away when you stop using it. Corticosteroids can help regrow hair for women with alopecia areata. And if the cause is an underlying medical problem or poor nutrition, your locks should grow back on their own once things are under control.
It’s simple, really: the more you mess with your hair, the more damage you cause to your follicles. This truth was laid out in Dove Men+Care’s Hair Fall Study, which found that the over-styling and use of heated tools were incredibly damaging to hair. As it turns out, the solution to this problem is equally simple: don’t overdo it. At the most, you should only need to use heat on your hair once a week. To make your style last longer, it may be time to invest in a can of dry shampoo. And for more hair care tips, This is the Healthiest Way to Straighten Your Hair.
I am 37 years old and for a long time I was slowly noticing a bald spot around the center of my far head. I think one reason may be because i do wear my hair up in ponytails all the time but recently it has gotten worse very quickly. I saw an article about the different medical reasons that cause hair loss but have been nervous to call and make a dr apt to talk to my dr. about all the bloodwork that was suggested to me. I am really starting to freak out because at 37 years old i am trying everything to try and cover the spots but I would love to correct it if there is a problem instead of just trying to hide it 🙁 I am starting to feel extremely self conscience and feel like I am gonna have to wear wigs or something before I am 40 🙁
Female-pattern hair loss, called androgenic or androgenetic alopecia, is basically the female version of male pattern baldness. “If you come from a family where women started to have hair loss at a certain age, then you might be more prone to it,” says Dr. Glashofer. Unlike men, women don't tend to have a receding hairline, instead their part may widen and they may have noticeable thinning of hair.
Oh my receding hairline is so tied to hormones! I lost my first batch of my thick, beautiful hair when I was pregnant and the next after my hysterectomy….I am still thinning and, you are right, it does seem to worse when I am stressed. It does change how I feel about myself. Thank you for, as usual, bringing great solutions and suggestions Ellen. I will definitely check some out!
As for me, thanks to two years of regular treatment, I've finally reached the phase where regrowth is thicker every day. But the process has been arduous and pricey: Rogaine requires diligent use and $30 a month for the rest of my life. And some of my hormone-regulating prescriptions that I credit most for my good results—like Avodart, that cost upwards of $200 a month—are not covered because if you take them while pregnant, they can harm the fetus's development. But I continue with my regimen because, for me, the risk is worth the remedy—I'm not planning on pregnancy for a long, long time anyway. I also figure it'll be a lot easier to find a potential father with a full head of hair.

You’ve heard a million times and a million reasons why smoking is bad. Here’s another one for you. If you’d like to keep your glossy mane, it’s time to call it quits. According to research out of the University Hospital of Zurich, smoking causes “damage to DNA of the hair follicle, smoke-induced imbalance in the follicular protease/antiprotease systems controlling tissue remodeling during the hair growth cycle, pro-oxidant effects of smoking leading to the release of pro-inflammatory cytokines resulting in follicular micro-inflammation and fibrosis and finally increased hydroxylation of oestradiol as well as inhibition of the enzyme aromatase creating a relative hypo-oestrogenic state.” So, yeah, switch out your nasty habit for one that doesn’t mess with your body chemistry in such profound ways.

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