Trichotillomania, or hair-pulling disorder, often afflicts those with Obsessive Compulsive Disorder or anxiety. According to the Mayo Clinic, anxiety attacks often result in hair-pulling episodes that can cause permanent hair loss for Trichotillomania sufferers. Those with the condition can benefit from habit reversal training, cognitive therapy, acceptance and commitment therapy, and, in extreme cases, mood-stabilizing medication, like Prozac or Paxil.
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.
There’s no single cause. Triggers range from medical conditions -- as many as 30 -- to stress and lifestyle factors, like what you eat. Your genes play a role, too. Sometimes doctors can’t find a specific reason. As a starting point, hair loss experts suggest you get tested for thyroid problems and hormone imbalances. Hair often grows back once the cause is addressed.
The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.
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.
“That sounds totally exhausting and really expensive. Forty dollars for one month of shark pills? And what about those poor sharks? Blow-dry my hair to create volume — but don’t blow dry my hair ‘cause I’ll damage it? Use Rogaine every day for the rest of my life — what if I live to be 100? Do you how much that’s gonna cost me? Go on the pill? I feel like I just went off the pill! This is like a part-time job! Only I’m gonna need a part-time job to pay for it all! Forget it! You know what I’m doing? I’m getting a summer hat! I saw a really cute one when I was at the mall, but it was like $50, and I thought, that’s crazy, I’m not spending fifty bucks on a stupid straw hat! Now that seems like a total bargain to me! I’m just going to wear hats all the time! Wool hats in winter, straw hats in summer. It’ll be an investment I’ll make every couple years. Done! Thank you, Kelly, you have made me realize I don’t need to solve this problem, I just need to keep covering it up.”
Hair grows in three different cycles: anagen, catagen, and telogen. About 90% of the hair on the head is in the anagen, or growth phase, which lasts anywhere from two to eight years. The catagen, or transition phase, typically lasts 2-3 weeks, during which the hair follicle shrinks. During the telogen cycle, which lasts around two to four months, the hair rests.
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.
Unfortunately for men, there’s a four in seven chance of receiving the baldness gene which means hair loss could occur for you really at anytime during adulthood. Many of our clients have recognised that their fathers or their mothers if the balding is on the female side, started at a certain point in their lives and that the time-scales are similar or identical.
Alopecia areata is an autoimmune disorder also known as "spot baldness" that can result in hair loss ranging from just one location (Alopecia areata monolocularis) to every hair on the entire body (Alopecia areata universalis). Although thought to be caused by hair follicles becoming dormant, what triggers alopecia areata is not known. In most cases the condition corrects itself, but it can also spread to the entire scalp (alopecia totalis) or to the entire body (alopecia universalis).
Loose anagen syndrome, which most commonly presents in young children, occurs when hair that is not firmly rooted in the follicle can be pulled out easily. Most of the time, hair falls out after it has reached an arbitrary maximum length. Children with loose anagen syndrome often cannot grow hair beyond a relatively short length. The condition more commonly affects girls with blond or brown hair.
Surgical options, such as follicle transplants, scalp flaps, and hair loss reduction, are available. These procedures are generally chosen by those who are self-conscious about their hair loss, but they are expensive and painful, with a risk of infection and scarring. Once surgery has occurred, six to eight months are needed before the quality of new hair can be assessed.
Chris Deoudes has been a fitness writer since 2006, with articles published at Bodybuilding.com and Avant Labs. He is certified as a personal trainer by the American Council on Exercise and as a performance sport nutrition specialist by the International Sports Sciences Association. He has a Bachelor of Arts in criminal justice and business management from the University of Florida. 
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