There are also autoimmune disorders--alopecia areata is considered an autoimmune disorder--that can cause the hair to fall out in round smooth patches. Some men, women and children lose their hair this way or lose all their hair over their entire body. This is a devastating condition that can often go into remission and the hair will grow back as suddenly as it disappeared. This is particularly difficult for young women and I interviews some women who told me they contemplated suicide.
There are also autoimmune disorders--alopecia areata is considered an autoimmune disorder--that can cause the hair to fall out in round smooth patches. Some men, women and children lose their hair this way or lose all their hair over their entire body. This is a devastating condition that can often go into remission and the hair will grow back as suddenly as it disappeared. This is particularly difficult for young women and I interviews some women who told me they contemplated suicide.
Suffering from hair loss can be a disheartening and upsetting experience for most women. Unfortunately, during the menopause it can often occur due to plummeting levels of oestrogen and an increase in testosterone. In this page, our menopause expert Eileen Durward addresses why this unhappy symptom occurs and what herbal remedies can be used to encourage hair growth.

Beyond Hormones, Contributing Factors -- When it comes to menopausal hair loss, lower female hormones might be the most common culprit, but other contributing factors may need to be considered as well. These risk factors include genetic predisposition, unusual levels of stress, other hormonal imbalances -- like thyroid, for example -- nutritional or iron deficiencies, crash diets, as well as illness, medications and your surgical history. A detailed medical history and diagnostic tests are obtained as an important part of a medical hair-loss evaluation to identify risk factors.
Hot flashes, fatigue, weight gain, low libido and mood swings are all symptoms commonly associated with menopause. As if these aren’t all enough to deal with, research links menopause to female hair loss. According to Lovera Wolf Miller, M.D., member of the North American Menopause Society (NAMS), noticeable hair thinning (androgenetic alopecia) occurs in about half of all women by age 50, although it may begin any time after puberty. "Alopecia is actually as common in women as it is in men, but it's less apparent because it rarely causes balding," Dr. Miller says.
I’m glad to hear that wearing hats does not cause hair loss. I heard one of the biggest reasons for hair loss for men is from hats. I wear a hat almost everyday so I was pretty nervous. I think I will eventually be bald but I didn’t want to speed up the process. I think I would probably still wear hats even if it did cause hair loss. But it’s nice to know it doesn’t. Thanks for debunking some hair myths for me!
Women also have more of an enzyme called aromotase, which stimulates the hormone production of estrone and estradiol; both of these hormones act against hair follicle-shrinking DHT. In most women, aromotase production is significant at the front of the hairline—meaning loss here is less common in women, but not impossible. Sometimes, conditions such as hirsutism, ovarian abnormalities, infertility and menstrual irregularities may interfere with estrone and estradiol production so that loss at the hairline occurs.
Be consistent. Dr. Robert Bernstein, a respected hair restoration surgeon suggests staying on Propecia and minoxidil for 12 months because hair growth may take a long time to become visible. Bernstein also notes that although Propecia and minoxidil were only proven to regrow hair on the top of the scalp, they "definitely can" work for the temple region so long as there is still hair remaining in that area.
I'm 21 yr old boy suffering from hairloss..... since 18 i was suffering from excessive hairfall.Even my family are bald(but they suffored after 45 yrs) nearly 100-200 hair will fall daily, i am using minoxidil 10% from 1.5yrs but results was not good. i have tried all vitamine,biotine medicine for years but still condition is not good. while comb also 5 to 10 hair will fall off. Sir pls help... READ MORE
Once considered a mark of a middle age crisis among men, hair loss and thinning hair is fairly common among women as well. Some 30 million women in the U.S. have hereditary hair loss (compared with 50 million men). Daily tasks such as brushing and washing your hair can turn from relaxing to puzzling when excess shedding around the hairline occurs. Being an unlucky victim of either genetics or improper hair styling can cause a receding hairline.
Be consistent. Dr. Robert Bernstein, a respected hair restoration surgeon suggests staying on Propecia and minoxidil for 12 months because hair growth may take a long time to become visible. Bernstein also notes that although Propecia and minoxidil were only proven to regrow hair on the top of the scalp, they "definitely can" work for the temple region so long as there is still hair remaining in that area.

When women have female pattern hair loss, the pattern of the shedding is completely different. While it is still located around the top of the head, it affects the vertex more diffusely, as opposed to being confined to defined areas. While thinning can certainly be significant, the chances of it forming noticeable bald areas are much less likely than with men. Instead, hair tends to look less voluminous than it once did, and the severity of the loss is recorded on something called the Ludwig Scale, which can be seen here.

In men, finasteride (originally marketed as Proscar) is approved for hair loss associated with androgens. In one study, 62% of women also taking oral contraceptives containing the synthetic progestin drospirenone reported improvement. So it may be effective for female hair loss in the setting of increased androgen. But studies are limited and it is harmful to the male fetus so should not be used by women thinking about becoming pregnant or who are pregnant.
Ahh this is so helpful and it makes a lot of sense! Thank you so much for this! I’ll definitely take all this on board! Honestly since my hair started thinning a few months ago I’ve been so panicked and confused as to why it was happening. I’m quite vain and I’ve always loved my hair so I’ve been really worried about keeping my curly locks! My friend actually recommended getting a wig made. Apparently you can have small pieces and extensions to cover up certain thinning parts of your hair without losing all your hair (and I’m definitely leaning towards this option). I read about a company called Optima Hair (they’re located near where I live), has anyone else used them? They look good but I don’t know much about it if I’m honest so I’d appreciate any advice or recommendations people could give me! x
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]
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.

Sudden weight loss is a form of physical trauma that can result in thinning hair. This could happen even if the weight loss is ultimately good for you. It’s possible that the weight loss itself is stressing your body or that not eating right can result in vitamin or mineral deficiencies. Loss of hair along with noticeable weight loss may also be a sign of an eating disorder such as anorexia or bulimia. 

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 had a new baby to look after and knowing my hair was falling out just added to the stress. There was a point where my post-natal depression got so bad that the doctor wanted to prescribe me anti-depressants. But as much as the hair loss was bringing me down, as a new mum I just didn't want to feel out of it. A lot of people choose to take medication and that's totally their choice, but for me I didn't want to be in a haze at such an early stage of my child's life, or ever really.
Ahh this is so helpful and it makes a lot of sense! Thank you so much for this! I’ll definitely take all this on board! Honestly since my hair started thinning a few months ago I’ve been so panicked and confused as to why it was happening. I’m quite vain and I’ve always loved my hair so I’ve been really worried about keeping my curly locks! My friend actually recommended getting a wig made. Apparently you can have small pieces and extensions to cover up certain thinning parts of your hair without losing all your hair (and I’m definitely leaning towards this option). I read about a company called Optima Hair (they’re located near where I live), has anyone else used them? They look good but I don’t know much about it if I’m honest so I’d appreciate any advice or recommendations people could give me! x
Most women with pattern hair loss don't get a receding hairline or bald spot on top of the scalp as is common in men. Instead, there is visible thinning over the crown. In men and women, hairs are miniaturized because of a shortened growth cycle where the hair stays on the head for a shorter period of time. These wispy hairs, which resemble forearm hairs, do not achieve their usual length.
Adjusting to permanent hair loss is challenging for most women. Menopausal hair loss can be upsetting and cause anxiety, but is not usually a sign of an underlying medical disorder, unless accompanied by other symptoms. Improving general and nutritional health may help slow loss. There are cosmetic options for improving the appearance of hair and medical treatments which, when used long term can improve hair growth. If you have other symptoms as well as your hair loss, seek the advice of your doctor.
Then I hit a wall. I couldn't cover it up anymore. It was obvious to everyone around me that I was trying to hide my hair loss. I had two options: accept the situation or change it. The treatment options didn't work for me, I wasn't about to shell out money for a risky hair transplant surgery and I didn't feel comfortable wearing a toupee. I had to learn to embrace my male pattern baldness or live with constant anxiety and depression.
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!
Lifestyle changes, combined with alternative medicines, are a highly effective treatment option for most women suffering from menopausal hair loss. However, for some women, the symptoms will be so severe that a more drastic treatment is necessary. Before beginning to take prescription medicine or getting surgery, a woman should consult a trusted medical professional to better understand the potential benefits and risks involved. 

Mine has definitely thinned, but I am absolutely not willing to take drugs for it, or for any of the relatively minor issues that I’ve experienced. Although I do know men who have had great experience with hair drugs. Still, I don’t like putting more stuff into my body if I don’t have to. I’d like better hair, but my self-image doesn’t depend on it.
Another of the key clues is a feeling that the hair is not as thick as usual – for instance when putting the hair into a ponytail, it may seem less dense. Although this may make it difficult for any obvious changes to be observed, many women intuitively know when something is different – and this would be a good time to see a hair loss expert to ascertain exactly what is going on.
And when you do wash your hair, you might try using a shampoo meant for hair growth. Art Naturals Argan Oil Shampoo, for example, contains DHT blockers that are meant to prevent damage and further hair loss. It costs about $26 and has nearly 1,700 reviews with a 4.0 average on Amazon, and most users reported noticeable hair growth after only a couple of weeks.
Hair loss is something that happens to the majority of men at some point in time. Despite the fact that most of us have a slim chance of keeping the same head of hair throughout our lives, we still cling to the idea that hair loss won’t happen to us. Unfortunately, this denial makes it more difficult to stop male pattern baldness from claiming most of our hair.
A few years back, your hair was so thick that we could barely see your scalp. But these days, parting your hair leaves a noticeable gap that everyone can see. This is because you’ve lost some of the hair in your crown area, effectively losing some of your hair’s volume. The problem is that you never really know how much thinning is going to happen. For some men, it could just be a little bit of shedding. For others, their hair could continue thinning until there are large bald patches.
For female hair loss in mid 20s, the findings are much the same; that if pattern hair loss runs in the family, the daughters are most certainly at risk too.  The other reason for hair loss in younger women is usually attributed to hormonal fluctuations, the trichological effects of which however could just be temporary. Speaking to your doctor if you feel that hormones, or hormone treatment is a concern, is advised. Hair loss in the 20s female tends to be diffuse, with an overall thinning of the hair occurring before wider areas of hair loss on the crown, if it progresses that far.
Follicles grow in cycles (growing – resting – falling out). Therefore, not all follicles grow at the same time and they have periods of rest. During the rest period the hair may remain in the follicle for some time or it may fall out. This cycle repeats itself for the whole of your life. It takes 8-12 weeks for a hair to grow from the base of the follicle to the surface of the skin. This means that if you remove a hair, you may have to wait 8-12 weeks for it to grow again. Hairs you see growing a few days later in the same area are from different follicles.
Hair transplant are a well-liked way to reinstate hair these days as the effects are totally natural-looking plus involve hair return using hair from the patient’s own head. Hair transplant can be performing on both men plus women moreover are only not possible if Alopecia Totalis has previously occurred (total hair loss throughout the death of the hair follicles).
And when you do wash your hair, you might try using a shampoo meant for hair growth. Art Naturals Argan Oil Shampoo, for example, contains DHT blockers that are meant to prevent damage and further hair loss. It costs about $26 and has nearly 1,700 reviews with a 4.0 average on Amazon, and most users reported noticeable hair growth after only a couple of weeks.
Last summer, I started visiting the Philip Kingsley hair clinic in New York City every week to strengthen the fragile wisps that were sprouting up along my hairline as a result of my prescription treatments. There, I learned that physical as well as emotional stress can cause temporary thinning and make genetic hair loss worse. Consider it something like a domino effect. When 44-year-old fitness instructor Maria Santoro was hospitalized for a severe allergic reaction to her pneumonia medication, she lost 20 pounds in 10 days, and her chestnut waves started falling out in clumps. "People assumed I was anorexic," she says. "My body was in shock, and I felt really insecure because of my weight loss and thin hair. It was devastating."
Guys are indeed losing hair earlier than their fathers. Four trichologists who spoke to the Times of India say while it’s normal to lose 50 to 100 hairs a day, more than that could indicate a health issue. Consider that the body typically sheds hair in response to extreme mental or physical stress, with hair loss that shows up several months after the event.
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.
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.
When one researches hair loss, or asks perimenopausal or menopausal women how they treat their thinning hair, a couple of vitamins and supplements come up again and again: Biotin and Viviscal. Biotin is a B-vitamin that’s part of the B family. Deficiencies are rare, but many women take supplements because it seems to improve the condition of their hair and nails. And by “seems to improve,” I mean that if you go on Amazon.com and look up “Biotin” or “vitamins for hair, skin, and nails,” you will find a plethora of products with five-star reviews and phrases such as “life-changing” and “bald no more” and “Works!!!”
In males over 60, androgen receptor and aromatase levels were low and comparable in scalp with and without thinning in both frontal and occipital regions. The 5a -reductase type 1 and 2 levels were only slightly higher in males with thinning hair in both frontal and occipital regions, but the differences were not significant. Histologic and hormonal findings suggest that senescent thinning is a diffuse process that is histologically similar to Androgenetic Alopecia, but hormonally different and may not be entirely androgen dependent.
Consider consulting a nutritionist to see if you might be deficient in certain nutrients that are vital to hormone balance and hair health for example B Vitamins, Zinc, Omega-3 fatty acids. Consider using Viviscal, a natural supplement containing Amino-Mar which is shown to promote hair growth. Viviscal Shampoo and Conditioner can also be used to ensure hair health inside and out.
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!
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.
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