Women expect hot flashes and mood swings to occur during "the change," but many women are unaware and unprepared for the fact that they may also find themselves facing hair loss and thinning during this time as well. After menopause, about 40 percent of women experience hair thinning, which is almost the same rate as men. But if this is true, why don't we see bald women on the street? Unlike male pattern hair loss, hereditary hair loss in women is usually a lot subtler and it can be easy to miss the early warning signs. Women tend to experience thinning over a wide area of scalp, and for many, the first signs and symptoms may come in the form of a smaller ponytail, a wider part line or excessive shedding during brushing and showering.


Before you start hormone replacement therapy, it's important to talk to your doctor about the possible risks and negative effects versus the benefits of HRT. If you're already at an increased risk for health conditions like heart disease, cancer, and blood clots, HRT may not be the best hair loss treatment for you. If you are prescribed HRT, it important to take the lowest doses that are effective, and to only take the drugs for the shortest amount of time needed to control symptoms.
Interestingly, although we blame this loss on androgens, if you measure a woman’s circulating level of testosterone in the blood after menopause, it is generally not elevated. So how can low androgens cause androgentic alopecia? It’s partly still a mystery, but we do have some clues. Compared to the dramatic decrease in circulating estrogen, testosterone is relatively high. After menopause, the ratio of the hormones becomes reversed.
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]
Some medications have side effects that include hair loss. Talk to your doctor if you are experiencing significant hair loss and you think that your medication might be the cause. Your doctor might be able to switch you over to another type of medicine without any reported side effects. Don’t stop taking your medications until you’ve spoken with your doctor, as this could be dangerous for your health.
Hair transplantation is usually carried out under local anaesthetic. A surgeon will move healthy hair from the back and sides of the head to areas of thinning. The procedure can take between four and eight hours, and additional sessions can be carried out to make hair even thicker. Transplanted hair falls out within a few weeks, but regrows permanently within months. Hair transplants, takes tiny plugs of skin, each which contains a few hairs, and implants the plugs into bald sections. The plugs are generally taken from the back or sides of the scalp. Several transplant sessions may be necessary.[33]
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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.
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.
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 too have spent 25 year researching what causes balding. I have found other reasons that cause balding that I believe to be true. The common link for all humans balding on the vertex of the head is the mandible is in a class 2 skeletal position. This causes the condyle to occlude the superficial temporal artery where it passes between the base of the skull and the condyle. In a normal healthy temporalmandibular joint, there is sufficient clearance for the superficial temporal artery. The skeletal class 2 position places the teeth, the mandible, the Ramos and the condyle in a retrognathic position. In conclusion, the dislocated class 2 skeletal jaw is functioning outside the glenoid fossa in a distalized position, towards the back of your head occluding on the superficial temporal artery. This causes the only connection the vertex follicle pad has to the body to be cut off ending the growth cycle of the hair follicle pad of the vertex.
Topical estrogen and progesterone creams and oral medications are generally the forms prescribed for post-menopausal women with androgenetic alopecia. But HRT will rarely, if ever, be prescribed for treatment of hair loss alone.] If you have other bothersome symptoms which might warrant HRT, in addition to hair loss, you'll first need to undergo a thorough gynecologic and physical exam, and will likely have blood tests done to measure hormone levels before these drugs are prescribed.

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"The thyroid gland helps to regulate the body's metabolism by controlling the production of proteins and tissue use of oxygen. Any thyroid imbalance can therefore affect hair follicles", Anabel explains. Also, if hypothyroidism is left untreated it may result in anaemia, which - as we've just discussed - is another condition that can impact the hair (or lack of it).
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…
It's no myth that excess stress can literally make your hair fall out. How does this happen? Well, it can raise androgen (male hormone) levels, which in turn can causes hair loss. "Stress may also trigger scalp problems, such as dandruff, disrupt eating habits and mess with the digestive system – all of which can have a negative impact on hair" says Anabel.
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.
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?
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.

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.
Fusco says that there’s something called miniaturization happening at the follicular level when a hair falls out. “Miniaturization refers to the slow shrinking of the hair follicle and the diminution of the hair within, until eventually the follicle no longer exists,” she says. “The remaining tiny hair falls out and nothing grows back.” She says that this is often genetic and caused by a hormone called dihydrotestosterone (DHT), which is a byproduct of testosterone. DHT clings to the follicle and then slowly shrinks it. This most commonly happens at the temples, the crown, and the front of the head. (This is also why you don’t see guys losing their hair around the sides and back.)

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?


The benefit of having a thick head of hair is that the top of your head stays protected from UV rays. But once your hair starts thinning and you begin to lose that protection, you’ll find that your scalp is more susceptible to sunburn. If you’re not spending more time outdoors than usual and your scalp is becoming more sensitive to the sun, you could be losing some of your hair.
Finasteride (Propecia) is used in male-pattern hair loss in a pill form, taken 1 milligram per day. It is not indicated for women and is not recommended in pregnant women. Treatment is effective starting within 6 weeks of treatment. Finasteride causes an increase in hair retention, the weight of hair, and some increase in regrowth. Side effects in about 2% of males, include decreased sex drive, erectile dysfunction, and ejaculatory dysfunction. Treatment should be continued as long as positive results occur. Once treatment is stopped, hair loss resumes.[30]
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