Trich is under-researched in the UK, with the NHS pretty pushed for resources to try and treat it. I was referred to CBT (cognitive behavioural therapy) when I was 10, which just made me more anxious and depressed. Trying to identify Trich-triggers is incredibly difficult; they can be emotional, physical, situational and differ vastly between individuals. For me, currently it's mostly when I come up against confusing stuff in my PhD research; anxiety and stress also induce it.
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.
When undergoing this therapy, the doctor will extract blood from you in the same way as if you were getting a blood test. Your blood is then placed in a centrifuge which separates out the red blood cells from the plasma -which contains the platelets. Once the plasma is extracted and concentrated, a small needle is used to inject it into the treatment area. Pain and potential side effects are minimal, and you can go back to your daily routine afterwards with no restrictions on driving or activities.
While hair loss isn’t the most common symptom of anemia caused by an iron deficiency, there are still a number of people suffering from this predicament. According to a study in the Journal of Korean Medical Science, those affected by this specific type of hair loss can experience symptoms for a number of years. Since iron plays a crucial role in producing hemoglobin, a compound that carries oxygen to cells, this can mess with your body’s ability to carry out essential processes like hair and nail growth. You can make up for this deficiency by upping your protein intake, or by taking iron supplements—though you should talk to a doctor before doing this. And for more on the essential nutrients you may need, check out these 50 Best Supplements on the Planet. 

Trichotillomania, classified as an “impulse control disorder,” causes people to compulsively pull their hair out. “It’s sort of like a tic, the person is constantly playing and pulling their hair,” says Dr. Glashofer says. Unfortunately, this constant playing and pulling can actually strip your head of its natural protection: hair. Trichotillomania often begins before the age of 17 and is four times as common in women as in men.
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.
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]

Common Mistakes to Avoid -- When it comes to hair loss, missing the early signs is one of the first mistakes many women make. A staggering 50 percent loss can occur before it's noticeable to the human eye. The other common mistake women (and men, for that matter) make when trying to treat their hair loss is not giving enough time for therapy to work and not tracking their results properly. Just like hair loss, initial changes in hair regrowth take time and can be subtle before they are noticeable to the naked eye.
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.
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.

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.”
If follicles receive the necessary stimulus and nutrients from the body, it can stabilize hair loss during menopause and strengthen existing hair growth. This is why it’s important to nourish thinning hair follicles with the right nutrients, including marine extracts, vitamins (including B vitamins such as Biotin and Niacin) and minerals (such as Zinc), to promote hair growth during menopause. A good diet, as well as a nourishing shampoo and conditioner that is gentle on dry, aging hair, are top tips for how to treat menopause-related hair loss. 

This is probably the most common sign that your hair is starting to thin out. The receding hairline usually starts out as something small – maybe the hair around your temples gets a little bit thinner than the rest of your hair, or your forehead is a centimeter taller. At first, it’s not that big of a deal. But when you leave the receding hairline unchecked, it usually continues to grow until it creates a large M-shape pattern in the hair.

Hormonal imbalance. Hair loss during menopause and perimenopause is common due to declining estrogen levels. As estrogen levels fall, the resulting imbalance between estrogen and testosterone can cause thinning hair on certain areas of the head that are sensitive to androgens, commonly referred to as male pattern baldness. The same imbalance can also contribute to unwanted hair growth on the chin and face.
This hormonal disorder that may cause women to have infrequent or prolonged menstrual cycles. According to the Mayo Clinic, at its worst, this syndrome causes the ovaries to develop small collections of fluids, called follicles. Another symptom that occurs in a percentage of these patients is hair loss, spurred on by the constant fluctuation in hormone levels. These symptoms can all be made more bearable with exercise and dieting.
Finally, while it’s hard, it’s just as important to keep things in perspective with hair loss at 20. Yes, it’s creepy when you first see it, but you’re not alone. Many guys lose hair in their twenties, and a whopping one in every two will have it by 50. So you’ve got hair loss at 20. That’s a good thing. You’ve got a 30 year head start to learn how to rock that look over the guy who loses hair later in life.
Hello Alex, I see no reason that those supplements would have made things worse. The only issue might be if the fish oil was oxidised before you consumed it, which can be common with some of the supplements (did you keep it in your fridge.) Anyway, even then I don’t think that could be the reason. Another possible answer is that the older (unhealthy) hairs are being replaced by healthier hairs, hence shedding. However, this probably isn’t the reason either. Your hair loss development is probably just continuing like normal with little affect from the supplements. Seeing a doctor might be a good idea as things will continue to get worse most likely. Please take a look at our Hair Equilibrium program and Grogenix product range. That’s probably how you’ll have most success getting your hair back.

Hi David, I understand where you are coming from. Losing hair at a young age is not a nice experience. Luckily, there is a lot more you could be doing besides the shampoo. Honestly I don’t know how much this will help in the long term. To get you started, you’ll probably have to adjust a few things in your diet and lifestyle to stop further loss/ regrow lost areas. A simple thing to get started would be to use a dermaroller (or even better a dermastamp) along the hairline. Remember though, pattern baldness starts from the inside out. It’s basically a sign that your body is out of balance. So try to sort that out as well.

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.
If hair loss is genetic or an autoimmune condition, available treatments night not be effective for regrowth, but there are hair systems that look like your own hair that can help. The hair is attached using surgical glue and the hair can be blow dried, dyed, straightened. You can swim, shower etc with it. While not your own hair, they can be truly wonderful. I met several young women who wore them and you couldn’t tell. Are they difficult to deal with? Yes. But at the very least they help. I interviewed several women who were fine with not covering their bald heads, but who felt compelled to do so for work and society in general. One woman, a teacher, told me she covered up because her student’s parents complained to the administration, concerned that she was ill.
The average age of the menopause is around fifty and in the months or years leading up to this, some women notice a change in hair pattern. Very commonly, the volume and condition of the hair appears to worsen, with some women noticing that hair does not grow as much as previously. More hair seems to come out in the basin when washing and hair brushes soon fill up as loose hairs are brushed away. Some women will go on to experience a more profound hair loss, with thinning at the crown of the head, the sides or more general hair thinning all over the head. This is described as Female pattern hair loss (FPHL). A complete loss of hair, as seen in men who sometimes go bald, is much rarer in women and is usually caused by a medical condition or by medical treatment such as chemotherapy.
Yes, we’re all for the quick wash and rinse routine in the shower, but how much damage is this brevity doing to your hair? As it turns out, quite a bit. Aside from the leftover product residue, there are some of us who produce more Sebum, which naturally lubricates our skin. It’s what makes your shiny and greasy after a few days without a shampoo. If you’re a healthy adult experiencing hair loss, you can probably blame this occurrence on clogged hair follicles. The solution? Start using a clarifying shampoo two to three times a week. Be sure that the shampoo does not contain any conditioner, as this is the stuff that created the problem in the first place. And for more great hair care tips, check out the one haircut that will shave 10 years off your age.
Phytoestrogenic herbs, such as ginseng or black cohosh, contain estrogenic components produced by plants. These herbs, at first, do treat the underlying hormonal imbalance by introducing these plant-based estrogens into the body. However, as a result of adding outside hormones, a woman's body may become less capable of producing estrogen on its own. This causes a further decrease of the body's own hormone levels.
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.

While women accept that menopause is a natural and unavoidable stage of womanhood, coming to grips with its effects, especially with female hair loss due to menopause, can be very difficult. Often, hair loss is one of the first and more depressing symptoms of menopause that a woman notices and it can have a profound effect on her sense of femininity, sexuality and self-confidence.


Good hair adds to the personality of a person and its loss deeply affects most of the people suffering from its breakage or thinning, especially those in age group 20s and 30s as you have rightly pointed out. The breakneck pace of today’s world, unhealthy eating habits, illnesses all contribute to hair fall. Thanks for the informative article though..keep up the good work.
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.
You will need to apply it twice daily for three to six months before you may notice any results. After a few months you’ll start to notice that you’re shedding less and less hair and within four to eight months you should see new hair growth. The bottle says to apply to the back or “crown” of the head but it can be applied anywhere you have hair loss and can help the mid-portion of your scalp and frontal region as well.
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Thank you, Ellen, for this great post; it is nice to know there are others who are experiencing the same (irritating!) things. I’ve had to deal with hair issues since my 20’s after having my thyroid removed, it is NOT fun having chunks of hair come out in the shower! My thyroid (I replace with desiccated pig thyroid – much better for me than synthetic) levels are fine, but I will look into my iron levels.
If any of the above scares you because you recognize the symptoms, don't fret. The key to successful regrowth? First, admit you have a problem. Each day you dwell in denial, you're losing precious time. The more hair you've lost, the less likely it is to all grow back. Telltale signs, like a wider part or a smaller ponytail, don't show up until you've lost nearly half your hair! Seek out trichologists and dermatologists or endocrinologists who specialize in hair problems. (A good place to start is the American Hair Loss Association.)
Hi David, I understand where you are coming from. Losing hair at a young age is not a nice experience. Luckily, there is a lot more you could be doing besides the shampoo. Honestly I don’t know how much this will help in the long term. To get you started, you’ll probably have to adjust a few things in your diet and lifestyle to stop further loss/ regrow lost areas. A simple thing to get started would be to use a dermaroller (or even better a dermastamp) along the hairline. Remember though, pattern baldness starts from the inside out. It’s basically a sign that your body is out of balance. So try to sort that out as well.
Hey everyone, now I know “I am not my hair” (we all know how India sang it, lol), but I sure don’t want to lose it!  Some of us have issues with areas of thinning hair – I am no exception to that!  I have had thinner hair in my temple area for as long as I can remember having hair.  In my case, it’s hereditary (says the family dermatologist), however, I am sure that my lack of knowledge concerning the treatment and management of my hair over the years has contributed to this minor setback.  Many of us who have experienced hair loss in the temple area have reached this point due to a number of activities.  Thus the following list comes into play: 

Trich is mostly considered untreatable; there's not enough research into the mental, or neurophysiological mechanisms of action to really underpin the cause. I suspect it works in a similar way to any other addiction; a stimulus like a small amount of pain induces a dopamine response, a pleasurable feeling. After a while, your physiological urge for the dopamine hit overpowers your reasoning to stop.
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