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.
I am 18 year old male and have been experiencing hairfall since i am 16 years old.More than 60 hairs shed everyday and I have formed a typical m shape.The hair is falling from all over the scalp and become thin from all over the scalp.Also if I don’t shampoo my hair for one or two days, excessive oil comes in my hair.I am also shedding hair from the sideburns.Also my eyebrow,eyelashes and public hair are falling.Is this male pattern baldness.
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).
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.

Another perhaps less-considered ailment causing hair loss for men and women in their 20s could be stress. The pressure on young people today to perform well at work and compete in busy UK markets can have a serious effect on long-term stress levels which in turn may cause premature hair loss. Highly-linked to stress is another condition called Trichotillomania whereby sufferers nervously pull out strands of hair repeatedly when they are under pressure.
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.)
By contrast, hormone-regulating herbs do not contain estrogen. These herbs stimulate a woman's hormone production by nourishing the endocrine glands, causing them to more efficiently produce natural hormones. This ultimately results in balancing not only estrogen, but also testosterone, another hormone that impacts hair loss and growth. Hormone-regulating herbal supplements can be considered the safest way to treat hair loss naturally as the body creates its own hormones and does not require any outside ones.

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 🙁


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).
There is a condition called Traction Alopecia, which is caused by constant pulling or tension of your hairs over a long period. You don’t have to be dragged around the floor by your head to suffer from this either – if you often wear tight braids, particularly cornrows, or tight ponytails, you are more likely to get Traction Alopecia. So try not to pull your hair tight excessively. Some experts also recommend exercise as a good way to maintain a healthy head of hair.
Fair enough, I understand it. And I agree, some women love bald men. Guys like Jason Statham and Kelly Slater are heroes of mine and certainly don’t suffer in the romance department because of their lack of hair (Gisele Bundchen and Rosie Huntington-Whitely to name a few of their romances, and possibly two of the most beautiful women of earth.) However, losing hair at a younger age is clearly traumatic for some people, so this website is for them 🙂 

Finasteride (Propecia) is a medicine taken in tablet form that partially blocks the effects of the male hormones (an 'anti-androgen'). Propecia has been shown to halt further hair loss and promote re-growth of scalp hair in approximately 80 per cent of patients after three to six months. The treatment benefits also stop when you stop taking the medication. Only available on prescription and is available on some NHS primary care trust lists for certain conditions.
When your hair thins at an early age it can lead to anxiety, self-esteem issues, and lowered satisfaction when it come to your personal appearance. Initially, many guys try to overcome this by wearing a baseball cap or looking for over-the-counter hair thickening shampoos. Some brave souls will accept their genetic fate and go completely bald – but that look doesn’t always work for everyone.
Hair loss before, during or after menopause -- as well as after childbirth -- is commonly attributed to hormonal changes. And while most physicians agree that replacing these hormones can alleviate many of the other troubling symptoms of menopause, unfortunately, hormone replacement alone does not seem to radically alter a woman's "follicular fate," and can even sometimes make matters worse.
One-fifth of men will experience significant hair loss by age of 20(!), and that percentage grows proportional to age. Bauman says that significant loss increases steadily with age: 30 percent will experience it in their 30s, 40 percent in 40s, and so on. “This math proves true for men into their 90s,” he says. “If you go unchecked but have maintained most of your hair by middle age, then your sensitivity to DHT is probably on the low side, meaning you have a slower rate of male pattern hair loss going on.”
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.
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.
“Right now, the only FDA approved medication, for hair loss is topical Minoxidil, which comes as a 2% solution for twice-daily use in women. The FDA did approve 5% Rogaine Foam for once-daily use in women, but it is not being sold in stores yet.Women may also use various low-level light therapy devices such as the HairMax Lasercomb, which has FDA clearance to treat hair loss,” according to Dr. Rogers.
For women going through menopause, the cause of hair loss is almost always related to hormonal changes. However, there are many other factors that can contribute to hair loss during menopause. These include extremely high levels of stress, illness, or a lack of certain nutrients. Diagnostic blood tests that can help rule out other causes of hair loss include thyroid tests, and/or a complete blood count.
One-fifth of men will experience significant hair loss by age of 20(!), and that percentage grows proportional to age. Bauman says that significant loss increases steadily with age: 30 percent will experience it in their 30s, 40 percent in 40s, and so on. “This math proves true for men into their 90s,” he says. “If you go unchecked but have maintained most of your hair by middle age, then your sensitivity to DHT is probably on the low side, meaning you have a slower rate of male pattern hair loss going on.”

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).
Find a practice that suits your needs in terms of stress relief - swimming, meditating, communing with nature, reading or listening to music. Also look at ways to avoid exposure to stressful situations - where possible stay away from people and circumstances that raise your blood pressure. There are times when you need to walk away and breathe deeply! Stress can affect your ability to absorb and use the good nutrition that you may be consuming, particularly if you're living in a stressful way over a long period of time. You may need to make some small or big lifestyle adjustments and seek help and support from other people - friends or professionals.
Senescent thinning of the scalp hair, or thinning that occurs after age 60, is poorly understood, and it is unclear whether this is a distinct entity or part of the continuum of androgenetic alopecia (AGA).  In a previous study, young males age 18 to 30 with Androgenetic Alopecia had higher levels of 5a-reductase type 1 and 2, more androgen receptors, and lower levels of cytochrome P-450 aromatase in hair follicles in the frontal region of the scalp than in the occipital region.

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.


While it's normal to lose between 50 and 100 strands of hair a day, serious hair loss — medically termed alopecia — is a sign that something is wrong with our body, says trichologist Dr Apoorva Shah. "As a reaction to an incident of extreme mental or physical stress, the body typically sheds hair after a gap of three months. For instance, if you are down with food poisoning, the mal-absorption of nutrients during this period can lead to hair loss in the next few months. So, it's important to jog your memory to pinpoint the cause."
Topical chemical treatments are used by many to help stimulate regrowth, although some believe that blood flow and circulation to old or weak hair follicles can be stimulated with only the fingertips and some common vitamin-rich items. Popular remedies for encouraging new hair follicle growth include combining a rich carrier oil like jojoba, coconut or olive oil with agents like vitamin-dense or mineral-dense aloe vera gel, potato juice, cinnamon, neem leaves or certain essential oils.
Stress is one of the major hair fall reasons. A hair follicle needs energy to grow. Coenzyme Q10, found in whole grains, fish and meat, boosts the scalp's ability to produce energy, especially in a cell's mitochondria or energy factory. Stress causes oxidation, harming Coenzyme Q10 among other anti-oxidants, thereby being one of the major contributors to the list of reasons for hair fall.
I went to a lot of these sites trying to read about what was happening, and if I would go completely bald or if my hair would grow back. I never seemed to get any answers and it made me even more anxious about my life in general… worrying that I would be bald. I can assure you that if you commit to becoming a healthier person all around your hair will most likely stop falling out and go back to its original state. The most important thing is to STOP STRESSING, allow yourself and your body to heal and your hair will follow.
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. 
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.
I’m 23 years old and since I was 20 I realized I have a mild form of diffuse thinning hair (which by now, 3 years later has become a little bit worse). Ever since then I’ve been using Minoxidil being an on and off user due to the side effects I get, mostly dark circles under my eyes and bad facial skin. At the moment I m struggling finding the right dose, but the problem is that when I’m getting very good results I m also getting noticeable side effects and when I’m getting just small hair regrowth results I m also getting no side effects. The problem is that I’ve been looking for the past weeks for a solution to get good results and no side effects. I have finally found your website.

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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.
One-fifth of men will experience significant hair loss by age of 20(!), and that percentage grows proportional to age. Bauman says that significant loss increases steadily with age: 30 percent will experience it in their 30s, 40 percent in 40s, and so on. “This math proves true for men into their 90s,” he says. “If you go unchecked but have maintained most of your hair by middle age, then your sensitivity to DHT is probably on the low side, meaning you have a slower rate of male pattern hair loss going on.”
Hair transplantation may help IF the woman has enough donor hair. So far the only way we do hair transplant is to take hair from one area of the scalp – usually at the back, near the nape of the neck, and move some of that hair to the thinning areas. Women however, don’t lose in the pattern as men do and have thick hair still in the back. While we may lose in a pattern--widening part--we also thin diffusely, over all our scalp. So hair transplant might not be right for everyone. Again, this is a discussion with a dermatologist and a hair transplant surgeon. But have realistic expectations of what it can and cannot accomplish. I go into this at length in my book.
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.)
I took your quiz. Sadly, the answers I gave were as of my early 20s, when my hairline started receding and had that ‘M shape’. I receded to Norwood 3, but mysteriously, the receding stopped there. The only explanation I can think of is that I gave up junk food and started eating more fresh fruit and veggies and started regular running and hiking. I lost a lot of weight and felt great. Until my early 50s, when suddenly my hair began to rapidly recede and I developed a bald spot in back. I panicked, thinking that I might have a serious medical condition, since I had not changed my good living habits. My doctor reassured me that I was still very healthy. Next stop: hair restoration specialist. He informed me that I had male pattern baldness and would eventually go completely bald on top. To my surprise and delight, my wife was thrilled that I was going bald and begged me to just let nature take its course. She confessed to me that she had always secretly wished that I would someday go bald and was delighted that her wish was finally coming true. Reluctantly, I agreed to just let myself go bald. Two things amaze me: First, how fast I went bald (less than two years to go completely bald on top). It was as if I was making up for lost time. Secondly, the sudden change in my attitude. Whereas I was panicked my wife would hate it, now thanks largely to her encouragement, I couldn’t go bald fast enough. It was a huge turn of for my wife and me. She still loves to sneak up behind me while I’m relaxing watching TV news or sports and kiss me on top of my bald head. I haven’t just adjusted to being bald. I really love being bald and wouldn’t ever try to regrow my hair. Not at my age. I’m in my 70s and it is quite normal for someone my age to be bald. The information you email to me I will pass on to my two sons, who, like me, face the likelyhood that they will eventually go bald. They are in their mid 30s and their hairlines are beginning to recede a little at their temples. I chose to go bald. They don’t have to. Oh, a third thing amazes me: that there are women out there who prefer bald men to men with a full head of hair. Thank God I am married to one of those women.
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!!!”
Turns out I may be on to something. Research shows that if scalp massages are done with essential oils, including lavender, cedarwood, thyme, and rosemary (the latter being especially effective), they do indeed stimulate hair growth. Of course, the nice thing is, we don’t need to embarrass ourselves by making crazy requests to fancy hair salons (although, if the salon is fancy enough, of course, no request will be seen as crazy); we can give scalp massages to ourselves. And if your sleeping partner doesn’t care, or if you sleep by yourself, then for an additional benefit, you can do what I sometimes do, which is rub rosemary oil with coconut oil into my scalp before bed, and then sleep with it in my hair/head all night.
Clearly, minoxidil is not a miracle drug. While it can produce some new growth of fine hair in some — not all — women, it can't restore the full density of the lost hair. It's not a quick fix, either for hair loss in women . You won't see results until you use the drug for at least two months. The effect often peaks at around four months, but it could take longer, so plan on a trial of six to 12 months. If minoxidil works for you, you'll need to keep using it to maintain those results. If you stop, you'll start to lose hair again.
Alright everyone, try things in cycles of at least 4 weeks or so, then you will have the ability to notice what works for your hair and what does not.  Hopefully some of these tips will flow into your hair care regimen leading your thinning hair to blossom to its full potential.  For most of us this will not happen overnight (or in a week).  Don’t forget – Patience is a virtue, but it also means you have to wait!  Concentrate on doing the right things with your hair now, it will definitely pay off later!  Happy hair growing!!!

Hi Dave, thanks for your comment. Yes losing your hair, especially at a young age can be extremely traumatic. Luckily, there is a lot you can do to stop any further loss and even regrow lost hair. I suggest taking the quiz and signing up for emails where I show you the steps that really work to reverse hair loss. There are two parts to this process. T
So you can look at balancing hormones by things like Menopause Support, have plenty of fermented soya foods in your diet. Look at things that maybe Black Cohosh as well, if they're appropriate. You could start to eat fermented soya foods, and these are foods that are eaten on a regular basis in the Far East, so it would be things like tempeh, and miso, and maybe some kinds of fermented tofu as well.  
Also new is the HairMax Laser Comb. It's a red light therapy hairbrush-like device that increases circulation and the biological march that makes hair. It's only approved in men (though some women are using it) and in my experience, is not as good as minoxidil. But in one study, 45% of users reported improvement after eight weeks, and 90% saw improvement after 16 weeks.
Here's what I gleaned from my blood tests and research into hair loss at-large. Many various symptoms can causes hair shedding—as any cursory WebMD search can tell you, from stress to chemotherapy–but 90 percent of hair loss is genetic and needs to be treated with medication. It can also be a sign of a thyroid disorder, says endocrinologist, Dr. Emilia Liao, who diagnosed me with mild hypothyroidism.
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.
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.
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.

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.”
It’s important to visit your primary physician or a board-certified dermatologist to find out the best treatment option for your specific female hair loss condition. The Limmer Hair Transplant Center offers all of the treatments above. You can take a look at how effective these treatments are by viewing before and after images of female hair loss patients.
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.
Is this a bigger issue for the current generation? (I'm 27, and it feels like so many of my friends suffer from this.) Is it a nutritional thing? That’s an excellent question and I don’t know the answer. 30 million women suffer from hair loss. That’s 1 in 4 before age 50 and 2 in 4 after age 50. We might be more hyper aware of hair loss at an earlier age now just as we are more hyper aware of a need for a facelift at earlier ages. Thing that we used to take for granted, we do not. Genetic hair loss will manifest itself in the 20s, if not sooner. The good news is that there are more things available to help than before. Will they work for everyone, no. However, topical minoxidil (Rogaine) is good for helping maintain what you have. So at the first sign of thinning hair, it’s not bad to use even if the hair loss is temporary.
Iron supplements. Iron deficiency could be a cause of hair loss in some women . Your doctor may test your blood iron level, particularly if you're a vegetarian, have a history of anemia, or have heavy menstrual bleeding. If you do have iron deficiency, you will need to take a supplement and it may stop your hair loss. However, if your iron level is normal, taking extra iron will only cause side effects, such as stomach upset and constipation.
Androgens are male hormones, which are found in women as well as men, but to a lesser degree. Menopause causes androgen levels to increase, which can in turn trigger thinning of the hair on your scalp and can also cause extra facial and body hair. Androgens do not necessarily decrease your number of scalp hairs, but reduce their diameter and length. The result is a loss of volume or ‘body’. Your hair may not be falling out more, or failing to grow back - but the replacement hairs are weaker and finer.
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