your situation is very common and I assume you have had a thorough investigation ruling out any medical condition for your hair thinning. Minoxidil may restore some vellus hair but unlikely to result in significant terminal hair. As long as it is not getting worse, then a hair transplant procedure may be the answer for you to restore the feminine shape to your hairline 
As for me, thanks to two years of regular treatment, I've finally reached the phase where regrowth is thicker every day. But the process has been arduous and pricey: Rogaine requires diligent use and $30 a month for the rest of my life. And some of my hormone-regulating prescriptions that I credit most for my good results—like Avodart, that cost upwards of $200 a month—are not covered because if you take them while pregnant, they can harm the fetus's development. But I continue with my regimen because, for me, the risk is worth the remedy—I'm not planning on pregnancy for a long, long time anyway. I also figure it'll be a lot easier to find a potential father with a full head of hair.
The data is inconclusive as to whether or not cortisone shots actually work at re-growing hair, but I do know one woman who gets them frequently and says they have really helped her. Cortisone shots are given at the scalp, and the Mayo Clinic suggests they should not be given more often than every six weeks. While I know of some women who have had luck with acupuncture for hair loss, the British Acupuncture Society states that there is no evidence that acupuncture can treat hair loss as a specific symptom; however, it might help with the underlying problem. (For example, acupuncture can help treat lupus, which can cause hair loss.)
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Most women, who notice hair loss around the time of the menopause, do not have anything medically wrong. Your doctor may ask you if there were any triggers for the hair loss, such as dietary deficiencies, stressful events or illness. You will be asked about your medical history to rule out other causes and might be tested for conditions such as anaemia, low ferritin, thyroid dysfunction, raised testosterone levels or skin disorders. If you show signs of hormonal imbalance, such as irregular periods, facial hair growth or new episodes of acne, this might be tested too.
Great article and helpful information. When I was a younger age I didn’t worry about having hair loss, but I knew already that thinning hair can affect men and women of any age. Hair loss can happen for all sorts of reasons, for example, it can be related to diet, exercise, illness, stress, disease, or hereditary causes, like you mentioned in this post. Toppik is a hair building fiber treatment that may overcome it. Thanks a lot. .
I explained to Emily that The Iowa Writers’ Workshop wasn’t really in the business of handing out medical degrees, but that since my hair was also thinning, and since I was curious, and since I supposed we weren’t the only two women on the planet who wanted some answers, I’d do some research. This is what I came up with for how to handle hair loss during perimenopause.
What to do: Once chemotherapy is stopped, your hair will grow back although often it will come back with a different texture (perhaps curly when before it was straight) or a different color. Researchers are working on more targeted drugs to treat cancer, ones that would bypass this and other side effects. In the meantime, Here's How to Deal With Thinning Hair During Chemo.
According to a study published in the International Journal of Aesthetic And Anti-Ageing Medicine, there’s a reason why pregnant women have the most glorious locks. The natural hair cyclegoes like this: every hair on your head grows for a total of 6 years, then goes through a rest phase that lasts for two to three months. However, during pregnancy, most of your hairs are in the resting phase, making your hair appear strong and healthy. So, many women experience postpartum hair loss as a result of this phase coming to an end. Unfortunately, there is no way to combat this form of hair loss, though it eventually subsides after a few months. 

I sat down, switched on my iPad and started to talk, explaining to people what I had personally been going through, what Alopecia was, showing them my hidden bald patches, and then sang a song as music had helped me through the toughest of times. I posted it on Facebook before really thinking. I had never been a public person, but for some reason, there was no doubt in my mind that my act of self-help had to be done in a very public way. We are all different, and this was my way of dealing with it. 

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 🙂
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…
“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.
Some things are harder to let go of than others. However, wisdom helps us nurture deeper feelings of self-esteem and a positive spirit. If you find that you are experiencing sudden hair loss, be sure to see your physician. In the meantime, get creative with a new fun style that can make your hair loss less noticeable.  It is not exactly “modern medicine”, but today we have access to hair extensions, clip-ons, scalp camouflages,  and oodles of accessories that can add the appearance of length and fullness without anyone knowing.
It's a massive self-esteem destroyer, I know I'm guilty of isolating myself from friends when I'm feeling especially vulnerable, turning down nights out and otherwise enjoyable social events. It's a vicious cycle, you feel depressed, you lose your hair. You've lost your hair, so you feel depressed. I've been suicidal over it before, no doubt about that.
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.
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."

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.


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.
A new medication can bring about a whole host of changes to your body—while also affecting the rate at which hair grows on your entire body. Certain medications can lead to two types of hair loss: telogen effluvium and anagen effluvium. Telogen effluvium can begin to take effect within the first two to four months after taking a new medication. If you notice more hair loss than usual, notify your doctor immediately to save your most prized possession from further damage. The second type of hair loss, anagen effluvium, is most common in cancer patients receiving regular doses of chemotherapy. This type of hair loss prevents your matrix cells from producing new hair altogether, meaning that you may lose hair on other parts of your body as well. And for more ways to make the most of your mane, check out these 15 Top Hair Tips from Top Hollywood Stylists.
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.
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!!!”
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.”
I posted some pictures because I am not sure if I am loosing my hair. I have recently noticed some thining in the front and back but I am not sure if I am really loosing my hair or if it recently has just been looking different. I also notice when I stroke my hand through it a lot of strands are easy to pull out. What can I do? Progaine? Rogaine? I am 22. Thanks! READ MORE

Further help is available from additional hair growth supporting products, which bring additional armaments to the fight against thinning hair. One of which – Hair Vitalics for Women – is a food supplement developed exclusively for The Belgravia Centre by our hair experts. In addition to key nutrients including biotin, zinc and selenium for the maintenance of normal healthy hair growth, these highly-targeted one-a-day tablets feature elements, such as the soy isoflavones genistein and daidzen, which are unlikely to feature in a normal diet. Whilst not intended to replace a balanced diet or hair loss treatment, this convenient product can help to give the hair a boost from the inside out.
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.

I personally love short hair on women, I cut my own hair very short a couple of times. But it's hard to shake off that feeling that somehow you've failed as a woman, because you don't have luscious flowing locks. The amount of times I've had guys ask me if I was a lesbian when I had short hair just illustrates the fact that we live in a world where people judge even your sexuality by what your hair looks like!
Reducing caffeine and alcohol consumption, exercising regularly, and practicing stress reduction techniques such as yoga or meditation can also help promote regenerative hair growth. Taking care to not pull or twist hair in destructive ways and avoiding other physical traumas such as harsh processing techniques or excessive heat in styling will also help to protect hair.
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.
And once a lustrous dark curtain, my hair had taken on an alarming transparent quality. I spent hours staring at my scalp in the mirror, parting and re-parting my hair to see which side looked fuller. I drenched my head with volumizing sprays, detoxifying tonics, and shampoos for "weakened hair." Remedies were thick on the ground—but my hair kept getting thinner. I was molting. And I was scared.
Fusco says that if your family has a history of androgenetic alopecia or thinning hair, you should make an appointment with your dermatologist and discuss the best prevention or treatment methods. Some of them will require routine check ins. Additionally, “maintain a healthy diet and proper hair and scalp hygiene to keep the existing hair healthy,” she says. (Try a hair-strengthening shampoo like Brickell for Men’s. Starting a supplement like Nutrafol for Men, plus annual visits to the dermatologist will be most beneficial in slowing or delaying the onset of alopecia.
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]

Localized or diffuse hair loss may also occur in cicatricial alopecia (lupus erythematosus, lichen plano pilaris, folliculitis decalvans, central centrifugal cicatricial alopecia, postmenopausal frontal fibrosing alopecia, etc.). Tumours and skin outgrowths also induce localized baldness (sebaceous nevus, basal cell carcinoma, squamous cell carcinoma). 

It's a massive self-esteem destroyer, I know I'm guilty of isolating myself from friends when I'm feeling especially vulnerable, turning down nights out and otherwise enjoyable social events. It's a vicious cycle, you feel depressed, you lose your hair. You've lost your hair, so you feel depressed. I've been suicidal over it before, no doubt about that.
Stress: It’s no secret that stress can cause hair loss and an increase in the stress hormone cortisol may make you more likely to suffer from conditions like telogen effluvium, which causes more hairs than normal to fall out, or trichotillomania, a psychological condition in which a person pulls out their hair, like as a nervous (or stress-induced) habit.
In fact, most of the women I spoke with would not accept the diagnosis of genetic hair loss. They would rather have an illness. If a cure could not be found, at least there was a reason beyond their control. A woman appearing without hair because of a cancer fight is brave. What about those of us who are just losing our hair? There is no place for us, so we hide in shame.
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.

Genetics is the most common reason for baldness, yes, but, according to this study in PLOS Genetics, it’s a more complicated process than we initially thought, and involves more than 280 genes. From this genetic map, researchers were able to determine which participants were in danger of losing their hair, and from those in the danger zone, about 20 percent could blame their mothers for such a predicament—not their father. Though, it is important to note that men and women lose their hair in very different ways. For men, the hair slowly begins receding at the temples, before eventually forming an M-shaped hairline, while women may notice a gradual widening of the scalp and thinning texture of their hair.
Anti-androgens. Androgens include testosterone and other "male" hormones, which can accelerate hair loss in women. Some women who don't respond to minoxidil may benefit from the addition of the anti-androgen drug spironolactone (Aldactone) for treatment of androgenic alopecia. This is especially true for women with polycystic ovary syndrome (PCOS) because they tend to make excess androgens. Doctors will usually prescribe spironolactone together with an oral contraceptive for women of reproductive age. (A woman taking one of these drugs should not become pregnant because they can cause genital abnormalities in a male fetus.) Possible side effects include weight gain, loss of libido, depression, and fatigue.
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!!!”
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.
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.
Women's hair loss is still so taboo because the socio-economic system we exist under puts unwarranted and unnecessary 'value' on physical appearance and social status, regardless of gender. Until we can liberate ourselves from this patriarchal and repressive system profiting from our insecurity, it will always be a taboo to stand out from 'the normal', which contributes to a lot of mental health problems across the board.
Exercise is a key component of a healthy lifestyle. You’ll feel stronger and happier once you incorporate exercise into your daily routine. It also helps prevent some of the other symptoms of menopause, including mood swings, weight gain, and insomnia. All of these factors are important for maintaining hormonal balance, which promotes healthy hair growth.
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.)
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 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 

My age is 20 ... I have excessive hairloss for over an year... 2 years ago I had full head of hair... But now I notice that I'm going bald..!!! My father is also bald.. My uncles are bald too.... I know my hairfall is for family reason... I don't want to become bald.. What can I do??? Which type of treatment should I take ???? Plzz help... READ MORE
Yes. Doctors use the Savin scale. It ranges from normal hair density to a bald crown, which is rare. The scale helps document female pattern baldness, a condition your doctor might call androgenic alopecia. You probably know it as male pattern baldness, but it affects about 30 million American women. Experts think genes and aging play a role, along with the hormonal changes of menopause. Your hair could thin all over, with the greatest loss along the center of the scalp. 
Herbal Supplements: “Saw palmetto is available over-the-counter and is an herb that has traditionally been used to treat men with prostate problems,” Fusco says. “It is popular among men who do not want to take finasteride because it has been suggested that saw palmetto may block some of the receptor activity on the hair follicles which are stimulated in androgenetic alopecia.”
I sat down, switched on my iPad and started to talk, explaining to people what I had personally been going through, what Alopecia was, showing them my hidden bald patches, and then sang a song as music had helped me through the toughest of times. I posted it on Facebook before really thinking. I had never been a public person, but for some reason, there was no doubt in my mind that my act of self-help had to be done in a very public way. We are all different, and this was my way of dealing with it.
Treatment of pattern hair loss may simply involve accepting the condition.[3] Interventions that can be tried include the medications minoxidil (or finasteride) and hair transplant surgery.[4][5] Alopecia areata may be treated by steroid injections in the affected area, but these need to be frequently repeated to be effective.[3] Hair loss is a common problem.[3] Pattern hair loss by age 50 affects about half of males and a quarter of females.[3] About 2% of people develop alopecia areata at some point in time.[3]
Don’t Smoke (and Don’t Drink So Much) – This disgusting habit is bad for your skin, heart, lungs and brain. But smoking may speed up hair loss too, because carbon monoxide prevents your blood from transporting essential vitamins and nutrients to the hair follicles. Moreover, nicotine constricts your blood vessels, further impeding hair growth. Your move? Quit smoking – hard to do, but with profound results.
Further help is available from additional hair growth supporting products, which bring additional armaments to the fight against thinning hair. One of which – Hair Vitalics for Women – is a food supplement developed exclusively for The Belgravia Centre by our hair experts. In addition to key nutrients including biotin, zinc and selenium for the maintenance of normal healthy hair growth, these highly-targeted one-a-day tablets feature elements, such as the soy isoflavones genistein and daidzen, which are unlikely to feature in a normal diet. Whilst not intended to replace a balanced diet or hair loss treatment, this convenient product can help to give the hair a boost from the inside out.
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