Dr Ferrari squarely puts the blame on stress. "While genetics plays a key role in balding, a stressful lifestyle can play havoc. Simple lifestyle changes such as, getting seven hours of sleep, having a glass of water every hour (strands are made up of minerals, which only water can replenish) and eating protein-rich foods at regular intervals can bring about an 80 per cent change."
Some men have a genuine fear of going bald and it can cause high stress levels, low self-esteem, reduced sex drive and even depression. But if you understand the causes and accept them you are much more likely to conquer these fears. Most men feel a momentary loss of confidence when they realise they are losing hair but this is often overcome quickly. The only way to ensure you won’t suffer psychological problems is to face up to the realities of baldness and either accept it or seek treatment that works for you.
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.
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]
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.)

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.

Less common causes of hair loss without inflammation or scarring include the pulling out of hair, certain medications including chemotherapy, HIV/AIDS, hypothyroidism, and malnutrition including iron deficiency.[2][3] Causes of hair loss that occurs with scarring or inflammation include fungal infection, lupus erythematosus, radiation therapy, and sarcoidosis.[2][3] Diagnosis of hair loss is partly based on the areas affected.[3]
Dietary supplements are not typically recommended.[30] There is only one small trial of saw palmetto which shows tentative benefit in those with mild to moderate androgenetic alopecia.[30] There is no evidence for biotin.[30] Evidence for most other produces is also insufficient.[37] There was no good evidence for gingko, aloe vera, ginseng, bergamot, hibiscus, or sorphora as of 2011.[37]
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.
It’s good to know that hair loss is a hereditary thing. My husband’s father has hair that is thinning out quickly, so I imagine that my husband will have a similar problem in the future. If that’s the case, then I should probably look into some preventative treatments to help him out. After all, the last thing I want is for my husband to start balding at age 40!
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.
Alternative approaches involve little to no risk and can be an extremely effective means of treating hair loss. This level of approach includes several different therapies. Herbal remedies are the most prominent, though in addition women may turn to such techniques scalp massage in order to help stimulate hair follicles and regenerate hair growth. These can be valid and effective options, though most women find that herbal remedies are the easiest alternative treatment to follow, as the others require a greater time and monetary commitment. In addition, herbal remedies are the only viable option to treat the hormonal imbalance directly at its source.

Calling all gym fanatics—if you’re spending more time in the gym than you’re spending at home, it may be time to reevaluate your regimen. According to a study in the Annals of Dermatology, the more strenuous a participant’s workout routine was, the more likely they were to experience hair loss later in life. If you’re pumping iron more than a few hours a day, it’s going to affect your hairline. So, if you’d like to keep your hair, cutting a few hours of gym time every week may be the trick.


Side effects and concerns: Minoxidil is safe, but it can have unpleasant side effects even apart from the alcohol-related skin irritation. Sometimes the new hair differs in color and texture from surrounding hair. Another risk is hypertrichosis — excessive hair growth in the wrong places, such as the cheeks or forehead. (This problem is more likely with the stronger 5% solution.)
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.
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.
"It's a good thing you came in when you did," she told me on my first visit. "It gets more complicated, and possibly dangerous, the older you get, especially if you want to have a baby." Apparently, hair loss during pregnancy is a big red flag. "One out of 50 women is diagnosed with hypothyroidism while pregnant. It's still the most common cause of mental retardation in children," says Liao. And the idea that thinning hair is simply a symptom of menopause is a myth: The average age for women dealing with thinning hair is 25 to 35.
Hair growth and loss is a complex chemical process, affected by enzymes and hormones. AGA begins in puberty, when male sex hormones known as androgens shorten the anagen, or growth, phase of hair follicles. When this phase is shortened, hair dies sooner than usual and sheds. In a woman, hereditary hair loss is slightly more complex. In men’s AGA, an enzyme known as 5-a reductase combines with testosterone to produce dihydrotestosterone, or DHT—a hormone responsible for the shrinking and disappearance of hair follicles. Women have about half as much 5-a reductase as men do, which means their hair loss tends to be diffuse, rather than concentrated at the hairline.

Hypotrichosis is a condition of abnormal hair patterns, predominantly loss or reduction. It occurs, most frequently, by the growth of vellus hair in areas of the body that normally produce terminal hair. Typically, the individual's hair growth is normal after birth, but shortly thereafter the hair is shed and replaced with sparse, abnormal hair growth. The new hair is typically fine, short and brittle, and may lack pigmentation. Baldness may be present by the time the subject is 25 years old.[7]


Use a gentle hair brush, take advice on dyes and other chemicals, beware of hair extensions and extreme heat from straighteners or high intensity hair dryers which can weaken hair. If you're a swimmer, like myself, make sure to wet your hair under a shower with plain water before it comes in contact with chlorine - so that the water that is absorbed by your hair first is not chlorinated. Wear and cap and use gentle, natural shampoo and conditioner after swimming.
Female-pattern hair loss, called androgenic or androgenetic alopecia, is basically the female version of male pattern baldness. “If you come from a family where women started to have hair loss at a certain age, then you might be more prone to it,” says Dr. Glashofer. Unlike men, women don't tend to have a receding hairline, instead their part may widen and they may have noticeable thinning of 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.
It’s good to know that hair loss is a hereditary thing. My husband’s father has hair that is thinning out quickly, so I imagine that my husband will have a similar problem in the future. If that’s the case, then I should probably look into some preventative treatments to help him out. After all, the last thing I want is for my husband to start balding at age 40!
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