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.
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.
In my youth, stylists would always tell me, "Wow, you've got a lot of hair." So much so that I took my lush mane for granted—perming, straightening, and bleaching my way through my teens. But everything changed during my sophomore year of college, as I found myself pulling more and more tangles out of my brush and strands from the shower drain. The compliments stopped and the worry began. I jealously examined the girl next to me on the subway. Why couldn't I see through to the roots on her scalp, too?
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.
Just as pregnancy hormone changes can cause hair loss, so can switching or going off birth-control pills. This can also cause telogen effluvium, and it may be more likely if you have a family history of hair loss. The change in the hormonal balance that occurs at menopause may also have the same result. “The androgen (male hormone) receptors on the scalp becoming activated,” explains Mark Hammonds, MD, a dermatologist with Scott & White Clinic in Round Rock, Texas. “The hair follicles will miniaturize and then you start to lose more hair.”
A key aspect of hair loss with age is the aging of the hair follicle.[43] Ordinarily, hair follicle renewal is maintained by the stem cells associated with each follicle. Aging of the hair follicle appears to be primed by a sustained cellular response to the DNA damage that accumulates in renewing stem cells during aging.[44] This damage response involves the proteolysis of type XVII collagen by neutrophil elastase in response to the DNA damage in the hair follicle stem cells. Proteolysis of collagen leads to elimination of the damaged cells and then to terminal hair follicle miniaturization.

Another way to stimulate new follicle hair growth may be to work from within. If you're looking for a systemic solution to improve the health and happiness of your hair follicles and the skin around them, adding certain vitamin- and mineral-rich foods to your diet is a great place to start. Vitamins and minerals can keep keratin levels healthy, as do proteins, fatty acids and omega-3s. Look to nuts, avocados, biotin-rich whole grains, citrus, orange vegetables such as carrots and leafy greens like spinach to keep your locks looking full and healthy.
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 accelerating hair fall. High stress has become the most common cause of numerous problems. Trichologists and hair experts agree that stress triggers problems such as alopecia areata, telogen effluvium and trichotillomania that lead to balding. The silver lining is that balding caused due to stress can be reduced by adopting stress management techniques.
Women also have more of an enzyme called aromotase, which stimulates the hormone production of estrone and estradiol; both of these hormones act against hair follicle-shrinking DHT. In most women, aromotase production is significant at the front of the hairline—meaning loss here is less common in women, but not impossible. Sometimes, conditions such as hirsutism, ovarian abnormalities, infertility and menstrual irregularities may interfere with estrone and estradiol production so that loss at the hairline occurs.
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.)
This study in males age 60 years and older was designed to determine whether the histology and hormonal findings in older males with hair thinning are similar to Androgenetic Alopecia in young males. Males who experienced the first onset of scalp hair thinning after age 60 were compared to age-matched males (controls) without a history of hair thinning. Four scalp biopsies, two from the frontal and two from the occipital scalp, were obtained for horizontal sectioning and biochemical assay. Histologic findings were primarily follicular downsizing. Follicular drop out was not detected using elastic tissue staining, and there was no significant difference in number of follicles in frontal compared to occipital scalp.
Most women with pattern hair loss don't get a receding hairline or bald spot on top of the scalp as is common in men. Instead, there is visible thinning over the crown. In men and women, hairs are miniaturized because of a shortened growth cycle where the hair stays on the head for a shorter period of time. These wispy hairs, which resemble forearm hairs, do not achieve their usual length.

My hair started thinning out . I saw my grandpa and my dad and thought, that won’t be me. It was pretty stressful and scary in my early 20’s but I found a ton of research with the help of this website I found. I wasn’t sure if Rogine was a good choice for me, then I saw the side effects and decided it definitely wasn’t. I hope you find some good advice with the website I did, Fullheadhelp.com, only $5, check it out.
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. 

Thick, healthy hair is a sign of youth, good health, and beauty. It can be devastating to watch your hair fall out, not just because you might feel like you’re losing your younger self, but also because you may worry that something even more serious is going on with your body. As women, we understand that thinning hair or outright hair loss is more than just a cosmetic concern. Besides being so important to self-esteem, your hair is a reflection of your overall health picture — especially your thyroid health.
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.)
These three levels of approaches are not mutually exclusive. A woman may use different approaches at different times or any combination of them depending on the duration and severity of symptoms. Today, more and more women find that dealing with menopause symptoms is best accomplished via a combination of healthy lifestyle and alternative treatments.
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.
Research suggests that hair loss during menopause is the result of a hormonal imbalance. Specifically, it’s related to a lowered production of estrogen and progesterone. These hormones help hair grow faster and stay on the head for longer periods of time. When the levels of estrogen and progesterone drop, hair grows more slowly and becomes much thinner. A decrease in these hormones also triggers an increase in the production of androgens, or a group of male hormones. Androgens shrink hair follicles, resulting in hair loss on the head. In some cases, however, these hormones can cause more hair to grow on the face. This is why some menopausal women develop facial “peach fuzz” and small sprouts of hair on the chin.
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. 
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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.
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.
I'm 21 yr old boy suffering from hairloss..... since 18 i was suffering from excessive hairfall.Even my family are bald(but they suffored after 45 yrs) nearly 100-200 hair will fall daily, i am using minoxidil 10% from 1.5yrs but results was not good. i have tried all vitamine,biotine medicine for years but still condition is not good. while comb also 5 to 10 hair will fall off. Sir pls help... READ MORE
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.

There are two types of identification tests for female pattern baldness: the Ludwig Scale and the Savin Scale. Both track the progress of diffused thinning, which typically begins on the crown of the head behind the hairline, and becomes gradually more pronounced. For male pattern baldness, the Hamilton–Norwood scale tracks the progress of a receding hairline and/or a thinning crown, through to a horseshoe-shaped ring of hair around the head and on to total baldness.
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.
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.

Hair loss affects over 60% of men before the age of 30. Some men begin to experience hair loss, commonly a result of male pattern baldness, in their late teens or early twenties. If you have recently looked in the mirror to discover you have thinning, balding patches of hair or a receding hairline, you may be suffering from male pattern baldness or another condition that’s causing your hair loss. Hair loss is not entirely understood by researchers, though, so slowing balding and regenerating hair growth can sometimes be a guessing game. There are options, though, for young men who experience mild to severe hair loss. You should start by trying to understand the cause of your baldness to help you decide which treatment (or lifestyle changes) may work for you.


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.)
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.
1.Biotin or Vitamin B7, is a water-soluble vitamin that’s a part of the vitamin B complex — a group of key nutrients needed for healthy metabolic, nerve,digestiveand cardiovascular functions.Biotin acts as a coenzyme in the body that’s needed for the metabolism of fatty acids, amino acids and glucose. This means that when we eat foods that are sources of fats, proteins and carbohydrates, vitamin B7 biotin must be present in order to convert and use these macronutrients for bodily energy, to carry out physical activities and for proper psychological functioning.Biotin is also a nutrient that helps us keep a young, attractive appearance since it plays a major part in maintaining the health of our hair, nails and skin. In fact, biotin sometimes gets the nickname the “H” vitamin, which stems from the German words Haar andHaut that mean “hair and skin.” Vitamin B7 biotin is commonly added to hair and skin beauty products, although it’s believed to not be absorbed very well through the skin and actually must be ingested to be fully beneficial.Biotin can be found in foods like organ meats, eggs, avocado,cauliflower,berries, fish, legumes and mushroomsNote-taking Egg white cause Biotin deficiency, eat the Whole egg. Biotin helps in regrowth of Hair.
There's a chance you're genetically predisposed to hair thinning, which means you may see a progressive, gradual reduction in hair volume. "In these instances, certain hair follicles are sensitive to male hormones – and this sensitivity causes follicles to gradually shrink and produce slightly finer and shorter hairs with each passing hair growth cycle." Explains Anabel.
Reacting strongly to menopause hair loss can be seen as vanity – but it most definitely is not. Menopause hair loss can lead to depression, anxiety and low self esteem, but don’t worry you are not alone! If you can take the time to think about what you eat and whether you are getting enough vitamins and minerals into your diet along with a few housekeeping rules, you can help to alleviate this symptom.
At the time most wigs used eurocentric textures or looked so fake, so I started making my own instead. As well as wearing and creating wigs for other women who suffer from hair loss, I also practice a lot of meditation to help deal with my anxieties. They haven't disappeared totally, they never really do, but the way I deal with them now is a lot clearer.
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. 

Oh my receding hairline is so tied to hormones! I lost my first batch of my thick, beautiful hair when I was pregnant and the next after my hysterectomy….I am still thinning and, you are right, it does seem to worse when I am stressed. It does change how I feel about myself. Thank you for, as usual, bringing great solutions and suggestions Ellen. I will definitely check some out!
People have between 100,000 and 150,000 hairs on their head. The number of strands normally lost in a day varies but on average is 100.[8] In order to maintain a normal volume, hair must be replaced at the same rate at which it is lost. The first signs of hair thinning that people will often notice are more hairs than usual left in the hairbrush after brushing or in the basin after shampooing. Styling can also reveal areas of thinning, such as a wider parting or a thinning crown.[citation needed]
What to do: Like anemia, simple supplementation should help the problem. So can dietary changes. Find natural vitamin B in fish, meat, starchy vegetables, and non-citrus fruits. As always, eating a balanced diet plentiful in fruits and vegetables as well as lean protein and “good” fats such as avocado and nuts will be good for your hair and your overall health.
The relationship between food and hair is simple. Hair is made up of a protein called keratin. So, it's essential that you include sufficient protein in your diet. A low-protein diet forces your body to save the available protein for other purposes, like rebuilding cells, thus depriving hair of it. Dr Shah says spinach, almonds, walnuts, paneer, tofu and milk are hair-happy foods. Green tea is effective because it blocks out Dihydrotestosterone (DHT), the hormone that causes hair loss.
Ever since I was around 13, I've had bad dandruff and a dry scalp, and thus, have created bad habits of scratching my scalp a lot. Recently, I've stopped, as I don't want to lose any more hair, I use Head and Shoulders, and a tar based shampoo, I also put coconut oil on my scalp now. I would like to know if dandruff, dry scalp, and itching can cause balding, and if so, is it temporary, the... READ MORE
Androgenic Alopecia: This affects both men and women, but is more common in men. This is also referred to as “male pattern baldness” and can affect men as early as their late teenage years or early twenties. Typically, this type of alopecia will produce a gradually receding hairline, which eventually results in loss or thinning of most of the hair on the scalp. This is the most common type of alopecia that causes early hair loss.
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.
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. .
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.
Symptoms of gradual hair loss are sometimes hard to notice until nearly half the hair is gone. The most obvious signs are a thinning of the temples and hairline recession. Otherwise, the hair loss can be more widespread and balanced. This steady shedding is called “invisible baldness”, since the hair becomes gradually less dense until suddenly it is perceptible to the naked eye. “In general, hair loss is a chronic, progressive condition that gets worse over time without treatment,” Bauman says.
Daily hair counts are normally done when the pull test is negative. It is done by counting the number of hairs lost. The hair from the first morning combing or during washing should be counted. The hair is collected in a clear plastic bag for 14 days. The strands are recorded. If the hair count is >100/day, it is considered abnormal except after shampooing, where hair counts will be up to 250 and be normal.[citation needed]
What sometimes surprises women is that female pattern hair loss has the same cause as male pattern baldness: an inherited sensitivity to the testosterone-byproduct dihydrotestosterone (DHT). While men’s hair loss treatment for makes use of a clinically-proven drug named finasteride 1mg to block its production, this is not a suitable option for women.
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.
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?
Thanks for sharing this..actually i am suffering from this problem last 3 years. After reading your blog I get a solution to rescue from hair fall. I will definitely try it…Parijatak Ayurveda provides plans for a wide range of ailments, thus spreading the magic of this traditional mode of treatment to each one. Parijatak also provides treatment for Tips for hair loss. nowadays hair loss related problem gets more increased, so we have to care about that.
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.
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