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In men, male pattern baldness usually begins with thinning hair in specific areas. Typically these are around the crown, along the top of the head and/or a receding hairline. Men’s hair loss may involve one, two or all three of these patterns, and they may join up to form larger bald patches. A measuring tool known as The Norwood Scale provides a guide to “how far gone” a man’s hairloss is.
Yes. Hyperandrogenism, a medical condition characterized by excessive production of male hormones called androgens, can cause hair loss in affected women. The most common cause of hyperandrogenism in women is functional ovarian hyperandrogenism, also known as polycystic ovary syndrome. In addition to hair loss, other signs include obesity, acne, and irregular menstruation, and it is one of the most common causes of infertility.
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.
Consider consulting a nutritionist to see if you might be deficient in certain nutrients that are vital to hormone balance and hair health for example B Vitamins, Zinc, Omega-3 fatty acids. Consider using Viviscal, a natural supplement containing Amino-Mar which is shown to promote hair growth. Viviscal Shampoo and Conditioner can also be used to ensure hair health inside and out.
The average age of the menopause is around fifty and in the months or years leading up to this, some women notice a change in hair pattern. Very commonly, the volume and condition of the hair appears to worsen, with some women noticing that hair does not grow as much as previously. More hair seems to come out in the basin when washing and hair brushes soon fill up as loose hairs are brushed away. Some women will go on to experience a more profound hair loss, with thinning at the crown of the head, the sides or more general hair thinning all over the head. This is described as Female pattern hair loss (FPHL). A complete loss of hair, as seen in men who sometimes go bald, is much rarer in women and is usually caused by a medical condition or by medical treatment such as chemotherapy.
Hi Prithak, I wouldn’t focus too much on the number of hairs lost each day. Look at your hairline and hair thickness and see if it decreasing over time. At your age there is a lot you can do to keep your hair. For starters, I would recommend alkalising your body and removing foods that could cause you allergic reactions, leading to inflammation. Also make sure you don’t use any chemical shampoos or hot water on your hair. That’s a simple way to get started and protect your hair.

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.


Mine has definitely thinned, but I am absolutely not willing to take drugs for it, or for any of the relatively minor issues that I’ve experienced. Although I do know men who have had great experience with hair drugs. Still, I don’t like putting more stuff into my body if I don’t have to. I’d like better hair, but my self-image doesn’t depend on it.
A substantially blemished face, back and limbs could point to cystic acne. The most severe form of the condition, cystic acne, arises from the same hormonal imbalances that cause hair loss and is associated with dihydrotestosterone production.[9] Seborrheic dermatitis, a condition in which an excessive amount of sebum is produced and builds up on the scalp (looking like an adult cradle cap), is also a symptom of hormonal imbalances, as is an excessively oily or dry scalp. Both can cause hair thinning.
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.”
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.

Topical Medication: There are a few alternatives to finasteride, should it prove to be ineffective or if it starts causing side effects (some patients report losing their sex drive on the drug). One of these options is minoxidil (aka Rogaine). It’s a topical product, available over the counter, that stimulates hair growth “by activating potassium channels in the follicle—this results in growth factors and prostaglandins that promote hair growth,” Fusco says. “This keeps the hairs in the growth cycle for a longer period of time.” Your dermatologist may be able to prescribe minoxidil formulations of higher percentages, she adds. So, see your doctor to decide which route is best.
The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.
Common Mistakes to Avoid -- When it comes to hair loss, missing the early signs is one of the first mistakes many women make. A staggering 50 percent loss can occur before it's noticeable to the human eye. The other common mistake women (and men, for that matter) make when trying to treat their hair loss is not giving enough time for therapy to work and not tracking their results properly. Just like hair loss, initial changes in hair regrowth take time and can be subtle before they are noticeable to the naked eye.
About the coffee… mmmh, I’m not totally sure to be honest. Having never drunk coffee myself I haven’t researched and experimented on its effects, but yes something that is highly acidic is not going to help. Perhaps replacing it with green tea and filtered or bottled water would be a better alternative, or another tea that is high in antioxidants such as cold brewed hibiscus (which has more antioxidants than any other tea.)
When several of my classmates back in my senior year of college went bald (one went bald in about one year) I couldn’t believe my reaction. I was envious. Unbelievably, I wanted to go bald. I wanted to lose all my hair from the top of my head, leaving just a fringe on the sides and back: male pattern baldness. I had no idea guys still in their early 20s could go bald and I was shocked. I couldn’t wait for it to happen to me. I tried to shake off the urge, but had to finally admit to myself that male pattern baldness was I really, really wanted. But not until after I was married. I was afraid that no woman would want me if I was bald. Back then, I had no idea that there are women out there who actually prefer bald men. Lucky for me, I’m married to one of those women. When my wish finally came true in my early 50s, my wife was thrilled and she urged me to just let myself go bald. I did, and it happened very quickly, as if to make up for lost time. After only two years of finding hundreds of hairs on my pillow each morning and wads of my hair plugging our shower drain I was finally bald, male pattern bald. The rapid transition to bald was a very pleasant experience for both my wife and me and I absolutely LOVE being bald. My wife loves it too and still tells me how sexy she thinks it is. I love it when she kisses me on top of my shiny bald head. What a turn on! Going bald was one of the best things that ever happened to me. I just wish it had happened immediately after my wife and I were married, 40 years ago. I wish I had started shedding hair off the top of my head on our honeymoon and had been bald by our second wedding anniversary.
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.
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.
Bunch of weakasses in the comment section, I literally started rocking a near bald look at around 16. All of a sudden girls talked to me more at school and got more looks for some reason. All you need is the confidence to rock a bald head, I’m 21 now and can tell my hairline is receiding but it doesn’t effect me at all, I like being bald, I look better that way, y’all need to grow some cojones

I am 33 yrs old and just recently in the last 3 months I’ve noticed progressive hair loss near my crown and parts and my hair gets really oily like one day after I shower in my crown area. there is male pattern baldness in my family on my Dad’s side but none of the females on his side are affected. I have had a lot of emotional stress lately. I am worried that I have female pattern hair loss and it will be progressive. Can this be reversed esp at this young age if I make sure I’m nutritionally well and control my stress?

This is a hereditary condition that affects about 30 million American women, according to the America Academy of Dermatology, and is the most common kind of hair loss Rogers sees in her practice. She tells WebMD that it happens to about 50% of women. Although it mostly occurs in the late 50s or 60s, it can happen at any time, even during teenage years, Rogers says.


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.
The blame can't be blamed solely on your hair care habits, either—if there's baldness anywhere in your family tree, you're at risk. Unlike male-pattern baldness, though, where patches of hair fall out over time, female hair loss means a reduction in hair volume, making transplantation extremely difficult. "The total number of hairs doesn't always decrease, but the diameter of each strand shrinks," says Kingsley. And too-thin hairs won't grow past a certain length—which explains the baby fuzz around my hairline.
Certain other classes of medication may also promote hair loss. More common among them are certain blood thinners and the blood-pressure drugs known as beta-blockers. Other drugs that might cause hair loss include methotrexate (used to treat rheumatic conditions and some skin conditions), lithium (for bipolar disorder), nonsteroidal anti-inflammatory drugs (NSAIDs) including ibuprofen, and possibly antidepressants.
Your body needs to be hydrated in order to function properly. Load up on H2O all day long and pass on juices, sodas, and other flavored drinks that contain more sugar than your body needs. The amount of water needed varies from person to person and depends on various factors, including overall health and exercise intensity. As a general rule, however, you should aim to have eight 8-ounce glasses of water per day.
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.

In last place on Dr. Guyuron's list of risk factors for hair loss are psychological stress and hormone imbalances. Stress is known to flood the body with hormones, he says, including some that block the action of a follicle-protecting enzyme called 5-a reductase. And when testosterone forms and then breaks down in the body, it can release "breakdown products" that have been tied to thinning hair.
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.
You will need to check with your health insurance company to find out if hormone replacement therapy will be fully or partially covered, or how much your copayment will be. If you don't have health insurance, costs can still vary greatly depending on the type of medication you get, and whether you take brand name or generic drugs. Prices may range from as little as about $7 per month to as high as $150 a month for hormone replacement therapy.

Fusco suggest other herbal botanical products if you don’t want to take finasteride. Ones that are considered active for hair growth include ginseng, pumpkin seed, zinc, vitamin B6, horse tail extract, rosemary, and chamomile. (Some as supplements, some topical.) “It has been suggested that one of these ingredients or a combination of them may activate follicle growth and improve the health of the scalp and hair,” she says.


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.
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“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.
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.
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