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.
Finasteride is taken once daily in pill form. It works by preventing testosterone from being converted into DHT in the oil glands, hair follicles, and prostate. DHT is the form of testosterone responsible for hair loss. There can be some side effects with this medication and your doctor will be able to explain those in greater detail during your consultation.
I found out I have PCOS (Polycystic ovary syndrome) coupled with insulin resistance, which were the causes of the hair loss. This was over 12 years ago and unfortunately for me not much was known about the condition, which affects so many women. All the GPs and specialists I saw were middle aged men, who were dismissive and often clueless about what was going on. I was told there was really not much to be done, and put on the pill which was supposed to balance things out. At one point I was even told not to worry over something as trivial as hair loss.

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.
Another sneaky culprit of hair loss is alopecia areata, an autoimmune disease that confuses the hair for an attack on the immune system. According to Marc Glashofer, MD, a dermatologist in New York City, if your hair loss is occurring in round circles on your scalp, then you most likely are a victim of alopecia. Alopecia can be treated with steroids and even over-the-counter products like Rogaine.
sick fractal donkey tail feat. a steamin hangover and leaves of a mystery #palm. #science march was chill n did some ~networking~, got cake w/ some pals, then let @deborahpowtattoos loose on my leg again. 🌱🌿🌵 its true, covering yourself in #tattoos won't make you suddenly love your body, but will slowly teach you empathy and understanding for yourself. reclaiming my body after years of self hatred is gonna be a long process, but at least i can jazz myself up ya know. (I know I've worn this jumper in every photo ok) (all this said i just got home to a letter from the community mental health team saying they can't help me) #plantscience #ayeforsci #sciencemarch #plantpower #me #bosypositivity #planthoarder
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.
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.
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.
Several types of hair shaft abnormalities can lead to hair loss. These conditions cause strands of hair to thin and weaken, making them vulnerable to breaking. The hair loss doesn’t occur in the follicle but as a result of a break somewhere along the hair shaft, which is the visible part of a hair strand. This can result in overall thinning, as well as in many small, brittle hairs.
Ahh this is so helpful and it makes a lot of sense! Thank you so much for this! I’ll definitely take all this on board! Honestly since my hair started thinning a few months ago I’ve been so panicked and confused as to why it was happening. I’m quite vain and I’ve always loved my hair so I’ve been really worried about keeping my curly locks! My friend actually recommended getting a wig made. Apparently you can have small pieces and extensions to cover up certain thinning parts of your hair without losing all your hair (and I’m definitely leaning towards this option). I read about a company called Optima Hair (they’re located near where I live), has anyone else used them? They look good but I don’t know much about it if I’m honest so I’d appreciate any advice or recommendations people could give me! x

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.
I noticed I was going bald, I panicked and turned the internet upside down in search of a solution and tried lots of products and weird things but none worked. a friend who used to tease me about the hair (in a bid to tease me further) bought a product from Africa during his travels and he mockingly gave me as a present.I tried it and the result is unbelievable. infact he had to call his contacts in Africa to get in touch with the manufacturers. I know how frustrating and confidence-sapping being bald is that’s why I took this painstaking mission to reveal to any who wants to try it. you can contact the manufacturers on (abiomoigho@gmail.com)I hope this message helps.
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.  
If you have polycystic ovary syndrome (PCOS), your hormones are always out of whack. Your body makes more male hormones, or androgen, than it should. This can cause extra hair to sprout on your face and body while the hair on your head thins out. PCOS can also lead to ovulation problems, acne, and weight gain. But sometimes thinning hair is the only obvious sign.

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.
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]
You know, in this day and age, we can be really brutal with our hair, all these sprays, and heating tools, and hair dryers, and hair straighteners, so just watch what you're actually doing with your hair because if it's starting to get a little thinner and a little more brittle, then using a lot of these harsh treatments can speed up the deterioration process.  
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.
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!
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!
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.

Other approaches to hair thinning include using cosmetic "camouflage" sprays and powders that cover the scalp with a color close to one’s own hair color, which reduces the contrast between hair and scalp and makes the hair loss less noticeable. Surgical hair transplants are an option, but you must have enough "donor" hair to spare at the back of your scalp. A new treatment approved by the F.D.A. uses low-level laser lights on the scalp but the benefit is “modest,” Dr. Mirmirani said.
If follicles receive the necessary stimulus and nutrients from the body, it can stabilize hair loss during menopause and strengthen existing hair growth. This is why it’s important to nourish thinning hair follicles with the right nutrients, including marine extracts, vitamins (including B vitamins such as Biotin and Niacin) and minerals (such as Zinc), to promote hair growth during menopause. A good diet, as well as a nourishing shampoo and conditioner that is gentle on dry, aging hair, are top tips for how to treat menopause-related hair loss.
If you are looking for a temporary cosmetic solution for hair loss, consider trying Toppik Hair Building Fibers to cover any areas of thinning hair or scalp show-through. Available in nine shades that can be mixed to match almost any hair color, Hair Fibers come in four sizes to help with a wide arrange of hair loss needs. You can either shake or spray the Hair Fibers into thinning hair, and watch as your hair is instantly transformed. This is the quickest way to get the confidence you once had with a full head of hair.

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.
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