Polycystic ovary syndrome (PCOS) is another imbalance in male and female sex hormones. An excess of androgens can lead to ovarian cysts, weight gain, a higher risk of diabetes, changes in your menstrual period, infertility, as well as hair thinning. Because male hormones are overrepresented in PCOS, women may also experience more hair on the face and body.


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.)
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 🙂
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.
In addition to behavioral changes, Bauman says you can slow hair loss by taking routine nutritional supplements. He recommends a professional-grade Biotin, called Viviscal Professional or Nutrafol Men. “Nutrafol targets several possible triggers for hair loss and hair thinning, including inflammation, the effects of cortisol (stress hormones), free radical damage, and more.”   He also suggests using grooming products that contain caffeine (like Davines’ Energizing lineup), saw palmetto (Serenoa Repens) such as MiN New York daily shampoo, and green tea extracts (ECGC) like Paul Mitchell’s scalp care assortment. “These can help strengthen the follicles and help prevent shedding,” he says.
Senescent thinning of the scalp hair, or thinning that occurs after age 60, is poorly understood, and it is unclear whether this is a distinct entity or part of the continuum of androgenetic alopecia (AGA).  In a previous study, young males age 18 to 30 with Androgenetic Alopecia had higher levels of 5a-reductase type 1 and 2, more androgen receptors, and lower levels of cytochrome P-450 aromatase in hair follicles in the frontal region of the scalp than in the occipital region.
A few years back, your hair was so thick that we could barely see your scalp. But these days, parting your hair leaves a noticeable gap that everyone can see. This is because you’ve lost some of the hair in your crown area, effectively losing some of your hair’s volume. The problem is that you never really know how much thinning is going to happen. For some men, it could just be a little bit of shedding. For others, their hair could continue thinning until there are large bald patches.

^ Jump up to: a b Blumeyer, A; Tosti, A; Messenger, A; Reygagne, P; Del Marmol, V; Spuls, PI; Trakatelli, M; Finner, A; Kiesewetter, F; Trüeb, R; Rzany, B; Blume-Peytavi, U; European Dermatology Forum, (EDF) (October 2011). "Evidence-based (S3) guideline for the treatment of androgenetic alopecia in women and in men". Journal of the German Society of Dermatology. 9 Suppl 6: S1–57. doi:10.1111/j.1610-0379.2011.07802.x. PMID 21980982.
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.”

When your hormones are out of step, your hair truly suffers. In a study in the International Journal of Women’s Dermatology, researchers found that birth control can cause a relative increase in androgen levels that then causes a corresponding increase in DHT production, which researchers believe shrinks the hair follicle. If you want to be on birth control but have a predisposition for genetic hair loss in your family, researchers suggest steering clear of birth controls that release higher amounts of estrogen and progestin like progestin implants, hormone injections, skin patches, and vaginal rings.
While warm water opens a hair's cuticle to allow shampoo and conditioner to do their job, cold water helps to close the cuticle and seal in moisture from the conditioner — which helps your hair look shiny and healthy. So, by all means, take a warm shower, but at the end, rinse with cold water. If you really don't like cold showers, stylists recommend pouring one cup apple cider vinegar mixed with two cups water over hair after washing and conditioning. Vinegar is a gentle exfoliator that removes product build-up and dandruff from the scalp.
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.
Turns out I may be on to something. Research shows that if scalp massages are done with essential oils, including lavender, cedarwood, thyme, and rosemary (the latter being especially effective), they do indeed stimulate hair growth. Of course, the nice thing is, we don’t need to embarrass ourselves by making crazy requests to fancy hair salons (although, if the salon is fancy enough, of course, no request will be seen as crazy); we can give scalp massages to ourselves. And if your sleeping partner doesn’t care, or if you sleep by yourself, then for an additional benefit, you can do what I sometimes do, which is rub rosemary oil with coconut oil into my scalp before bed, and then sleep with it in my hair/head all night.
The pluck test is conducted by pulling hair out "by the roots". The root of the plucked hair is examined under a microscope to determine the phase of growth, and is used to diagnose a defect of telogen, anagen, or systemic disease. Telogen hairs have tiny bulbs without sheaths at their roots. Telogen effluvium shows an increased percentage of hairs upon examination. Anagen hairs have sheaths attached to their roots. Anagen effluvium shows a decrease in telogen-phase hairs and an increased number of broken hairs.
Hi Will, my hairline has been receding since the age of 17. I’m 21 now and my hairline has receded worse, and I feel so bad at how I look that I barely communicate with people anymore 🙁 I want to know if excessive masturbation could have anything to do with my hairloss, but its supposedly a myth?! Is there any info you can share on this topic, Will?
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.

Scalp reduction is the process is the decreasing of the area of bald skin on the head. In time, the skin on the head becomes flexible and stretched enough that some of it can be surgically removed. After the hairless scalp is removed, the space is closed with hair-covered scalp. Scalp reduction is generally done in combination with hair transplantation to provide a natural-looking hairline, especially those with extensive hair loss.
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 

Unfortunately for men, there’s a four in seven chance of receiving the baldness gene which means hair loss could occur for you really at anytime during adulthood. Many of our clients have recognised that their fathers or their mothers if the balding is on the female side, started at a certain point in their lives and that the time-scales are similar or identical.
Once considered a mark of a middle age crisis among men, hair loss and thinning hair is fairly common among women as well. Some 30 million women in the U.S. have hereditary hair loss (compared with 50 million men). Daily tasks such as brushing and washing your hair can turn from relaxing to puzzling when excess shedding around the hairline occurs. Being an unlucky victim of either genetics or improper hair styling can cause a receding hairline.
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.
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]
Minoxidil (Rogaine, generic versions). This drug was initially introduced as a treatment for high blood pressure, but people who took it noticed that they were growing hair in places where they had lost it. Research studies confirmed that minoxidil applied directly to the scalp could stimulate hair growth. As a result of the studies, the FDA originally approved over-the-counter 2% minoxidil to treat hair loss in women. Since then a 5% solution has also become available when a stronger solution is need for a woman's hair loss.
Some hair loss is associated with stress although male pattern baldness is a genetic condition found in many men. If you find your hair is falling out in clumps or at unpredictable times, it is most likely to be the symptom of something else. This could be stress related but is unlikely to be caused by sexual frustration. The best thing to do is to see your GP for a check up.
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]
Turns out I may be on to something. Research shows that if scalp massages are done with essential oils, including lavender, cedarwood, thyme, and rosemary (the latter being especially effective), they do indeed stimulate hair growth. Of course, the nice thing is, we don’t need to embarrass ourselves by making crazy requests to fancy hair salons (although, if the salon is fancy enough, of course, no request will be seen as crazy); we can give scalp massages to ourselves. And if your sleeping partner doesn’t care, or if you sleep by yourself, then for an additional benefit, you can do what I sometimes do, which is rub rosemary oil with coconut oil into my scalp before bed, and then sleep with it in my hair/head all night.
I have been loosing hair for 3 years now. It started at the temples, but actually it falls from anywhere in the scalp. I notice that my hair is pretty thin and weak. I’ve changed my diet in the last month and a half, but it keeps falling almost the same. I have a pretty stressful life, but I’m not sure if that’s the only reason (because on non stressful periods of time, the falling is almost the same). The thing is that I notice that my scalp is almost always itchy, a lot of the hairs that falls, falls with a grease yellow or white bulb at the end. I have to wash my hair almost every day I read that it could be Telogen effluvium, but it has been falling for so long that I don’t think that it’s the reason… It is starting to be noticeable the lack of density, specially in the front. I should be more active as well, but even if I do exercise, I keep feeling that my hair is thin and breaks and falls easily… I would really like to regrow what I’ve lost, but my main focus right now is to stop the hair from falling. Do you think I could have some sort of skin condition that is making this happen? (I have visited 2 dermatologist but both said it was AGA without almost looking at my scalp). Or is this also possible in typical Male pattern baldness?
Last summer, I started visiting the Philip Kingsley hair clinic in New York City every week to strengthen the fragile wisps that were sprouting up along my hairline as a result of my prescription treatments. There, I learned that physical as well as emotional stress can cause temporary thinning and make genetic hair loss worse. Consider it something like a domino effect. When 44-year-old fitness instructor Maria Santoro was hospitalized for a severe allergic reaction to her pneumonia medication, she lost 20 pounds in 10 days, and her chestnut waves started falling out in clumps. "People assumed I was anorexic," she says. "My body was in shock, and I felt really insecure because of my weight loss and thin hair. It was devastating."
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.
Adjusting to permanent hair loss is challenging for most women. Menopausal hair loss can be upsetting and cause anxiety, but is not usually a sign of an underlying medical disorder, unless accompanied by other symptoms. Improving general and nutritional health may help slow loss. There are cosmetic options for improving the appearance of hair and medical treatments which, when used long term can improve hair growth. If you have other symptoms as well as your hair loss, seek the advice of your doctor.
While hair loss isn’t the most common symptom of anemia caused by an iron deficiency, there are still a number of people suffering from this predicament. According to a study in the Journal of Korean Medical Science, those affected by this specific type of hair loss can experience symptoms for a number of years. Since iron plays a crucial role in producing hemoglobin, a compound that carries oxygen to cells, this can mess with your body’s ability to carry out essential processes like hair and nail growth. You can make up for this deficiency by upping your protein intake, or by taking iron supplements—though you should talk to a doctor before doing this. And for more on the essential nutrients you may need, check out these 50 Best Supplements on the Planet.
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.
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]
Decades ago, this would have been the most accurate way of determining your odds—looking at old photos of your ancestors—but now there are more scientific means of predicting hair loss. These days, your doctor can take a swab of DNA from the saliva inside your cheek, and it will show how sensitive you are to dihydrotestosterone (known as DHT, which is the hormone created by the body’s testosterone). This swab will also tell you your odds for balding (and how quickly), and can predict how you might react to hair-loss medications like Propecia or Finasteride treatment.

The usual cause for hair loss in women at midlife is due to shifting and reducing hormone levels at menopause. Falling oestrogen and progesterone levels - the biggest hormone changes at menopause - can cause some women to notice that their hair becomes weaker and thinner and grows more slowly. The other hormone shift at midlife can be a dominance of androgens especially testosterone which can cause hair follicles to shrink but can also result in the appearance of unwanted hair - espcially on the face. It's a tricky business this menopause rebalance! Another form of hairloss experienced is loss of eyebrows which is also caused by hormones but the culprit here is usually thryoid.

Another of the key clues is a feeling that the hair is not as thick as usual – for instance when putting the hair into a ponytail, it may seem less dense. Although this may make it difficult for any obvious changes to be observed, many women intuitively know when something is different – and this would be a good time to see a hair loss expert to ascertain exactly what is going on.
What can women do to treat it? As I note in my book, the first thing to do is to get a true diagnosis and find Dr. Right (for you). Women need to know that no stone has been left unturned. So the go-to person for hair loss is a dermatologist. Find a physician who is experienced in treating women’s hair loss. You should go there ready to tell the doc what’s been going on in your life--stress, recent pregnancy, severe weight loss due to dieting/anorexia/bulimia; current medications (over the counter and prescription), herbs, vitamins, birth control pills (start/stopping); HRT (start/stopping) and even habits such as wearing hair in tight buns, pony tails, corn rows etc. The physician should be able to tell if something is causing the hair loss and/or go on to a more definitive exam,which might include a scalp biopsy to rule out a fungus or other infection.
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!
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. .
Hi David, I understand where you are coming from. Losing hair at a young age is not a nice experience. Luckily, there is a lot more you could be doing besides the shampoo. Honestly I don’t know how much this will help in the long term. To get you started, you’ll probably have to adjust a few things in your diet and lifestyle to stop further loss/ regrow lost areas. A simple thing to get started would be to use a dermaroller (or even better a dermastamp) along the hairline. Remember though, pattern baldness starts from the inside out. It’s basically a sign that your body is out of balance. So try to sort that out as well. 

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Temple hair transplantation is quite possible and in fact is one of the areas that makes the face much more youthful.  Although temple recession is generally seen in advanced stages of hair loss, thinning of the area could be seen much earlier.  Transplanting hair to the temple areas is more challenging than a other areas of scalp due to the steep angles and especial distribution of hair in the area.
Research is looking into connections between hair loss and other health issues. While there has been speculation about a connection between early-onset male pattern hair loss and heart disease, a review of articles from 1954 to 1999 found no conclusive connection between baldness and coronary artery disease. The dermatologists who conducted the review suggested further study was needed.[41]

Like anything else, genes from mom can play a role. But she’s only half the pie. You can also inherit these genes from your father, says Dr. Alan J. Bauman, Hair Restoration Physician and founder of Bauman Medical. “Hair-loss genes can be inherited from either your mother's or father's side of the family, or a combination of the two,” he says. He adds that there are roughly 200 different genes that regulate your hair growth, so the combination of these genes—from both parents—can be unique and won’t always pattern itself from one sibling to the next. 

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.
Sleep helps all our bodily functions and alow the body to build, repair and restore order. Have a calming bed-time routine such as a lavender bath, avoid stress and technology before bed and try to sleep in a darkened room if possible. Healthy sleep will help to rebalance hormones and nourish the adrenal glands which are the glands that produce stres hormones like cortisol. 

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]


Eating a balanced, low-fat diet is your best defense against hair loss. Make sure you include an adequate amount of whole grains, fruits, and vegetables in every meal. It’s also important to incorporate mono-saturated oils, such as olive oil and sesame oil, into your diet. Drinking green tea and taking vitamin B6 and folic acid supplements may help restore hair growth as well. Essential fatty acids also play a crucial role in maintaining hair health. These fatty acids can be found in the following foods:

She leaned in closer. “You’re writing about perimenopause, right?” I nodded. I couldn’t imagine what she was going to say. She had found some weird, counterintuitive cure for hot flashes that included the wearing of heavy woolen headgear? She had (God forbid) some terrible disease? “I think I’m going bald,” she whispered, “and I think it has to do with hormones.”
The usual cause for hair loss in women at midlife is due to shifting and reducing hormone levels at menopause. Falling oestrogen and progesterone levels - the biggest hormone changes at menopause - can cause some women to notice that their hair becomes weaker and thinner and grows more slowly. The other hormone shift at midlife can be a dominance of androgens especially testosterone which can cause hair follicles to shrink but can also result in the appearance of unwanted hair - espcially on the face. It's a tricky business this menopause rebalance! Another form of hairloss experienced is loss of eyebrows which is also caused by hormones but the culprit here is usually thryoid.
Hair loss can start as soon as puberty ends, depending on your hereditary sensitivity to DHT. That phrasing is key: Bauman stresses that it is not DHT production that causes hair loss, it's the inherited sensitivity to DHT that causes the loss. Those with high sensitivity will be the first to experience a weakening in their follicles. This results in thinning around the crown and hairline, and lighter pigment in the hair. Behaviors that increase DHT production will magnify the loss depending on sensitivity. These behaviors include smoking, creatine supplements, resistance and weight training exercise, stress, and taking anabolic steroids or testosterone hormone replacement.
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.

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.
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