Women’s hair loss is a complex condition with numerous causes. The intricate nature of women’s hair loss further emphasizes the need for a hair loss specialist with specialized knowledge. Dr. Edmond Griffin can help you determine what type of hair loss you are experiencing and suggest a proper treatment plan based on your symptoms. In previous blog posts, we’ve explained who to turn to when hair begins to thin and tests that determine your hair loss cause. There may be a combination of variables contributing to your specific hair loss condition; therefore, it may be helpful to have a basic understanding of most common types/causes of hair loss:
• Androgenetic Alopecia: Androgenetic alopecia, also called female patterned baldness, is by far the most common cause of hair loss seen at the Griffin Center. This hereditary alopecia is caused by a predisposition to the effects of dihydrotestosterone (DHT) on the hair follicles due to an inherited gene. A positive family history of baldness in either males or females is common. Occurring over a period of several years, this type of hair loss is gradual.
• Telogen Effluvium: In this condition, an increased number of hairs enter the resting phase (telogen phase) of the hair growth cycle so that hair does not grow at a normal rate. This hair loss is most apparent as hair just falls out by the roots in handfuls. Dieting, severe infection, high fever, surgery, stress, and especially childbirth shifts the growing hair into a resting phase resulting in sudden onset of hair loss.
• Anagen Effluvium: This hair loss condition is most commonly associated with cancer patients receiving chemotherapy or radiation, and causes hair to fall out during the anagen, or growing, phase of the hair growth cycle. While most patients re-grow their hair after chemo and radiation are completed, some patients do not completely re-grow due to certain cancer chemo agents.
• Traction Alopecia: Traction alopecia, most often seen in black patients, is caused by excessive, ongoing tension placed on the scalp. Tight hairstyles such as braids, weaves, and ponytails can eventually pull hair out and permanently scar the scalp. Some patients have sensitive follicles that are easily traumatized, resulting in this loss of hair.
• Alopecia Areata: This hair loss condition, most common in children and young adults, is a disease in which the body forms antibodies against its own hair follicles due to stress, genetics, or immunity. Often developed suddenly, alopecia areata results in smooth, circular patches on the scalp, eyebrows, or beard. Aggressive treatment with injections and topical medications frequently results in the hair returning within a short time. A positive family history of this condition is common.
• Scarring Alopecia: This condition is a chronic inflammation of the scalp which gradually damages the hair follicles. This permanent condition may appear as localized or wide-spread patchy hair loss, and should be treated as soon as possible to prevent widespread baldness.
• Lichen Planopilaris (LPP): Scarring hair loss condition in which follicle inflammation causes gradual permanent alopecia.
• Tinea Capitis: Tinea capitis is a fungal infection that causes patchiness and breakage due to inflammation, usually seen in young children. If treated early, the hair re-grows but can result in permanent loss if the inflammation is long lasting or severe enough.
Listed above are some of the more common hair loss conditions. It’s important to understand that each hair loss case is specific to each man, woman, or child it affects. Dr. Griffin and his team of trained hair restoration technicians are more than happy to help you find a customized solution for hair loss. For more information on The Griffin Center of Hair Restoration and Research visit our website, and continue to read the blog for more news on hair loss conditions and prevention.
Men, women, and children can experience hair loss for a number of different reasons as we discussed in Part 1 of the Women’s Hair Loss blog series. Women experiencing hair loss can go through discouraging trips to doctors and still not understand the cause of their hair loss. As suggested in Part 1, a dermatologist can be a good starting point. Women experiencing hair loss may need tests to get to the correct diagnosis, but don’t grow weary, as the right doctor will take steps to get to the source of your thinning hair. As each hair loss case is different, there is an approach to this puzzle.
At your consultation, your doctor will ask questions about your hair loss. It’s important to give the doctor the most detailed and accurate answers possible. You will need to discuss how long your hair loss has been occurring, and any pimples, scaling, pain, family history, hormonal problems, and associated events like deaths/operations, etc. Next, your doctor should carefully examine your hair and scalp. This allows him or her to correlate his or her years of experience with your physical appearance. This step is imperative in coming to a conclusion about your hair loss because so much subtle information is gained by just a simple examination.
After the consultation, your doctor will typically perform tests, both blood and others, as part of the exam. The tests will be determined by information gathered during consultation. These tests may include: hair pull test, hair shed/pull collection, scalp biopsy, and blood tests. Each test serves a different purpose:
• Hair Pull Test: A cluster of about 50 hairs will be gently pulled. For the average person, about four hairs will usually detach per pull, but people with a hair loss condition will lose more. A greater loss will be seen in patients who have not shampooed recently. The detached hairs can then be examined for irregularities of the shaft and the roots.
• Hair Shed/Comb Out Collection: At home, the patient performs this test by collecting hairs that will be shed in the shower, sink or comb/brush each day for 3-5 days. Each day, the collection will involve you combing your hair with a clean brush for about one minute over the sink and collecting all detached hairs for that day and placing them in a plastic bag. Additional hairs that you collect from your shower, sink, or comb throughout the rest of the day should be added should be added to your bag. Repeat the same sequence on day 2, 3, 4, and 5, and bring all the bags back to your doctor for an evaluation. This will allow him to follow and determine the severity of your shedding.
• Scalp Biopsy: This test is sometimes, but not always, indicated. However, it is especially important when there are more than one diagnoses considered or when the diagnosis is questionable. A scalp biopsy is particularly important for scarring alopecias. After a local anesthetic is administered, the doctor removes a small piece of skin from the scalp (about 1/5 of an inch in size–the size of a pencil eraser) for further examination.
• Blood Tests: Useful information from blood tests is limited, but it may help rule out other conditions that could contribute to hair loss, such as hormonal or thyroid conditions. Your doctor will decide which blood tests may be appropriate for you based on the information gathered during consultation. Once all data is reviewed a diagnosis can be obtained with a high degree of certainty.
Hair loss is a frustrating condition, especially as a woman. While this battery of tests may seem excessive, making the correct diagnosis is paramount to outline the proper treatment course for your particular problem.
Dr. Edmond Griffin, founder of The Griffin Center of Hair Restoration and Research, has dedicated his life to researching hair loss and hair restoration techniques. For more information on women’s hair loss or hair loss in general, visit his website and continue reading his blog. If you’re experiencing hair loss, do not hesitate to schedule a consultation today.
Hair loss is supposed to be a problem that only aging men face, right? Wrong. Women also experience hair loss for a multitude of reasons including: genetics (androgenetic alopecia), hormonal changes (i.e. – menopause, birth control, and thyroid conditions), physical or emotional stress, ongoing illness, anemia, rapid weight loss, and certain medications. In fact, according to Dr. Edmond Griffin, female hair loss patients at his practice have tripled in the past decade. Since women’s hair loss is such a taboo topic, women struggle to know who to turn to when their hair starts falling out.
Hair loss can be a problem with women on hormone replacement when the hormone replacement includes a small dose of testosterone, particularly if she has genetic pattern hair loss. It is important for these women to use preventative hair loss medicines. Propecia® fills the need for men and will do the same for most women who are past child-bearing years.
Women facing hair loss may start discussing their problems with their hair stylist. While trained stylists know a good bit about hair in general, they may not be familiar with the conditions that cause it. A doctor will most likely employ a simple blood test and physical examination to pinpoint the hair loss cause. But, if your hair loss is not a symptom of a major body system abnormality, you may need to seek the expertise of someone with more specialized medical knowledge.
An endocrinologist, or gynecologist with a strong endocrinology background, is a specialist in hormonal disorders, and may be able to better identify the problem or direct you to a better-suited specialist. If the condition does not seem directly linked to a hormone fluctuation or imbalance, your endocrinologist may refer you to a dermatologist. Unlike endocrinologist whose knowledge is very specific, most dermatologists are trained to understand and treat a broader spectrum of issues involving skin, hair, and nails. Women suffering from hair loss should seek a board-certified dermatologist who specializes in hair loss disorders, specifically, female-pattern hair loss.
If you’ve exhausted medical opinions, a trichologist, or hair expert (non-medical) may be able to provide non-medical approaches for optimal hair growth. A trichologist will give you advice on diet, nutritional supplements, hygiene, and various other approaches. It’s important when working with a trichologist that you only select one who works closely with a doctor. Doing so limits the risk of employing a treatment that could negatively affect any existing medical conditions.
Doing research online may also help you answer some questions you have initially. However, use caution when researching hair loss online because the internet is full of people who claim to have the miracle cure. Because hair loss has so many causes, there is no one cure.
This may all seem like an overwhelming who’s who of hair loss, but Dr. Griffin of the Griffin Center of Hair Restoration and Research will be authoring a series on the subject of women’s hair loss to enlighten patients with the condition. Having seen countless cases of hair loss in men, women, and children; Dr. Griffin will take the necessary steps to find a specific solution for you. There are solutions to hair loss: it starts with finding the right doctor.