Excessive hair loss is a serious challenge to women's image and position in business and society. Although we usually think of baldness as a men's problem, women actually make up forty percent of people in North America who suffer from excessive hair loss. Many women with significant hair loss have polycystic ovary syndrome. Safe, effective, natural therapies that treat PCOS-related hormone imbalances will also restore your hair to optimal health. I'm happy to offer you some very important tools to help you recover your hair and health.
Women with hair loss are weak in today's world. At work and in her personal life, the appearance of women has much to do with her financial and social success. Men may also not like going bald. But since baldness is known to be due to high testosterone levels, bald men may be credited with extra endurance. There is no happy story for bald women. Thinning scalp hairstyles translate to a great loss of personal power for women.
The medical community generally treats women's hair loss as a minor health issue. Most doctors have a slight tendency to deal with the emotional stress you feel. In many cases, physicians treat the boat as if it were "just" an issue of pride; they may not recognize hair loss as a red flag pointing to serious metabolic conditions, including PCOS.
The psychological pain of hair loss and its effect on our understanding is like destroying a healing disease. If you are bald, losing your hair is a life-changing condition that has serious consequences for your health. Getting your hands on the wheel and driving yourself towards solutions for hair loss is the first step toward reviving your strengths and personal strengths. If hair loss is part of PCOS, your efforts to restore your physical health will also renew your hair growth.
You need expert help to diagnose the cause of your hair loss. Hair loss that may be temporary can be permanent if you have a delayed or inaccurate diagnosis. Misdiagnosis may be the most frustrating aspect of hair loss for women. The information I provide here will help you identify the cause of your hair loss and ideally get you and your doctor the right treatment for your hair loss, sooner rather than later.
Alopecia is a medical term for excessive or abnormal hair loss. There are many types of alopecia. Whether all hair loss is the same, whether it is in men or women, is often a symptom of something wrong. Your hair will stay in your head if it comes down to hormone imbalance, disease, or other conditions. Such a situation might be as easy as turning on the genes that make you vulnerable to male or female pattern baldness. Or it could be as complex as the whole disease. Hair loss may be a symptom of short-term events such as stress, pregnancy, or side effects of certain drugs. In this case, the hair grows back when the event has passed. Substances including hormones and drugs can cause changes in hair growth patterns. When this happens, growth and spillage occur at the same time. Once the cause has been addressed, the hair returns to their random growth pattern and spills, and baldness ceases.
Alopecia: Common Issues
Today, more women than ever have experienced hair loss - and the causes are usually quite different which causes baldness in men. According to the American Academy of Dermatology, about 30 million women in the United States suffer some form of depressive hair loss. The most common causes of hair loss in women include:
Minerals or vitamin deficiencies - zinc, manganese, iron, vitamin B6, biotin
Fatty acid deficiency is important from a low calorie diet or eating disorder
Lack of protein, as usual with vegetarian diets
Anemia from a low iron diet, poor digestion or any excess blood loss
Eating disorders, such as anorexia, bulimia, even a 'yo-yo' diet; also excessive or excessive physical training
Drug toxicity, such as anesthesia with surgery or chemotherapy for cancer
Many prescription drugs have hair loss as a 'side effect', including bromocriptine, beta blockers, ACE inhibitors, amphetamines, anti-cholesterol agents
Severe infections, whether viruses or bacteria
Serious stress, whether sudden events or long-term challenges
Any hypothalamic or pituitary disorders
Any liver, thyroid gland, adrenal gland or ovarian disorder, including PCOS
Any sex steroid imbalances such as low progesterone, estrogen dominance, excess testosterone or insulin
Start or stop any hormone therapy, including birth control pills, menopause hormone replacement therapy, or thyroid hormone replacement
Any natural event that causes major hormone changes, such as childbirth, breastfeeding and sweating or menopause
Candy, hair color, bleach, incorrect brushing / combing, hair pulling
Autoimmune diseases such as lupus or multiple sclerosis
Allergy to food, medicine, environmental chemicals or topical remedies
Recent hepatitis B shots. If you have had the Hep B vaccine since the hair began, there may be a connection. An article in the Journal of the American Medical Association (278: 117-8, 1997) linked Hep B vaccine to an increased incidence of alopecia in women.
How does a woman know why she lost so much hair? To understand that, it is important to understand how hair grows.
Hair Grows in Cycles
The scalp grows about half an inch a month. Individual haircuts will grow for two to six years. Finally each hair "leaned" for a moment, and then fell. Soon, the follicle begins to develop a new strand. Healthy scalp will allow about 100 bikes to fall daily.
In men with genetic susceptibility to hair loss, and for women with PCOS, a hormone called androgens promotes this process. The androgen hormones include testosterone, androsteinedione, and dihydrotestosterone (DHT). Men make and use relatively large amounts of androgen. The right amount of androgen is also important for women's health.
For those who are genetically susceptible, testosterone activates the enzyme produced in the hair cells, which in turn causes it to be converted to a stronger androgen DHT. DHT then binds to receptors deep in the hair follicles. Finally, so much DHT builds up that the follicles begin to shrink. It cannot produce new hair for sure. Some follicles still stop producing new hair. The end result is significant hair loss. The medical term for this condition is androgenic alopecia. Testosterone converts to DHT with the help of the Type II 5-alpha reductase enzyme, which is held in the hair follicle gland. In fact, it is not the amount of testosterone that circulates which is a problem but the amount of DHT clogging and shrinking the scalp, making it impossible for healthy hair to survive.
The process of testosterone converted to DHT, which then harms the hair follicles, occurs in both men and women. Women usually have a small proportion of the amount of testosterone that men do. It seems that for women with hair loss, the actual level of testosterone is not as important as the change in the amount of testosterone it has. Changes in hormone levels triggered by lifestyle or other factors, will cause DHT-induced hair loss in women. Although hormone levels remain unchanged in what "doctors" consider, they can be high enough to cause problems for a woman. Levels may not rise at all and are a problem if you are very sensitive to normal levels of chemicals, including hormones.
Because our hormones operate through a balanced feedback system, with signals transmitted through blood between the brain and body tissues, androgens do not need to be elevated to cause problems. If the female hormone called for (which is also important for men's health) is for any reason switching to androgen, the resulting imbalance can also cause problems, including hair loss.
Hormones are constantly changing. Testosterone levels in men decrease by 10 percent every decade after the age of thirty. Female hormone levels change with each menstrual cycle, or due to lack of regular menstruation, in pregnancy and menopause. Eating disorders, excessive exercise, medications and environmental toxins can also affect hormone levels.
Key to Successful Treatment
Hair thinning treatment should be based on the behavior changes you may have that support high androgen. Diet and exercise are the key to maintaining optimal hormone balance. In fact, for women with PCOS, the research is clear - no drug therapy is more effective than a proper diet and regular exercise. First, you get your basic health habits in order; then targeted therapies have the best chance of being effective for you.
Women with PCOS may also have excessive hair on their face and body. The only way to deal with dark, coarse hair growing from follicles that have been altered by excessive androgen, is to destroy the follicles with the same laser or therapy. When the follicles change the type of hair they produce, they will not change. It is important to stimulate excess androgen and prevent additional follicle conversion, before investing in therapy to permanently destroy the hair follicles or body.
What causes women to lose a lot of scalp hair?
For some time doctors believed that androgenic alopecia was the leading cause of baldness in men and women. We now know that the process that causes excessive hair loss in women is different. It's called a woman's hair loss.
An important difference between male and female baldness is the pattern of hair loss. Hair loss hair tends to occur as a whole in all areas of the scalp, including the sides and back. Men lose hair from certain places, such as temples, crowns, bald spots on the back of their heads. Male and female hormones and enzyme receptor sites are also located in different scalp areas, causing hair loss patterns related to different genders.
The second major difference is that baldness in men is usually due to human genetics and age, but for women, baldness can occur at any age.
Choice of Lifestyle, Disease and Medical Treatment Causes Hair Loss
Most women with hair loss have a variety of lifestyle, diet and health-related events. Sex hormone changes are responsible for most women's hair loss, including those with PCOS, recent pregnancies, menopause, hormone replacement therapy or side effects of birth control drugs. Chemotherapy for cancer, anti-coagulant drugs, iron deficiency anemia, autoimmune diseases can cause hair loss. Any disease involving the hormone production glands, including the thyroid, adrenal glands and pituitary gland can cause malnutrition in women. It is important for all women to know the true cause of their hair loss before engaging in any particular treatment.
Complex hormone changes that accompany polycystic ovary syndrome (PCOS) often result in hair loss. Sometimes hair loss is the first sign that women suffer from metabolic disorders that also cause problems with acne, face and body growth, irregular menstrual cycles and infertility. PCOS is associated with an increased risk of heart disease, type 2 diabetes and some types of cancer.
Thyroid disorders, anemia, chronic illnesses or the use of certain drugs, especially any form of hormone replacement therapy or prescription medication - should be considered to cause hair loss in women. An autoimmune disorder can result in a slightly different hair, often less dramatically known as alopecia areata - a condition of inflammation in which the hair comes out in clumps or patches.
Any drop in estrogen levels, as occurs after pregnancy, with menopause, or when changing your hormone therapy including the use of birth control pills, will result in what is called estrogenic alopecia. In contrast to testosterone, estrogen helps the scalp grow faster and stay longer, causing thicker hair. This is why women's hair becomes more elastic during pregnancy when estrogen levels are high, and then wake up a few weeks after the baby is born.
For women who have not experienced fertility-related hormone changes, estrogen hair loss usually begins around menopause. This hair loss can be the first sign of menopause. Sometimes alopecia will not start until a few months or even years after the menstrual period has ended. Not all women experience significant alopecia after menopause but most have slight depletion.
It is not uncommon to have several factors involved in women's hair loss. Many women with PCOS have thyroid problems, usually hypothyroidism (low thyroid function). Not only does hypothyroidism contribute to weight loss, it can also contribute to thinning hair. Some women with PCOS have both high testosterone levels and an active thyroid.
If your hair is thin, you may have heavy metals such as lead, mercury or cadmium in your tissues. These toxic residues absorb our environment. If you live near what you have, or have ever been to an industrial or mining site, or live with someone who works in the pollution industry, you may be contaminated. If you've ever smoked tobacco, you have a lot of cadmium in your body.
The majority of women with androgenic alopecia have thinned out in all areas of the scalp. Some women may have a combination of two types of patterns. Androgenic alopecia is caused by various factors associated with hormone action including PCOS, contraceptive use, pregnancy, and menopause. Any blood sugar and insulin hormone imbalance will cause an excess of androgens. Women with insulin resistance, from chronic foods that consume too much carbohydrate foods, will see more effects than androgens. Insulin resistance is associated with PCOS as well as type 2 diabetes. Chronic stress that overcomes the adrenal gland can alter the androgen levels produced by a woman as well. This is often a problem such as infertility, acne and thinning of hair on the neck, women with sports with PCOS. The offspring may play a role in androgenic alopecia.
Any major event such as childbirth or breastfeeding, lack of nutrients from changes in your diet, severe infections, major surgeries, or any extreme stress can suddenly change 90 percent or more of your hair that is in phase growing or resting phase into the spill phase. You will see this shift in the rate of hair loss 6 weeks to three months after the stress event. This is called telogen effluvium. There is a possibility of losing daily hair bunches with telogen effluvium that is crowded. Usually this type of hair loss can be reversed, if major stress is avoided. For some women, telogen effluvium is a mysterious chronic disorder that can last for months or years, without fully identifying all the triggering factors.
Anagen effluvium occurs when the hair follicle cells are damaged so that they cannot recover or reproduce. This is usually due to the toxicity of chemotherapy for cancer. Chemotherapy aims to destroy rapidly dividing cancer cells. The hair follicles in the developing phase (anagen), therefore, are exposed. Anagen effluvium means that the hair shaft narrows due to damage to the follicles. The shaft breaks at the narrowing and causes hair loss.
Alopecia attraction is the breakdown of hairstyles that attract hair over time (braiding, cornrows, ponytail, extensions). If this condition is detected early, you can change your style to be softer on the follicles, and your hair will grow back.
Hormone contraceptives are the leading cause of sad hair loss and other symptoms in women. Since birth control pills started in the 1960s, contraceptive pills, injections, implants, skin patches and vaginal rings have become the most common forms of birth control.
Unfortunately, many young women are given contraceptive hormones even when they are not sexually active, as 'treatment'. for irregular menstruation or acne. This is a mistake. This is not a treatment that addresses the underlying problem of acne or acne. Contraceptive hormones complicate women's hormone balance and can cause many health problems, including significant hair loss and worsening acne.
All contraceptive drugs use synthetic hormones to suppress ovulation. These drugs cause your ovaries to stop working; they are in a state of 'sleep'. Instead of having your natural cycles of signal dances between your body and your brain, your tissues are subjected to synthetic hormones in far greater quantities than your body usually does. There are many long and short term effects on ovarian suppression. Most women experience side effects using contraceptive drugs, including hair loss either during the first few weeks or months after stopping the drug.
An article appeared in the Journal of the American Medical Association (278: 117-8, 1997) linking Hepatitis B vaccine with increasing incidence of baldness in women.
Diagnostic Test
To successfully treat hair loss, it is important to understand why your hair follicles are not healthy. There are diagnostic tests that can help identify the underlying biochemistry that contributes to excessive hair loss. However, many women who have chemical imbalances related to their hair loss will find that these test results are within the "normal" range. That's why in many cases hair loss is a stage of the disease that is the initial phase of the disease that will eventually develop. Lifestyle and nutritional habits that eventually lead to type 2 diabetes and heart disease will also lead to thinning of the scalp and facial hair in young women. It was often years before the same women had a diagnostic test that revealed they had diabetes or had coronary artery disease. Many of these women have undiagnosed PCOS.
Selective sensitivity is a fundamental problem
Another reason why diagnostic tests may be misleading is because of something called 'selective sensitivity'. or 'selected obstacles'. It turns out that some body cells are more sensitive than others to the same hormone. The main complication factor for some women is that while their muscles and fat may be insulin resistant, other organ cells do not. The pituitary gland, ovaries, and adrenal glands of insulin-resistant women are stimulated by higher levels of insulin than expected, leading to increased testosterone. High androgen levels increase the risk of heart disease, diabetes, and certain cancers.
Although there are possible difficulties, it is important to do your best to determine what is and is not the cause of the main symptoms such as persistent hair loss. Diagnostic tests that can help you identify the source of your metabolic imbalance are:
Hair pulling test is a simple diagnostic test in which a lightweight doctor pulls a small amount of hair (about 100 at a time) to determine if there is an excess loss. Normal range is zero to three hairs per pull.
Hormone levels: Dehydroepiandrosterone, testosterone, androstenedione, prolactin, sex hormone binding globulin, follicular stimulating hormone, and luteinizing hormone. It is advisable to sample for FSH and LH on the 19th and 21st days of your menstrual cycle, if those days can be identified.
Fasting blood glucose and insulin levels as well as cholesterol and triglyceride levels
Complete blood count plus serum iron, ferritin and total iron binding capacity
Thyroid stimulating hormone plus thyroid function panel including T3, T4, and T3% intake
VDRL for screens for syphilis
A scalp biopsy should be performed before selecting a surgical transfer
Densitometry, a magnifying device, is used to narrow the shaft.
Conventional Medical Treatment For Hair Loss
You may be very interested in surgical treatment for dealing with excessive hair loss. It's just human nature to expect simple pills or procedures that will free us from our problems. Unfortunately, medications have never been an easy solution. Once you swallow the chemicals, they are delivered all over your body; it affects your whole body. We can't control the drugs so they only have the side effects we want — often more or less side effects. Using drug therapy means that trading is a problem for some people. Sometimes this is the right thing to do. Other times it's a personal disaster. Most medicines will act on all your tissues and there are dangerous side effects that can harm your health. Topical treatment applied directly to the scalp uses the lowest dose, and the most harmless drug choice.
You will enjoy the best results when you begin any treatment as soon as possible after the hair loss. Stopping the adverse effects of androgen means you can prevent further hair loss. And you can support the regeneration of inactive healthy follicles. Depending on how the agent you choose works, stopping treatment will lead to continued hair loss, unless you have also made other changes to your lifestyle that keep androgen at a healthy level and do not harm you.
Below you will find a list of treatments currently used to treat hair loss in women. Some of these drugs are not approved by the FDA for this particular application, but they are all approved for other applications and used "off label" to treat hair loss. Currently 2% Topical Minoxidil is the only FDA-approved treatment for female pattern hair loss.
The effectiveness of these agents and methods will vary from woman to woman, but many women have found that using this treatment has made a positive difference to their hair nature and their positive self-esteem. As always, treatments have the best chance of success if they are aimed at causing hair loss and triggering hair growth.
Estrogen and progesterone as hormone replacement therapy (HRT), usually prescribed for women undergoing menopause for whatever reason, may be the most common form of systemic treatment for androgenic alopecia in women.
Oral contraceptives reduce ovarian androgen production, and can thus be used to treat female androgenic alopecia. There are many reasons to avoid using synthetic or bio-identical hormone treatments for your hair loss. Some birth control pills actually contribute to hair loss by triggering or increasing it when it is triggered by something else. Any individual woman may have a selective sensitivity to any combination of hormones - what a low androgen effect formula for one woman might be to a high androgen effect to another.
I can no longer recommend the use of birth control pills or other hormone-based contraceptives to young women. Decades of evidence suggest that there is little known, and perhaps unknown health risk associated with ANY use of reproductive hormones, either prescription or over-the-counter. The benefits of contraceptive pills are indeed accompanied by significant risks, including making it more likely that women will experience hormone imbalances that lead to a long list of negative effects. Hormone replacement puts you at risk for:
Depression or other mood disorders; decreased libido
Migraine and headache
Breast lumps, tenderness and enlargement
Vaginal bleeding between periods
High blood pressure (hypertension)
High cholesterol
Blood clots in the legs, feeling like: pain in calves; leg cramp; feet or swollen feet
Blood clots in the lungs, felt as: shortness of breath; sharp chest pain; coughing up blood
Heart attack, felt as: chest pain or weight loss
Loss of vision or sudden change of vision, which can be a sign of blood clots in the eyes
Cerebral vascular accident (stroke): impaired vision or speech; weakness or numbness in limbs; severe headache
Liver damage, seen as: eyes or yellow skin; dark urine; stomachache
Allergic reactions: rash; nest; itching; swollen; difficulty breathing or swallowing
Acne
Inflation, nausea and vomiting
Changes in your eyes make it harder to wear contact lenses
If you choose hormone prescriptions for any reason, you should use only low androgen content methods. If you have a strong tendency to lose genetic hair, insulin resistance, diabetes, heart disease or any other female organ cancer in your family, I recommend using other non-hormone birth forms.
Here's a list of birth control pills from the lowest to highest androgen index:
Desogen, Ortho-Cept, Ortho-Cyclen, Ortho Tri-Cyclen, Micronor, Nor-Q D, Ovcon-35, Brevicon / Modicon, Ortho Norvum 7/7/7, Ortho Novum 10-11, Tri-Norinyl, Norinyl and Ortho 1/35, Demulen 1/35, Triphasil / Tri-Levien, Nordette, Lo / Ovral, Ovrette, Ovral, Loestrin1 / 20, Loestrin 1.5 / 30.
The following hormone contraceptives have the potential to cause hair loss or make them worse:
Progestin implants, such as Norplant, are small surgeries under your skin. Stem releases continuous progestin to prevent ovarian function.
Progestin injections, such as Depo-Provera, are given to the upper arm or back muscles.
Leather patch (Ortho Evra) is inserted into the shoulder, back, or other location. It releases progestins and estrogen continuously to prevent your ovaries from producing normal cycles.
The vagina ring (NuvaRing) is a flexible ring that is inserted into the vagina. This method releases the lowest amount of progestin and estrogen.
Minoxidil 2% Topical Treatment - Minoxidil seems to be more effective for women than men, for boosting scalp hair growth. Minoxidil manufacturers recommend that women use 2% minoxidil. There is a 5% solution available that has been tested and found to be quite safe for men. Because minoxidil manufacturers do not invest in FDA approval to promote 5% minoxidil for women, it must be prescribed and used under the supervision of a doctor. A small clinical trial of 5% minoxidil for women showed that a 5% solution was actually more effective at maintaining and regenerating the hair than a 2% solution.
Spironolactone (Aldactone) is a potassium-sparing diuretic used to treat high blood pressure and swelling. Spironolactone slows androgen production in the adrenal and ovarian glands. It prevents DHT from binding to the receptors at the hair follicles.
Cimetidine (Tagamet) is a histamine blocker, which is approved for the treatment of digestive tract ulcers. It prevents the stomach from producing digestive enzymes. Cimetidine has also been shown to inhibit DHT from binding to the hair follicle receptor site.
Cyproterone acetate is used to reduce sexual aggression in men. Cyproterone DHT acetate blocks the hair follicle receptor. It has significant toxicity and long-term side effects and is not available in the US.
Ketoconazole is a topical treatment of prescriptions. It is mainly used as an antimicrobial to treat skin fungus. It suppresses androgen production by the adrenal glands, penis and ovaries. Nizoral shampoo contains 2% ketoconazole. An over-the-counter version is available. It has 1% active ingredient and is not as effective as a prescription strength.
Finasteride is a drug that inhibits the enzyme 5-alpha reductase, an enzyme that disables DHT. Ia dijual sebagai Proscar untuk merawat pembesaran prostat pada lelaki. Dijual sebagai Propecia ia diluluskan oleh FDA untuk bot bot lelaki. Wanita tidak boleh mengambilnya jika mereka hamil atau mungkin hamil kerana risiko kesan feminisasi pada janin lelaki.
Pembedahan Pembedahan
Oleh kerana pembedahan pemulihan rambut adalah pilihan untuk sebahagian besar lelaki botak, wanita mungkin ingin mempertimbangkannya. Walau bagaimanapun, jenis rambut rontok kebanyakan wanita menderita membuat pemindahan rambut idea yang tidak baik.
Beberapa wanita mempunyai jenis keguguran rambut yang menjadikan mereka calon yang baik untuk penyelesaian pembedahan. Kebanyakan lelaki kehilangan rambut di kawasan yang jelas, contohnya dahi yang surut atau tempat putaran klasik di bahagian atas tengkorak. Gumpalan kecil atau palam rambut dikeluarkan dari kawasan di mana folik yang sihat stabil dan berlimpah, dan ini dipindahkan ke bahagian lain kepala. Wanita lebih kerap mengalami penipisan keseluruhan di seluruh kulit kepala mereka, termasuk sisi dan belakang. Kebanyakan wanita mempunyai beberapa laman web penderma yang stabil. Tawaran untuk pemindahan rambut dari laman penderma yang tidak stabil secara medis tidak beretika dan wanita tidak boleh membiarkan kesusahan mereka mengenai botak untuk mendapatkan pandangan yang keren dengan rasional di belakang pilihan rawatan yang ditawarkan.
Adakah mana-mana calon wanita yang baik untuk transplantasi rambut? Ya, beberapa. Sebilangan kecil, 2% hingga 5% wanita akan mempunyai jenis keguguran rambut yang akan mendapat manfaat daripada jenis prosedur ini. Mereka adalah:
Wanita yang mengalami keguguran rambut disebabkan oleh sebab tidak hormon, seperti alopecia tarikan.
Wanita yang mempunyai bekas luka kulit kepala dari beberapa jenis luka atau pembedahan kosmetik dan ingin membaiki keguguran rambut di sekitar tapak incision atau kecederaan.
Wanita yang mempunyai laman penderma yang sihat dan stabil bersama-sama dengan botak dalam corak yang berbeza, seperti garis rambut yang surut atau penipisan di bahagian atas kepala.
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