Female pattern hair loss: current treatment concepts.

Dinh QQ, Sinclair R.

Department of Dermatology, St Vincent's Hospital, Fitzroy, Victoria, Australia.

Fewer than 45% of women go through life with a full head of hair. Female pattern hair loss is the commonest cause of hair loss in women and prevalence increases with advancing age. Affected women may experience psychological distress and impaired social functioning. In most cases the diagnosis can be made clinically and the condition treated medically. While many women using oral antiandrogens and topical minoxidil will regrow some hair, early diagnosis and initiation of treatment is desirable as these treatments are more effective at arresting progression of hair loss than stimulating regrowth. Adjunctive nonpharmacological treatment modalities such as counseling, cosmetic camouflage and hair transplantation are important measures for some patients. The histology of female pattern hair loss is identical to that of male androgenetic alopecia. While the clinical pattern of the hair loss differs between men, the response to oral antiandrogens suggests that female pattern hair loss is an androgen dependant condition, at least in the majority of cases. Female pattern hair loss is a chronic progressive condition. All treatments need to be continued to maintain the effect. An initial therapeutic response often takes 12 or even 24 months. Given this delay, monitoring for treatment effect through clinical photography or standardized clinical severity scales is helpful.

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J Investig Dermatol Symp Proc. 2007 Dec;12(2):2-5. Links

Healthy Hair: What Is it?

Sinclair RD.

1Department of Dermatology St Vincent's Hospital, The Skin and Cancer Foundation of Victoria and The University of Melbourne, Victoria, Australia.

Shiny hair with a smooth texture and clean-cut ends or tapered tips is generally perceived to be healthy. Hair texture and shine relate to hair surface properties, whereas the integrity of hair ends relates to the hair cortex. Hair can be straight, wavy or curly, blonde, black, brown, red, gray white, and its natural variations are important to our identity. Manipulation of the normal structure of the hair shaft is epidemic and dictated by culture, fashion, and above all, celebrity. Although cosmetic procedures are intrinsically safe, there is potential for damage to the hair. Loss of lustre, frizz, split ends, and other hair problems are particularly prevalent among people who repeatedly alter the natural style of their hair or among people with hair that is intrinsically weak. This may be due to individual or racial variation or less commonly an inherited structural abnormality in hair fiber formation. Hair health is also affected by common afflictions of the scalp as well as age-related phenomena such as graying and androgenetic alopecia. Hair products that improve the structural integrity of hair fibers and increase tensile strength are available, as are products that increase hair volume, reduce frizz, improve hair manageability, and stimulate new hair growth.Journal of Investigative Dermatology Symposium Proceedings (2007) 12, 2-5. doi:10.1038/sj.jidsymp.5650046.

4 Natural Ways To Help Prevent Early Hair Loss

Hair loss occurs in a progressive nature. Most men have a specific pattern in which hair starts to fall out and then over the years increases down the same route. Women on the other hand, do not typically have the same experience. Unlike a receding hairline, or a particular bald spot forming on a man's scalp, a woman will generally experience broad hair thinning throughout the entire top of her head. In both cases, men and women, the pattern in which air falls out increases in time.

Many people assume that losing hair as we age is just a normal part of life. This same group of people also assumes that we have no responsibility when it comes to the cause of hair loss or the increased of the amount of hair that is lost in time. However, this is a wrong assumption. Below are a few examples of how people can directly cause the loss of their hair, whether they realize it or not.

1. Wearing hats most of the time: It is very fashionable these days to sport head coverings and tight caps. However, because hats can affect the blood flow to the scalp, this may cause hair loss. This is especially true if you wear tight hats. The result of hair loss due to covering your scalp with a hat does take time to make it's effects known, but once it starts, the pattern of loosing your hair speeds up faster than if you had never started the hat-wearing habit.

2. Oily scalp: Here is another example of a condition that can be directly related to the decrease amount of blood flow that is available to your hair follicles. By not washing your scalp enough a build up of natural skin oils can affect your hair. Regular washing can help reduce this problem.

3. Brushing your hair too much: This is one issue that I have personally experienced myself. I was once told by a hairstylist that if I want to grow my hair long then I should brush it with 50 strokes every time I went into the bathroom. Needless to say, after about six months, I noticed severe thinning in the areas that I was brushing. Once I stopped, the hair eventually started to come back like normal. Unfortunately, I set forth in motion a pattern that caused my hair to grow back thinner in that area for the rest of my life.

4. Brushing your hair too little: Opposite of brushing your hair too much, by not brushing your hair enough, you may not be stimulating the right amount of blood flow needed to retain growth in hair follicles. It doesn't take much, but just brushing your hair with a few strokes that hit the scalp will be enough stimulation.

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