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The type and severity of hair loss you experience may determine the outcome (prognosis). Some types of hair loss are permanent, especially if you have damage to your hair follicles. For example, anagen and telogen shedding may stop with time. Managing any underlying health conditions improves hair loss.
When should you talk to your doctor about it?
If you often wear your hair tightly pulled back, the continual pulling can lead to permanent hair loss. Free to everyone, these materials teach young people about common skin conditions, which can prevent misunderstanding and bullying. Professional hair stylist Megan gives her advice on the best hairstyles to adopt if you are experiencing thinning hair. “A lack of essential vitamins and minerals such as iron, zinc and vitamin D can contribute to hair loss, particularly if you are experiencing an iron deficiency.
What are the signs of hair loss in women?

It helps to have a dermatologist who understands differences in hair type and can advise in healthy styling practices. It could be either physical stress, such as a broken bone, or emotional stress. In 2020, we all had a lot of emotional stress and we saw a huge increase in the number of people with TE who suddenly started losing clumps of hair. Stress also can exacerbate forms of hair loss like alopecia areata, an autoimmune disease. It starts two to four months after a stressful event, and can last anywhere from two months to two years.
What to expect from your doctor
Thinning hair in women can occur at any age and can take different forms, such as minor thinning on the crown of the head or complete baldness. Minimize the use of high-heat styling tools, hair extensions and harsh treatments like perms. Avoid hairstyles like tight buns and braids that pull on your scalp, potentially causing traction alopecia.
Can female pattern baldness be prevented?
For this test, they gently pull on a chunk of your hair to see how many strands come out. Your doctor may use a lighted microscope to look for any hair shaft disorders. Monica Christmas, MD, offers comprehensive obstetric and gynecologic care from a patient’s initial exam through her childbearing years and menopause. Minoxidil may irritate your scalp and cause dryness, scaling, itching and/or redness. A scalp infeciton can lead to scaly and sometimes inflamed areas on your scalp.
Typically setting on when women are between 45 and 55, these fluctuations can trigger female pattern hair loss. Hair loss from any cause can be emotionally challenging. Talk to your healthcare provider about what may be causing your hair loss. In many cases, effective treatments exist that can slow hair loss and help spur new hair growth.
Regrowth continues for over a year, after which time it stabilizes. Minoxidil usually needs to be used long-term to prevent hair loss and promote hair growth. When the treatment is stopped, hair loss will begin again within 12–24 weeks. Many people think that hair loss only affects people assigned male at birth (AMAB).
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Are there any new treatments on the horizon?
Genetics is the most common cause, with others including autoimmune diseases, physical or emotional stress, cancer treatments, and medications. Depending on the underlying cause of hair loss, this condition may or may not be reversible. Some medicines can prevent hair loss or spur growth, making proper diagnosis critical. Another cause of rapid hair loss in women and men is anagen effluvium from chemotherapy or radiation treatment for cancer or certain medications. The hair loss, which can affect the entire body, starts two to three weeks after therapy. Most people can regrow their hair after stopping treatment.
This simple action is at the root of many kinds of hair loss. Speak with a doctor about any troubling hair loss, shedding, or thinning you may be experiencing. Your doctor can help determine the cause of your symptoms and put together a treatment plan. Doctors sometimes prescribe other treatments off-label to reduce the incidence of hair loss in women.
Traction alopecia is the result of environmental factors, such as wearing your hair in tight hairstyles, Agbai says. Telogen effluvium refers to the excessive shedding of hair follicles, and it occurs when hair follicles prematurely skip to the end of the hair growth cycle, she adds. Losing hair follicles is a normal part of the hair growth cycle. In their final, full-grown phase—the telogen phase—hair follicles stay dormant for up to three months, falling off when new hair starts to grow.
TE is typically reversible and often resolves 6–8 months after your body readjusts or the trigger is gone. You can sometimes identify TE by looking at the strand. Your doctor gently scrapes skin samples from your scalp and sends them to a lab for testing. Looking at your scalp lets your doctor check for any infections or swelling and see where your hair’s falling out. Hair tends to regrow on its own when the rubbing stops. Some people pull on their hair, often to relieve stress.
With some conditions, such as patchy hair loss (alopecia areata), hair may regrow without treatment within a year. Treatments for hair loss include medications and surgery. Prescription medications, like finasteride (Propecia), may help prevent further androgenetic hair loss, especially for male pattern baldness. You take this medication daily to slow hair loss, though some experience new hair growth when taking finasteride.
But without treatment, symptoms may get worse over time. A UChicago Medicine dermatologist can diagnose the cause of your hair loss. The doctor also might recommend steroid injections, low-level laser therapy, platelet-rich plasma therapy, hair transplantation or even a diet tweak. Studies indicate that this medication is effective in about 40% for women who have female pattern hair loss.
This procedure doesn't require hospitalization, but it is painful so you'll be given a sedation medicine to ease any discomfort. Possible risks include bleeding, bruising, swelling and infection. You may need more than one surgery to get the effect you want. Hereditary hair loss will eventually progress despite surgery. This works well for people with inherited baldness since they typically lose hair on the top of the head. Because some hair loss can be progressive, you may need multiple procedures over time.
This April marks Stress Awareness month in the US, a calendar moment designed to raise awareness of the pervasive and damaging nature of stress. Hair loss and hair thinning can be temporary or permanent. It’s usually genetic, but it can also be triggered by diseases or disorders that attack the hair follicles. A Cochrane systematic review published in 2012 concluded that minoxidil solution was effective for FPHL. After 12 weeks of treatment, the patients treated with minoxidil and microneedling had significantly more hair growth. Once your dermatologist has this information, it’s often possible to tell you what’s causing your hair loss.
The most common cause of alopecia is an inherited condition called male- or female-pattern hair loss. Treatments are available for FPHL although there is no cure. It is important to manage expectations when seeking treatment, as the aim is to slow or stop the progression of hair loss rather than to promote hair regrowth. However, some women do experience hair regrowth with treatment. Results are variable, and it is not possible to predict who may or may not benefit from treatment.
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