Female Hair Loss

Female Hair Loss is quite a sensitive topic because hair is one of the most precious assets for women. The hair is one of those areas of the body that usually gets the most attention. Consequently, it is relatively easier to notice if there is a change in hair color, hair contour, or a significant amount of hair loss.

Hair loss in women occurs acutely, and it may take just afew days to weeks before you start noticing thinning areas of the scalp,patches without hair or bald spots. But first, what is considered abnormal hairloss in women?

What Is Female Hair Loss?

Most people are under the misconception that hair lossoccurs only in men. But this is not true, because even the commonest type ofhair loss – androgen alopecia, which is caused by androgenic hormones is thecommonest cause of hair loss in women.

But hair loss is not always abnormal. Studies have shownthat more often than not, daily hair loss in women is due to a physiologicprocess and not due to a disease or an illness. The hair is constantly growingin a cycle that has become popularly known as the hair growth cycle.

The hair growth cycle is divided into four steps includinganagen, catagen, telogen, and exogen. The anagen phase is also known as theactive growth phase. This period of rapid hair growth lasts for about 2 to 7years. The duration is largely dependent on genetic factors and explains thedifference in hair length and hair structure for women.

The catagen phase is a transitory phase. Here, the hairgrowth rate has reduced and the duration for this phase may last between 2 to 3weeks. The third phase of hair growth is the telogen phase. It is also calledthe resting phase. This phase can last up to 100 days and is also influenced bygenetic factors. In the telogen phase, hair strands remain in the folliclesloosely attached as they wait to be shed off for new hair to grow.

The final phase of hair growth is the exogen. This is thephase of active hair shedding as new hair replaces the old hair. According tothe American Academy of Dermatologists, it is estimated that you can shed asmuch as 50 to 100 strands of hair per day.

Although it is impractical to count hair strands, thisnumber can be significant if you have longer, thicker and fuller hair – andthis may be a reason to cause worry.

The Different Types of Hair Loss

Broadly, hair loss is classified into two categories basedon the cause. For women, it can either be a genetically induced hair loss or areactive hair loss.

Women who are genetically predisposed to hair loss present with a slow progressing hair thinning that may be noticed predominantly as a receding hairline. In rare cases, hair thinning may start from the top of the scalp as is common in men. Female pattern hair loss, the most common cause of hair loss in women, is genetically induced and occurs when the sensitivity of follicles to androgens is increased.

Reactive hair loss is shedding and/or thinning of hair thatoccurs due to a trigger. Telogen effluvium, which is an abnormal shedding ofhair is caused by several triggers including, but not limited to, stress,medications, disease conditions and nutritional deficiencies.

Common Triggers of Hair Loss in Women

Here are some of the common causes of hair loss in women.

Genetics

Genetic susceptibility causes a specific type of hair losscalled female pattern baldness. It is the classic androgenic alopecia occurringin women. Androgenic alopecia in women may present as a rapidly recedinghairline or generalized thinning of scalp hair. Occasionally, you may noticehair thinning starting from the top of the scalp. Some of the presentations arecommon for men, but diseases don’t read literature and are not bound bystatistics. Any of the presentations can occur.  

Nutritional Status

Iron deficiency is the commonest nutritional deficiency in the world that affects women and is one of the well-known nutritional causes of hair loss. Zinc is also an essential mineral whose deficiency has been linked to hair loss. Moreover, studies have shown that one symptom of vitamin B deficiency, especially Vitamin B3 (niacin) and Vitamin B7 (biotin) is hair loss.

Stress

Stress is the commonest cause of telogen effluvium, the typeof hair loss associated with excessive daily shedding of hair. Stresscharacteristically pushes the hair follicles into the resting phase (telogen)quite early. This shortens the growth phases and eventually increases thenumber of hair strands falling off in the exogen shedding phase.

Thyroid Disease

Thyroid disease is also one of the commonest diseasesaffecting women. When affected, the thyroid gland, which is located in theanterior part of the neck, can either produce more thyroid hormones(hyperthyroidism) or fewer hormones (hypothyroidism). All of these conditionsare associated with brittle and poor-quality hair that thins out easily.

Specific Women Concern for Hair Loss

Certain hair loss concerns are specific to women. Here arethe most commonly asked questions:

Can Contraceptive Use Be the Reason for My Hair Loss?

There is no doubt that current birth control mechanisms are very effective at achieving their intended purpose. But there is increasing anecdotal evidence that these contraceptives can cause or worsen hair loss in women. The reason is based on the influence of contraceptives on hormones such as estrogen, progesterone, and testosterone.

Based on their influence on hormonal levels, birth controlcan worsen pattern hair loss in women. Besides, some women have reported thatcontraceptives can cause temporary shedding of hair like what can be witnessedin the initial days of pregnancy.

It has also been noted that temporary hair shedding occurs when you stop using certain contraceptives. This phenomenon is similar to postpartum moulting after pregnancy – a period that is also characterized by hormonal imbalance.

What Is the Relationship Between Hair Loss and Menopause?

Menopause is a stage in the life of women when the ovariesno longer release eggs every month and menstruation stops. It is characterizedby a marked decline in the levels of estrogen and progesterone. When the bloodlevels of these hormones reduce, the growth of hair is slowed down and the hairstrands become thinner and brittle. This process occurs over time and mayexplain the poor quality of hair in some older women.

How to Handle Hair Loss in Women

The initial step in treating hair loss is recognizing thatyour hair shedding is abnormal. From your daily hair care routine, you have arough idea of the average amount of hair shedding to expect. When this amountincreases, you should be suspicious about reactive hair loss. Androgenicalopecia may not present with acute symptoms and may be noticed only when yourhairline starts receding or when your hair starts thinning.

Once you have identified that your hair shedding is abnormal, it is advised that you go to a doctor for an accurate diagnosis. Even if you buy the best remedies in the market, you may not achieve good outcomes if you don’t know what you are treating. For instance, your problem may be a nutrient deficiency such as iron deficiency anaemia. Even if you use the most expensive hair loss products, your hair will continue thinning. But once the diagnosis is known, all you’ll need is iron supplements.

There are several hair treatment remedies ranging from topical medications, shampoos, hormone therapy, mechanical treatment, laser light therapy, and hair transplantation. All these depend on your diagnosis and the amount of money you are willing to spend on treatment.

Conclusion 

Hair loss is not an uncommon occurrence in Female Hair Loss. It is fairly normal to shed a few hairs every day. But if you notice that you are shedding more than what you consider normal, you can talk to your doctor to give you an accurate diagnosis of what is causing your hair loss. Your plan for treatment will depend on your diagnosis.

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