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Hair Loss In Women, Causes Of Hair Loss In Women 2022 NEW

Hair Loss In Women is a common symptom, but even more strongly than in men, it is associated with shame and falling self-esteem. Causes Of Hair Loss In Women, but what helps with hair loss in women? Which therapy is considered depends heavily on the form of hair loss and its cause. What these are and what treatment approaches there are, read here.

Quick reference

  • Treatment: Depending on the cause; in the case of hereditary hair loss, usually minoxidil, in the case of circular Hair Loss In Women, for example, cortisone therapy; if necessary, treatment of existing underlying disease or discontinuation of triggering drugs
  • Causes: Hereditary (androgenetic alopecia), autoimmune disease (circular hair loss), hormonal (for example, after pregnancy) or due to medications, infections, metabolic disorders (for example, nutrient deficiencies) or chronic underlying diseases (for example, hypothyroidism or lupus erythematosus)
  • When to go to the doctor?: In case of persistent noticeable Hair Loss In Women (more than 100 hairs per day) or light spots in the scalp hair
    Diagnostics: patient interview (anamnesis), examination of hair and light areas, trichogram, blood examination

What is hair loss in women?

Hair Loss In Women is usually noticeable due to the fact that more and more hair remains in the brush, in the shower drain, or on the pillow. The braid or hair lengths look thinner than usual. In the advanced stage, the hair on the scalp is visibly thinning, usually in the area of the vertex, forehead, or the so-called “receding hairline”. Less often, there are also circumscribed bald spots, such as circular hair loss (alopecia areata).

Losing about 70 to 100 hairs a day is normal and not a cause for concern at first. With increased hair loss, doctors also speak of effluvium. Alopecia refers to hairlessness per se.

Many women suffer from Hair Loss In Women in the course of their lives, and the causes are many. Sometimes it occurs only temporarily, for example as a result of a hormonal change after pregnancy or during menopause (climacteric). Certain medications or simply a too-tight braid rubber can also be triggers for hair loss – then it can be relatively easy to fix.

However, the so-called androgenetic alopecia is often the cause, i.e. hereditary hair loss. However, sometimes other diseases are also hidden behind hair loss in women.

Hair Loss In Women
Hair Loss In Women

What to do about hair loss in women?

The treatment of hair loss in women depends on the cause. For example, if certain medications cause diffuse hair loss, it is advisable to have a conversation with the attending physician. It may be possible to reduce the dose or switch the treatment to an alternative preparation that is less harmful to hair growth. If not, hair loss usually returns to normal on its own after stopping drug therapy.

If diseases (such as hyperthyroidism or tuberculosis) or poisoning are the triggers for Hair Loss In Women, it is crucial that they are treated professionally. This usually stops hair loss as a result.

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The treatment of scarring Hair Loss In Women is difficult and lengthy. In lupus erythematosus, the doctor often prescribes cortisone and other active ingredients to treat the inflamed areas on the scalp, which stop the inflammatory processes and thus hair loss. Already lost hair does not grow back, because the hair follicles are irretrievably damaged.

Mechanical hair loss in women can be prevented by not exposing the hair roots to excessive tension. This means, for example, tying a ponytail only loosely or wearing your hair open more often.

Temporary hair loss in women after childbirth, after surgery, or infections usually does not require therapy, but returns to normal on its own. With a little patience and a sufficient supply of nutrients (especially in breastfeeding women), the hair will gradually fill up again.

Treatment of hereditary hair loss in women

The most effective remedy for hereditary (androgenetic) hair loss in women is minoxidil. It is applied as a two percent hair tonic twice a day locally on the areas that become lighter. In many cases, it stops the progression of hair loss and sometimes triggers new hair growth. As a mechanism of action, it is believed that minoxidil stimulates blood circulation in the small blood vessels.

Sometimes, against hereditary hair loss in women, doctors also prescribe tablets with anti-androgens (such as cyproterone acetate). These are substances that cancel the effect of male sex hormones. Before menopause, anti-androgens are used in combination with estrogens as a contraceptive. During the treatment, pregnancy must be avoided at all costs: in a male fetus, the active ingredients would otherwise interfere with genital development.

If a hormonal disease such as polycystic ovary syndrome is behind androgenetic alopecia in women, the treatment of the underlying disease is in the foreground.

Extreme hair loss in women (and men) can often only be concealed with a hairpiece (toupee, wig). Some patients also opt for a hair transplant.

Treatment of circular hair loss in women

There are various options available for the treatment of circular hair loss in women (and men). These include, for example, local applications of cortisone or dithranol (signaling, anthralin). Cortisone inhibits the immune system. Dithranol is a skin-irritating substance that may stimulate new hair growth.

For larger bald areas, topical immune therapy may be used. Allergic contact dermatitis is specifically triggered on the affected skin areas, which in the best case “distracts” the misguided immune system from an attack on the hair root cells.

The chances of success of the individual treatment options for circular hair loss in women (and men) are rather modest overall. In addition, relapses often occur.

In some cases, the circular hair loss in women (as well as men and children) also heals on its own.

Hair Loss In Women
Hair Loss In Women

Hair loss in women: what are possible causes?

There are several forms and causes of hair loss in women. Here you will find the most important:

Hereditary hair loss in women

In most cases, hereditary hair loss in women (and men) is the reason that the head hair is thinning. For a long time it was believed that in the affected women, excessive production of testosterone (the most important male sex hormone) was the reason for the increased hair loss. Therefore, it is also called androgenetic alopecia. However, this is only occasionally the case, for example with the polycystic ovarian syndrome (polycystic ovary syndrome).

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However, in most women with hereditary Hair Loss In Women, no elevated levels of male sex hormones (androgens) can be detected. Rather, they appear to be triggered by reduced activity of the enzyme aromatase and a genetically determined hypersensitivity of the hair follicles to androgens:

Aromatase ensures that male sex hormones are converted into a female (estrogens) at the female hair follicles. With hereditary hair loss, the enzyme is less active, so the concentration of male sex hormones on the hypersensitive hair follicles increases. On the other hand, fewer estrogens are produced locally, which are said to have a promoting effect on hair growth. Overall, this results in hair loss.

In the affected women, hair loss is manifested by a general thinning of the hair on the head, mainly in the parietal region. As a result, the scalp shimmers out more and more. In some women, hair loss also preferentially affects the front part of the head, so that a bald forehead develops (as in men with this type of hair loss).

Circular hair loss in women

Some women instead get round, bald spots on the head or on other hairy parts of the body. Then there is a circular Hair Loss In Women (alopecia areata). He has other causes. In severe cases, all body hair also falls out completely (alopecia areata Universalis).

Various factors play a role in the development of circular hair loss in women, for example, an autoimmune reaction: antibodies of the immune system mistakenly attack the body’s own healthy tissue – in this case, cells in the hair roots. This disrupts hair growth and ultimately leads to hair loss. A genetic predisposition and other factors may also contribute to the development of the disease.

Especially in the 2nd and 3rd decades of life, circular hair loss is manifested. Menopause, or in general the 5th decade of life, is also often accompanied by this form of hair loss.

Diffuse hair loss in women

With diffuse Hair Loss In Women, hair loss occurs evenly all over the head. The possible causes for this are many. Here are the main ones:

Often, certain medications are the trigger for excessive hair loss. These include, for example:

  • Cytostatics (cancer drugs)
  • Remedies for hyperthyroidism (thermostatic)
  • Beta-blockers (for heart diseases)
  • Lipid-lowering (against increased blood lipid levels)
  • Anticoagulants (anticoagulants)
  • Vitamin A supplements
  • The gout remedy allopurinol

Especially important for women: diffuse hair loss is often triggered by the pill (ovulation inhibitor).

In other cases, diffuse hair loss in women (and men) is due to a metabolic disorder. Sometimes the trigger is a protein or iron deficiency, for example in the context of malnutrition. Hyperthyroidism and hypothyroidism are also possible reasons for excessive hair loss.

Less commonly, diffuse Hair Loss In Women is the result of poisoning, for example with thallium or arsenic.

Infections with a chronic course (such as tuberculosis) are also possible as a reason for diffuse hair loss. Even after acute, severe infection with a high fever such as the flu, some people temporarily lose their hair. The same applies after operations.

Many women complain of increased Hair Loss In Women after childbirth. You can read more about this in the post Hair loss after pregnancy.

Hair Loss In Women
Hair Loss In Women

Mechanical hair loss in women

Prolonged or frequent pulling at the hair roots in some cases leads to the fact that the affected hair falls out prematurely. This is observed, for example, in women who very often wear a tight bun or ponytail: here the hair loss preferably affects the area of the forehead and temples. Doctors speak here of traction alopecia (traction = pulling, pulling force).

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Scarring hair loss in women

In women (and men) with inflammatory skin diseases or skin damage, these also affect the scalp and hair roots. The causative diseases include, for example, lupus erythematosus, lichen planus, scleroderma (a connective tissue disease), and local infections with fungi or bacteria.

Hair loss in women: when to go to the doctor?

If you notice that an unusually large amount of hair falls out during brushing, showering, overnight or in everyday life, first of all, observe this. Each body hair has a certain growth cycle; sometimes, a noticeable number of hairs fall out at once. Even with a hair loss with a clear cause (for example, after pregnancy), a visit to a doctor is usually not necessary.

However, if the hair loss continues or you notice that the hair on the head is already noticeably lightening in certain places, it is recommended to visit the doctor. In this way, he clarifies at an early stage whether there may be a disease behind it. Also, most forms of therapy are more effective, the sooner you start it.

The right contact person for hair loss in women is the dermatologist. Alternatively, it is also possible to contact the family doctor or the gynecologist for observation.

Hair loss in women: what does the doctor do?

The doctor will first ask you various questions during the patient interview (anamnesis) – for example, since when Hair Loss In Women existed and whether it is the first such episode or you already know the problem. He also asks if you have chronic diseases or are taking certain medications.

This is followed by a physical examination focusing on the scalp. The doctor examines the lightening or bald spots and assesses the pattern of hair loss. With a small, illuminated magnifying glass (dermatoscopy), he inspects the roots of the hair. He may pull his hair slightly to test how easy it is to detach it (epilation test).

Furthermore, he removes some hairs in order to examine them microscopically (trichogram). But other parts of the body (for example, the hands and fingernails) also give him indications of possibly existing underlying diseases.

In addition, if necessary, the doctor will conduct a blood test to exclude, among other things, deficiency conditions or other underlying diseases (for example, the thyroid gland).

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