As most of you have probably already noticed I haven’t written very much lately. I’ve just been sort of trying to refocus my energy to get through this really really tough time. As I write I have to pause as I cannot see the screen though all my tears that keep falling like water out of a facet. I cannot be certain as to why I am going through another very bad shed, I should know by now that I probably should just stop asking why and move on.

For the most part I get through my day, but with a sadness and awareness each time I touch my head or see my reflection. I avoid all mirrors even the ones in grocery stores. I run past store windows for fear I’ll catch that glimpse that will ruin my day. That is how I’ve worked to be able to main a quasi productive day and to live my life… avoid my reflection, turn off the bathroom lights before entering, wear my hair up in a ponytail type bun so that I do not feel the lack of hair I have and to avoid having to be reminded every second of the day that I’m losing my hair as another strand falls on my arm, shoulders or back.

I just took a shower and washed my hair, it pretty much is dried already by the time I take a comb to it, thats how thin it is now. I comb through, saying any words of comfort to myself, a prayer, the alphabet, anything to keep myself busy while I get through the toughest part of my day. The hair falls out so easy like gobs of spaghetti. I consider taking the razor to my head right then and there and just being done with it, but I decide against it for the moment. I’m usually much stronger than this when dealing with my hair but I’ve felt so sad and weak lately. I remind myself it is only hair, and if this is the worst thing that ever happens to me then I probably should consider myself lucky. I feel so sad right now, a heaviness that just sits on me. It’s 4:35pm do you think it is too early for a glass of wine? I think not.

P.S. Forgive me if you’ve written to me and I have not answered yet, I will definitely get back to you. I’m just trying to piece myself back together right now.

Yesterday I woke up with pain on my scalp, a soreness I hadn’t felt for quite sometime. I know what it’s called, Trichodyia. I dread it because in my experience it always seems to correlate with a impending hair shed. I’ve been doing okay so far, since I’ve reduced my synthyroid dosage and my hair loss has improved and seems more stable. But now this, why now? I certainly don’t tie my hair tight in a ponytail, it always fairly loose because if it’s tight I can feel every single follicle tugging. Why now? Even though nothing has changed today and yesterday, I just feel a great sadness. The thought of the possibility of enduring yet another shed brings me to tears. I’ve been in hazy lack luster state since this began, paralyzed by fear thinking I won’t be strong enough to take anymore… my hair can’t take anymore. I feel like I’m one shed away from being entirely bald. Eight years of dealing with this, I know that isn’t true, I know even with all the shedding I somehow manage to make it through and get by, but I still feel the sadness and the pain. I type this though tear obscured eyes. The possible impending shed isn’t even here and may never come yet the pain on the scalp was enough to made me incredibly sad. Like any other conditioned response, my hair loss as conditioned me to feel pain and sadness.~Y

Hello Everyone. I am so happy to know that I am not alone in my hair loss devastation. I am a 28 year old mother of four. I’ve been experiencing heavy hair loss and extreme changes in the texture of my hair since the pregnancy with my daughter 5 years ago. Much to my dismay, my doctors were telling me that I was pulling my hair back too often or that my hormones just needed to get back to normal or that the straightening process I had done had caused the loss. So for five years I have watched my very thick, very curly hair become thin and straight thinking that one day it would magically reappear. It was two weeks ago that I had a scalp biopsy and was diagnosed with andogenetic alopecia. To boot, I am losing it from all over my head, not just the top. My dermatologist is pretty cruel and just chuckled and said “There’s nothing you can really do. Use Rogaine.” I am devastated. My daughter has hair just like mine used to be and I’m actually jealous of her. I’m debating whether to have the fifth child that my husband and I wanted but I don’t want to spark any excess shedding episodes. I have started Rogaine as it is the only FDA approved medication for women but I am feeling very lightheaded and somewhat dizzy so I’ll probably have to stop. I realize like many of you that this has quickly become an obsession. I know that I am not my hair. But let me tell you, after four children, my body is beat. My hair is the only attribute I have left and I’m losing that now too. I’m at an incredible loss. I can’t imagine what it will look like when I’m 40. Please give me any feedback you can and I hope this post helps someone feel not so alone as this site has helped me tremendously.
Thank you,
Amber

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Dear Amber,

You are not alone in your feelings and struggles. I wish I knew why most doctors are so insensitive and callus toward the women who seek out help for their hair loss. I can’t explain why they do it, but it is an unfortunate very common occurrence. Was your dermatologist by any chance a man? They seem to be the least understanding.Just like the birth control pills can somethings kick in the onset of androgenetic alopecia early so can the hormone shift of having children, sometimes there is just no rhyme or reason, but undoubtedly we are never prepared. There are other “treatments” used to treat women’s hair loss such as low androgen index birth control pills and aldactone (spironolactone). All hair loss treatments carry the risk of possibly igniting some extra shedding at first. It’s the whole, “has to get worse better it gets better type thing.” It’s all a very personal decision what a woman chooses to use to treat herself, and she has to fully understand the postives vs. the negatives. Hopefully in time there will be more studies done to figure out what exactly causes women’s hair loss and then with any luck a real solution for women’s hair loss will follow. [click to continue...]

The title may seem to be surprising.. but, actually, when analyzed accurately.. it is not. I have been an AGA sufferer for a few years now. and I AM SICK OF THIS SITUACION. What I want now is only “to have this situation solved one way or another. Either grow back or fall out completely. So that I can resolve it and move forward.” Based on my prior experience I know that grow back is impossible. You may say I gave up. Yes, I did. Because there is no point trying to fight with anenemy you don’t understand and one you are blind and deaf against. You will only go through better and worse times, being moody so that people around will not stand you anymore. Curing uncurable puts you in a perpetual state of false hope. You neither have decent hair nor a good replacement; You’re betwixt and between.I have had enough. Finished medical treatment and wait for so little hair to shave it off. Be beautiful for myself when totally bald. I can accept it. And being beautiful to people around who have no idea, when wearing the best available vacuum wig. Just hard times for me when the final hair loss comes. Wish me strength. I hope I manage.”I am literally a shell of my old self and I am quite frightened. Sometimes I just want to shave my head and get a full best quality undetectable wig so I don’t have to see anymore hair in the shower drain, sink, bathroom floor, back of my shirt, etc. I don’t want to have a partial replacement system on a clip, as it is just inconvenient.I don’t want to have a partial replacement system based on adhesives as I would never accept my looks with severe typical men’s baldness. I want to shave my head and become beautiful again. And I will.Nobody can understand me. But I do not care. This is only my life and my best times (I am 24)

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Dear Gosia,

Thank you so much for writing your story. Your thoughts are my thoughts. Your feelings are my feelings. On more occasions than I can count I have wished for there to be some finality to this never ending hair loss nightmare. Some closure…anything. I’ve felt the torture, the decline and slow death of my self esteem tear away minute by minute, day by day and year after year. You reach a point where you throw your hands up in the air and say “if I’m going to be bald then fine let it happen all now and let me get on with my life, because this strand by strand thing is eating me alive.” [click to continue...]

I started to notice a loss of hair density when I was 19 years old. At first, I thought it was because I moved to a dry climate, but after time passed, I realized that this was not the case. I had thick, natural curly, wavy hair when I was young. My hair loss has been very gradual, but I feel as though it has accelerated in the last three years. I don’t notice my part getting bigger I just feel loss of density all over my head. I’ve been to three dermatologists and have taken all the tests. Everything comes back normal except for my iron. (Side note: I was diagnosed with anemia back in 2002 and went on iron supplements back then.) My dermatologist advised me to go on iron supplements and spirnolactone. She said I won’t notice a difference in hair density for at least a year after taking the supplements. So far, it has been almost 4 months since I started taking the iron supplements and I haven’t noticed a difference. I don’t shed as much during the day or while I take a shower. However, I lose a lot of hair when I brush. I’d say 150+ hairs. She said that if the iron doesn’t work, that I probably have androgenetic alopecia and because I’m losing hair all over my head, hair replacement surgery is not an option. I haven’t had a scalp biopsy done. I’d like to, but my dermatologist didn’t think it was necessary.

I feel I should also mention my family history. My mother has a full head of hair and she is 63. My dad is just now at age 62, losing his hair, but it could be due to his thyroid condition. My bother is losing hair and he is 33. My grandmother on my mom’s side has hair, my grandfather, however had hair loss. My grandmother on my dad’s side had thin, fine hair, but my dad said he couldn’t recall seeing her scalp. My other grandfather had a full head of hair. So, hair loss is in my family.

With all this said, I’ve gone through a wave of emotions. [click to continue...]

An article came out today on MSNBC.com discussing women’s hair loss. I think the article provides a good overview of hair loss so I’m posting it here. The question asked to Today Show medical contributor, Dr. Judith Reichman was, “I’m in my early 40s and I’ve noticed sudden hair loss. I’m devastated. Why is this happening and what can I do?” (The original article can be found here) Here is her reply:

Women don’t expect to lose their hair (unlike men), so when it happens it’s extraordinarily traumatic. We normally have, on average, 100,000 hairs on our scalp. And as evinced by our changing hair lengths, roots and visits to our hairdressers, those hairs grow; in fact, 90 percent of our hair is actively growing at any given time. Hair is the second fastest growing tissue in our body after (I’d love for you to guess) … bone marrow. To keep its place on your head, your hair needs the right conditions. (Note I didn’t say conditioner.) You may find that you’re unexpectedly losing hair if you impose restrictions on hair growth or if your genes are such that continued hair growth is not in your destiny.

There’s a simple test you can do to help determine whether you are losing hair, it’s just thinning or you are damaging it by abusive hair products or pulling it too tight (which can occur with braiding). Pull on several strands of your hair — do they come out easily at the root? If so, it suggests that the hairs are indeed “shedding” and have gone into what we call an excess telogen phase.

To explain this telogen phenomenon, I must first go into hair physiology 101. As hair actively grows, it’s in the anagen phase. Each hair is connected to a hair shaft (or follicle), which remains in its secure position in the scalp for three to seven years before falling out and being replaced by a new follicle. Once the anagen phase naturally runs its course, there’s a two-week catagen phase, in which the hair follicle dies. The hair then goes into the telogen phase for the next three months, during which time it falls out. Normally we lose 100 telogen hairs a day, but in certain cases (and this sounds like your situation), many, if not most, of the hairs go into the telogen phase. This causes alopecia (balding). The condition of overwhelming telogen loss is termed telogen effluvium; the anagen to telogen ratio has gone from its normal 90:10 to 70:30 or less. If I do the math correctly, this means you lose at least 300 hairs a day, compared to 100 hairs. [click to continue...]

Hi, I was happy to stumble across your site. I’ve been living with hair loss since I was 16 and have finally begun steps to healthfully and happily “deal” with it.

My mother, father and younger sister are all faced with baldness. It’s most definitely genetic for me. Through out high school I dealt with the rude remarks from other kids and never felt entirely pretty. I started on rogaine when I was 16 and saw very little response, finally stopping it at 18.

I then began wearing my hair pulled back in a pony tail, but as my hair continued to thin I had to cover my hair with an additional folded scarf or bandana to cover my hair on the top of my scalp where it was thinning the most. I was extremely self conscious and had trouble being in public with out my hair strategically covered. When I turned 25, just this last March, I decided that I needed a change and bought my first wig because I wanted to wear my hair down. I’m not trying to fool anyone, and there’s still a lot to get used, but it seems natural enough that I can pass as a woman with hair. It’s just hard considering I don’t know any other 25 year old women who wear wigs. I just needed to take control and I felt I deserved for once, as a young woman, to feel pretty and feminine.

No swimming, no wind in my hair, no warmth of the sun on my head and face.
Those are things I really miss and hope to one day gain the self confidence
to enjoy again. I’m contemplating shaving my head completely and hope to one
day feel confident enough to do that.

I look forward to reading your’s and others’ stories and hope to find strength in the knowledge that there are other young women out there dealing with the same issues.

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Dear Larissa,

Thank you so much for writing and sharing your story with everyone. You wrote that you hope to find strength in reading other women’s stories, I found strength in reading yours. I admire women who find the courage in themselves to move forward and take whatever steps necessary to make them feel good, like buying a wig, adding hair or shaving their head. I haven’t reached that point myself, but I feel like I’m getting closer…Baby steps.

Like you, I also didn’t have any success with Rogaine. Is your family supportive? Are you able to talk to them about your hair loss. It is hard for my family to truly understand my hair loss no matter how hard they may try because most of them have all their hair. It seems I was the only one left without a chair when the music stopped… or dare I say, left without my hair But seriously, it’s hard and I hate feeling uncomfortable around my own family. My mother’s hair started to thin when she went through menopause, but she still has more hair than me, and while it bothers her she doesn’t understand what it is like to be to start losing your hair at 21 and devastation it causes.

For myself, suffering with hair loss has taken so much from me and left me feeling alone. Being able to communicate with other women and read their stories has helped me tremendously. I want more than anything to be able to put a period on this part of my life and move on and I want to help other women to be able to do the same. Part of that healing is reading the hair loss stories of other women, knowing we are not alone in this. So thank you again Larissa for sharing your story with us.

~Y

Well, in my situation, my family doctor first ordered blood work to look for an underying hair loss cause and found nothing. So she referred me to a dermatologist and on my own I sought out an endocrinologist because I have other symptoms. An endocrinologist is now looking into a possible underactive adrenal gland now because my cortisol level was borderline low. At the same time, my dermatologist did a biopsy of my scalp and found telogen effluvium AND androgenetic alopecia. SHOCK! No women in my family have this problem. So, I am wondering if you’ve heard of any possibility that this could be a false -positive for the androgenetic alopecia. Can anything else mimic alopecia? There’s no way to tell how much of my hair loss is due to TE or how much is due to AA, but as a result I have been advised to start using Rogaine for Women. I was told Men’s Rogaine is too strong while not helping any more than the women’s Rogaine. I also am going to use Nizoral 1%(doctor suggested) for dandruff that I already have and that may get worse with Rogaine. I just pray the Rogaine works. I don’t want to waste time and hair.

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Hi, welcome to the site! I’m not a doctor and I don’t have a lot of first hand experience with scalp biopsies so I’m hoping that perhaps Andrea or another women who has actually had this test performed, can help in providing greater insight. I’m also sending your question over to The American Hair Loss Association so that it can be answered by an actual physician because I want to make sure you get the right information. I wish I could answer your question about whether or not scalp biopsies can return results that are false positives for androgenetic alopecia. Logically I think that it is always possible in any test. I am curious to know if any other women have received the same results as you, being diagnosed with both telogen effluvium and androgenetic alopecia. If I was concerned about the resulting diagnosis I probably would consider having the test be redone by a different physician. Doctors are people too and they do make mistakes.

When I was first diagnosed with androgenetic alopecia back when I as 21/22 years of age I was told to take the Mens Rogaine and that it was perfectly safe and would be more effective. I know that a lot of doctors do tell their female patients to go ahead with the stronger dose as well, but you have to do what you feel comfortable with. You can always go for the higher strength Men’s Rogaine at a later time should you choose to do so. Also, a few women on this blog have been saying that the Rogaine Foam is easier to use and eliminates some of the problems that the regular Rogaine can sometimes cause, such as greasiness and itchiness, since it doesn’t have the propylene glycol. Although currently the Rogaine Foam is only available in the 5% minoxidil Men’s version. You can read the comment Gretchen wrote about it here.

I used to use Nizoral myself because I read somewhere that the active ingredient Ketoconazole actually had some mild anti-androgen properties that would help in hair loss. [click to continue...]

I was at the mall yesterday with my fiance and he pointed out a young girl that was working at a mall kiosk. She was very young, definitely still in high school, and she had severe female pattern hair loss. It appeared she had put some extensions in as well which were quite apparent due to the extreme thinning. She was interacting normally and didn’t really seem shy. I was thinking how hard it must be for her, to go to high school and work in a mall with a lot of young people and have to be going through something like hair loss. It was very hard on me to begin to lose my hair at a 21,but I can’t even imagine how hard it is to have to go through it while still in high school. Everyday I see so many women losing their hair, some are young girls and some are older. I’ll never forget a librarian I met back when I was 21 and in the infancy of my hair loss. I was of course at the library researching hair loss to try and help myself. She was sitting at a desk and I went up to ask her a question. Her part was so very thin and wide and I thought to myself “Oh my god, thank god my hair loss isn’t so bad,” but I was also worried I would be in her shoes very soon. From that point on I began to compare my hair loss to everyone around me. Her’s isn’t as bad as mine… mine isn’t as bad as hers etc etc. Sadly my answers are more toward the first statement nowadays. This was just recent though, mainly the last couple years. Before that, even though I was losing so much hair and suffering inside I was still able to fake it to the world. But I didn’t enjoy what I had along the way for that day, how could I when it continually fell out?

I look back and I wish I hadn’t missed out on so much because of my hair loss. The few people I had told about it along the way were always surprised to hear I even had hair loss. They didn’t know me before and know the thick thick hair I once had. My hair is so much thinner now, but I try and not let it get in my way anymore. After all, I’ve missed out on so much already. I’ll be 30 next year and realize I missed out on my entire 20’s. So why am I writing this? I want the women who are just losing their hair to know a couple things.

Hair loss is a journey. For some it is short and they luckily recover quickly, for others such as myself, we have to realize we have a long road ahead of us. The right side of the road is paved with sadness the left with happiness and in the middle there is acceptance. I spent 8 years walking on the right, always depressed, and never realizing I could move to the other side. I would try and get toward the middle but there always a strong force pulling me back. I am happy to report that more and more I stay to the middle of the road walking on acceptance and sometimes even making it along the border of happiness. Oddly enough this epiphany happened when I was at the thinnest stage of my hair loss. I don’t want other women to miss out on their lives. I know from the depths of my heart how hard and devastating hair loss is. I live it everyday. But at some point we have to appreciate what we have for that day and just do the best be can with what we have.

I still get sad about my hair loss and have my low days, I still run past mirrors to avoid looking at myself. [click to continue...]