shedding

What Women Can Do To Stop Hair Loss – Dr. Judith Reichman

by Y on November 27, 2007

What Can Women Do To Stop Hair Loss - Dr. Judith ReichmanAn 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…]

{ 12 comments }

Stress Related Hair Loss – Anna’s Hair Loss Success Story

by Y on November 12, 2007

Stress Related Hair Loss - Anna's Hair Loss Success StoryHi Everybody –

I just want to share my story with all of the women who experienced stress related hair loss. I started noticing that I was loosing my hair when I moved to a different state to pursue a completely new career. I was so stressed with my job, my new home, my family life that I ignored that problem. Until I went home (I’m originally from Poland) and my friend asked me what’s up with my hair and how come I don’t have as much hair as I used to have. I realized that I did have much less hair to play with and every time I combed/ washed or styled my do I was loosing tons of it.

I noticed hair everywhere. My car seat, my coat, everywhere. I panicked when I noticed bald spots on the side of my head. I started taking vitamins for hair, using the best available shampoos and conditioners but that didn’t help a bit. I was loosing more and more hair. I couldn’t wear my hair down, I had to wear ponytail styled carefully so the bald spots wouldn’t show. I went to a doctor (dermatologist) four times and she couldn’t help me. I mean she completely ignored my problem and told me to use Rogaine!! I was furious with her, because I already did my research I knew that my hair problem was stress related. It wasn’t genetic so Rogaine was a completely wrong solution. I tried couple other doctors, but they were as ignorant as the first one. All they could think of was Rogaine and maybe a hair transplant.

My hair problem lasted 3 years. Sometimes I would be loosing less sometimes more, but the fact was that I had less and less hair on my head. I went back home (Poland) and I went to a dermatologist there. She ran lots of tests on me (yes, we have universal health care, It didn’t cost me anything) and suggested that I should try aminexil treatment. I did. I’m on my fourth week of the treament and it works!!! My hair stopped falling out. I loose maybe 5 (!!) hair when I wash it. Before I would loose tons, sometimes a chunk the size of the golf ball (200-300 hair probably). [click to continue…]

{ 54 comments }

Losing My Hair…Am I Vain? Rosalinda’s Hair Loss Story

by Y on October 29, 2007

Losing My Hair... Am I Vain? Rosalinda's Hair Loss StoryHi, my name is Rosalinda and I have been losing my hair since I was 17 years old. I am now 22 years of age. I started out with a huge thick mane and now I can pin everything up with two bobby pins. Sad! I dread taking showers or brushing my hair. I close my eyes when I take my hair out of my brush. I’ve heard from doctors that stress can cause hair loss and I stress about my hair loss all day long. I went to see a movie this weekend and I spent half the time looking at Eva Mendes’s full head of hair. I feel vain for thinking about it so much, it’s driving me nuts. I am on Yasmin and have been on it since I was 19. My hair loss started before I began the pill and I have been assured by many doctors that Yasmin wouldn’t make my hair fall out. I don’t want to leave the pill because my cramps are so severe I can’t function when I have them. I have had blood work and I am “fine” thyroid and anemia wise.

I don’t even remember all the tests the doctors ran. The three doctors I have seen have attributed my hair loss to stress and genetics. The dermatologist recommended dandruff shampoo and rogaine. Rogaine helps keep my hair from falling out, I do notice a difference when I try to get off of it. I am currently using extra strength for men (dermatologist said to do so) but it makes my scalp very itchy and full of dandruff. Does anyone else experience this? So I have a choice…head full of dandruff or a head with some hair, *sigh*. I am going to see a doctor again on Wed. to do blood work again, since the tests I took before were two years ago. I am also thinking of buying the laser comb. It is pricey $395-$500. Yikes! I laugh to myself because I just paid $700 to do laser hair removal surgery on my legs. Ack!

I’m trying to rearrange all of my hair situations my body has. Too funny. I noticed that no one on the blog site really had anything to say about the laser comb. Perhaps I can be the guinea pig for all of you. Take pictures and what not. What do you all think? Should I do it?

-Rosalinda

*******************************

Dear Rosalina –

Thank you so much for writing and sharing your story. I know the exact movie you made reference to, “We Own The Night” because I did the same thing as you. I couldn’t watch anything else other than Eva Mendes hair during the entire film. I’ve had that problem for quite sometime now, I actually wrote about that in this post titled “Hair Loss Can Quickly Become An Obession”

Are you Vain? I don’t think so. I think you react in a very normal way to a disturbingly uncontrollable situation. Reading your email was like reading my own thoughts on paper. Trust me when I say I know exactly what you are going through, you used the words “thick mane” to describe your hair. I would as well to describe my former tresses that have since been replaced by thin fluffs of wispy hair. I actually use to get my hair thinned out at the hair dresser! Can you believe that??? My heart weeps when I think about that.

Since your hair loss started 2 years prior to you getting on the pill surely it cannot be responsible for the onset of your hair loss. In my opinion a doctor cannot state definitively whether the pill will make your hair fall out or not. Do they have a crystal ball? Likely not, and since most educated physicians know the possibility of hair loss occurring from the treatment of any synthetic hormones, they shouldn’t state things as facts that they have no way of knowing in advance. It really bothers me when I hear things like that. [click to continue…]

{ 16 comments }

Low iron stores: a risk factor for excessive hair loss in non-menopausal women

by Y on October 22, 2007

Low Iron Stores: A Risk Factor For Excessive Hair Loss In Non-Menopausal WomenI found this study really interesting as it cites low iron stores as a possible contributing cause of women’s hair loss. I know one of the first things that usually gets tested when a woman complains of hair loss is the iron levels. Of course there is such a huge range of what is considered normal its hard to tell the optimal level for our body.

Here it is:

European Journal of Dermatology. Volume 17, Number 6, 507-12, November-December 2007, Investigative report

*Abstract

Author(s) : Claire Deloche, Philippe Bastien, Stéphanie Chadoutaud, Pilar Galan, Sandrine Bertrais, Serge Hercberg, Olivier de Lacharrière

Summary : Iron deficiency has been suspected to represent one of the possible causes of excessive hair loss in women. The aim of our study was to assess this relationship in a very large population of 5110 women aged between 35 and 60 years. Hair loss was evaluated using a standardized questionnaire sent to all volunteers. The iron status was assessed by a serum ferritin assay carried out in each volunteer. Multivariate analysis allowed us to identify three categories: “absence of hair loss” (43%), “moderate hair loss” (48%) and “excessive hair loss” (9%). Among the women affected by excessive hair loss, a larger proportion of women (59%) had low iron stores (<\; 40 µg/L) compared to the remainder of the population (48%). Analysis of variance and logistic regression show that a low iron store represents a risk factor for hair loss in non-menopausal women.

The article is broken down into the following areas

Introduction

Materials and Methods

  • Volunteers
  • Hair Loss Assessment
  • Biochemical Measurements
  • Statistical Analysis

Results

  • Hair Loss Quantification
  • Link Between Hair Loss And Serum Ferritin Levels

Discussion

This study, carried out for the first time on a very large cohort of women, provides strong arguments in favor of an association between depleted iron stores and hair loss, particularly excessive hair loss in women before menopause. [click to continue…]

{ 523 comments }

Just Noticed Hair Loss, Could It Be Nuva Ring Birth Control?

by Y on October 13, 2007

Hair Loss From Nuva RingI have noticed thinning of my hair around the crown over the past couple of months. I think I understand some or all of the contributing factors, but now I don’t know what to do to try and stop it. I had been on OrthoEvra (the patch birth control) for a few months, stopped it because it was giving me horrible anxiety, went on the Nuva Ring for the past three months, and finally decided today that the anxiety has returned as well as headaches, sleeplessness, and now hair loss. I didn’t know until I read things on this site that stopping the birth control might result in the hair loss getting worse, but I really don’t think I can continue on it because of the emotional/mood swing effects it has on me. I’m 30, and have had one child
(5+ years ago). I wonder if I can wait out the next 6 mos. while the birth control leaves my system and my hormones return to normal. I wonder if I should try Rogaine NOW, before it gets any worse (it’s really minor, but it’s starting to be noticeable enough that I try to style my hair over the thinning area or pull it back). I wonder if I should go back on birth control but I really shouldn’t do that. I wonder if this is permanent. HELP!

********************************

Hi, thanks for writing. I always say this at the beginning of my responses to emails so that there is no misunderstanding. I am not a doctor and cannot give medical advice, this is just my thoughts and opinions.

I did some searches in Google for “Nuva Ring and hair loss” and there are several cases of women who are experiencing the same thing as you. Since it is birth control, it does alter your own hormones, and anything that does that can cause hair loss. But you should realize everyone responds differently to the effects of the pill. For some women going on the pill can cause hair loss, which seems to be your case, and for others the hair loss begins when they discontinue the use. It sounds like you already made the choice to get off the pill and are currently not taking it due to the many unpleasant side effects you were experiencing. In my opinion that was definitely a good decision.

I think it is too early to tell whether or not your hair loss will simply be a temporary shedding or the onset of androgenetic alopecia. It would probably be a good idea to consult a knowledgeable physician in this matter. Experienced doctors can tell whether or not the hair follicle is miniturizing which is usually an indication of female pattern baldness. But it is very possible this will just be a temporary shedding (telogen effluvium) similar to the hair loss many women experience after having a baby. As mentioned in my response to Sarah’s story, I actually met a woman who had hair loss from going on the pill, she stopped taking it an told me eventually all her hair grew back. It all depends on the individual. [click to continue…]

{ 105 comments }

Spironolactone – Hair Loss Story Question

by Y on October 6, 2007

Spironolactone - Hair Loss Story & QuestionHi! First of all I want to say that this is a GREAT forum/blog and I give you a lot of credit for starting it, sharing your stories, and wanting to help others. THANK YOU, and I really appreciate all you’ve done and gone through. Stay strong, continue helping others and you will get through this!

I want to ask you about your thoughts on Spirinolactone, but should provide you some context first. I am 28 years old and started losing my hair around August of 2006. I was under a lot of stress with my job and not taking very good care of myself nutritionally either. So, I started with a family physician and had blood work done. Everything came back fine. She recommended I take a daily multivitamin. She also recommended me to a dermatologist. I finally saw a derm in January of 2007 (it takes FOREVER to get in) and they did some additional blood work and told me to start taking biotin as well as the daily multivitamin. Again everything was “normal” and that was it. In March of 2007 my excessive shedding stopped and my hair felt better again. So I thought the vitamins and biotin were helping and
thought stress had a lot to do with it, too.

THEN, in August of 2007 I started losing a lot of my hair again and am continuing to shed excessively. This time around the hair loss is more noticeable and my scalp is much more noticeable than the first episode. I did just move to a new state, change jobs, sell our house, etc., etc. I thought maybe it was stress again but knew I needed to see a derm to be sure. I live in Winston-Salem, NC and they have an excellent dermatology practice at Wake Forest University School of Medicine and Medical Center. They have doctors that specialize in female hair loss!! So, I finally went early this week (after getting an earlier appointment because of a cancellation). I saw 2 doctors that were fantastic. They spent a lot of time talking through everything and came to the conclusion that it’s likely androgenic alopecia. BUT, they had me take every blood test possible in case it’s related to low iron, thyroid, etc. I’m still awaiting those test results. They also think some stress could be involved, but when they performed the hair pull test on me it was positive in some areas and not in others, likely female pattern hair loss (androgenic alopecia). I am supposed to start using Rogaine for men and they will prescribe Spirinolactone if all of my blood work comes back “normal.”

So, do you know much about this drug? Does anyone else on the site know? [click to continue…]

{ 230 comments }

Hair Loss At 20 Years Old, Sarah’s Story

by Y on October 4, 2007

At the age of 20 years old, I decided to go on birth control, so my doctor prescribed me to “Symphasic”. About 3 or 4 months later, I realized that my hair was thinning, I left it for about 6 months.. and then I went to my doctor, and she switched me to a different birth control – Yasmin. I thought it would be the answer, and I would be cured… but I was FOR SURE wrong. The hair loss got worse. Every month I lost a little more. It wasn’t until this past June that I decided to give up birth control all together and hope for the best. My hair loss began to stop a little, until around the middle of September, and that is when it started shedding more, and it continues to October, which is now. I keep hearing that it takes up to 6 months or more for birth control to get out of your system, and I HOPE that I will then grow my hair back, but what these women on the this site have to say is no hope.Does this sound exactly what you women have gone through? I am starting to get scared. I have had blood tests- and apparently there is nothing wrong with me. Should I be hoping that going off birth control was the best thing, and I will grow my hair back? I am so stressed about it, and like other women say… it takes up about 98% of my thoughts every day! I am crazy self conscious and i cant stand it any longer. if you could please write any comments or suggestions, it would be greatly appreciated!Thanks so much
Sarah

*******

Hi Sarah,

I read your story and I instantly was taken back to 8 years ago since your hair loss began around the same age mine did. I have to point out that I’m not a doctor, but here is my opinion on your situation. Honestly Sarah, I think you have a really really good chance of recovering from this completely, I’ll tell you why. The duration of time you were on the pill wasn’t very long, and also Yasmin is suppose to be a low androgen index birth control pill so I don’t think the damage it would cause would be as severe as say the pill I took, which was Loestrin FE, the highest (or at least was the highest) androgen index pill. I’m not sure about the Synphasic birth control pill because I’ve never heard of it, I tried to Google it and didn’t find much on it, however, on the upside I didn’t find anything good or bad on Synphasic, which I think is a good sign. When you type in the pill name I took “Loestrin” and “androgen index” or “high androgen” you’ll find TONS of stuff that point to women having hair loss problems, a lot of sites explaining it is a high androgen pill etc etc. I don’t even know why they prescribe it to women and I certainly don’t know why they had prescribed it me at 20 years old. I didn’t find anything like that about Synphasic, that’s not to say that the pill wasn’t bad for you, obviously it was, you had hair loss from it, but at least there isn’t an overwhelming about of negative stuff on it. I think that’s a good sign. [click to continue…]

{ 192 comments }

Drugs That Can Cause Hair Loss

by Y on October 3, 2007

Drugs That Can Cause Hair LossI was asked if I could provide a list of a drugs that can possibly trigger hair loss. I would like to start the list off with my current nemesis, Synthroid. Synthroid is a common medication that is prescribed to treat hypothroidism. Apparently it is a pretty common side effect to experience hair loss from it for those individuals who are sensitive to the medication. I’m sure there are plenty of women taking the drug with no adverse effects to their hair, but it should not be overlooked as a possible contributing factor to your hair loss. The listed “side effects” section on drugs.com it indicates that the hair loss is “usually temporary,” and the “special warnings” section indicates that “it is temporary,” well is it or isn’t it? Of the several doctors I’ve spoken with they have confirmed that it does cause hair loss in some individuals, and not the temporary kind, at least not until the problem with the medication is resolved. Just as a low thyroid (hyopthyroidism) can cause hair loss so can an overdose of the medication Synthroid. The following are signs of over stimulation:

Abdominal cramps, anxiety, changes in appetite, change in menstrual periods, chest pain, diarrhea, emotional instability, fatigue, fever, flushing, hair loss, headache, heart attack or failure, heat intolerance, hyperactivity, increased heart rate, irregular heartbeat, irritability, muscle weakness, nausea, nervousness, palpitations, shortness of breath, sleeplessness, sweating, tremors, vomiting, weight loss.

You do not necessarily need to be experiencing all of these symptoms to have an overstimulated thyroid caused by your thyroid medication. I put it out there so that you can have this knowledge in case you begin to notice hair loss after starting the medication or having your dosage raised. That is another factor to keep in mind, if you have recently had your dose raised after years of being at a certain dosage level, it is possible that the increase in dosage was too much for you body. You should talk to your doctor or seek another opinion from an experienced and knowledgeable physician, an endocrinologist may be a good choice.

So without further ado here is the list of drugs that can possibly cause hair loss, also note this is not the complete comprehensive list, just the more common ones known. [click to continue…]

{ 290 comments }

A Shower In The Dark – One Of My Hair Loss Rituals

by Y on October 2, 2007

A Shower In The Dark - One Of My Hair Loss RitualsLike I mentioned in another past post, one of the things I do when I’m struggling a lot with my hair loss (such as now) and the shedding is so extreme, is that I shower in the dark. I waited yesterday for the night to come so I could shower. I can’t bear to see the hair falling out all over the place and stuck between my hands, it is too much torment for myself. Needless to say I also comb my hair in the dark as well. Quickly combing through what is left my hair, scooping up the pile that fell out, and making a beeline straight for the toilet where I put to rest my fallen hairs. It didn’t overly depress me as it sometimes can, I guess my mind was a little stronger yesterday. That is just how it goes. Some days I’m stronger with my hair loss and others I am so wrought with depression and sadness. I am thankful for the stronger days, I pray for more of those days all the time.

{ 6 comments }

Next Entries →