Dermatologists are the experts in diagnosing and treating hair loss. A dermatologist can tell you whether it's FPHR or something else that is causing your hair loss. Other causes of hair loss can look like FPHL, so it's important to rule out these causes.
Injections of corticosteroids: To help your hair regrow, your dermatologist injects this medication into the bald (or thinning) areas. These injections are usually given every 4 to 8 weeks as needed, so you will need to return to your dermatologist's office for treatment.
A doctor who is well experienced in endocrinology will examine the scalp to ensure the hair loss is a hormonal issue and not an underlying problem. The doctor can then decide which treatment combinations will be most effective for the individual, as well as discussing potential side effects.
As a key member of the woman's health care team, the obstetrician/gynecologist may be the first person to evaluate the complaint of hair loss. Common types of nonscarring hair loss, including female pattern hair loss and telogen effluvium, may be diagnosed and managed by the obstetrician/gynecologist.
Hormonal Hair Loss: Gradual Thinning Of Hair
In women, androgenic alopecia begins with a gradual widening of the part line, followed by increased thinning starting at the top of the head. “A patient may begin to notice a thinner ponytail or may say 'I see more of my scalp,'” St. Surin-Lord says.
As with male pattern baldness, female pattern baldness comes from hormone imbalances, specifically dihydrotestosterone imbalances, or DHT. This hormone is similar in structure to testosterone, but it is significantly more potent [3]. DHT can attach to receptors on the hair follicles, causing the follicles to shrink.
There are several hormones which you can screen in case of having massive hair loss. They are Prolactin, Testosterone, DHEA, luteinizing hormone and follicular stimulating hormone. Thyroid Level Test: This is another most important test which you can go for; they are T3, T4, and TSH.
DHT, a derivative of the male hormone testosterone, is the enemy of hair follicles on your head. Simply put, under certain conditions DHT wants those follicles dead. This simple action is at the root of many kinds of hair loss. Testosterone converts to DHT with the aid of the enzyme 5-alpha reductase.
There are a wide range of conditions that can bring on hair loss, with some of the most common being pregnancy, thyroid disorders, and anemia. Others include autoimmune diseases, polycystic ovary syndrome (PCOS), and skin conditions such as psoriasis and seborrheic dermatitis, Rogers says.
Genes: Your family's genes can cause thinning of hair along the top of your head. Aging: Hormone changes as you age can cause balding. Menopause: This type of hair loss often gets worse when estrogen is lost during menopause.
Antiandrogens. Medications that inhibit androgens—sex hormones that damage or destroy hair follicles—may stop hair loss in female pattern baldness, also known as androgenetic alopecia.
According to Mayo Clinic, if your hair loss is caused by a medical condition, the cost of some treatments might be covered by insurance but in most cases, insurance will not cover hair loss treatment because hair loss is not a medical condition itself.
Your dermatologist will prescribe medication to help with hair loss. Topical minoxidil, commonly called Rogaine, can help with hair growth and thickness. In some cases, your doctor will prescribe Finasteride in oral form.
Lower estrogen and progesterone levels: Estrogen and progesterone stimulate hair growth, which is why pregnant women—who are producing extra levels of these hormones—tend to experience thickening hair during their pregnancy.
Estrogen and progesterone can help keep your hair in the growing (anagen) phase. Therefore, these hormones can help your hair stay on your head longer and may even help your hair grow faster. This may be why many women notice their hair thinning starts to improve with estrogen replacement therapy.
While estrogen levels are high, women have full, thick hair. But when they drop, such as after a pregnancy or during and after menopause, more hair enters the "resting" phase, where it soon falls out and causes thinning and even balding patches.
Yes, a blood test can diagnose alopecia. Your doctor may order several blood works to determine the cause of the hair loss along with a scalp biopsy. In most cases, the particular lab tests your doctor could depend on accompanying symptoms or recent life changes you have.
When to see a doctor. See your doctor if you're concerned about how much hair you are losing every day. A gradual thinning on the top of your head, the appearance of patchy or bald spots on your scalp, and full-body hair loss are signs that there may be an underlying health condition.