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BBC - Health - Womens health - Hair loss Home TV Radio Talk Where I Live A-Z Index 28 December 2005 Accessibility help Text only BBC Homepage Lifestyle Health Women's health Your body Becoming a woman Breast awareness Menopause Acne and spots Hair loss Cellulite Cosmetic surgery Top beauty tips TV and radio Talk Newsletter Contact Us Like this page? Send it to a friend! Hair loss Dr Trisha Macnair They may not like it, but it's generally accepted that men lose their hair. In fact, hair loss is also common among women as they age. But the stigma can be unbearable. In this article Patterns of hair loss Beware miracle cures Medical treatments Surgery Top tips Patterns of hair loss The most common type of hair loss in women, accounting for over 95 per cent of cases, is androgenetic alopecia, or female pattern baldness. There's a large genetic predisposition, which may be inherited from the father or mother. The cause of hair loss in this condition is a chemical called dihydrotestosterone, or DHT, which is made from androgens (male hormones that all men and women produce) by the action of an enzyme called 5-alpha reductase. People with a lot of this enzyme make more DHT, which in excess can cause the hair follicles to make thinner and thinner hair until they eventually pack up completely. The pattern of hair loss is different to the typical receding hairline and crown loss in men The pattern of hair loss is different to the typical receding hairline and crown loss in men. Instead, there's usually a general thinning of the hair with loss predominantly over the top and sides of the head. It usually gets worse with the menopause. Another common cause of hair loss in women is a condition called alopecia areata, an autoimmune disease that affects more than two per cent of the population. In this, the hair follicles are attacked by white blood cells. The follicles then become very small and hair production slows down dramatically, so there may be no visible hair growth for months and years. After some time, hair may regrow as before, come back in patchy areas or not at all. The good news is that in every case the hair follicles remain alive and can be switched on again; the bad news is that we don't yet know how to do this. Myths about hair loss in women It means you're not a proper women with two X chromosomes. It's caused by washing your hair too often. It's caused by too much brushing or combing. Hair dyes and perms can cause permanent loss. It may result from wearing hats and wigs. Shaving your hair will make it regrow thicker. Standing on your head will help it grow back. It's a sign of an overactive brain. There's a miracle cure out there waiting for you. Beware miracle cures Scan the internet and you'll see all sorts of miracle cures for baldness on offer, from strange herbal lotions to mechanical devices. Perhaps the most useful first step you can take is to avoid the myths. After this there are several options. You can find some way to accept the change and live with it (let's face it, this is a tall order - most men struggle to come to terms with their baldness and for them at least society equates it with maturity and power). You can try cosmetic treatments such as wigs or hair thickeners, or you can try medical therapies. The last option is hair-replacement surgery. Medical treatments The drug minoxidil was first developed for treating high blood pressure, which was found to have the side effect of thickening hair growth in some people. It's now available as a lotion to apply directly to the scalp. No one really knows how it works, however, and it's not effective for everyone. Studies show that only about 20 per cent of women between 18 and 45 have moderate regrowth using the drug, while another 40 per cent experience minimal regrowth. It works best on younger people with early hair loss. A big disadvantage is that you have to carry on using minoxidil indefinitely or the new hair will fall out. Another drug, finasteride, which was developed for treating prostate cancer, has also been found to be effective but is only available for men. Surgery Surgical techniques for restoring hair have improved greatly in the past couple of decades, but this is still an option that requires careful consideration. There are two main options: Hair transplantation - tiny punch-holes of skin containing a few follicles of hair are taken from elsewhere in the body (such as the back of the head, if this is still well covered) and implanted into the thinning areas. Some surgeons use a needle to sew in just one or two hairs. However, as women are more likely to have diffuse loss of hair all over the scalp, this technique may not be possible. There has been little success with implanting artificial fibres. Scalp reduction - devices are inserted under the skin to stretch the areas of scalp that still have hair, then the redundant bald areas are removed. Alternatively, flaps of hairy scalp can be moved around the head. For more on what works and what doesn't see www.fda.gov . Top tips Many causes of female hair loss are temporary - check your general health and be patient. Take a look at your family for an idea of your risk of female pattern baldness. Don't be taken in by claims for wonder products. There is no cure for female pattern hair loss. Many women cope well by using cosmetic products, hats and wigs - persevere until you find your own style. This article was last medically reviewed by Dr Trisha Macnair in August 2005. First published in November 1997. Disclaimer All content within BBC Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The BBC is not responsible or liable for any diagnosis made by a user based on the content of the BBC Health website. The BBC is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites. See our Links Policy for more information. Always consult your own GP if you're in any way concerned about your health. In Lifestyle Complementary treatments for baldness Polycystic ovary syndrome Elsewhere on bbc.co.uk Radio 4 Woman's Hour: Alopecia Radio 4 Case Notes: Baldness Elsewhere on the web NHS Direct: Hair loss and baldness National Alopecia Areata Foundation American Hair Loss Council The BBC is not responsible for content on external websites About the BBC | Help | Terms of Use | Privacy & Cookies Policy

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Entrez PubMed My NCBI [Sign In] [Register] All Databases PubMed Nucleotide Protein Genome Structure OMIM PMC Journals Books Search PubMed Protein Nucleotide CoreNucleotide GSS EST Structure Genome Books CancerChromosomes Conserved Domains 3D Domains Gene Genome Project GENSAT GEO Profiles GEO DataSets HomoloGene Journals MeSH NCBI Web Site NLM Catalog OMIA OMIM PMC PopSet Probe PubChem BioAssay PubChem Compound PubChem Substance SNP Taxonomy UniGene UniSTS for Limits Preview/Index History Clipboard Details About Entrez NCBI Toolbar Text Version Entrez PubMed Overview Help | FAQ Tutorials New/Noteworthy E-Utilities PubMed Services Journals Database MeSH Database Single Citation Matcher Batch Citation Matcher Clinical Queries Special Queries LinkOut My NCBI Related Resources Order Documents NLM Mobile NLM Catalog NLM Gateway TOXNET Consumer Health Clinical Alerts ClinicalTrials.gov PubMed Central Display Summary Brief Abstract Citation MEDLINE XML UI List LinkOut ASN.1 Related Articles Cited Articles Cited in Books CancerChrom Links Domain Links 3D Domain Links GEO DataSet Links Gene Links Gene (GeneRIF) Links Genome Links Project Links GENSAT Links GEO Profile Links HomoloGene Links Nucleotide Links OMIA Links OMIM Links BioAssay Links Compound Links Compound via MeSH Substance Links Substance via MeSH PMC Links Cited in PMC PopSet Links Probe Links Protein Links SNP Links Structure Links UniGene Links UniSTS Links Show 5 10 20 50 100 200 500 Sort by Author Journal Pub Date Send to Text File Printer Clipboard E-mail Order All: 1 Review: 0 1: J Am Acad Dermatol. 1985 Mar;12(3):441-9. Related Articles, Links Electrolysis and thermolysis for permanent hair removal. Wagner RF Jr , Tomich JM , Grande DJ . The historical, legal, and theoretical aspects and clinical technics of both electrolysis and thermolysis are critically reviewed. The pitfalls of electronic tweezers and the dangers of self-electrolysis are discussed. Complications of electrolysis and thermolysis and the pathophysiology of hair regrowth are presented. In the United States, the lack of uniform training requirements and standards for electrologists may pose an unrecognized risk to public health. It is suggested that more responsible state legislation be enacted in order to decrease the present potential threat to the public health and safety. MeSH Terms: Animals Electrolysis*/adverse effects Electrolysis*/methods Electrolysis*/standards Electronics, Medical/instrumentation Hair/growth & development Hair Removal/methods* Heat*/adverse effects Humans Legislation, Medical Needles Rats Research Support, Non-U.S. Gov't United States PMID: 3989007 [PubMed - indexed for MEDLINE] Display Summary Brief Abstract Citation MEDLINE XML UI List LinkOut ASN.1 Related Articles Cited Articles Cited in Books CancerChrom Links Domain Links 3D Domain Links GEO DataSet Links Gene Links Gene (GeneRIF) Links Genome Links Project Links GENSAT Links GEO Profile Links HomoloGene Links Nucleotide Links OMIA Links OMIM Links BioAssay Links Compound Links Compound via MeSH Substance Links Substance via MeSH PMC Links Cited in PMC PopSet Links Probe Links Protein Links SNP Links Structure Links UniGene Links UniSTS Links Show 5 10 20 50 100 200 500 Sort by Author Journal Pub Date Send to Text File Printer Clipboard E-mail Order Write to theHelp Desk NCBI | NLM | NIH Department of Health & HumanServices Privacy Statement | Freedom of InformationAct | Disclaimer Dec 22 2005 16:39:56

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