
Type 1
- Generalized thinning with discrete areas of
alopecia in the frontal and crown vertex area.
Type 2 - Global diffuse thinning without
discrete areas of alopecia.
Type 3 - Frontal temporal recession typically
seen in male pattern alopecia.
Type 4 - Scarring alopecia.
Type 5 - Medical and hormonal causes (usually
not surgically treated).
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Genetic thinning in women
Genetic
thinning in women (androgenetic alopecia) is a condition
characterized by thinning of hair in the front/top
area of the scalp. The scalp looks normal but the
diameter of many of the hairs in the genetic area
becomes finer. The frontal hair often remains thicker,
although there may be temporal recession of hair.
About one-third of all post-menopausal women suffer
from androgenetic alopecia.
In
women, the main precursors of DHT are the weaker
hormones such as DHEA (dehydroepiandrosterone) from
the adrenal cortex. The thinning usually begins
at the time of menopause or after a hysterectomy.
At these times, the change in the sex hormonal balance
gives the male sex hormones (androgens) more influence
and brings about the thinning.
In
the past, women in their twenties or thirties seldom
suffered from Androgenetic alopecia unless a hormonal
imbalance was present. However, today we have seen
younger and younger women in their twenties with
the genetic thinning pattern because of years of
using oral contraceptives. Also, when hormonal replacement
therapy is stopped, genetic thinning and diffused
hair loss (from all over the head) can be triggered
in those women with a predisposition for it.
Extreme
stress can trigger genetic thinning in those women
with the predisposition. Stress increases cortisone
levels, and these can have the same adverse effect
on hair as androgens. The relative infrequency with
which genetic thinning occurs in women suggests
that the trait must be inherited by the daughter
from BOTH parents in order for her to exhibit hair
loss.
Can
genetic thinning in women be stopped?
When genetic thinning is associated with menopause
or a hysterectomy, hormonal therapy can be given
that may halt the thinning. Such therapy usually
involves the taking of estrogens (female sex hormones)
spironolactone (also called aldactone) that can
be prescribed by a doctor. Herbal supplements that
I have also found of benefit with most women are
Red Clover or any other phyto-estrogens. These contain
substances similar to estrogens (female sex hormones)
and seems to prevent the androgens from influencing
the hair, thereby preventing further thinning.
When
the genetic thinning occurs as a result of a problem
with the ovaries or adrenal glands, the thinning
will cease once the corrective treatment has been
undertaken. You will find herbal and organic supplements,
toners, conditioners, shampoos, masks, Propecia,
Minoxidil, Viviscal, Alpharegul and many other well
known treatments for hair and scalp disorders at
The National Center of Trichology.
Call
today for more information or to schedule an appointment.
904.998.9208
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