It's true that men are more likely to lose their hair than women, mostly due to male pattern baldness (more on that later).
But thinning hair and hair loss are also common in women, and no less
demoralizing. Reasons can range from the simple and temporary—a vitamin
deficiency—to the more complex, like an underlying health condition.
In many cases, there are ways to treat both male and female hair
loss. It all depends on the cause. Here are some common and
not-so-common reasons why you might be seeing less hair on your head.
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Physical stress
Any kind of physical trauma—surgery, a car accident, or a severe
illness, even the flu—can cause temporary hair loss. This can trigger a
type of hair loss called telogen effluvium. Hair has a programmed life
cycle: a growth phase, rest phase and shedding phase. “When you have a
really stressful event, it can shock the hair cycle, (pushing) more hair
into the shedding phase,” explains Dr. Marc Glashofer, a dermatologist
in New York City. Hair loss often becomes noticeable three-to-six months
after the trauma.
What to do: The good news is that hair will start growing back as your body recovers.
Pregnancy
Pregnancy is one example of the type of physical stress that can
cause hair loss (that and hormones). Pregnancy-related hair loss is seen
more commonly after your baby has been delivered rather than actually
during pregnancy. “Giving birth is pretty traumatic,” says Glashofer.
What to do: If you do experience hair loss, rest assured that
your hair will grow back in a couple of months. “It’s a normal thing and
it will work its way out,” Glashofer says.
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Too much vitamin A
Overdoing vitamin A-containing supplements or medications can trigger
hair loss, according to the American Academy of Dermatology. The Daily
Value for vitamin A is 5,000 International Units (IU) per day for adults
and kids over age 4; supplements can contain 2,500 to 10,000 IU.
What to do: This is a reversible cause of hair loss and once the excess vitamin A is halted, hair should grow normally.
Lack of protein
If you don't get enough protein in your diet, your body may ration
protein by shutting down hair growth, according to the American Academy
of Dermatology. This can happen about two to three months after a drop
in protein intake, they say.
What to do: There are many great
sources of protein, including fish, meat, and eggs. If you don't eat meat or animal products, here are the
14 Best Vegan and Vegetarian Protein Sources.
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Male pattern baldness
About two out of three men experience hair loss by age 60, and most
of the time it's due to male pattern baldness. This type of hair loss,
caused by a combo of genes and male sex hormones, usually follows a
classic pattern in which the hair recedes at the temples, leaving an
M-shaped hairline.
What to do: There are topical creams like minoxidil (Rogaine)
and oral medications such as finasteride (Propecia) that can halt hair
loss or even cause some to grow; surgery to transplant or graft hair is
also an option.
Heredity
Female-pattern hair loss, called androgenic or androgenetic alopecia,
is basically the female version of male pattern baldness. “If you come
from a family where women started to have hair loss at a certain age,
then you might be more prone to it,” says Glashofer. Unlike men, women
don't tend to have a receding hairline, instead their part may widen and
they may have noticeable thinning of hair.
What to do: Like men, women may benefit from minoxidil
(Rogaine) to help grow hair, or at least, maintain the hair you have,
Glashofer says. Rogaine is available over-the-counter and is approved
for women with this type of hair loss.
Female hormones
Just as pregnancy hormone changes can cause hair loss, so can
switching or going off birth-control pills. This can also cause telogen
effluvium, and it may be more likely if you have a family history of
hair loss. The change in the hormonal balance that occurs at menopause
may also have the same result. “The androgen (male hormone) receptors on
the scalp becoming activated,” explains Dr. Mark Hammonds, a
dermatologist with Scott & White Clinic in Round Rock, Texas. “The
hair follicles will miniaturize and then you start to lose more hair.”
What to do: If a new Rx is a problem, switch back or talk to
your doctor about other birth control types. Stopping oral
contraceptives can also sometimes cause hair loss, but this is
temporary, says Hammonds. Don't make your problem worse with
hair-damaging beauty regimens.
Emotional stress
Emotional stress is less likely to cause hair loss than physical
stress, but it can happen, for instance, in the case of divorce, after
the death of a loved one, or while caring for an aging parent. More
often, though, emotional stress won’t actually precipitate the hair
loss. It will exacerbate a problem that’s already there, says Glashofer.
What to do: As with hair loss due to physical stress, this
shedding will eventually abate. While it's not known if reducing stress
can help your hair, it can't hurt either. Take steps to
combat stress and anxiety like getting more exercise, trying talk therapy, or getting more support if you need it.
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Anemia
Almost one in 10 women aged 20 through 49 suffers from anemia due to
an iron deficiency (the most common type of anemia), which is an easily
fixable cause of hair loss. You doctor will have to do a blood test to
determine for sure if you have this type of anemia.
What to do: A simple iron supplement should correct the problem. In
addition to hair loss, other symptoms of anemia include fatigue,
headache, dizziness, pale skin, and cold hands and feet.
Hypothyroidism
Hypothyroidism is the medical term for having an
underactive thyroid gland.
This little gland located in your neck produces hormones that are
critical to metabolism as well as growth and development and, when it’s
not pumping out enough hormones, can contribute to hair loss. Your
doctor can do tests to determine the real cause
What to do: Synthetic thyroid medication will take care of the problem. Once your thyroid levels return to normal, so should your hair.
Vitamin B deficiency
Although relatively uncommon in the U.S., low levels of vitamin B are another correctable cause of hair loss.
What to do: Like anemia, simple supplementation should help
the problem. So can dietary changes. Find natural vitamin B in fish,
meat, starchy vegetables, and non-citrus fruits. As always, eating a
balanced diet plentiful in fruits and vegetables as well as lean protein
and “good” fats such as avocado and nuts will be good for your hair and
your overall health.
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Autoimmune-related hair loss
This is also called alopecia areata and basically is a result of an
overactive immune system. “The body gets confused,” says Glashofer. “The
immune system sees the hair as foreign and targets it by mistake.”
What to do: Steroid injections are the first line of treatment
for alopecia areata, which appears as hair loss in round patches on the
head. Other drugs, including Rogaine, may also be used. The course of
the condition can be unpredictable, with hair growing back then falling
out again.
Lupus
Other autoimmune diseases such as
lupus
can also cause hair loss. Again it’s a case of mistaken identity:
overzealous immune cells attack the hair. Unfortunately, hair loss of
this type is “scarring,” meaning the hair will not grow back, says
Hammonds.
What to do: If the hair loss is mild, you might want to try a
new hairstyle to camouflage the damage. Short hair, for instance, is
stronger than long hair and may hide bald patches better.
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Dramatic weight loss
Sudden weight loss is a form of physical trauma that can result in thinning hair. This could happen even if the
weight loss
is ultimately good for you. It’s possible that the weight loss itself
is stressing your body or that not eating right can result in vitamin or
mineral deficiencies. Loss of hair along with noticeable weight loss
may also be a sign of an eating disorder such as anorexia or bulimia.
What to do: "Sudden weight loss seems to shock the system and
you’ll have a six-month period of hair loss and then it corrects
itself,” says Hammonds.
Chemotherapy
Some of the drugs used to beat back cancer unfortunately can also
cause your hair to fall out. “Chemotherapy is like a nuclear bomb,” says
Glashofer. “It destroys rapidly dividing cells. That means cancer
cells, but also rapidly dividing cells like hair.”
What to do: Once chemotherapy is stopped, your hair will grow
back although often it will come back with a different texture (perhaps
curly when before it was straight) or a different color. Researchers are
working on more targeted drugs to treat cancer, ones that would bypass
this and other side effects. In the meantime,
Here's How to Deal With Thinning Hair During Chemo.
Polycystic ovary syndrome
Polycystic ovary syndrome (
PCOS)
is another imbalance in male and female sex hormones. An excess of
androgens can lead to ovarian cysts, weight gain, a higher risk of
diabetes, changes in your menstrual period,
infertility,
as well as hair thinning. Because male hormones are overrepresented in
PCOS, women may also experience more hair on the face and body.
What to do: Treating PCOS can correct the hormone imbalance
and help reverse some of these changes. Treatments include diet,
exercise, and potentially birth control pills, as well as specific
treatment to address infertility or diabetes risk.
Antidepressants, blood thinners, and more
Certain other classes of medication may also promote hair loss. More
common among them are certain blood thinners and the blood-pressure
drugs known as beta-blockers. Other drugs that might cause hair loss
include methotrexate (used to treat rheumatic conditions and some skin
conditions), lithium (for bipolar disorder), nonsteroidal
anti-inflammatory drugs (NSAIDs) including ibuprofen, and possibly
antidepressants.
What to do: If your doctor determines that one or more of your
medications is causing hair loss, talk with him or her about either
lowering the dose or switching to another medicine.
Overstyling
Vigorous styling and hair treatments over the years can cause your
hair to fall out. Examples of extreme styling include tight braids, hair
weaves or corn rows as well as chemical relaxers to straighten your
hair, hot-oil treatments or any kind of harsh chemical or high heat.
Because these practices can actually affect the hair root, your hair
might not grow back.
What to do: In addition to avoiding these styles and
treatments, the American Academy of Dermatology recommends using
conditioner after every shampoo, letting your hair air dry, limiting the
amount of time the curling iron comes in contact with your hair and
using heat-driven products no more than once a week.
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Trichotillomania
Trichotillomania, classified as an “impulse control disorder,” causes
people to compulsively pull their hair out. “It’s sort of like a tic,
the person is constantly playing and pulling their hair,” Glashofer
says. Unfortunately, this constant playing and pulling can actually
strip your head of its natural protection: hair. Trichotillomania often
begins before the age of 17 and is four times as common in women as in
men.
What to do: Some antidepressants may be effective, but behavioral modification therapy is another option.
Aging
It’s not uncommon to see hair loss or thinning of the hair in women
as they enter their 50s and 60s, says Glashofer. Experts aren’t sure why
this happens.
What to do: Experts don't recommend that this condition be
treated, says Hammonds. That leaves women with cosmetic approaches such
as scarves, wigs and hair styled so as to cover up thin spots. That
said, there are also plenty of
tricks to prevent hair breakage and ways to keep your hair
looking shiny and healthy in your 50s and above.
Anabolic steroids
If you take anabolic steroids—the type abused by some athletes to
bulk up muscle—you could lose your hair, according to the American
Academy of Dermatology. Anabolic steroids can have the same impact on
the body as polycystic ovary disease (PCOS), as the mechanism is the
same, says Hammonds.
What to do: This should improve after going off the drug.
This article originally appeared on Health.com.
