Category: Female Hair Loss

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Levothyroxine, Hypothyroidism, and Female Hair Loss – Hair Loss Information by Dr. William Rassman

(female) I’ve been diagnosed with hypothyroidism, and have been taking Levothyroxin 75 mcg for about two years now. I just recently had lab work done, which indicated that my thyroid levels are low again, which means I will have to increase the amount of Levothyroxin I take daily. I have about 30 ongoing medical conditions, and I do take many medications along with this one. I asked my pharmacist about hair loss (as mine has been thinning and coming out for over a year now, but it’s really bad now though), which of my meds could be causing it, and what vitamin(s) I could take to combat it. He told me that my hypothyroidism was most likely the cause of my hair loss, and suggested I take 200 mg of selenium everyday to stop the problem. Is he correct? What kind of doctor would I need to see for this problem? What more can I do? Help me, PLEASE!! There is no pattern baldness in my family. I used to have a nice long full head of hair and now it’s so thin. I cry everytime I wash my hair because so much comes out at once. This problem is making my depression worse as well. Where can I go and what can I do? I’m on disability so I do not have a lot of funds to combat this problem so yet another issue with which to deal. HELP!!!!!
Thank you so much for your help!

Hypothyroidism is a cause of hair loss and thinning. First you must get your thyroid problem regulated. Best to see a good medical doctor who feels that this problem falls without his/her expertise, possibly working with a dermatologist to follow your hair loss. An endocrinologist may be a good choice for a specialty. You also asked about taking selenium — it should not be harmful and actually may help.

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Hair Loss InformationWhat Caused Sudden Female Hair Loss – Chemical Relaxer or Psoriasis? – Hair Loss Information – Balding Blog

A client I have serviced for almost one year accuses me of causing her hair to fall out after a relaxer I gave her. She called me two days after the relaxer saying her hair was shedding. I am very thorough with my rinsing of chemicals and the shampoos that follow. She said her hair was coming out in strands and that her scalp itched a little. I suggested she see a dermatologist. Her dermatologist told her that there was nothing showing in her bloodwork that would cause her hair to fall out. He prescribed her Luxiq which as you know is for psoriasis of the skin and scalp. Would’nt that not mean that she had a skin condition which caused her hair to fall out and not the relaxer?

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It sounds like you may be looking for potential legal advice. I do not know your client or the entire circumstance involving her hair loss. This sounds like an acute episode of hair loss happened within a couple of days of the treatment you gave her. There seems to be a direct link between the use of chemicals and the hair loss, based on what you’re telling me. As I’ve written before, psoriasis will not cause hair loss unless you pick at it enough to develop traction alopecia. This does not seem to be a traction alopecia case, though.

There are many possible reasons for female hair loss, ranging from medical illness to genetics to hormonal to stress. Moreover, even with modern advancement in medical technology, the exact cause and/or cure for female hair loss is still elusive. Your client’s hair loss may have been related to the chemical stress or it may just also be coincidental. I really cannot say.

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Hair Loss InformationFemale Hair Loss Continuing After Serious Surgery a Year Ago – My Doctor Dismissed My Concerns – Hair Loss Information – Balding Blog

(female)
Hello,

I’m having a hard time with hair loss since a serious surgery in May of 2007 (it lasted approximately 6 hours). It is now April of 2008 and I’ve noticed a steady and very noticeable loss in hair (I can see my scalp from the back- very little coverage of hair).

I have no known genetic hair loss in my family (that I’m aware of) my grandparents and parents have full, very thick, heads of hair and I had a full head of healthy hair prior to my surgery. My Dr. dismissed my concerns as attached to the surgery in May, however, I have not seen any return of hair since then, but rather a continuing loss.

When should I expect the hair to regrow? Is it unusual for hair loss to continue 10 months after surgery (note: the loss didn’t start until a few months after surgery and it was dramatic loss all of a sudden rather than slow shedding). Sometimes I find that my scalp hurts- it’s a hard feeling to explain. It is not severe pain, but rather a dull sort of sensation all over my scalp. I’m very concerned and have tried one treatment (oil and shampoo system -the oil treatment was twice a week for three months-that was supposed to stimulate growth). It did not seem to help at all.

What do you recommend I do? Is this normal or the sign of something irreversible? Thank you for your help. I do hope you can answer my question. I’m desperate to find some solution.

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Hair loss after a surgery or from a severe stress is called telogen effluvium. If it lasts less than a year as it normally does, it will reverse after the stress abates. Some people go on to a chronic telogen effluvium. Both forms may be treated with minoxidil while you are waiting for it to reverse. More information about telogen effluvium can be found at eMedicine.

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Chemo After Breast Cancer 2 Years Ago — Hair Still Hasn’t Come Back! – Hair Loss Information by Dr. William Rassman

I had breast cancer and my last chemo treatment was in July of 2006. I finished radiation in October 2006. It has been almost two years and my very thick curly hair has not come back. I have a few sparse hairs all over my head, but they are very sparse. I take tamoxifen daily. Will my hair come back and what can I do to help it. I have used Nioxin for two years and just recently started uses minoxidil. Are there vitamins to help? Just what can I do?

I do not know how to help you. My experience is not in the area of chemotherapeutic drugs. Your best information will probably come from the doctors who are managing your chemo. They see many people with hair loss and can probably give you the answers you are looking for. I wish I could offer more, but this is beyond my specialty.

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Short Hair Syndrome? – Hair Loss Information – Balding Blog

I’m writing on behalf of my mother in law, a 59 year old african american woman. Her hair never seems to grow and she hasn’t gotten a haircut in a long, long while. Can I get your thoughts on “Short Hair Syndrome”? This sounds like what my she is dealing with, but I can’t find any further info on it. Is it even real? The site is http://www.lisaakbari.com/SHS.html

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From a medical point of view, or as a physician involved in hair loss for over 15 years, I do not recall ever hearing or reading about “Short Hair Syndrome”… but I can logically give you an explanation for it, assuming the the examination of the hair and scalp is normal and there are no medical problems lingering behind the scene.

First, I will assume that she has no miniaturization going on throughout the scalp. If she does, then short hairs will come about when the hair miniaturizes so that a diagnosis needs to be established. With respect to your mother-in-law whose hair is not growing much, she may have a very short anagen phase (growth phase) of the hair cycle. A short growth phase could produce healthy, but short hairs. Of course, she should see a dermatologist or her primary care physician to see if there are medical issues that are causing such problems.

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Did the Laser Comb Damage My Hair? – Hair Loss Information by Dr. William Rassman

Is it possible for a laser comb to do damage to hair or scalp? I’m female – senior citizen. I’ve been using laser comb for a couple months and my hair seems alot thinner, plus it goes in all different directions. I can’t seem to fix it anymore. I am not trying to put blame – a person with hair loss will try anything. I’m just asking for your opinion. If the comb has done damage, it is my own fault. Please answer. Could the comb be too warm for some people.

I have not heard any reports that parallel yours. I personally do not feel that the LaserComb (or similar) does much more than line the pockets of the company’s owners.

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Woman Experiencing Significant Hair Loss In Transplant Area 10 Years After Surgery – Hair Loss Information – Balding Blog

I’m a female who had a mini graft (hair transplant) 10 years ago. Over this past year I have noticed significant hair loss in the area where the transplanted hair is. When I say significant, I mean the hair on my head is now see through! Why is my transplanted hair falling out? Is there a way to tell which hair is the transplanted hair? I read somewhere that hair transplants in women aren’t as successful as they are in men, because as women age we tend to lose density to our hair. Because of that, all the hair on our head appears to thin, and that includes transplanted hair. Any truth to this?

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Women with genetic hair loss will often find progression into the back and sides (called donor area in men) as they age. What you are probably describing is that you are losing this hair and the transplanted hair (which was moved from that area) has some of that hair in there… so what you are probably seeing in the previously transplanted area is the same thing that is happening on the back and sides of your head as well. If your doctor examines the back and sides of your head, he/she will probably see miniaturization that reflects what you are witnessing in the previously transplanted area.

You’ll note that I’m using the word “probably” a lot in my answer, and that is simply because I don’t have enough information to provide a response of real substance. Photos and an examination would help tremendously.

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Femara and Female Hair Loss – Hair Loss Information by Dr. William Rassman

Hello Dr. Rassman,

I’m hoping against hope that you have any suggestions for me. I’m 45, and I was diagnosed with stage 2 ER+ breast cancer 2 1/2 years ago. 21 months ago (after bi-lat mastectomy, chemo, rads, and a complete preventative hysterectomy) my oncologist started me on Femara, an aromatase inhibitor.

My hair grew back thick and full and normal after chemo and for 16 months after I started taking the femara — then suddenly 4months ago, it’s been falling out in massive amounts. Mostly in the front and crown. I’m at a loss as I know the femara is removing all estrogen from my body — and many of the hair loss drugs out there can mess with the work of the femara. I’ve started on Rogaine, but I’m not holding out much hope for that. Are there any other treatments that are safe for me? I’m desperate. Thanks so much.

Your priority should be the treatment of your cancer and with regard to your hair loss, you need to speak with your oncologist who has familiarity with hair loss with chemotherapeutic agents. I do not know enough to help you, sorry.

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Alopecia Doctors – Dr. Vera Price or Dr. Richard Strick? – Hair Loss Information – Balding Blog

Hi,

I’m writing to you desperate for answers. About 6 months ago my hairline started to thin and recede rather rapidly after stopping ortho-tri cyclen birth control pills. My general doctor thought that stopping the pill was the cause. About 2 months after seeing the doctor I started to develop a round bald spot above my front hairline. It has slowing progressed over the last 6 months into a spot the size of a quarter with redness and tenderness along with some sporadic itching. I went to see Dr. Vera Price at UCSF in San Francisco. She had her derma pathologist review a biopsy that Dr. Kurgis of Templeton CA had taken and told me it was alopecia areata and not a scarring alopecia. However, this is where I get to my question, I wanted a second opinion because Dr. Kurgis thought it looked more like a scarring kind so I went down to UCLA to see Dr. Richard Strick who also reviewed the same biopsy slides. He said that neither he nor his derma pathologist could clearly read the slides to determine if it was either scarring alopecia or alopecia areata. Which doctor is more knowledgeable about these diseases? Who should I trust Dr. Strick or Price? Please help; I don’t know what to do at this point. Dr. Price said that having another biopsy again is unnecessary and might make it worse and she was certain it’s not scarring, but it keeps spreading every week, little by little and the redness spreads as well. I’m very worried I will have to wear a wig if this does not stop. Thanks for any advice you can offer.

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I personally know Dr. Richard Strick, because he is in the Los Angeles area (where I am based), and can speak very highly of him and his work, but I only know of Dr. Vera Price based on her reputation. These are two terrific dermatologists, and I can’t make a decision for you on who to trust more in this situation. You should have asked Dr. Strick about Dr. Price’s recommendations, as he was the last doctor you saw. I wish I could offer you some advice, but these doctors are both highly skilled in dealing with conditions like these and are much more specialized with this than I am.

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Body Hair Loss from Stress After Pregnancy Years Earlier? – Hair Loss Information by Dr. William Rassman

Hello Doctors…
My sister has been losing her hair for 2 years now, she is 22…it all started after she had her first baby…shes been stressed out since then…around 300 hairs fall out a day maybe more…she recently went to a dermatologist and they checked her iron, zinc, and thyroid…they said everything looked good…she is losing body hair or should i say pubic hair and she mentioned something about her eyelashes as well…she gets these red spots on her scalp sometimes…the dermatologist said that her losing her hair is due to the new born she had 2 years ago…is that possible?…i told her to get a second opinion, i mean they should take samples of her scalp or something right?…or could it just be the stress?…i never heard stress making you loss body hair and stuff but i dont know…she decided to get ScalpMed, but i have a feeling it’s not going to work because its not just the scalp that losing hair it’s also everywhere else…what do you think about all this? Thank you for your time.

It is virtually impossible for me to diagnose her over the internet. I think that if she is not satisfied with the one opinion, get another one. Her hair is too important to let this go and what you are describing does sound serious for her hair and psychological state of mind.