| POTENTIAL CAUSES OF HAIR LOSS IN MEN AND WOMEN
Hair Growth:
Your hair is made
of Keratin (KER-uh-tin), the same protein that makes up your
nails and the outer layer of your skin. The part you see and
style is called the hair shaft. It is actually dead tissue
made by your hair follicles - tiny bulb-like structures
beneath your scalp's surface. Follicles produce hair during
a growth phase called the anagen phase, which lasts from 2-6
years. Each hair, at its own pre-programmed stage, goes into
a rest phase called catagen, which lasts about 3 months.
Then the follicle sheds its hair and replaces it with a new
one during the telogen phase.
Because of the anagen, catagen and telogen cycle, daily
hair loss is a natural biological occurrence. Normal hair
loss is about 50-125 strands per day. Loss of more than 125
hairs per day is considered excessive. A normal head of hair
consists of approximately 80,000 - 120,000 hairs. Red heads:
80,000. Brunettes and Black hair: 100,000. Blondes: 120,000.
Many factors can disrupt this hair growth cycle. The result
can be that your hair falls out prematurely or it is not
replaced.
Hereditary Hair Loss:
This is
the most common cause of hair loss where the hair is
genetically programmed to gradually fall out. The condition
is also known as Male or Female Pattern Hair loss and its
technical term is: Androgenetic Alopecia. For women, hair
loss usually occurs at menopause, although it may start at
any age and can first become apparent by the age of 25-30.
Hereditary hair loss occurs when an enzyme starts to
convert the hormone testosterone on the scalp to
dihydrotestosterone, or DHT. The replacement hairs become
progressively finer and shorter. They become almost
transparent. Where male pattern baldness usually affects the
hairline, women generally experience an overall thinning
across the entire scalp. Unfortunately, this type of hair
loss is permanent, however the process can be slowed down
with the use of DHT blockers, both taken internally and
applied topically.
Hormonal Changes:
Hormones can
also play a part in men's and women's hair loss,
(particularly women's hair loss). When an unusually large
hormonal change occurs, women may experience some noticeable
thinning. Hormonal imbalances can occur during and after
pregnancy, menopause or discontinuation of birth control
pills. Hair loss caused by fluctuating hormones is usually
not permanent and generally hair will grow back within
approximately 6-12 months. However, in some people, this
fluctuation in hormones can lead to permanent hair loss.
To learn more about hormonal hair loss, I highly recommend
reading Dr. David Brownstein's book,The Miracle Of
Natural Hormones (Third Edition).
David Brownstein, M.D. is a family
physician that utilizes the best of conventional and
alternative therapies. He is the Medical Director for the
Center for Holistic Medicine in West Bloomfield, Michigan.
He is a graduate of the University of Michigan and Wayne
State University School of Medicine. Dr. Brownstein is board
certified by the American Academy of Family Physicians. He
is a member of the American Academy of Family Physicians and
the American College for the Advancement in Medicine. Dr.
Brownstein has lectured internationally about his success
with using natural hormones. He has also authored,
Overcoming Thyroid Disorders, Overcoming
Arthritis
and his most recent book, Iodine: Why You Need It, Why
You Can't Live Without It.
Please visit Dr. Brownstein's website at: http://www.drbrownstein.com/.
Thyroid Related Hair Loss:
Thyroid disorders are very often associated with hair loss.
There are millions of people living with hypothyroidism and
suffering from many symptoms, including hair loss, that have
been unsuccessfully diagnosed and treated. While hereditary
hair loss is a gradual process, those with thyroid disorders
often experience a more sudden onset of hair loss. They may
notice large amounts of hair falling out in the shower or
sink accompanied by changes in the hair's texture, making it
dry, coarse and easily tangled. Another symptom of
hypothyroidism is loss of hair on the outer edge of the
eyebrows. I have noticed this condition affecting many of my
clients and refer them to one of the thyroid specialists I
work with for proper evaluation and diagnosis. For
additional information and resources on thyroid disorders, I
highly recommend the following: Kenneth R. Blanchard, M.D., Ph.D., is an
endocrinologist certified by the American Board of Internal
Medicine and the American Board of Endocrinology and Metabolism.
He studied as an undergraduate at MIT, received a Ph.D. in
Chemistry from Princeton University, and completed his medical
studies at Cornell University Medical College. Dr. Blanchard
completed his residency at NewYork-Memorial Hospital in New York
City and his Fellowship in Endocrinology at Boston VA Hospital.
His private practice in Newton-Wellesley, Massachusetts,
consumes most of his time, although he addresses many types of
groups on the topic of hypothyroidism and is considered an
authority on the subject. His reputation for successful
treatment of hypothyroidism draws an international patient base.
He participates in health symposiums for lay audiences and for
professionals and has appeared on local television health
programs. He developed his unique, successful approach to
hypothyroidism based on twenty-five years of observations,
cautious empirical treatment, and mounting clinical evidence.
Dr. Blanchard is the author of, What Your Doctor May
Not Tell You About Hypothyroidism - A Simple Plan For
Extraordinary Results. In his book he shares his
revolutionary, research-based approach to the diagnosis and
treatment of this common yet regularly overlooked disease. A
must read for patients and physicians alike!
To learn more about Dr. Blanchard or to purchase his book,
please visit: http://www.kblanchardmd.com/.
Mary J. Shomon, a thyroid patient herself, writes
and manages several professional patient-oriented Web sites
on thyroid disease and serves as editor-in-chief of the
popular patient-focused monthly newsletter, "Sticking Out
Our Necks". She is the author of several books, including
the successful,
Living Well With Hypothyroidism. Please visit:
http://www.thyroid-info.com/ to receive her
free monthly news report. You'll find thyroid news and
information, personal thyroid stories and more. The site has
hundreds of comprehensive, up-to-date links to the Web's
best resources on hypothyroidism, thyroid disease and health
information.
Please visit: http://thyroid.about.com/ to view her
Thyroid Disease Web Site. This site provides dozens of
feature articles related to all facets of thyroid disease
and in depth annotated links to hundreds of the Web's best
thyroid disease sites.
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Stress:
Stress can trigger hair
loss whether people are predestined to lose hair or not.
When stress causes hair loss in men and women who do not
have hereditary hair loss, the effects are usually not
permanent. But for those who do have hereditary hair loss,
stress can actually speed up the process. The stress must be
quite severe before it leads to hair loss. Examples of
severe stress are: loss of a loved one, divorce, strenuous
sports training, severe illness or drastic weight loss.
Autoimmune Diseases:
The word
"auto" is the Greek word for self. The immune system is a
complicated network of cells and cell components (called
molecules) that normally work to defend the body and
eliminate infections caused by bacteria, viruses, and other
invading microbes. If a person has an autoimmune disease,
the immune system mistakenly attacks self, targeting the
cells, tissues, and organs of a person's own body.There are
many different autoimmune diseases, and they can each affect
the body in different ways. Very often, hairloss is
associated with autoimmune diseases. To learn more about
autoimmune diseases, please visit The American Autoimmune
Related Disease Association at: http://www.aarda.org/
Alopecia:
Alopecia is a common
disease that results in the loss of hair on the scalp and
elsewhere. Alopecia occurs in males and females of all ages,
but onset most often occurs in childhood. There are three
types of Alopecia: Alopecia Areata, Alopecia Totalis and
Alopecia Universalis. Alopecia Areata is the most common and
is described as hair loss in one or more small, round,
smooth patches on the scalp. Alopecia Totalis involves hair
loss over the entire scalp and Alopecia Universalis
indicates hair loss on the entire body. The affected hair
follicles become very small, drastically slowing down
production. No matter how widespread the hair loss, the hair
follicles remain alive and are ready to resume normal hair
production whenever they receive the appropriate signal. In
all cases, hair growth may occur even without treatment and
even after many years. For more information about
Alopecia please visit: http://www.naaf.org/.
Scarring Alopecia:
Scarring
Alopecia occurs when scar tissue replaces destroyed normal
tissue on the scalp and can be caused by any number of
things such as burns, infectious agents or diseases such as
Scleroderma, Lupus Erythematosus, etc. Because normal tissue
is replaced and the hair cannot grow through scar tissue,
Scarring Alopecia is permanent.
Traction Alopecia:
Traction
Alopecia is where the hair may temporarily or permanently
stop growing in certain areas on the head. Traction Alopecia
is usually caused by continuous and excessive stress on
particular hairs. For instance, if you continuously style
your hair in a ponytail, braid, bun or in cornrows, the
hairs with the most tension may gradually stop growing,
resulting in hair loss. If this type of traction and hair
loss continues for an excessive period of time, then the
hair loss may be permanent. Generally, however, a change in
hairstyle that reduces the traction on the hair follicle is
all that is required in order to reverse the process. This
is especially common in African-American females (women of
color), who wear tight braiding or cornrow styles.
Trichotillomania:
Another
version of Traction Alopecia is Trichotillomania which is
often referred to as "Hair Pulling Disorder", an impulse
control disorder, when a person compulsively pulls out
strands of hair in distinct patches on the scalp. Some
individuals also pull out hairs from the eyebrows and
eyelashes as well. Trichotillomania is often caused by an
undue amount of anxiety, stress and depression. It most
commonly occurs among young children, adolescents and women.
It generally affects twice as many females as males.
Treatment often involves behavioral therapy or psychiatric
help where an antidepressant is prescribed.
Tinea Capitis:
Tinea Capitis is
another name for Ringworm, which appears on the scalp. Tinea
Capitis is highly contagious and may spread throughout an
entire family, school or kindergarten. It can also be passed
from animals to humans as well as between people. The main
symptoms or signs of Tinea Capitis are scaling and redness
in a round or uneven area of stubbled hair loss. This is
where the tinea is digesting the keratin of the hair. These
patches of hair loss slowly expand as the tinea spreads. The
most commonly used treatment for Ringworm is an anti-fungal
agent, which is taken once a day for a period of between 4
and 12 weeks.
Chemotherapy Drugs and Radiation
Treatments:
Chemotherapy drugs designed to poison
cancer cells also poison the hair follicles and will often
result in total hair loss. Hair loss from chemotherapy
treatments will start approximately 2-3 weeks after the
first dose, but won't result in total hair loss until 1-2
months have elapsed. Hair loss is reversible and will grow
back in about 3-4 months after the last chemotherapy dose.
Hair on the head is most commonly affected. The scalp may
become very tender and hair that is still growing may become
dull and dry. Many men and women have experienced their hair
has grown back thicker and perhaps a different color
(usually darker) and curly. Eventually the hair will return
to its original thickness and shade.
Other Contributing Factors of Hair Loss:
Other contributing factors that promote hair loss include:
poor circulation, acute illness, surgery, sudden weight
loss, high fever, iron deficiency, diabetes, nutritional
deficiencies, high doses of vitamin A and a variety of
medications.
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