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Tuesday, December 31, 2019

Psychological implications of alopecia in women helth tips

alopecia in women

The alopecia of women is characterized by a loss of capillary density in the most visible areas of the scalp, such as the upper and front part, which is due both to hair loss and thinning.

However, hair loss in women is very rare to progress to total baldness, as it does in men, but usually begins in the widening of the frontal part and the clearance of the upper central line and then extend towards the sides and the crown, but always maintaining a minimum capillary density. It is what is called female pattern baldness, whose effects are usually permanent.

Causes of alopecia in women

The causes of female alopecia can be varied, highlighting the other hormonal imbalances that occur after menopause, with a decrease in estrogen and an increase in the presence of androgens (male hormones).

In fact, hair thinning is a very frequent occurrence among women over 60 years old (or even earlier, in the premenopausal phase), sometimes accompanied by an increase in facial hairiness and in other areas of the body (hyperandrogenism) .

It is also considered normal for unusual hair loss to occur after delivery, while the body regains the usual hormonal balance (six to twelve months); or when leaving the contraceptive treatment with female hormones, since these estrogens enhance the anagen (growth) phase of the hair.

Genetics also counts as far as female alopecia is concerned, since women with a family history, whether male or female, are more prone to it. However, there are other physiological factors that can cause abundant hair loss.

Among them, it should be noted the malfunction of the thyroid glands, whether it is hyperthyroidism or hypothyroidism, since they induce an increase or decrease in thyroxine and this causes the hair to become thinner and finally fall out. Likewise, women with polycystic ovaries can also suffer from abnormal hair loss.

Finally, also mention other environmental factors that can cause the weakening of the hair and its subsequent fall:

Treatment of alopecia in women

There is no doubt that the psychological impact of alopecia is in women much more important than in men, especially because lost hair is not usually recovered. And there are not many treatment options either.

Currently, the only drug that seems to have any effect is minoxidil, in a 2% dilution. Applying this product regularly on the scalp can prevent hair loss, but only in one in five women who use it, a minimum recovery of hair density is obtained. The problem is that if you stop using your hair, it falls again.

When the problem is of a hormonal nature, the use of hormone replacement therapy in menopause or the contraceptive pill in other situations may prevent the progression of alopecia.
There are also other products (spironolactone, cimetidine, ketoconazole, etc.) that are often used when these treatments fail, but their effectiveness is much discussed.

Another treatment option is the autologous hair implant, although this should only be done when you are sure that the implanted hair will not fall out. There is also an added problem and that is that female alopecia is characterized by a general clearance of the hair, so it is difficult to obtain follicular units suitable for transplantation (many of them do not thrive).

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