Ludwig Scale: This is the most common classification for female pattern hair loss. There are 3 stages (ranging from mild hair loss to extensive, severe widespread thinning) and in each stage hair loss occurs on the front and top of the scalp with relative preservation of the frontal hairline. Regardless of the extent of hair loss, only women with stable hair on the back and sides of the scalp are candidates for hair transplant surgery.
"Dr. Yaker and his staff are friendly, welcoming and professional. Everyone greets you with a smile and remembers your name. His offices and procedure rooms are always clean. Dr. Yaker is extremely knowledgable and willing to spend as much time answering questions and discussing options with his patients as they desire. I use Dr. Yaker's hair vitamins and shampoo and conditioner and have definitely seen positive results. So far, I have had two PRP treatments done by Dr. Yaker and he and his staff always take care of me and make me feel comfortable. I have recommended him to many of my friends and family. He's the best!"
Starting in my very early 20s i noticed the beginnings of my hair loss and started asking doctors about it with no hope/no answers until my 27.5 year. A local dermatologist “heard” something about the spironolactone/yaz combo and was willing to try it out -along with biotin, rogaine and omegas. I believe she helped the quality of my skin and hair, but did not help the fact that my hair continued to disappear.
While you won’t find a miracle shampoo on the market, nioxin and some other products can help keep your scalp in tip-top shape to improve the look of any hairs you do have left on your head. In fact, feeding your hair with the proper nutrients both inside and out can make it appear healthier, so you might consider using products with natural herbs, such as rosemary and mint.
If a pregnant woman comes in contact with crushed or broken Finasteride tablets, wash the contact area right away with soap and water. If a woman who is pregnant comes into contact with the active ingredient in Finasteride, a healthcare provider should be consulted. If a woman who is pregnant with a male baby swallows or comes in contact with the medicine in Finasteride, the male baby may be born with sex organs that are not normal.
in between all these years, i also tried some homeopathic methods. i read dr. andrew weil’s book on health and used to take 2000mg of alpha-linolenic acid either by evening primrose oil, grapeseed oil or borage oil. it didn’t regrow my hair but i do feel that it helped stall it. only problem is that after a year or so it stopped working for me, but it may help some of you out. there’s a connection, according to dr. weil, between alpha-linolenic acid and hair. i’ve also used homemade rosemary water and washed my hair with it, but it only helps with making me smell like the bush it comes from. 

In answer to which doctor should I see for my hair loss, my opinion is that you should probably see both. Most doctors don’t know enough about hair loss as it is, so seeing doctors in different specialties may actually help you get a better, more accurate diagnosis. I am sure there are various conditions of hair loss that might be better served by seeing one more than the other. Perhaps a dermatologist would be better suited in determining if the cause was an infectious skin condition such as ringworm or scaring alopecia, and an endocrinologist may be better at diagnosing hormone related hair loss. The truth is, any doctor whether it is an endocrinologist, dermatologist, or general practitioner with a strong interest and knowledge in hair loss can make a proper diagnosis and work with you on the the treatment they think will produce the best results. The operative words here are “interest and knowledge.”
About one-third of women experience hair loss (alopecia) at some time in their lives; among postmenopausal women, as many as two-thirds suffer hair thinning or bald spots. Hair loss in women often has a greater impact than hair loss does on men w, because it's less socially acceptable for them. Alopecia can severely affect a woman's emotional well-being and quality of life.
Mistakenly thought of as a male disease, around 40% percent of women will suffer from some form of hair loss by the age of 50. A woman’s hair is an important part of her aesthetic make-up. It represents her style and taste, and frames her face while accentuating her best features. Unfortunately, most physicians don’t have answers or solutions for women who begin to lose their hair.  Plano, TX hair restoration surgeon, Dr. Joseph Yaker, understands that this can be extremely catastrophic to a woman’s self-confidence, body image and quality of life. Clinical studies have shown that psychiatric disorders such as depression and anxiety are more common in people with hair loss, especially women.
Telogen effluvium is the second most common type of hair loss. It is predominantly seen in women between the ages of 40-70, but may occur at any age. Its symptoms include excessive thinning, shedding, and balding and it may happen abruptly. Common causes of sudden hair loss include changes in hormone levels such as with child birth, menopause, poor nutrition, medical conditions such as iron deficiency anemia and hypothyroidism, medications, severe illness or infection, major surgery, and even extreme levels of stress.
Central centrifugal cicatricial (scarring) alopecia: This type of hair loss occurs most often in women of African descent. It begins in the center of the scalp. As it progresses, the hair loss radiates out from the center of the scalp. The affected scalp becomes smooth and shiny. The hair loss can be very slow or rapid. When hair loss occurs quickly, the person may have tingling, burning, pain, or itching on the scalp. Treatment may help the hair re-grow if scarring has not occurred.

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Minoxidil: This medicine is applied to the scalp. It can stop hairs from getting thinner and stimulate hair growth on the top of the scalp. The U.S. Food and Drug Administration (FDA) has approved minoxidil to treat hair loss. It is the only hair re-growth product approved for men and women. A dermatologist may combine minoxidil with another treatment.
Playing around with your haircut can sometimes mask the issue, so talk to your stylist about a style that will add volume and bounce, making hair appear thicker. Simply shifting your part can work wonders, and changing up your color can help, too. Light reflects more off lighter hair, so the color provides less contrast between the hair and the scalp, concealing any empty patches. Additionally, a light perm or wave will give hair more body and make it look thicker, and frequent trims will help prevent breakage.
Well, I got the news yesterday – at 61, vital and as healthy as anyone could possible ever wish to be, yep, hair thinning on the vertex and allopecia of the eyebrows, the latter are almost gone. It started probably 10 months ago, still donot know exactly why, but laser skin therapy on my face and arms for those liver spots may have triggered it. I went to see Dr. Shelly Friedman here in Scottsdale, AZ. His assistant is very, very knowledgeable and extremely empathetic and friendly. Long and short: no cure, no idea where it really comes from. BUT, now there is laser therapy, the so-called Laser Cap, FDA approved etc. You put it on 3x/wk for 45 min. at home, you purchase the cap, and within 3 months your hair really becomes fuller and actually it already starts to grow back within 4 weeks. That would be a good solution for the head. You will have to continue doing this for the rest of your life, or until the scientists have found a different solution. 

Hello all. First, I would like to say that this site is absolutely amazing. I have never felt so touched in my life. I too suffer from hair loss. I cannot really say what the cause is because I have never been properly diagnosed–still searching for answers. I have been to many doctors and have had many blood tests only to get back normal results (which I guess is good) but how can this be? What really amazes me is when I discuss may hair loss with my doctor, whom ever it may be that day –Endo., Derm., GP., they never seem to really want to help or maybe they just don’t know. I have spent so much money on so many different doctors and it is as if they all go by the same book. Where does one go to seek answers? It really is a sad situation. I believe that all the doctors that I go to must be going through the same type of training and education. Maybe I need to go to a doctor that just got out of med school and hope and pray that he/she learned something new instead of the norm–Purchase Men’s Rogaine….Jeez.

Our other recommendation is the HairMax Ultima 12 LaserComb. The comb uses low-level lasers to stimulate hair follicles and modulate dihydrotestosterone (DHT) — a hormone that causes the most common type of hair loss. While it sounds like something from a sci-fi movie, the treatment works, and the dermatologists we consulted reported that their patients saw thicker and longer hair when combined with our top pick. The only catch: The comb isn’t as effective as minoxidil treatments, and at nearly $400, it’s a much bigger investment. Still, it’s the best option if you’re looking for a non-invasive, non-chemical treatment.


Emotional stress can also cause hair loss. However, it is less likely to cause hair loss than physical stress. Emotional stress such as during the death of a loved one, or after a divorce etc, can lead to hair loss. However, more often, though, emotional stress won't actually precipitate the hair loss, it will exacerbate a pre-existing problem. In such a case you need to know the cause of your stress and reduce the stress.
Triamcinolone acetonide (Kenalog), 0.1 mL diluted in sterile saline to 10 mg per mL, is injected intradermally at multiple sites within the area to a maximum dosage of 2 mL per visit.6 The main side effect, atrophy, can be minimized by not injecting too superficially and by limiting the volume per site and the frequency of injection (no more often than every four to six weeks).6 Because spontaneous resolution often occurs in patients with alopecia areata, assessing treatment response can be difficult. Intralesional steroids should be discontinued after six months if no improvement has been noted.
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