Eva if you can look at some of Pilar’s post she mentions in one of them a dr she sees in NYC. She loves her and the dr has done a lot for her. I would say there is no doubt it is the Retin A that has caused your loss, but it is probably Telogen Efflivium which is temporary and the recovery is nothing like they say it is. Especially if your scalp is miserable because there is a lot of inflammation that will need to calm down before everything can reset itself. Please try to find her post where she list the derm she sees. She loves her.
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I had Melanoma a few years ago, a wide-excision surgery and lymph node(s) removal. I also had sleep apnea and then surgery for that. Also had a hysterectomy 10 years ago for excessive bleeding,I’ve had the clotting factor tests w/normal results though even though even having my blood taken will cause me to bleed alot and bruise.Each time I’ve had surgery, I’ve had to stay in Recovery a looong time because of the bleeding.(hence the clotting tests) Have been anemic most of my adult life too.I am under a lot of stress(have always been) I mention all this in case it rings a bell w/anyone else.
My hair was healthy. No split ends and thick and tame – I could not break it. The healthy condition of my hair may be the reason that I didn’t loose all of it. My hair loss was due to a “HAIR DESTROYER” causing chemical damage, burning my scalp and my hair ( I think she used a product banned in Australia). I had bald spots on my crown the size of 50 cent pieces and the rest of my hair was singed. I lost my hair gloss, I was left with hair that was as thin a rice paper and breaking everywhere. I had severe itching on my scalp for two years. Not pleasant. I cursed her every day and still do. I bought myself a pair of hairdressing scissors and cut as much hair off as I could; and chipped into it everywhere. I do this every two weeks. Hence I will never go to a hair dresser again and have not colored my hair since December 2012 – I asked for Brown on Brown 10 vol – how could an idiot of a hair destroyer (dresser) get it so wrong.
I decided to take a vitamin B complex – one a day; I increased my intake of green leafy and orange vegetables and onions, I also throw in a small amount of beef and chicken..i.e. eating lots of stirfries, curries and salads. I also now include in my diet black beans, walnuts and pumpkin seeds. I like spaghetti with red tomato sauce and use parsely and fenugeek . I also started using a product called Hopes Relief (the shampoo and conditioner) – anything else left a burning sensation on my scalp. This helped greatly with healing my scalp redness and reduced the itching. I was seeing an improvement in regrowth. I went to a trichecologist who advised me I have lost 10% of my hair permanently as she could see the scarring and places where the follicles would not grow.
My visit to Dr. Redmond (endocrinologist) was very informative. First, he confirmed that I was not going crazy. I am sure many of you have heard that from loved ones. It is true that was is noticeable to you and your eyes is not noticeable to everyone else. I do try and live each day to the fullest right now and not let what the future might hold (worse hair loss) bother me, but it is tough. After alot of normal tests, Dr. Redmond confirmed my suspicion that I am suffering from androgenic alopecia (AA or women pattern baldness). He has put me on sprironolactone 200mg in the morning and Yasmin (birth control) in the evening). I just started on this regimen so I will keep you posted. Here are the tests that he wanted to me to get done:
KARYN SPRINGER, M.D., is a staff physician at Intermountain Health Care, Orem, Utah, and a part-time faculty member at the Utah Valley Family Practice Residency Program, Utah Valley Regional Medical Center, Provo, where she also completed a residency. Dr. Springer received her medical degree from the University of Utah Medical School, Salt Lake City....
While diet alone won’t save your hair, there may be some truth to the old adage that you are what you eat. “You’re not going to have the healthiest hair if you’re living off doughnuts, because being nutrient-deficient weakens strands and makes them more prone to breakage,” says Denise Kernan, owner of DK Hair Techs, Inc., a member of the International Society for Hair Restoration Surgery, and a hair transplant technician who has worked on everyone from senators to sports stars to actors to mafia guys (she won’t name names to protect the privacy of her clients).
Alopecia areata occurs when your immune system attacks your hair follicles, causing varying degrees of hair loss. Alopecia areata usually starts with one or more small, round, smooth bald patches on your head, and can eventually cause complete hair loss on your scalp or even on your entire body. Full body hair loss is known as alopecia universalis.
Aside from medication and lasers, some opt for hair transplants — a procedure where hairs are removed from another part of your body and then transplanted to the thinning or balding areas. Does it work? In a word, yes. Research suggests that most hair transplant recipients report are "very satisfied" with their results. While successful, transplants are also far more expensive than medications, foams, or lasers with costs averaging anywhere from $4,000 or $15,000.
Graccey, you are spot on with the PPD allergy. It is amazing how difficult it is to connect the dots. It took me a year to figure it out. It caused 2 very aggressive cases of TE, my hair is not coming back on it’s own. I have been using Johnson and Johnson baby shampoo (I put one baby aspirin in it to balance the PH level because it is very alkalinity and the baby aspirin is an acid that brings it down, a lot of research to figure that one out too, but I just put the baby aspirin in an ounce of filtered water to dissolve and pour it in the baby shampoo) but anyway it was the only thing I wasn’t sensitive to and yes you are right it is something that continues to progress and makes you sensitive to all chemicals. I went a year without coloring my hair to allow it to rest. And now I will only foil it leaving 1/2″ of roots showing. This has devastated me beyond. I have just started using rogaine and the hairmax comb (for scalp health) I don’t think the comb helps with hair regrowth but it does seems to help with scalp health. It is a miracle I can use rogaine but it does seem to be helping. I use the women’s 2% every other night. Good luck with your regrowth. You are right on with the PPD and I think it is much more common than people think!
Hair is a cutaneous appendage - just like sweat glands and oil glands. As a result, dermatologists treat ALL forms of hair loss not just the most common form, androgenetic alopecia. There are many forms of alopecia - alopecia areata, telogen effluvium, lichen planopilaris, congenital hypotrichosis.....to name a few. The treatment and management of all hair loss disorders is an integral part of a dermatologist's training and board certification. -Dr. Keaney
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.
I have recently noticed my hair thinning about a year ago. I was 19 when it stated and I am now 20. I have seen well over 10 different doctors including dermatologist, gynecologist and your normal everyday doctor. They have done thousands of dollars worth of blood work on me and they have yet to figure out what is going on. I went from loosing 20 hairs a day to 100 and talk about wanting to cry every night. I have lost over 50% of my hair and everyone including my parents blow me off like it completely normal. My doctors have strung me out in every medicine and when that didn’t work they thought it was all in my head. They told me that it’s normal to lose hair and that it will eventually stop. I’ve had doctors laugh and blow me off, I’ve had doctor to prescribe me depression medicine and a psych. I feel like I’m alone and no one understands what I’m going through. I went from being the funny outgoing person who didn’t care what people think to a self conscious and antisocial person I don’t know. It’s been the worst year of my life, sometimes it feels like a nightmare. I just hope the next doctor I see will give me hope that one day I’ll have my think pretty long hair that I use to have.
Hair changes about as fast as grass grows, which is to say it’s extraordinarily slow and not visible to anyone checking impatiently in the mirror every day. But during regular follow-up appointments, Harklinikken uses high-tech equipment to photograph and magnify the scalp and count new hairs and active follicles, which motivates users to adhere to the regimen. Too many people give up on treatments like Rogaine and low-level-light devices before they’ve had a chance to work, Dr. Senna said.
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i am a mother of a 10 yr old beautiful daughter who at this moment has started to lose some hair on her eyebrows.. at first i thought it was just skin disorder because it started out as an round and whitish spot on her left eyebrow…and only applied ointment on it. but then i statrted to notice that her eyebrows are have seen to not look normal and both end of her eyebrows are gone … and so i immediately took her to a dermatologist and with just one look at her through a lighted mirror ( i think) she told me – its alopecia.. due to stress, – that really shocked me…she’s a happy ten year old girl.. attending grade school.. she’s my only child … day and night we are together..so i am very secured in knowing that if she has any problem in school or with her friends – she would tell me as she always does.. and then the doctor showed me pictures od bald older men and told me that sometimes _ alopecia showed itself in men’ s mustaches.. sideburns… etc. then she gave us a prescription for an ointment to use on her brows 2 x a day and get back at her after two weeks.
Laser treatments are the latest frontier in staving off hair loss, and they’ll be the first choice for fans of sci-fi. As silly as they may sound, these treatments do work — the American Journal of Clinical Dermatology in 2014 reported a “statistically significant difference” in hair density with no “serious adverse events” or side effects.The bad news: Laser treatments tend to be expensive, progress is slow, and they don’t always produce stellar results.
Telogen effluvium occurs when the normal balance of hairs in growth and rest phases is disrupted, and the telogen phase predominates. The disproportionate shedding leads to a decrease in the total number of hairs. Axillary and pubic areas often are involved, as well as the scalp.2 The hair-pluck test usually shows that up to 50 percent of hairs are in the telogen phase (in contrast to the normal 10 to 15 percent), although these results can vary in persons with advanced disease.4 The patient often is found to have had inciting events in the three to four months before the hair loss (Table 4).1,4 If 70 to 80 percent of hairs are in the telogen phase, the physician should look for causes of severe metabolic derangements, toxic exposures, or chemotherapy.1,4 No specific treatment for hair loss is required because normal hair regrowth usually occurs with time and resolution of underlying causes. Lack of significant historical events and a delay in regrowth should raise suspicion for syphilitic alopecia.1
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.
Alopecia areata is not contagious. It occurs more frequently in people who have affected family members, suggesting heredity may be a factor. Strong evidence of genetic association with increased risk for alopecia areata was found by studying families with two or more affected members. This study identified at least four regions in the genome that are likely to contain these genes. In addition, alopecia areata shares genetic risk factors with other autoimmune diseases, including rheumatoid arthritis, type 1 diabetes, and celiac disease. It may be the only manifestation of celiac disease.
In contrast to trichotillomania, traction alopecia involves unintentional hair loss secondary to grooming styles. It often occurs in persons who wear tight braids (especially “cornrows”) that lead to high tension and breakage in the outermost hairs (Figure 10). Traction alopecia also occurs commonly in female athletes who pull their hair tightly in ponytails. The hair loss usually occurs in the frontal and temporal areas but depends on the hairstyle used. Treatment involves a change in styling techniques. Other hair-growth promoters may be needed in end-stage disease, in which the hair loss can be permanent even if further trauma is avoided.1
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.
Too much stress is bad for health and beauty, but did you know there’s a known connection between stress and hair loss, too? Constant stress can cause cortisol levels to spike, which can contribute to increased hair shedding. To relieve stress and its damaging effects on your hair, try meditation, regular exercise, keeping a regular sleep schedule, or any other activity that helps you decompress.
Other medical conditions — most commonly telogen effluvium and seborrheic dermatitis — can also cause hair loss, but most people can trace their follicular woes back to androgenetic alopecia, so we focused our search there. We started with more than 200 products, including all-natural solutions and high-tech gadgets, while skipping treatments that focus only on volumizing or thickening hair. We also limited our scope to the scalp, and left out specialty products designed only for eyebrows or beards.
One more disease that causes hair loss is male pattern baldness. About two out of three men, experience hair loss by their age of 60 and most of the time, the hair loss is because of male pattern baldness. Such type of hair loss, caused by a combo of genes and male sex hormones, usually follow a classic pattern where the hair recedes at the temples, thus leaving an M-shaped hairline.
I’m a dermatologist and am more interested in telogen effluvium these days because I have it bad–and this time it’s not because I just had a baby. I’m learning more about the gut-skin-hair connection and am suspicious that it has to do with the bacterial flora in your gut. You can learn more about changing your gut flora at BodyEcology.com. Her book is intense but I’ve decided to give it a try after recommending it and seeing it work so well with acne patients.
Alopecia areata typically causes a few temporary bald patches on the scalp. It tends to run in families and often strikes in childhood. The hair loss seems to be part of an immune system problem, in which the body's natural defences mistakenly attack its own tissue. Once the hair has fallen out in certain spots, new growth is suppressed for weeks or months. This type of alopecia sometimes affects people who have other "autoimmune" diseases like thyroid disease, lupus, or pernicious anemia. Sometimes, it may produce complete scalp baldness (alopecia totalis) or total loss of body hair (alopecia universalis).
The trick about all of these hair-loss products and treatments is that they’ll stop working as soon as you stop using them. “They have to be ready for a lifetime commitment,” says Rieder. But, just like brushing your teeth, as long you keep on keeping on with the scientifically proven preventative treatments, those hairs on your head should be just fine.
This blog is great in all the support and understanding it provides, but I had a pretty hard time finding any suggestions for treatments that have actually helped anyone. I’m 22 and my hair has been rapidly shedding over the past 5 months. It’s also gotten thin and brittle. After 2 blood screenings, a dermatologist visit, and a visit to my general practitioner, nothing has improved. The doctor’s told me to wait it out, and that sometimes this “just happens”. They tested my hairs and saw that most of them were in the “resting” telogen phase, and decided I had Telogen Effluvium (TE) for undetermined causes.
The follicles on the sides of the scalp are more genetically resistant to DHT, which is why male pattern baldness often results in a “crown” of hair. But its downsides are serious. “With women, finasteride is not an option,” says Dr. Wolfeld. “It’s not FDA-approved for women to take, so we don’t prescribe it.” In fact, due to the drug’s effect on hormone levels, pregnant women are advised to not even touch broken or crushed tablets.
in the meantime, no matter how awful i feel, i have to remind myself that my hair is just a small extension of who i am. i can’t, and shouldn’t, regardless of what the public media says, allow myself to be so superficial. i have my health, my family, a boyfriend who loves me and thinks i’d still look “cute with a shaved head”. that’s what matters. not those who judge you by your hair. there are children, people dying from things that can be controlled, reversed, and/or prevented . the damn double standard of being born a woman. men look dashing, a la Patrick Stewart, with bald heads. society needs to accept the same for women. i have my moments of weakness, today especially. when i just want to ball up and sob and scream “why me”. but as long as i do my best, make sure my health is good overall, then i have to come to peace that it’s something i cannot control or prevent. i may be able to do so for a little while, but that alone is stressful. i’m just trying. thanks for reading. peace and love to you all.
Ann, I’m so sorry to hear about your home. That breaks my heart for you. I wish you the best in recovery of your home and blessings on your finances. But I do have to say I think that only losing 20 sounds like a dream! I absolutely know that my TE was triggered by PPD in hair dye. I only wish that I would have figured it out sooner. I was forewarned with itching for a year, no dandruff flaking or anything just itching and that was my body trying to heal itself against the allergy and the all hell broke lose on my head! Please keep me posted propecia; I wouldn’t even look for any improvement for 6 months though. But please be here when you do see it! Have a blessed day!
Hello all!!!! I would suggest all you havent been checked for pcos, to do so!!!! Its prob the issue. It reaks havoc on a womens hair and body. I take saw palmetto and my bc pills everyday and have been happy with results. Saw palmetto is used to stop testostrone from turning into ht with causes . the follicle to shrink and not be able to support a healthy hapr so it bdeaks off and eventually falls out. Ive heard good things about. Hairessentils vitamins
Speaking of a new style: Don’t choose one that’s so high maintenance that it needs to be heat styled daily—the damage you’ll do with too much hot tool usage can leave strands damaged and fried, and breaking before it can grow to a certain length. Plus, thinner hair tends to break easier, so you want to avoid any extra damage-inducing practices at all costs. Make a conscious effort, too, to brush more gently, and use a moisturizing and reparative hair mask to hydrate hair and nourish the scalp—where hair gets most of its strength.
Not surprisingly, treatments with 5 percent minoxidil work better than treatments with 2 percent minoxidil. A randomized clinical trial published in the American Journal of Clinical Dermatology in 2002 found that, in men with androgenetic alopecia, “5 percent topical minoxidil was clearly superior to 2 percent topical minoxidil and placebo in increasing hair growth.” The difference was actually pretty astounding — after 48 weeks, the men who used 5 percent minoxidil experienced 45 percent more hair growth than the men who used the 2 percent treatment.
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.
Lichen planopilaris, a type of alopecia, occurs when a common skin condition, called lichen planus, affects the scalp. Lichen planopilaris may cause a dry, flaky rash to appear on the skin that causes hair on the scalp to fall out in clumps. The scalp may also become red, irritated, and covered in small white or red itchy, painful, or burning bumps.
Hi I need help I am not sure what doctor I need to see, one day I started to have lots of back pain and my lower left side real bad I went to bed and when i shower lots of my hari started to fall off, I mean I loose my hair but not as much and I just wanted to cry when I saw lots and lots coming out. My hair is so thin now and you can see the bald spots im ony 35 and Im not sure if its my hormones or not. Can someone help me and let me know which doctor is best to see for hair loss