How to reduce hair loss?
A 45-year-old woman experiences heavy menstrual flow and has been losing dozens of hairs every time she brushes her hair since she was young.
The more unkempt her hair is, the more it falls out, sometimes exceeding a hundred strands, and she can lose over 300 strands in a single wash.
As a result, she prefers to wash her hair only every 3 to 4 days (her hair falls out as soon as it comes into contact with water).
Medical reports often state that losing 100 hairs a day is normal, so she hasn't thought much of it.
However, over time, this excessive hair loss has led to thinning hair, while her peers still have thick hair.
She is seeking advice on whether a blood test can identify the cause of her hair loss and if there are treatments available.
Tu Tou, 40~49 year old female. Ask Date: 2016/11/16
Dr. Li Yufen reply Dermatology
Hello: Regarding female hair loss, you can refer to the articles on the Dermatologist Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=133 and http://www.drskincare.com.tw/Qa/Detail.aspx?ID=76.
It is recommended that you find a nearby dermatologist at http://www.derma.org.tw/user_finddoctor.php.
Thank you!
Reply Date: 2016/11/16
More Info
Understanding hair loss, especially for women over 40, can be a complex issue influenced by various factors, including hormonal changes, genetics, lifestyle, and underlying health conditions. As women age, particularly during and after the perimenopausal phase, they may experience significant changes in their hair density and quality due to fluctuations in hormone levels, particularly estrogen and progesterone.
Common Causes of Hair Loss in Women Over 40
1. Hormonal Changes: As women approach menopause, the decrease in estrogen can lead to hair thinning. Estrogen is known to promote hair growth and prolong the hair growth phase. When its levels drop, hair may enter the shedding phase more quickly.
2. Genetics: Female pattern hair loss (androgenetic alopecia) is hereditary and can manifest as thinning hair across the scalp. If women in your family have experienced hair loss, it may be a contributing factor.
3. Nutritional Deficiencies: A lack of essential nutrients such as iron, vitamin D, and certain B vitamins can lead to hair loss. Women with heavy menstrual cycles may be more prone to iron deficiency, which can exacerbate hair thinning.
4. Stress: High levels of stress can trigger a type of hair loss called telogen effluvium, where hair follicles enter a resting phase and shed more than usual. Stress management techniques, such as mindfulness, exercise, and therapy, can be beneficial.
5. Medical Conditions: Conditions such as thyroid disorders, autoimmune diseases (like alopecia areata), and polycystic ovary syndrome (PCOS) can also contribute to hair loss. It’s essential to consult with a healthcare provider to rule out these conditions.
6. Hair Care Practices: Frequent washing, harsh hair products, and heat styling can damage hair and lead to breakage. It’s important to use gentle hair care products and minimize heat exposure.
Solutions and Treatments
1. Consult a Dermatologist: If you are experiencing significant hair loss, it is advisable to consult a dermatologist who specializes in hair disorders. They can perform a thorough examination and may recommend blood tests to check for deficiencies or hormonal imbalances.
2. Nutritional Support: Ensure you are consuming a balanced diet rich in vitamins and minerals. Consider consulting a nutritionist to help identify any deficiencies and create a tailored dietary plan.
3. Topical Treatments: Minoxidil (Rogaine) is an FDA-approved topical treatment that can help stimulate hair growth in women. While it may take several months to see results, it can be effective for some individuals.
4. Stress Management: Incorporate stress-reducing activities into your routine, such as yoga, meditation, or regular physical exercise. These practices can help mitigate the effects of stress on hair loss.
5. Hormonal Treatments: For women experiencing hair loss due to hormonal changes, hormone replacement therapy (HRT) may be an option. Discuss this with your healthcare provider to weigh the benefits and risks.
6. Hair Transplantation: In cases of significant hair loss, surgical options such as hair transplantation may be considered. This involves moving hair follicles from a denser area to the thinning areas.
7. Gentle Hair Care: Adopt a gentle hair care routine. Use sulfate-free shampoos, avoid excessive heat styling, and minimize the use of tight hairstyles that can pull on the hair.
Conclusion
Hair loss in women over 40 can be distressing, but understanding the underlying causes is the first step toward finding effective solutions. By consulting with healthcare professionals, adopting a healthy lifestyle, and considering appropriate treatments, many women can manage their hair loss effectively. Remember, it’s essential to be patient, as hair regrowth can take time, and results may vary from person to person.
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