Hormonal Hair Loss: Gradual Thinning Of Hair In women, androgenic alopecia begins with a gradual widening of the part line, followed by increased thinning starting at the top of the head. “A patient may begin to notice a thinner ponytail or may say 'I see more of my scalp,'” St. Surin-Lord says.
Many people want to know if hormonal hair loss can be reversed. The answer is yes! Fortunately, unlike genetic hair loss, most hair loss caused by hormonal imbalances is reversible.
In both sexes, the specific hormone responsible for hair loss is the same: dihydrotestosterone (known as “DHT”), a hormone that your body produces as a byproduct of testosterone.
As with male pattern baldness, female pattern baldness comes from hormone imbalances, specifically dihydrotestosterone imbalances, or DHT. This hormone is similar in structure to testosterone, but it is significantly more potent [3]. DHT can attach to receptors on the hair follicles, causing the follicles to shrink.
There are several hormones which you can screen in case of having massive hair loss. They are Prolactin, Testosterone, DHEA, luteinizing hormone and follicular stimulating hormone. Thyroid Level Test: This is another most important test which you can go for; they are T3, T4, and TSH.
A blood test is one of the most common ways to test hormone levels. This test can detect testosterone, estrogen, cortisol, and thyroid levels. You should order a test that's specific to your gender, as a women's hormone test will look for different levels of sex hormones than a men's test.
Both men and women can develop hormonal imbalances that can cause hair to thin or fall out. Often, treating the imbalance helps your hair regrow. Although most people think of estrogen or testosterone when they think of a hormone imbalance, issues with your thyroid can also lead to hair thinning.
Women with too much dihydrotestosterone may develop increased body, facial and pubic hair growth (called hirsutism), stopping of menstrual periods (amenorrhoea) and increased acne. Abnormal changes to the genitalia may also occur in women with too much dihydrotestosterone.
DHT: The hormone behind hair loss
It can also be made from DHEA, a hormone more common in women. DHT is found in skin, hair follicles, and the prostate. The actions of DHT and the sensitivity of hair follicles to DHT is what causes hair loss.
With telogen effluvium, it is common for hair to grow back within 3 to 6 months after the cause has been dealt with. Sometimes, the rate of shedding slows down but does not stop entirely. In most cases, no more than 50 percent of the hair is lost.
Estrogen and progesterone can help keep your hair in the growing (anagen) phase. Therefore, these hormones can help your hair stay on your head longer and may even help your hair grow faster. This may be why many women notice their hair thinning starts to improve with estrogen replacement therapy.
Hormone Therapy Can Help Treat Hair Loss
If your hair loss is attributed to hormone imbalances, such as lower estrogen levels, a physician might prescribe a form of hormone therapy as treatment. There are different forms of hormone therapies, so some treatment methods might be more suitable for you than others.
How Do I Know If My Hair Is Falling Out Due To Stress? More than 100 strands of hair clogging your shower drain or on the hair brush is a sure shot sign of hair loss. In telogen effluvium, you will notice hair thinning on the scalp. With alopecia, you may notice bald patches of hair on the scalp.
Lifestyle factors could include using certain hair products, wearing your hair up too tightly, experiencing high stress levels, or not getting enough of certain vitamins and minerals in your diet. People who have immune system deficiencies could also have thinning hair.
Only riboflavin, biotin, folate, and vitamin B12 deficiencies have been associated with hair loss.
A Receding Hairline Is a Symptom of High DHT
Variations in the androgen receptor (AR) gene can make some people more susceptible to the effects of of DHT. In males, this form of hair loss usually follows a characteristic pattern, starting with a receding hairline.
So, by age 20, around 20 per cent of men may experience its onset, rising to 30 per cent of 30 year olds and 40 per cent of 40 year olds. Interestingly, figures for hair loss by the age of 50 appear to vary wildly depending on which country you are in.
Getting a blood test is the most common way to establish your DHT levels, but a saliva panel test is considered more accurate. These tests are not generally available through your GP although your doctor should be able to point you in the direction of a specialist who can run these tests for you, privately.
Most kits allow you to check your hormone levels at home by sending you a kit with a small lancet. This device pricks a small hole in your finger, allowing you to collect a small drop of blood for testing. Some kits may also use saliva or urine samples.
Pull Test and Tug Test
This simple test measures the severity of hair loss. During a pull test, a dermatologist grasps small sections of hair, about 40 strands, from different parts of the scalp and gently tugs. If six or more strands fall out, you have what's known as active hair loss.
Yes, a blood test can diagnose alopecia. Your doctor may order several blood works to determine the cause of the hair loss along with a scalp biopsy. In most cases, the particular lab tests your doctor could depend on accompanying symptoms or recent life changes you have.