Many women face hair loss at any time of their lives. Hair loss can be secondary to many reasons. Unfortunately, the emotional and psychological consequences in women are more severe compared to men, because the common social belief mandates strong and beautiful hair for women throughout their lives. Therefore, baldness is not an acceptable condition for women at any stage of the life. Hair loss has direct effects on social life and psychology of the person, but it can be treated with various modalities, while hair transplant surgery is an option for permanent hair loss cases.
REASONS OF HAIR LOSS IN WOMEN
AGA (Androgenetic Alopecia) is secondary to genetic predisposition and concentration of androgen hormone in body and it is the most common cause of hair loss in women, as is the case with men; the condition usually begins in menopausal period after the age of 40. It is manifested by thinning and loss of hair. The male hormone testosterone, which is secreted from the ovaries and adrenal glands, is responsible for this condition. Although it is much less synthesized compared to men, it interacts with the 5-alpha-reductase enzyme found in the capillary bulb and converts to dihydrotesterone (DHT). DHT leads to thinning and eventually loss of hair. Since concentration of 5-alpha-reductase is low in women, hair loss is significantly less compared to men.
Pregnancy, giving birth, birth control pills and thyroid diseases, which have direct effects on hormones, are also the factors that lead to hair loss in women.
Traction-type hair loss is, unfortunately, another common cause. Hair loss is also caused by ponytails and hairstyles that stretch hair backwards as well as use of tight combs for a long time.
Anemia and low blood iron levels are also among the most significant causes of hair loss in women. Hair loss recovers when they are corrected.
It has been reported that hair loss can be also a side effect of drugs used in cancer, gout, hypertension, arthritis, heart problems and depression.
The conditions that result in heavy stress and emotional trauma are also potent factors that cause sudden hair loss in scalp and trunk. A father, who learned that his son had been imprisoned, presented to our clinic for hair loss that occurred within 2 days even in the eyelashes. In such cases, psychological support will be one of the important steps to solve the problem.
It is also reported that irregular eating habits and excessive weight loss can be important underlying factors.
“Ludwig Scale” is the most common classification used for hair loss in women.