Why does pubic hair fall out? Is groin hair a sign of brutality? Symptoms of female pattern baldness

If you notice that the hair on your body has suddenly thinned out, don’t rush to rejoice that the problem of unwanted hair has resolved itself. Sudden loss of body hair can be a sign of serious disorders in the body. Therefore, if you have always been characterized by increased body hair, but at one point you discovered that the hair on your body began to thin out more and more, then this may be a symptom of the following diseases.

Skin diseases

If you experience hair loss on any part of your body, the first step is to check for a number of skin diseases. A number of skin diseases, the first sign of which is sudden loss of body hair, include:

  • Follicular keratosis is an infectious disease characterized by inflammation of the hair follicles.
  • Dermatitis is an inflammatory process on the skin.
  • Eczema/seborrhea – characterized by inflammation, redness and itching.
  • Ringworm.

As a rule, hair begins to fall out at the initial stage of the above diseases. Therefore, as soon as you notice that the hair on your body has suddenly begun to fall out, immediately, without delay, contact a dermatologist, because curing all these diseases at the initial stage is much easier than if you start treatment in the later stages of the disease. In most cases, after recovery from these diseases, hair growth is restored. However, it is also not uncommon for hair to no longer grow.

Damage and trauma to the skin, thermal and chemical burns can also cause hair to stop growing on the affected area of ​​the skin forever.

Hormonal disorders

Body hair growth is regulated by hormones. Therefore, hormonal imbalances can also be the cause of sudden body hair loss.

Hypothyroidism is a thyroid disease in which the amount of hormones produced by the thyroid gland is below normal. With this disease, there is a sharp loss of hair not only on the body, but also on the head. The same can be observed with hyperthyroidism, a disease in which the amount of thyroid hormones is higher than normal. Thyroid diseases are also accompanied by symptoms such as fatigue, irritability, sleep disturbances, and sudden changes in weight. In principle, a thyroid examination should be done at least once a year. With proper timely treatment of hypo- or hyperthyroidism, lost hair, as a rule, grows back.


If your thyroid gland is normal and hair on your body and scalp continues to fall out rapidly, this may also indicate that your body is experiencing an increase in the level of the hormone dihydrotestosterone. In this case, the hair follicle is affected. Over time, the follicles “dry out” and die. In most cases, this phenomenon is irreversible, so if you do not want to lose your hair, you need to regularly check the level of dihydrotestosterone in the body.

Lack of dehydroepiandrosterone (adrenal androgen), the most important hormone contained in human blood. This hormone is involved in building muscles and is responsible for their strength and endurance. Its deficiency can also lead to rapid hair loss on the body. Accompanied by decreased libido and muscle weakness. A decrease in the level of this hormone in the blood can be caused by age-related changes, taking antifungal and contraceptive medications, stress, etc. Immediately get tested to check the level of dehydroepiandrosterone and begin treatment.

Menopause

Upon reaching menopause (most often at the age of 45-55 years), a woman’s body experiences complex changes in the body, and above all, hormonal changes. The level of the aforementioned dehydroepiandrosterone, as well as estrogen and progesterone, decreases significantly, so the quality and quantity of hair on the head and body in women also changes for the worse. Hormone therapy will help the body maintain hormonal levels within normal limits, so if you are approaching the onset of menopause, make sure to start taking hormone therapy on time.

Medicines

We often hear the saying that with medicines we “treat one thing and cripple another.” Taking certain medications can have a negative effect on hair growth throughout the body. Chemotherapy ranks high among the list of treatments that cause hair loss on the scalp and body. However, there are a number of other medications that cause sudden hair loss. For example, some antibiotics, anti-acne drugs, antifungals, anti-inflammatory drugs, arthritis drugs, antidepressants, birth control and hormonal drugs, immune system inhibitors, blood clotting drugs, anticonvulsants to treat epilepsy, blood pressure drugs, blood loss drugs weight, treatment of Parkinson's disease, gout and indigestion. If you are taking any of the above medications. Strictly follow the dosage prescribed to you. An overdose can cause sudden baldness of large areas of the body and head.

Cirrhosis

Causes severe hair loss in the bikini area and armpits. Cirrhosis can be caused not only by excessive alcohol consumption, but can also be inherited, be a consequence of hepatitis B or C, obesity, or even certain infectious diseases. If this disease is not treated immediately, it can even lead to death.

Addison's disease

With this disease, hair also falls out predominantly in the armpits and pubic area. There is also a decrease in libido. Occurs as a result of malfunction (insufficiency) of the adrenal glands. With the rapid development of the disease, a person feels chronic fatigue, muscle weakness, digestive system disorders, decreased blood pressure, changes in skin pigmentation, etc. Long-term treatment is required. Hair usually grows back quite a long time after treatment.

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Telogen effluvium

This form of baldness is characterized by a reduction in the number of active hairs and an increase in the number of “dormant” hair follicles not only on the head, but also on other parts of the body, including on the pubic part of women. Therefore, the hair growth area noticeably thins, and the hairs themselves become weak and easily torn out.

Telogen effluvium can occur in two forms:

  • chronic;
  • acute.

In the acute form, hair loss in intimate places can last for six months, after which, as a result of therapy or on its own, it goes away and hair density is restored. If a patient has a chronic form of telogen effluvium, hair may fall out for several years.

With telogen effluvium, complete hair loss does not occur, but hair density noticeably deteriorates. The affected areas can be anywhere where hair grows - on the head, on the body and even on the pubic area.

Telogen effluvium can occur due to a number of reasons.

  1. Changes in hormonal levels. This often occurs in women after the birth of a child, when the amount of estrogen in the body sharply decreases. This is a temporary phenomenon that will eventually go away in about a year, and with subsequent pregnancies the hair loss will become less severe. Problems with hormones can also arise due to stress or low protein levels in the blood.
  2. Health problems.
  3. Strict diet.
  4. Recent acute infection.
  5. Large blood loss.
  6. Increased body temperature for a long time.
  7. Recent injuries or surgery.

Chronic telogen effluvium can occur due to:

  • iron and zinc deficiency;
  • a lot of stress;
  • long-term use of medications harmful to hair;
  • chronic diseases.

To cure thermogenic hair loss, you need to choose the right medications. To do this, the dermatologist may need your:

  • biochemical blood test with a focus on analyzing the state of metabolism in the body;
  • blood test for vitamins and minerals;
  • trichogramma;
  • hair analysis.

Hypopituitarism

Women may experience pubic hair loss due to hypopituitarism. At the very beginning of the development of this disease, representatives of the fair sex may complain that they are no longer interested in sex and a certain frigidity arises. After some time, their menstrual cycle is disrupted, and hair falls out in the armpits and pubic area.

If a woman has hypopituitarism, which is caused by a tumor of the pituitary gland, then she may also have symptoms such as:

  • headache;
  • blurred vision;
  • bitemporal hemianopsia.

When the patient’s hypothalamus is affected, then the following symptoms are added to pubic hair loss:

  • diabetes insipidus;
  • lack of appetite;
  • sleep problems;
  • failures in body temperature regulation;
  • drowsiness;
  • indifference to life;
  • periodic psychoses.

The appearance of patients is also specific:

  • pale skin;
  • thin hair;
  • there is no hair on the armpits or pubic area.

With hypopituitarism, patients' endocrine system suffers, which causes the adrenal glands to work poorly, sexual functions and thyroid function decrease.

When a woman has a deficiency of gonadotropic hormones, she:

  • sexual desire decreases;
  • disruptions in the regularity of the menstrual cycle occur;
  • hair thinning in the armpits and pubic area;
  • mammary glands atrophy;
  • changes in the external and internal genital organs.

Other causes of hair loss

Pubic hair loss in women should in no way be considered an accident or a normal process. Their hair follicles are stronger than anywhere else on the body, so they definitely won’t come out from vitamin deficiency.

Pubic hair may fall out due to:

  • depriving;
  • sexually transmitted diseases;
  • frequent waxing.

From waxing, when the master pulls out hair from the roots every three weeks, some hair follicles do not have time to recover, so much less hair can grow.

If a woman is not keen on aggressive hair removal methods, and her hair is noticeably thinning and falling out, then she should consult a doctor, who will definitely advise you to take general blood tests, checking it for vitamins and nutrients, and also analyze laboratory hair structure.


Only after this, when the cause of the loss has been established, can you begin treatment.

Hair is an excellent indicator of the health of the body. If they fall out in large quantities on the pubic area, then, most likely, something wrong is happening to your body. Therefore, we do not recommend delaying this issue; if you are experiencing pubic hair loss and are experiencing headaches, lack of sexual desire, or there are disruptions in the menstrual cycle, then be sure to consult a doctor to identify the disease before it develops too much.

Modern women greet the reduction in the density of pubic hair with enthusiasm, since according to the current standard of beauty, the less there is, the more attractive the female body. Therefore, when they fall out, not everyone rushes to visit the doctor. But, such pubic hair loss can be a signal of serious health problems, so it is better to play it safe and get checked by a doctor.

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Experts identify several factors that negatively affect hair health:

  • Many problems in the human body are associated with a lack or excess of certain hormones. In the female body, estrogen is responsible for the health and beauty of hair. With its deficiency, hair begins to noticeably fall out, growth slows down, and the strands become darker. This usually occurs after long-term use of contraceptives, after the birth of a child, or with the onset of menopause (in older women). In the first case, carefully study the instructions for the drug; most likely your problem is its long-term use. It might be worth taking a break. In the case of childbirth and menopause, it is best to consult a specialist.
  • In addition, the use of antidepressants, diuretics or aspirin can affect hair health. You should also be careful with these drugs.
  • Frequent use of hair dyes, perms, curlers, straightening irons, hair dryers, curling irons, etc. also negatively affects the appearance and health of your hair. Therefore, it is necessary to limit the use of various styling products. And in cold seasons, apply a special heat-protective spray to your hair or wear hats.
  • Constant diets and exercise have a bad effect not only on the health of the hair, but also on the entire body as a whole. The main element that is necessary for hair growth is iron. A simple blood test will help determine its deficiency. In case of low hemoglobin, the diet should include dried apricots, almonds, seaweed, green beans, beef liver, and plums.

  • Another negative factor is stress, lack of mobility, sleep and nutritional disturbances. They cause dry hair, dandruff and subsequent hair loss. Create a daily routine for yourself and stick to it: exercise, don’t skip meals, go to bed on time.
  • Hair can also become weak and brittle due to impaired blood supply. Good blood flow delivers the vitamins and minerals it needs to the hair roots. If this is not done, the hair gradually loses its strength and begins to fall out. Massage can help with this. Do it regularly and limit your consumption of coffee and alcohol.

The human body is almost completely covered with hair. Moreover, the main area of ​​the skin will be smooth and hairless. This especially applies to the female body. In fact, in women, hair follicles, like in men, are located everywhere except on the feet and palms. It’s just that for the most part the hairs on the body are light fluff. Under the influence of a number of reasons, hair can become coarser, grow more intensely, appearing where it should not be, causing discomfort to a woman.

But sometimes the reverse process occurs. Hair falls out, and sometimes does not grow at all where it traditionally should be. For example, sometimes women's pubic hair does not grow. The complexes that arise in this case are not the biggest disadvantage. It is important to understand whether there is another, more dangerous problem or disease behind this pathology. Meanwhile, possible causes of this phenomenon include:

All of these causes are quite dangerous and difficult to treat. In some cases, therapy comes down to maintaining the body’s activity as much as possible. If we are talking about congenital pathologies, then a woman’s (girl’s) hair is absent from birth or grows in clumps. Moreover, sometimes this applies to the entire hairline, as, for example, with alopecia, or to the area of ​​the pubic zone and armpits, as with hypopituitarism. Sometimes disorders are acquired. In this case, the hair partially or completely falls out, and subsequently does not grow, or grows weakly and fragmentarily.

Alopecia

This disease leads to loss of hair follicles. As a result, hair on the body, including the head, pubic area and other areas, grows rarely or disappears completely. In this case, eyebrows, eyelashes, etc. may be equally absent. Also, with alopecia, the nail plates, teeth and skin are often affected. The main thing you need to know about this disease is that it is irreversible. To minimize the consequences of alopecia, it is necessary to begin treatment as soon as the first symptoms are detected. Most often this happens in infancy. This state can be described as follows:

Timely treatment can prevent a significant number of problems. This is what concerns congenital alopecia. The acquired form of the disease manifests itself mainly in the area of ​​the scalp and has an indirect relation to the pubic triangle. Therefore, if in adulthood women’s pubic hair does not grow, while the hair on the head is more or less satisfactory, the cause should be sought among other pathologies. And first of all, the possibility of pituitary dysfunction should be excluded.

Hypopituitarism

This disease can be congenital or acquired. Its essence lies in the disruption of the functioning of the brain appendage - the pituitary gland. As you know, the pituitary gland is responsible for the production of a number of hormones that affect growth, reproductive function, etc. In particular, the hormone responsible for hair growth occurs here. The degree of hypopituitarism depends on the location of the traumatic effect, as well as on its extent relative to the pituitary gland. In other words, the external manifestations of hypopituitarism depend on the strength, area and direction of the damaging effect. Symptoms of the disease include:

  • hair loss in the armpits and pubic area up to complete baldness;
  • lack of sexual desire, frigidity;
  • muscle tissue atrophy;
  • growth of adipose tissue;
  • pain during menstruation.

Thus, if we are talking about the fact that pubic hair and armpit hair have stopped growing, then most likely there is a disruption in the functioning of the hypothalamic-pituitary system.

A variety of reasons can provoke such a failure. One of the most dangerous is malignant formation or metastases in the pituitary gland. In this case, treatment prognosis is very ambiguous. First of all, it is necessary to determine whether the existing tumor is operable. If possible, the tumor must first be removed. Then undergo long-term treatment aimed at suppressing the signs of cancer and compensating for the consequences of pituitary dysfunction.

If pubic hair does not grow after childbirth, then the cause of hypopituitarism may be excessive blood loss during the process of resolving pregnancy. This process can lead to poor circulation and damage to the pituitary gland. It should be noted that these consequences are irreversible, therefore, compensatory drugs are prescribed as treatment to replenish the missing hormones. Unfortunately, this measure is prescribed to a woman for life.

Clinical picture. In the early period of development of hypopituitarism, patients complain of decreased sexual desire and potency, menstrual disorder, hair loss in the axillary areas and pubic area. In hypopituitarism caused by a tumor of the pituitary gland or hypothalamus, symptoms associated with the presence of the tumor predominate (headache, blurred vision - decreased visual acuity, bitemporal hemianopsia). When the hypothalamus is damaged, symptoms appear that indicate a change in its function - diabetes insipidus, disturbances in appetite, sleep, and regulation of body temperature. Drowsiness, apathy, and psychosis often occur, which are also caused by damage to the central nervous system. Patients usually have a normal diet. The skin is pale. Hair is sparse. There is no hair in the armpits or pubic area.

Damage to the endocrine system manifests itself in a decrease primarily in the functions of the reproductive and thyroid glands, and the adrenal cortex.

With a decrease in the function of the gonads (deficiency of gonadotropic hormones) in women, libido decreases, the menstrual cycle is disrupted (oligo-, amenorrhea), hair falls out in the axillary areas, on the pubis, atrophy of the mammary glands, external and internal genital organs occurs, and in men impotence, hypoplasia of the genital apparatus, azoospermia, hair loss on the face, axillae and pubic areas.

Insufficient secretion of TSH in adults is manifested by symptoms of hypothyroidism (dry skin, bradycardia, persistent constipation, hypothermia), which in children are accompanied by delayed physical and mental development.

With a decrease in the function of the adrenal cortex (insufficient secretion of ACTH), pronounced muscle weakness, weight loss, often nausea and vomiting, arterial hypotension in the absence of skin pigmentation, a tendency to hypoglycemia, usually hyponatremia, a tendency to collapse with little physical activity and various stressful conditions are observed.

Insufficient secretion of GH leads to progressive atrophy of smooth and skeletal muscles and internal organs (splanchnomicria). Sheen's syndrome develops in women gradually, gradually, acquiring a chronic course. The clinical picture of the disease is often dominated by sexual disorders and symptoms of thyroid insufficiency with pastiness and sometimes swelling of the face and limbs. Pathological changes in Sheehan's syndrome are mainly associated with hypothyroidism (apathy, depression).

In some cases, patients with hypothalamic-pituitary insufficiency may develop hypothalamic-pituitary coma. The development of coma can be provoked by physical and mental trauma, surgery, anesthesia, hypothermia, careless or unreasonable use of drugs (morphine, promedol, etc.), insulin, barbiturates. Due to a deficiency of thyroid and adrenal hormones, these patients do not develop adaptive reactions in response to stressful situations. The pathogenesis of hypothalamic-pituitary coma is mainly due to progressive hypothyroidism and hypocortisolism. Coma is preceded by increasing general weakness, adynamia, drowsiness, severe dyspeptic disorders - loss of appetite up to aversion to food, uncontrollable nausea and vomiting, abdominal pain, persistent constipation or diarrhea, hypothermia, bradycardia, hypotension, drop in blood sugar concentration, water electrolyte disorders - dehydration, hyperkalemia, hyponatremia; stupor. Coma develops gradually.

Human hair is regularly renewed. It is considered normal when 50 to 100 hairs fall out every day, and hundreds of new ones grow in their place. But sometimes they come out in clumps, including on intimate parts of the body. Let's take a closer look at why pubic hair falls out.

Causes of pubic baldness

The presence of hairs on the pubic area is typical for both men and women. This is one of the main signs of puberty. The higher the hormone level, the more abundant the hair growth. Its density is also due to genetic predisposition.

Rough vegetation causes dissatisfaction among many, since they have to fight with it: cutting, shaving or doing painful hair removal. If you find that your pubis has suddenly begun to go bald, you shouldn’t be happy that the problem of excess hair has resolved itself.

The appearance of alopecia indicates the presence of serious disorders. At the same time, pubic hair loss in women occurs for the same reasons as hair loss in the groin in men.

So, why has the hair in this intimate area become thinner?

Hormonal problems

It is under the influence of hormones that the growth of body hair begins during adolescence. A lack or excess of certain hormones responsible for body hair affects its amount.

For example, in women after childbirth or during menopause, the amount of estrogen may sharply decrease, and the pubis will begin to peel off. In men, rapid baldness occurs with a sharp jump in testosterone.

It is worth noting why pubic hair falls out in a teenager or does not grow, and what to do in this case. Losing hair at such a young age indicates serious problems with hormonal levels and the body’s unpreparedness for sexual life.

In order for a teenager to have the opportunity to have children in the future, he will need to undergo a course of treatment. To do this, you will have to visit a specialized physician - an endocrinologist.

Diseases







Diseases that cause baldness:

  • seborrhea;
  • venereal diseases.

To make an accurate diagnosis, you will need to undergo a full range of tests. If one of the above diseases is detected, it is important to begin treatment as soon as possible to avoid subsequent complications.

Past illnesses and surgeries

During acute infectious diseases, natural processes in the human body are often disrupted, which can negatively affect the functioning of the immune and hormonal systems.

Surgical operations performed under anesthesia also lead to baldness.

Severe stress

Every person regularly faces stressful situations at work and at home. Personal grief, difficulties in a team, difficult childbirth or a love drama - the list of reasons for worries is individual for everyone.

Under the influence of negative factors on the nervous system, disruptions occur in the functioning of the reproductive, immune and digestive systems, which leads to disastrous consequences. So pubic baldness is not the worst thing that can happen due to stress.

Taking medications

A number of drugs contain chemical components that can have a negative effect on the body and provoke dysfunctions responsible for pubic hair.

The following medications affect the amount of pubic hair:

  • antibiotics;
  • antidepressants;
  • amphetamines;
  • antifungal drugs;
  • beta blockers;
  • contraceptives;
  • steroids;
  • anti-inflammatory drugs;
  • drugs for chemotherapy.

Aggressive external factors

Some people care about the perfect hairstyle not only on their heads, but also on their pubic area. However, excessive exposure to chemicals can negatively affect hair growth and structure.

Alopecia is caused by:

  • coloring;
  • bleaching;
  • perm;
  • styling products.

Strict diets

Constant diets for weight loss with a meager, monotonous diet will help tidy up your figure, but are accompanied by a high risk of causing severe damage to your health.

Constant restriction of foods and lack of a balanced diet cause vitamin deficiency, a lack of useful microelements necessary for the correct functioning of the body. Most often, alopecia is caused by iron deficiency.

To increase the hemoglobin level in the blood, iron-containing foods are included in the daily diet, such as:

  • seaweed;
  • beef liver;
  • dried apricots;
  • almond;
  • pomegranate, etc.

Wrong lifestyle

Neglect of a healthy lifestyle causes serious harm to the body. Violation of diet and sleep, inactivity, lack of physical activity, and walks in the fresh air cause insufficient blood supply to the hair.

As a result, the hair first becomes dry, lifeless and brittle, and then falls out completely.

Conclusion

In most cases, severe baldness requires specialized therapy. To effectively and quickly get rid of alopecia, it is better not to waste time on self-medication, but to immediately trust an experienced medical specialist, overcoming embarrassment.

The doctor will order tests and competently draw up an individual treatment plan for pubic baldness.

Hair grows from follicles at an average rate of about 15 mm per month. Each hair grows from 2 to 6 years, and the rest then falls out. New hair soon begins to grow in the same place as before. At any time, about 85% of hair is growing, and the remaining 15% is temporarily resting from the growth process.

Baldness occurs when hair falls out and normal, healthy new hair does not grow back in its place. The reason why new hair does not grow in women (female pattern baldness) is not fully understood, but it may be due to the following:

- aging; - changes in the level of androgens (male hormones). For example, many women find that once they reach menopause, the hair on their scalp becomes thinner, while the hair on their face (such as their eyebrows) becomes thicker, coarser; - a family history of male or female pattern baldness.

The hair cannot completely fall out, since it is constantly dying, but exceeding the established standards is unacceptable. The main reason for their loss (alopecia disease) is health, but not only that.

Types of baldness in women

An increase in the level of testosterone in a woman’s blood (this is a male hormone) leads to partial baldness.

Androgenetic alopecia is a type of baldness that has a genetic cause. It manifests itself as a decrease in the amount of hair, mainly on the top of the head.

Alopecia areata is baldness where hair falls out in strands, forming patches, the cause is not yet clear.

Signs of male alopecia

In humans, hair loss is a normal and natural process. Normally, a person loses 50-100 hairs per day. The life of each hair is limited - it is 4-5 years, then it dies off at the root to allow new, strong and strong hair to grow. How to check if baldness has started?

How to identify the problem

The main sign of alopecia in men is an increased number of hairs falling out from the bulb. They are found in large quantities in the bathroom after washing your hair, on the pillow after sleep and on shirt collars.

To determine alopecia in men, the Hamilton-Norwood scale, developed in the middle of the last century, is used.

The scale, presented in the form of a step-by-step diagram, predicts the further process of baldness and helps trichologists develop individual treatment. Alopecia stages:

It is necessary to constantly monitor the condition of your own hair, especially if there is a genetic predisposition to baldness. It is possible to cope with the problem of alopecia, but only if you know the causes and types of pathology. How to understand what type of baldness a man is experiencing and what caused the problems?

Types of alopecia

How many types of baldness are there? Trichologists classify alopecia into five main groups. It is important to know the features of pathologies - the treatment of the problem depends on this. It is easy to distinguish between types of baldness.

Androgenetic. The most common type.

This type belongs to alopecia, transmitted at the genetic level. By nature, men have increased testosterone in their bodies.

These hormones break down over time. A side effect of the natural hormonal breakdown of testosterone is the formation of dihydrotestosterone (DHT).

DHT is a powerful hormonal steroid, its high content leads to dire consequences. Due to hormones and increased levels of dihydrotestosterone, cancerous tumors begin to form, prostate hyperplasia develops, and baldness begins.

There is a concentration of DHT on the skin and hair follicles. The bulbs respond negatively to the presence of the steroid hormone - the hair shaft stops growing and dies ahead of schedule.

How hair falls out. Strands with androgenetic alopecia die off in shreds, starting from the crown area and on the forehead. The hair in the area of ​​the back of the head and temples remains unchanged. With androgenetic alopecia, the head itches and seborrhea often develops.

What to do. For this type of baldness, hair transplantation is effective. To support the transplantation, an individual treatment method is being developed aimed at strengthening and regenerating the strands that remain in the problem area and have become thin.

Diffuse. This type of baldness holds the second position in prevalence. The main causes of alopecia of this type:

  • Skin diseases.
  • Inflammatory diseases.
  • Chronic infectious diseases.
  • Thyroid diseases that provoke hormonal disorders.

How hair falls out. With diffuse alopecia, thinning affects the entire surface of the head. The situation gets worse when the androgenic factor is added to the causes of diffuse baldness.

What to do. Trichologists with diffuse alopecia treat transplantology with caution - hair transplantation does not give the desired result, but only has a cosmetic effect. In this case, special attention is paid to the treatment of pathology.

Scar. This is a rare type of baldness (it is diagnosed in 2-3% of cases). Baldness develops from damage to the hair follicles. Scar tissue forms at the site of injury, causing hair to fall out in clumps. The causes of such alopecia include:

  • Skin and infectious diseases.
  • Tight hairstyles (afro braids, dreadlocks).
  • Chemical, thermal burns of the head.
  • Oncological diseases.
  • Surgical interventions on the head.
  • Injuries leading to the appearance of scars.

Scarring alopecia can develop at an early age. It is diagnosed even in children.

Nest. Or focal. This type of baldness spreads in separate areas (foci). The causes of alopecia areata include many factors: infections, traumatic brain injuries, autoimmune diseases.

How hair falls out. Areas of baldness affect not only the scalp; in some places the whole body goes bald (in the groin, on the chest, on the arms and legs, under the arms, on the beard). As the pathology develops, the foci of baldness merge with each other, forming large areas.

What to do. Men with alopecia areata require constant monitoring by trichologists. Hair transplantation is rarely resorted to - only in cases where baldness does not spread.

Generalized. Or total.

Alopecia of this type is the extreme stage of development of alopecia areata. With this pathology, a person completely and abruptly loses hair.

Generalized alopecia begins with a sudden loss of strands, after 3-4 months the man becomes completely bald all over his body. Even vellus hair falls out on the stomach, testicles, legs and arms.

Symptoms of female pattern baldness

Hair thinning and baldness in women is different from male pattern baldness. For female pattern baldness:

- hair thins mainly in the upper part of the head, the “crown”. It usually begins with an extension towards the center of the hairline; - the front hairline remains; - hair loss rarely progresses to complete baldness, as happens in men.

Itching or skin ulcers on the scalp are usually not observed.

Diagnosis of female pattern baldness

Female pattern baldness is usually diagnosed based on:

- establishing other causes of hair loss; - appearance and structure of hair loss; - medical history of the patient.

Treatment of female pattern baldness

Hair loss from female pattern baldness will become permanent if left untreated. Most cases of hair loss in women are mild to moderate. A woman will not need treatment if she changes her hairstyle or wears a wig.

The only approved drug to treat female pattern baldness is Minoxidil, which is used on the scalp.

For most women, it can, on the contrary, slow down or stop hair loss. Treatment is expensive, so patients need to continue using the medicine.

Hair loss begins again when the patient stops taking Minoxidil.

Women who do not respond to Minoxidil can also take Spironolactone. Spironolactone may help women whose hair loss is caused by excess androgen male hormones.

However, this drug is not approved for female pattern baldness because it may increase potassium levels in the blood and cannot be used for people with kidney failure or who are pregnant.

Hair transplantation involves removing tiny samples of hair from areas where hair is thicker and placing them in balding areas. This may cause minor scarring where the hair is removed and carries some risk of skin infection. Many typically require transplant sessions, which can be expensive. However, the results are often favorable and permanent.

The use of artificial fiber hair implants has been banned due to high rates of skin infection. Sewing (sewing) hair on the scalp is also not recommended. This can lead to scarring, infection and scalp abscess.

Weaving your hair, wearing chignons, or changing your hairstyle can disguise hair loss and improve a woman's appearance. This is often the cheapest and safest way for a woman to deal with hair loss.

There are many medications available to treat female pattern baldness. However, their use is quite rare due to the fact that drugs designed to solve the problem comprehensively do not generally pass the necessary tests for quality, effectiveness and safety.

Meanwhile, it is worth paying close attention not only to the presence of the disease, but also to its prevention. Systemic treatment may change hormonal levels.

A preliminary examination will help to identify the cause that leads to alopecia in each specific case. And to avoid hormonal changes, external medications are mainly used.

After all, it may be that the male hormone in the female body is normal, and sensitivity to it is increased. In this case, an incorrectly selected treatment regimen for female pattern baldness can greatly undermine the unstable hormonal balance.

Any disease is easier to treat at the initial stage. Alopecia is no exception, since it is easier to strengthen hair follicles than to restore damaged material.

So that the follicle begins to “bear fruit”, being weakened, strengthening agents are used, the action of which is based on controlling the level of male hormones so that the latter “do not become willful.”

When the follicle is “sleeping,” the corrective medicine helps it gather strength to produce strong hair.

Antiandrogens used as strengthening agents are quite insidious. The fact is that they stop working after you stop using them.

In this case, there is no cumulative effect, when the beneficial effect of the medicine persists after the end of its use until the next course.

The cumulative effect allows further actions to be planned as preventative ones. And if you stop taking antiandrogens, the vitamin-mineral balance will be disrupted and cannot be adjusted except by resuming the drug.

Female pattern baldness negatively affects self-esteem. A correctly selected set of measures to treat this problem will prevent the development of an inferiority complex.

To prevent the process of baldness from developing into a pathological irreversible form, it is necessary to visit a trichologist if there are minor signs of alopecia.

Treatment of this type of disease will be successful if the patient is given complex treatment with various groups of medications, physiotherapy and traditional medicine are prescribed.

Androgenetic type of baldness is quite difficult to treat, and a woman will need to undergo courses of treatment up to several times a year throughout her life, since the disease is characterized by relapses.

The doctor’s task is to identify the cause of the disease and, based on the indicators obtained after diagnosis, select an effective treatment. An important component for successful treatment is the correction of hormonal levels in women.


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