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Hair Loss and Care

Hair loss males and females

It goes without saying that female pattern hair loss and care – regardless of gender – can be devastating. It can dent a person’s self-esteem and negatively affect their overall quality of life.

Hair loss, also called alopecia, is a disorder caused by an interruption in the body’s cycle of hair production. Female pattern hair loss and care can occur anywhere on the body, but most commonly affects the scalp. On average, the scalp has 100,000 hairs that cycle through periods of growing( anagen), resting(telogen), falling out(catagen), and regenerating.
Most people lose 50 to 100 hairs per day as part of this natural cycle.
If this cycle is disrupted, or if a hair follicle is damaged, hair may begin to fall out more quickly than it is regenerated, leading to symptoms such as a receding hairline, hair falling out in patches, or overall thinning.

If you’ve noticed your hair is falling out more than usual, looks thinner, or seems to be growing more slowly, here are some of the most common reasons for Female pattern hair loss and care.

• Genetic
• Nutritional deficiency
• Physical and mental stress
•Prolonged illnesses such as tuberculosis, cancer etc
• Infections
• Post pregnancy
• Medications
• Autoimmune diseases

Hair & Scalp quality also gets affected by our lifestyle in this region. Regular blow-drys, colour, treatment such as Keratin, straightening and perms deplete natural oils, leaving hair dry, brittle and in need of more care to ensure hair don’t lose their lustre.

Dermatological treatment solutions for stronger, healthier hair
We at The skin clinic thoroughly evalute each and every patient for the underlying causes for Female pattern hair loss and care offer customised solutions in the form of medications (topical and oral),other therapies like Mesotherapy,PRP and diet.

Female Pattern Hair loss and care

This type of hair loss has a strong genetic predisposition.
In FPHL,there is diffuse thinning of hair on the scalp due to increased hair shedding or a reduction in hair volume, or both. It is normal to lose up to 50-100 hairs a day. Another condition called chronic telogen effluvium also presents with increased hair shedding and is often confused with FPHL. It is important to differentiate between these conditions as management for both conditions differ.
FPHL is easily distinguishable from female pattern hair loss and care which usually begins with a receding frontal hairline that progresses to a bald patch on top of the head.

Male pattern hair loss/ Androgenetic Alopecia

One in every five men face hair loss before the age of 30 years and the most common type of hair loss is male pattern baldness also known as androgenetic alopecia. It is a hereditary type of Female pattern hair loss and care. It ordinarily takes 5-10 years to go fully bald.
Normally, hair starts thinning (subside) along the edges followed by a round bald patch at the crown area which continuously gets bigger. The receding sides and the bald patch on the crown extend and merge together leaving a bald area at the front of the scalp.

Treatments

Oral medications like Finasteride and Dutasteride tablets
• Topical solutions like Minoxidil and Procapil Therapy: Minoxidil therapy is one of the most popular ways of treating the problem of hair loss in both men as well as women. Minoxidil therapy is effective in controlling hair loss and promotes hair growth.Regrowth of hair occurs after 3-6 months of applying minoxidil.
• PRP (Platelet-rich Plasma) Therapy:PRP (Platelet-rich Plasma) therapy is a popular treatment for Female pattern hair loss and care problem. It includes 3 steps. First, the e a small amount of blood is withdrawn and then it is processed in a centrifuge. the plasma rich in platelets will be injected on the scalp at the follicle level.
• Dermarollers: Dermaroller treatment is done for hair growth.It energizes the hair follicles by stimulating blood flow.It can be combined with PRP.

Alopecia areata

Alopecia areata is an autoimmune condition that causes partial or complete Female pattern hair loss and care. It can affect any hair bearing body areas. Common affected areas are scalp,beard ,moustache even eyebrows and eyelids.

Dfferent types of alopeia areata are
• Alopecia areata totalis: loss of all the hair on the scalp
• Alopecia areata universalis: loss of hair over entire body.
• Diffuse alopecia areata is a sudden thinning of hair rather than lost patches.
• Ophiasis alopecia areata causes hair loss in a band shape around the sides and back of your head.

Treatments

1. INTRALESIONAL CORTICOSTEROID INJECTIONS
This method of treatment — the most common form of treatment for alopecia areata — uses corticosteroids that are injected into bare patches of skin with a tiny needle. These injections are repeated about every four to six weeks till the complete regroth of hair is achieved.
2. TOPICAL MINOXIDIL
With this form of treatment, a 5% topical minoxidil solution is applied once or twice a day to help stimulate hair growth.It doesn’t work alone but has to be combined with topical and intralesional steroids.
3. TOPICAL CORTICOSTEROIDS 
In alopecia areata, corticosteroids are thought to decrease the inflammation around the hair follicle and help to stimulate the hair regrowth.

Other adjuvant therapies are Mesotherapy,PRP and Dermaroller.

Telogen effluvium

Telogen effluvium is a common, transient form of Female pattern hair loss and care that can be due to medication, pregnancy, hypothyroidism, or some type of physical or psychological stressor such as surgery or a severe illness.

In the normal scalp, hairs are on varying cycles of resting (telogen) and growing (anagen) phases. With one of the above or other stresses to a person, it is possible for a significant number of hairs to convert to the resting phase. This usually is seen about 3-6 months after the stressor.
Some medications that commonly cause telogen effluvium are anti-seizure medications, beta-blockers for high blood pressure, and anti-thyroid medications.
There is no particular treatment for this as hair re-growth almost always occurs.
Many chemotherapy drugs are expected to cause Female pattern hair loss and care. Growing hairs in anagen phase are affected in this case. This type of hair loss is reversible.

Trichotillomania

Trichotillomania is self-induced plucking or breakage of hair that is often done subconsciously. It often occurs in children or adolescents.
In young children, this is often more like a habit that will eventually resolve on its own, but in adolescents, psychiatric treatment may be indicated.

Dandruff

Dandruff is a common scalp condition in which small pieces of dry skin flake off of the scalp.

Signs and symptoms of dandruff are
• At times, the scalp can be itchy
• Greasy or dry scales on the scalp
• Yellowish to reddish scaly raised bumps along the hairline (in severe cases)

Causes and risk factors for Dandruff
There are various possible causes, such as
• Seborrheic dermatitis,
• Allergic reactions,
• Psoriasis and Eczema.
• People with oily scalp skin are more prone to develop dandruff.

Various factors increase the risk of developing dandruff, including a person’s age, the weather, stress levels, medical conditions, and choice of hair products.

Treatment

If dandruff and itching are severe and persistent, or if symptoms worsen, it may be a good idea to see a doctor. They may identify an underlying problem that will respond to a specific treatment.

Cicatricial/Scarring Alopecia

Scarring alopecias are typically caused by inflammation that results in destruction of the hair follicle leading to irreversible Female pattern hair loss and care. If the condition is treated early in the disease course, it is sometimes possible to regrow hair.

Causes of hair follicle destruction include fungal infection, chemicals such as hair relaxers, mechanical traction, and inflammatory disorders which include discoid lupus erythematosus, lichen planopilaris, dissecting cellulitis, tufted folliculitis, folliculitis decalvans, alopecia mucinosa, central centrifugal cicatricial alopecia, and acne keloidalis.

There are many treatments for these varying conditions and are often specific to the particular condition.

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