Hi, I'm a 26 year old female with hair loss lasting 13 months. No deficiencies, no thryoid issues. A dermatoloist diagnosed TE in Sept ('definitely not AGA') - I've just had a second appointment (different dr) who has diagnosed 'definitely' androgenic alopecia. I'm awaiting results for PCOS. No hair loss in any gender in my family and it seems to be diffuse with no clear pattern (that I can see). I'm unsure what to do next - is there anything I can look for to find a true diagnosis? Thank you!
Answer: CTE or AGA - what is my diagnosis? You need to consult with a dermatologist who specializes in hair loss. Your family history does not really matter much and does not sway me either way. An up close examination of the scalp is what is needed. Your blood tests are nice to have and are important - but also do not sway the diagnosis. Androgenetic alopecia in women is associated with reduction in hair density with evidence of follicular miniaturization (if far enough along).The hair loss can be diffuse in some women and the frontal zones often have a slightly greater degree of thinning than the back, but the back certainly can be thin and so can the sides. Androgenetic alopecia gives increased shedding of hair in early stages which complicates things sometimes and leads to the misdiagnosis of TE. If there is any uncertainty, get a biopsy of the scalp. If read by a dermatopathologist who specializes in hair samples, the two can be distinguished. You may of course, have both conditions as many women do.
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Answer: CTE or AGA - what is my diagnosis? You need to consult with a dermatologist who specializes in hair loss. Your family history does not really matter much and does not sway me either way. An up close examination of the scalp is what is needed. Your blood tests are nice to have and are important - but also do not sway the diagnosis. Androgenetic alopecia in women is associated with reduction in hair density with evidence of follicular miniaturization (if far enough along).The hair loss can be diffuse in some women and the frontal zones often have a slightly greater degree of thinning than the back, but the back certainly can be thin and so can the sides. Androgenetic alopecia gives increased shedding of hair in early stages which complicates things sometimes and leads to the misdiagnosis of TE. If there is any uncertainty, get a biopsy of the scalp. If read by a dermatopathologist who specializes in hair samples, the two can be distinguished. You may of course, have both conditions as many women do.
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Answer: Female hair loss- what's the reason? · I think your next step is to see a hair restoration specialist to obtain a bit more history in terms of onset and progression of hair loss. But more importantly, you need a microscopic evaluation to assess distribution of hair loss, document miniaturization and take a good look at the scalp itself. On occasion a scalp biopsy may be necessary.
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Answer: Female hair loss- what's the reason? · I think your next step is to see a hair restoration specialist to obtain a bit more history in terms of onset and progression of hair loss. But more importantly, you need a microscopic evaluation to assess distribution of hair loss, document miniaturization and take a good look at the scalp itself. On occasion a scalp biopsy may be necessary.
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February 21, 2017
Answer: Androgenic Alopecia or Chronic Telogen Effluvium? Female pattern hair loss or genetic alopecia is the most common reason of hair loss in women and it is more common than it is thought to be. 25% of the women at the ages of 35-40, 50% of the women at the ages above 40 suffer from hair loss. 20% of the women with hair loss have a positive relative who suffered/is suffering from hair loss. Other reasons of hair loss are: Hypo- and hyper-tiroidism (hair loss may be one of the early signs of thyroid dysfunction, and hair loss stops after treatment); polycystic ovarian syndrome (an inherited ovarian disease, seen in 10% of the women during adulthood); pregnancy-related hormonal changes (temporary hair loss which can be seen during pregnancy stops after birth).. The reason of the hair loss may related with factors other than genetic like connective tissue disorders, stress, anemia, lupus, medications, hormonal and seasonal changes, nutritional problems, severe diets, bulimia, protein/calorie deficiency, zinc and essential amino-acid deficiency, mal-absorption (intestinal and digestive problems), A-vitamin excess, general anesthesia, affective mood disorders. Drugs that may cause hair loss in woman Anti-coagulants such as warfarin and heparin Epilepsy drugs, especially dilantin Gout drugs, allopurinol and colchicum Antihypertensive drugs, diuretics, beta blockers.... etc So you have to have a full exam with an hair surgeon, internalist and/or endocrinologist to find out any reason for hair loss.
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February 21, 2017
Answer: Androgenic Alopecia or Chronic Telogen Effluvium? Female pattern hair loss or genetic alopecia is the most common reason of hair loss in women and it is more common than it is thought to be. 25% of the women at the ages of 35-40, 50% of the women at the ages above 40 suffer from hair loss. 20% of the women with hair loss have a positive relative who suffered/is suffering from hair loss. Other reasons of hair loss are: Hypo- and hyper-tiroidism (hair loss may be one of the early signs of thyroid dysfunction, and hair loss stops after treatment); polycystic ovarian syndrome (an inherited ovarian disease, seen in 10% of the women during adulthood); pregnancy-related hormonal changes (temporary hair loss which can be seen during pregnancy stops after birth).. The reason of the hair loss may related with factors other than genetic like connective tissue disorders, stress, anemia, lupus, medications, hormonal and seasonal changes, nutritional problems, severe diets, bulimia, protein/calorie deficiency, zinc and essential amino-acid deficiency, mal-absorption (intestinal and digestive problems), A-vitamin excess, general anesthesia, affective mood disorders. Drugs that may cause hair loss in woman Anti-coagulants such as warfarin and heparin Epilepsy drugs, especially dilantin Gout drugs, allopurinol and colchicum Antihypertensive drugs, diuretics, beta blockers.... etc So you have to have a full exam with an hair surgeon, internalist and/or endocrinologist to find out any reason for hair loss.
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January 26, 2018
Answer: Conflicting dermatologist diagnoses - Androgenic Alopecia or Chronic Telogen Effluvium? I can imagine your frustration at getting such disparate diagnoses. Did anything change between the two visits? Assuming you don't have PCOS, a full evaluation by a dermatologist who specializes in hair loss (not all do) that includes a biopsy of your scalp would be beneficial.
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January 26, 2018
Answer: Conflicting dermatologist diagnoses - Androgenic Alopecia or Chronic Telogen Effluvium? I can imagine your frustration at getting such disparate diagnoses. Did anything change between the two visits? Assuming you don't have PCOS, a full evaluation by a dermatologist who specializes in hair loss (not all do) that includes a biopsy of your scalp would be beneficial.
Helpful 1 person found this helpful
January 26, 2018
Answer: Telogen Effluvium or Androgenetic Alopecia See a Doctor who specializes in hair loss and can perform a digital microscopic scalp analysis for you. These two types of hair loss are very different in their presentation. Androgenetic alopecia is characterized by miniaturized hair which you will clearly see under the microscope. Telogen Effluvium causes hairs to fall out and you will see empty follicles instead. Make sure you see someone who can show your scalp up on a big screen so you can see for yourself too.
Helpful 2 people found this helpful
January 26, 2018
Answer: Telogen Effluvium or Androgenetic Alopecia See a Doctor who specializes in hair loss and can perform a digital microscopic scalp analysis for you. These two types of hair loss are very different in their presentation. Androgenetic alopecia is characterized by miniaturized hair which you will clearly see under the microscope. Telogen Effluvium causes hairs to fall out and you will see empty follicles instead. Make sure you see someone who can show your scalp up on a big screen so you can see for yourself too.
Helpful 2 people found this helpful