I am a 27 year old female who has been losing my hair for the last 2 years. Any suggestions? (photos)

Question

I noticed my hair loss when I started using wellbutrin. I also take a daily vitamin and haven't gone off the Wellbutrin for the last 2 months

Anil R. Shah, MD · Answer

Hello, there are options to treat female hair loss. Please see below. There are multiple solutions to hair loss for women that are nonsurgical including:
Rogaine- There is a specific formulation for women
Supplements- This includes but not limited to Viviscal and Nutrafol which contain marine extract and anti-inflammatory substances to promote hair growth
PRP- Platelet rich plasma can promote hair growth and is a nonsurgical procedure in the office
Low level laser- Can promote hair growth in some patients
Regenerative medicine- There are additional growth factors which can be injected to promote hair growth
Seek advice from an expert or team of experts. 
Best,
Dr. Anil Shah

Jason Emer, MD · Answer

Thinning Hair -- Rogaine, Propecia, Viviscal, Progesterone, PRPIf you have thinning hair you really need an evaluation to see if it is genetic or from another cause like stress or autoimmune.  If it is determined to be genetic there are many options and traditional treatments like rogaine foam and propecia pills can be used.  I have great success in my practice using injectable progesterone and prp to the scalp.  Postmenopausal women also benefit from spironolactone.  I suggest seeing a dermatologist with expertise in hair loss.  Best, Dr. Emer.

Jae Pak, MD · Answer

If you would like a medical opinion, a doctor needs to examine you first.  A doctor may ask you questions pertinent to your hair loss taking a medical history.  A doctor may even order blood tests or make measurement such as a bulk test or miniaturization test looking at your hair under a microscope. Afterwards, the doctor may give you a diagnosis and explanation of your hair loss condition offering possible treatment options.

Jeffrey Epstein, MD, FACS · Answer

Besides female pattern genetic hair loss, we often find that there are other contributing causes to your hair loss.  You require a full evaluation by an experienced hair specialist who can proper diagnose and treat you.

Jeff Donovan, MD, PhD · Answer

Without seeing your scalp up close for miniaturization, signs of regrowing hairs and other features as well as knowing all your story and seeing all your blood test results, it's just not possible to determine the cause of your hair loss.Wellbutrin has the "potential" to cause hair loss but it is rare. Wellbutrin, if it causes hair loss in a given person, causes hair loss all over the scalp not in a defined area like the frontal scalp.Genetic hair loss on the other hand frequently causes thinning to appear right in the middle of the frontal scalp.I would strongly advise that you see a dermatologist specializing in hair loss to confirm you diagnosis or diagnoses.

William Rassman, MD (retired) · Answer

For women with genetic hair loss runs in families on the woman's side
(mother, sister, grandmothers etc...), but most female hair loss occurs because
of some underlying cause such as birth control pills, some medications that are
used, and a variety of other diseases that shock the hair into miniaturization.
A typical knowledgeable doctor will examine you, determine the distribution of
your hair loss, see if it is uniform or patchy, take a careful history from you
and order a variety of blood tests to include the following. You must see a
good doctor for this assessment:

Sex Hormone tests

SHBG (Sex Hormone
Binding Globulin) used to test status of male hormones

Estradiol is a sex
hormone

FSH (Follicle
Stimulating Hormone) *not hair follicle but follicle in the ovary*

LH (Luteinizing
Hormone) is a sex hormone

Free Testosterone

Total Testosterone

ANA (Anti Nuclear
Antibody) used to test for Lupus or other autoimmune diseases

TSH (Thyroid
Stimulating Hormone) used to test for hyper or hypo-thyroid disease

Test Iron status

TIBC (Total Iron
Binding Capacity)

Ferritin

IronIf this all proves ok then frontal hair loss can be treated with a hair transplant such as you are demonstrating. Alternatively, women can be effectively treated with scalp micropigmentation (see web reference below)

I am a 27 year old female who has been losing my hair for the last 2 years. Any suggestions? (photos)

Answers (6)

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