Female baldness | Androgenetic alopecia in women

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Female baldness, also referred to as female androgenetic alopecia, is a much more extensive phenomenon than you might expect.

Every individual loses hair. It is a physiological process that affects men as much as women.

Studies show that on average a woman loses 100 to 120 hairs per day and there is nothing worrisome about this phenomenon.

As analyzed in previous articles, each hair follows a lifecycle and, once lost, is replaced by a new hair.

In some cases, however, you begin to notice a real thinning or exposure of certain areas of the scalp. Baldness in women may represent the symptom of a medical condition or may have hereditary nature.

Below we review the main types of female pattern baldness:

Typical of the post-pregnancy period or extreme stress, is the Telogen Effluvium.

It also occurs following major surgery, generally from 6-12 weeks after the same, or because of a diet too strict that subtracts the body the vitamins needed for proper functioning.

The life cycle of the hair accelerates, reaching the telogen phase more quickly.

Telogen Effluvium can also occur as a side effect of medications such as anti-inflammatories, antidepressants and beta blockers.

Female pattern baldness also goes by the name of androgenetic alopecia

Androgenetic alopecia is the most common cause of baldness, although it is rarer among women and affected to a greater extent by men.

It is a condition that depends on genetic factors, generally occurring after entering puberty.

Androgenetic alopecia is related to the excessive sensitivity of hair follicles to the action of androgenic hormones.

For this reason, women with hyperandrogenism are more prone to forms of alopecia. Generally, hyperandrogenism is manifested by acne, higher than normal hirsutism, lowered voice tone, obesity, etc.

An additional trigger is a thyroid dysfunction.

The thyroid is an endocrine gland responsible for brain and skeletal development, the hair system and genital organs, as well as the proper functioning of the metabolism.

Millions of people suffer from thyroid disorders, especially women. If you are suffering from hypothyroidism or hyperthyroidism, your body is affected by improper hormone production, which results in changes to metabolism, hair and nail growth.

Medications to counteract thyroid dysfunction stop hair loss, although not in the very short term.

Ludwig’s Scale to classify female pattern baldness.

Experts in the field refer to the so-called Ludwig Scale to define the degree of advancement of female pattern baldness.

Unlike male pattern baldness, which is generally characterized by a retreat of the frontal line, female pattern baldness generally affects the vertex area and rarely the parietals, leaving the hairline intact.

It is, of course, essential to see a specialist as soon as the first signs of this occur. There are several pharmacological options aimed at slowing down and controlling the involution process of the hair follicle.

Among the topical drugs include the minoxidil, estrone sulfate and azelaic acid. The goal is the inhibition of the enzyme 5-alpha-reductase, which is responsible for the synthesis of testosterone into dihydrotestosterone.

Systemic therapies are generally prescribed in the presence of hyperandrogenism.

After understanding the underlying cause of baldness, the specialist will be able to prescribe the most appropriate treatment for you.

If you are prone to androgenetic alopecia, female pattern baldness or excessive hair loss, you can contact Dr. Andrea Marliani of Florence, an expert in women’s hair problems.

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