Hair loss in women: which doctor should be treated, how to prevent?

Hair loss is a natural process, but increased loss of curls is a pathology. Consider the types and causes of baldness in women, methods of treatment and prevention of alopecia. Increased brittleness and hair loss is not only a cosmetic defect, but also a sign of certain disorders in the body. The problem can be connected with diseases of internal organs, deficiency of useful substances, chronic pathologies.

[1], [2], [3], [4], [5]

Epidemiology

According to medical statistics, about 30% of women face pathological hair loss. The age of alopecia is different, but most often the problem makes itself felt after 40 years.

In 90% of cases, baldness is associated with a genetic predisposition and hormonal failures in the body. Very often, alopecia in women occurs due to improper care of locks and their frequent trauma, because of stress, unhealthy lifestyle and as a side effect of drug therapy.

[6], [7], [8], [9], [10]

Risk factors

Alopecia in women occurs for a variety of reasons, both internal and external. There are also a number of risk factors, the effect of which contributes to the appearance of the problem of alopecia, consider them:

• Pregnancy and the postpartum period - hormonal changes lead to a deficiency of minerals, vitamins and other useful substances, which negatively affects the condition of ringlets, nails and skin.
• Chronic diseases - any systemic pathologies (rheumatoid arthritis, intoxication, endocrine and infectious diseases) are accompanied by hair loss and other disorders in the body.
• Polycystic ovary is a woman's disease caused by dysfunction of the main sex glands. Because of a deficiency in the production of estrogens and the prevalence of testosterone, there is hirsutism and the problem of focal alopecia.
• Anemia - iron deficiency in the body leads to a deterioration in the condition of the scalp, nails, and skin. This problem occurs due to blood loss during menstruation, with increased physical exertion, extreme weight loss, vegetarianism.
• Hypothyroidism - a decrease in the function of the thyroid gland entails thinning and fragility of the strands. Shevelura becomes less common, menstrual cycle disorders begin, the skin becomes dry. Against this background, increased fatigue and a depressed state.
• Fungal head skin lesions - pathogenic microorganisms damage the hair follicles, which leads to nidous baldness. On the head formed rounded prollysiny, on which the curls no longer grow.
• Stress and emotional overstrain - lead to the development of vegetative-vascular dystonia. Because of the deterioration in the nutrition of the hair bulb, the problem of alopecia appears.
• Drugs - long-term therapy or incorrectly selected dosage of medications leads to alopecia and a number of other complications. The state of vegetation on the head is affected by hormonal drugs, antidepressants, laxatives, oral contraceptives. Loss of strands is a side effect of diuretics, antibiotics, anticoagulants, antitumor drugs, antidepressants, neuroleptics and a number of other medications.
• Traumatic and cosmetic factors are tight hairstyles, styling using varnish, gel and other chemicals, rough combing, staining or chemical perm, drying with a hot hair dryer. Negative impact has a long wearing of wigs and false strands, the lack of a headdress in the cold season, the abuse of caffeine and scar scarring of the scalp.
• Chemotherapy and radiation irradiation - treatment of oncological diseases causes anogenous alopecia. Adverse reaction is temporary.

In addition to the above factors, special attention should be given to various means for weight loss, since they can contain substances with a strong laxative effect. Their action disrupts the absorption of nutrients by the body, leads to anemia and vitamin deficiency.

The risk factors for female balding include genetic predisposition, hormonal leaps, living in a poor ecological environment, the physiological process of aging. The danger is also the lack of blood circulation, when the follicles do not receive the necessary amount of nutrients for normal growth and fall into a state of hibernation.

About other causes of balding in women read in this article.

[11], [12], [13], [14], [15], [16]

Pathogenesis

Hair - a threadlike keratinous appendages of the skin, formed from the epithelium. The human body is covered with more than a million hairs, about 100 thousand of them grow on the head. Their length can be from a few millimeters to one and a half meters, and a thickness of no more than 0.5 mm. Their growth and loss are the physiological processes that occur throughout life.

Despite the fact that the hair is a structure of connective tissue, it has a nervous innervation and blood supply, and also consists of several parts:

1. The stem is the visible part that is above the surface of the skin. It has several concentric layers:
   • Outer (cuticle, integumentary, scaly) - performs protective and barrier functions. It is formed by a dozen transparent keratin plates that are interconnected by transverse and lipid interlayers. Protects against mechanical and physical impact. Reflects light, so that the strands are shiny and elastic.
   • Cortex (cortex) - this is the main substance, is 80-85% of the total volume of the curl. It consists of many keratin fibers, which are tightened together by strong cross-links.
   • Medullary is the central medulla. Filled with air bubbles, providing thermal conductivity. Does not participate in chemical or physical processes.
2. The root - is in the dermis, forms a hair follicle (follicle). The bulb is a compacted structure that contains the lower part of the root - the papilla in the form of a small conical elevation. Inside the papilla are blood vessels and nerve endings that are responsible for growth and recovery. Through the nipple, the hair follicle receives nutrients.

The life of the hair is from 5 to 15 years. The rod dies and a new one appears in its place. If the bulb is damaged, then the restoration of the stem is impossible. Therefore, after its fall out, a void is formed. With extensive loss of hair, a serious problem arises, which the trichologist must deal with.

The rate of hair loss in women

Every woman, at least once in her life, but faces the problem of hair loss. Chic, thick hair is a sign of health and beauty. The structure of the hair, its density and color are individual for each person, since they are laid down at the genetic level. That is to increase the number of hair follicles naturally is impossible.

Each bulb has a development cycle:

• Update (telogen),
• Growth (anagen),
• Completion of growth or extinction (catagen).

The duration of all phases takes 2-5 years, they are repeated many times throughout life. If the cycle is disturbed during the rest phase, then this results in abundant curls and even baldness.

Normally, a woman can lose from 50 to 100 hairs a day. At the same time in the autumn-spring period and with hormonal changes, the process of prolapse is aggravated. If a day drops 15% of hair, then 85% is in the process of growth, which is the norm and does not cause concern. But this value is conditional, since the structure of the hair and the amount of pigment are important. For example, blondes have thin docs, but there are more of them than red ones, so there is more to lose.

The approximate rate of hair loss in women:

• Brunettes - 100 pcs.
• Blondes - 150 pcs.
• Red - 50-80 pcs.

The norm varies under the influence of various factors. Negatively, the condition of the head of hair is affected by chronic diseases and hormonal disruptions, improper care of locks and unbalanced nutrition. Frequent experiments with color changes and hot styling also contribute to baldness.

The mechanism of alopecia in women is directly related to causative factors and the cycle of hair growth. In its development the follicle continuously passes through such stages:

• Growth
• Completion of growth
• Peace
• New cycle

In this order they are repeated throughout life, and the duration of all phases is 2-5 years. If the bulb stops at rest, the hair dies and the new one does not grow in its place. This leads to an active and that much is important to uniform baldness.

There are several types of hair loss in women.

The pathogenesis of alopecia is characterized by the gradual formation of small bald patches, most often in the crown, head, or parting. The skin in the place of dying of the follicles acquires a peculiar glossy luster. Single hairs can grow in the center of the centers of atrophy.

[17], [18], [19], [20]

Symptoms

On average, women lose up to 100 hairs a day, indicators can vary under the influence of many factors. But the lack of hair on the comb is also a cause for concern. This is due to the fact that strands cease to fall due to the lack of new hairs. As soon as the otrosshye kosmy fall out in a natural way, there will come a sharp alopecia.

With a normal growth at the end of the hair, you can see a small thickening in the form of a white root. Trichologists distinguish a number of symptoms characteristic of alopecia. Consider the first signs of impending alopecia:

• Thickening at the tip of the hair is dark, not light.
• Hairs do not fall out at the root - a sign of the cessation of their growth and the dying of the follicle. The absence of roots can be a symptom of increased fragility.
• The number of hairs lost during the day significantly exceeds the norm.
• Growing hairs are bifurcated at the end.

Very often, women mistakenly perceive increased brittleness for the beginning of alopecia. Friability arises from the severe drying of the hair, which happens with frequent use of a hair dryer, curling curls or staining. In this case the bulbs function normally, and the broken hair gradually grows. Also , hair loss in women can testify to the presence of the disease.

[21], [22], [23], [24]

Complications and consequences

Alopecia is a fairly serious disease that, without proper treatment, leads to serious consequences and complications. Consider the main ones:

• Psychological problems - smeared hair creates problems when communicating with others. Dissatisfaction with their own appearance in conjunction with the condemning and mocking views of others leads to a depressed state, neurological disorders. Against this background, there is a significant deterioration in the quality of life.
• Dandruff - can occur simultaneously with baldness or arise after restoration of ringlets. Dandruff irritates the skin, dries it, causes itching and burning. Dead skin particles flake off the shoulders, delivering aesthetic discomfort.
• Solar burns - the intensive loss of vegetation on the head is a high risk of exposure to ultraviolet light. To protect the head from sunstroke and burns, use sunscreen and wear headwear. It is also necessary to minimize exposure to the sun.

In addition to the above problems, hair loss in women worsens the quality of life. Negative changes in appearance impose a negative impact on the process of self-realization and life in society.

[25], [26], [27], [28], [29], [30], [31], [32], [33]

Diagnostics

At the first signs of hair loss, you should seek medical help and determine the cause of the disease, thus preventing further alopecia. Diagnosis of hair loss is engaged triholog, dermatologist, endocrinologist, gynecologist and a number of other narrow specialists.

Algorithm for the diagnosis of female alopecia consists of:

1. Collection of anamnesis and analysis of patient complaints.
   • Analysis of cases of familial alopecia on the ascending line.
   • When the loss of curls (during washing, when combing) is amplified / slowed down and there are concomitant symptoms (itching, burning, dandruff, irritation, rashes).
   • Have there been cases of alopecia in the past. What factors could cause the problem, according to the patient.
   • Presence of chronic diseases and evaluation of medications taken.
2. Visual assessment of the condition of the hair and scalp.
   • Foci of alopecia and areas with broken hairs are identified.
   • A test is performed on the strength of the curls. Hairs are captured and slightly delayed, weak strands easily separated from the follicles.
   • The structure of damaged hairs is studied.
3. Laboratory and instrumental research.

In addition to the above diagnostic activities, the doctor studies the general condition of the body and the work of the immune system. The examination of the skin and nail plates, which are deformed in severe forms of alopecia.

[34], [35], [36], [37], [38], [39]

Analyzes for hair loss in women

Hair is an indicator of the health of the body. Their tarnishing, diminishing volume and falling out is a real problem requiring careful study and treatment. Particular attention is paid to laboratory diagnostics. Analyzes are aimed at establishing the level of the main hormones in the body, and also help assess the condition of internal organs.

Required tests:

• General blood analysis.
• Biochemical examination of blood.
• Analysis for infection, including STDs.
• The level of serum iron.
• The level of sex hormones.
• Hormones of the thyroid gland: TTG, T3, T4.

A set of laboratory tests determines the level of hemoglobin in the blood, with which you can diagnose iron deficiency anemia, as one of the causes of alopecia. Elevated levels of leukocytes indicate inflammatory processes in the body, pathology of the gastrointestinal tract and reproductive organs.

Biochemical analysis of blood reveals pathologies on the part of the kidneys and liver, deficiency of useful components in the body. Another important analysis is a study on thyroid hormones. Abnormalities in their normal level affect not only the condition of the hair, but also the overall health.

The change in the level of female sex hormones also affects the appearance and internal state of the body. Violation of sex hormones manifested irregular menstrual cycle, increased hair growth on the body and averaging the vegetation on the head, acne eruptions on the face and other symptoms.

[40], [41]

Norm of ferritin in women with hair loss

The water-soluble ferric hydroxide complex and apoferritin that is found in the cells of the liver, bone marrow, spleen and serum are ferritin (metalloprotein). The structure of this substance is a complex protein and contains 24 components necessary for the normal functioning of the female body. He is responsible for the normal assimilation of iron, the process of constructing red blood cells with a sufficient amount of hemoglobin.

The change in the quantitative composition of the hormone occurs when such factors act:

• Inflammatory processes in the body.
• The last trimester of pregnancy.
• Diseases of the small intestine.
• Unbalanced nutrition with a deficiency of beneficial microelements.
• Abundant menstruation and severe blood loss.

The level of ferritin depends on the amount of iron in the body. Its norm for a woman's organism over 15 years is from 10 to 150 kg / ml. To study this indicator, an analysis of venous blood is performed. One of the symptoms of a violation of the level of ferritin is hair loss. Its deficiency makes the curls brittle and dull, weakens the follicles and accelerates their dying off.

To normalize ferritin, some cosmetic procedures for hair care are not enough. Treatment should be comprehensive and work on the body from the inside. Patients are assigned a dietary table number 15 according to Pevzner for supplying the body with vitamins and microelements. Also recommended the additional use of multivitamin preparations. The course of therapy should be at least 3-4 months, that is, the period of the average life span of red blood cells. To monitor the effectiveness of treatment, it is necessary to take blood every month for analysis.

Instrumental diagnostics

To assess the condition of the hair and to identify the causes of their loss, an instrumental diagnosis is mandatory. It consists of such studies:

1. Trichoscopy

With the help of a special trichoscope apparatus, the state of ringlets is studied. Video analysis determines the density of follicles per square centimeter, the number of thinned rods, their diameter and the total number of strands. Trichoscopy allows you to identify signs of skin lesions and calculate the rate of baldness per day, individually for each person.

After the diagnosis the doctor evaluates each criterion received and their deviations from the norm. The data provide an opportunity to make a final diagnosis or serve as an excuse for further analysis.

2. Phototrichogram

This study of curls using a microscope. Allows to differentiate different types of alopecia. Determines the state of strands according to the following criteria:

• Density of hairs per 1 sq. Km. Centimeter.
• The thickness of the hair in the range of 30 microns to 80 microns and above.
• The ratio of the condition of the head of hear and the phases of its growth.
• Anisotrichosis.

In the process of diagnosis, the size of the hairs can increase 1000 times. Typically, this increase is used to assess the condition of the curl rod. Phototrichogram is carried out every week during the entire course of treatment. This is necessary to determine the dynamics of recovery of strands.

In addition to the above methods, patients are assigned ultrasound examinations of the internal organs: the thyroid gland, abdominal cavity and small pelvis. Based on the results of the diagnosis, the trichologist makes a diagnosis and draws up a treatment plan.

Differential diagnosis

In case of doubtful results of the analysis of female alopecia, differential diagnostics is necessary. The study is aimed at comparing baldness with such pathologies:

• Cicatricial changes in the scalp.
• Dermatoses and fungal infections.
• Syphilis.
• Telogen precipitation of strands.
• Trichotillomania.
• Improper care for hair.
• Iron-deficiency anemia.
• Taking medications.
• Poor nutrition and a sharp change in body weight.

To carry out differential diagnosis use a set of such analyzes:

• Microscopy on pathogenic fungi (with suspicion of trichophytosis).
• Determination of the level of cortisol (stress hormone).
• Biochemical blood test: ALT, AST, protein, bilirubin, cholesterol, sugar, alkaline phosphatase.
• Complex analysis of thyroid hormones: T3, T4, TTG, antibodies to TPO and TG, prolactin.

To exclude the psychosomatic factors of a painful condition, counseling is indicated by a psychologist.

Treatment

With the problem of hair loss, almost all women face different age periods. Treatment of alopecia depends on the factors that provoked it. To determine the causes of the cosmetic defect, a special diagnosis is carried out, aimed at studying the structure of ringlets, the presence of fungal lesions and other problems. Diagnosis and preparation of a plan of therapy is handled by a trichologist, endocrinologist and other narrow specialists.

The algorithm for treating female hair loss looks like this:

• Course of drug therapy.
• The use of special shampoos, masks, lotions, sprays, folk remedies to strengthen the curls, accelerate their growth.
• Vitaminotherapy.
• Normalization of nutrition.
• Preventive actions.

Consider the treatment of the most common causes of alopecia:

1. Fungal head skin lesions (microsporia, candidiasis, erythrasma, trichophytosis). For treatment use of local and internal use of antifungal agents. Most often, patients are prescribed such drugs: Naphthyfine, Amphotericin B, Flucanazole, Tioconazole. The main mechanism of action of drugs is the violation of the normal structure and functioning of the cell membranes of the fungus.
2. Iron deficiency anemia - this problem is based on a lack of vitamin B12 in the body. For treatment, preparations of ferrous salts (Ferroplex, Ferrogradumet, Sorbifer durules) and ferric iron (Maltofer, Biofer, Venofer, Likferr) are used, as well as vitamin preparations to stimulate erythrocyte maturation.
3. Endocrine Disorders
   • Insulin-dependent diabetes mellitus - for the normalization of glucose in the blood use insulin of different duration of action.
   • Diabetes of the second type - sulfanylurea preparations, glycoidase blockers, thiazolidinediones and other agents.
   • Diseases of the thyroid gland - a violation of its functions leads to loss of hair on the head and eyebrows. For restoration, hormone replacement therapy with analogues of the hormone T4, T3, levothyroxine sodium and their combinations is shown.
   • Hormonal disorders - with a decrease in the production of estrogens, patients are prescribed funds that replace natural hormones (Estradiol valerate, Ovestin, Femoston).
4. Skin diseases (eczema, dermatitis, psoriasis, seborrhea) - antihistamines (Fenistil, Omeril, Suprastin) and topical glucocorticoids (Dexamethasone, Fluticasone, Lokoid) are used for treatment.
5. Immunity disorders (systemic diseases, skin vasculitis, blood supply disorders, autoimmune inflammatory processes) - for stimulation of the thymus gland (Levamizol, Inosin), humoral immunity activators (Vigam, Sodium Nuclein, Lycopylid), activators of cellular immunity (Diucifon, Pentoxyl, Biotorin), interferons (Wiferon, Intron, Gamma-feron).
6. Diseases of the central nervous system (neuroses, depression, stress, increased emotional stress) - for the use of soothing drugs, tranquilizers, antidepressants.

Regardless of the cause of the disease state, treatment of female alopecia begins with the normalization of lifestyle and nutrition. It is necessary to abandon bad habits, dyeing hair and using styling products. Also avoid drying and laying curls with a hair dryer, curling hair, rough combs, cure existing diseases.

The doctor, treating hair loss in women

The trichologist deals with problems with the scalp. This doctor is a dermatologist with a narrow specialization, which studies exclusively the diseases of the head of hear. The doctor's tasks include the treatment of alopecia and the development of preventive measures to prevent baldness and improve the condition of the curls.

Trichologist is engaged in therapy of such pathologies:

• Alopecia (diffuse, focal, telogen, androgenetic).
• Premature graying of the hair.
• Dandruff.
• Change the appearance of the curls: tarnish, brittle, dry, split ends.
• Atrophy of hair and their thinning.
• Ring-shaped strands.
• Purulent inflammation of the hair follicles.
• Asbestine lichen.
• Hirsutism.
• Hypertrichosis.
• Mycosis.
• Microsporia.
• Ringworm.
• Pediculez.

But do not forget that very often loss of vegetation is a complication of a certain disease. Therefore, in addition to the help of the trichologist, the treatment may require the advice of other specialists: gynecologist, endocrinologist, dermatologist, immunologist.

As a rule, the trichologist works in specialized cosmetology clinics, skin and venereal dispensaries, and specialized research institutes. Visiting a doctor requires special training. Before taking it, you can not wash your hair. This is necessary to assess the natural state of the skin and hair roots. The most informative are the curls, which are washed two days before the call to the doctor. Do not use styling products and topical medications.

How to stop hair loss in women?

Hair loss is a physiological process that occurs in the life of each person. Hair follicles are renewed, old cells die, and they are replaced by new ones. The average loss of curls is about 150 pieces. Per day and as a rule, does not pose a threat to the general condition of the head of hear. But if hair loss has increased, then it must be stopped, since the cosmetic problem can lead to serious complications.

First of all, you should consult a doctor and determine the cause of sharp hair loss. For this it is necessary to undergo a number of laboratory and instrumental examinations. Based on the results of the diagnosis, a treatment plan is drawn up.

In order to stop the process of alopecia, it is necessary to approach the problem in a comprehensive manner. First of all, unfavorable factors that affect the growth of curls are eliminated, the way of life and diet, the methods of hair care are revised. Particular attention is paid to local effects on the condition of the head of hair. The doctor selects a quality shampoo and mask. Most often it's professional cosmetics with keratin, lactic acid and other vitamin supplements. At the time of treatment, the prohibition includes drying with a hair dryer, tight hair and other traumatic factors, possibly the appointment of hormonal treatment.

Surgery

A radical method of controlling alopecia, used in the event that conservative therapy has proved ineffective is surgical treatment. To date, these types of operations are used to restore hair follicles in the case of alopecia:

1. FUE (seamless method)

FUE (Follicular Unit Extraction) is a new technique for transplanting donor hair grafts from the occipital region and other parts of the body. Each follicle is transplanted separately, which avoids the appearance of linear scars. After the transplant, red micromusculars remain on the skin, which in a couple of days go down. This method is effective for alopecia from I to V degree in Norwood.

Advantages of FUE:

• Absence of cicatricial changes in donor and patient.
• The ability to use hair from any part of the body.
• No need for sutures.
• Accurate calculation requires the number of bulbs and their structure.

A seamless technique is used for alopecia, which is caused by post-traumatic or post-fire logging, as well as to restore eyebrows and eyelashes. With a small donor stock of follicles, grafts are taken from other hair areas of the body (chest, legs, shoulders, pubic area, beard). In one operation of 6-8 hours duration, up to 2500-3000 follicular associations can be transplanted.

2. STRIP method (patchwork)

Hair transplantation by this method allows for one procedure to implant from 3500 micrografts, each of which consists of 1-4 follicles. Thanks to this, the effect of natural density of hair is created.

• The main disadvantage of the STRIP method is visible scars, which remain after the cut of the skin flap from the occiput to extract grafts.
• This method does not provide for the replanting of locks from other parts of the body.
• It is quite traumatic, so it requires a full recovery period.

The operation is performed under local anesthesia, it takes 2-5 hours. 3-4 months after the procedure begins the growth of new hair, and a year later locks acquire the maximum density and volume.

Surgical treatment of alopecia has a number of contraindications:

• Violation of blood clotting.
• Intolerance to anesthesia.
• Patients younger than 15 years.
• Mental diseases (trichotillomania, obsessive-compulsive disorder, dysmorphophobia).
• Diabetes.
• Dermatological diseases in the stage of exacerbation.

With special care, the operation is performed for patients with high blood pressure, diseases of the cardiovascular system, oncological pathologies.

Another nuance of hair transplantation is the risk of complications:

• Postoperative numbness - develops due to damage to nerve endings in the donor transplant region. It has a temporary character.
• Scarring - with the use of patchwork techniques, visible scars remain in the donor and patient.
• Rejection of implants.

The success of surgical treatment of female alopecia depends on the skill of the surgeon and the chosen method of transplantation.

Tips trihologa with hair loss in women

To quickly and successfully combat the problem of alopecia, it is necessary to follow such advice of a trichologist:

1. Hair Care - Wash your head as it gets dirty, frequent washing can cause dandruff and as its complication - alopecia. Choose an individual care product for curls. It is desirable that the shampoo contains the maximum amount of useful and natural components. Do not forget about lotions, tonics, balms and masks.
2. Combing - never comb wet locks, especially if there is a problem of their falling out and increased brittleness. Dry short strands brush from roots to tips. Long tresses first have tips, then roots. Choose wooden combs and brushes that do not damage the skin and strands. To care for the comb, wash it regularly with warm soapy water. Never use someone else's scallops.
3. Massage - try 2-3 times a week to massage the scalp, using vegetable and essential oils. Even with normal hair growth, go through the Darsonval course.
4. Protection - with the problem of alopecia do not use thermal means for styling or drying curls. Do not forget about the protection of the head in the cold season and summer with increased activity of the sun.
5. Hairstyle - with a strong hair loss hair should be cut as much as possible. This will speed up the process of their recovery and stop the further loss. When brittle strands are strictly prohibited chemical perm, build-up, weaving African braids and other hairstyles, traumatizing the head of hear. Under the prohibition gets dyeing hair.
6. Nutrition and vitamin therapy - revise your diet and balance it, eliminating all harmful products. Call a doctor and select a multivitamin complex to compensate for beneficial microelements.

Prevention

To prevent any type of alopecia, it is necessary to comply with such recommendations:

• Full healthy food.
• Minimizing stress factors and irritants.
• Proper care for curls (refusal of staining, drying with a hair dryer and traumatic hairstyles).
• Use of professional cosmetics for care.
• Timely treatment of any diseases that can cause alopecia or lead to its aggravation.

A healthy lifestyle, adequate nutrition and regular exercise - this is the best prevention of hair loss and other body disorders

[42], [43], [44], [45], [46], [47]

Forecast

Hair loss in women is due to a variety of factors and there are several species that differ in the symptomatology, that is, the severity of the flow. The prognosis of baldness depends on such factors:

• Alopecia
• Lifestyle of the patient.
• Timeliness and urgency of the prescribed treatment.

The best prognosis is genetically determined alopecia, as it can be corrected by conservative methods. Scarring and focal forms in their severe course, require serious treatment, and in some cases, surgical intervention.

If hair loss is caused by disorders of the hormonal background, dermatomycosis, trichotillomania or other diseases, then after their correction a complete restoration of the vegetation takes place.

In general, the outcome of female baldness depends on compliance with medical recommendations and on the stage of the illness the patient asked for help. If the problem is left without medical assistance, that is, neglected, the prognosis of any form of alopecia is negative.