Hair loss in women: what doctor to consult, how to prevent?

Hair loss is a natural process, but increased hair loss is a pathology. Let's consider the types and causes of baldness in women, methods of treatment and prevention of alopecia. Increased fragility and hair loss is not only a cosmetic defect, but also a sign of certain disorders in the body. The problem may be associated with diseases of internal organs, deficiency of nutrients, chronic pathologies.

[ 1 ], [ 2 ]

Epidemiology

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

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

[ 3 ], [ 4 ], [ 5 ]

Risk factors

Baldness in women occurs for many reasons, both internal and external. There are also a number of risk factors, the action of which contributes to the appearance of the problem of alopecia, let's 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 hair, 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 syndrome is a female disease caused by dysfunction of the main sex glands. Due to the deficiency of estrogen production and the predominance of testosterone, hirsutism and the problem of focal alopecia occur.
• Anemia – iron deficiency in the body leads to deterioration of the scalp, nails, and skin. This problem occurs due to blood loss during menstruation, increased physical activity, extreme weight loss, and vegetarianism.
• Hypothyroidism - decreased thyroid function leads to thinning and brittle hair. Hair becomes thinner, menstrual cycle irregularities begin, and skin becomes dry. This leads to increased fatigue and depression.
• Fungal scalp infections – pathogenic microorganisms damage hair follicles, which leads to nesting baldness. Round bald spots form on the head, where curls no longer grow.
• Stress and emotional overstrain lead to the development of vegetative-vascular dystonia. Due to the deterioration of the nutrition of the hair follicle, the problem of baldness arises.
• Medicines – long-term therapy or incorrectly selected dosage of medications leads to alopecia and a number of other complications. The condition of the hair on the head is affected by hormonal drugs, antidepressants, laxatives, oral contraceptives. Hair loss is a side effect of diuretics, antibiotics, anticoagulants, antitumor, antidepressants, neuroleptics and a number of other drugs.
• Traumatic and cosmetic factors include tight hairstyles, styling with hairspray, gel and other chemicals, rough combing, dyeing or chemical curling, drying with a hot hair dryer. Negative effects include wearing wigs and extensions for a long time, not wearing a hat in the cold season, excessive caffeine and scarring of the scalp.
• Chemotherapy and radiation therapy - treatment of cancer causes anogenetic alopecia. The side effect is temporary.

In addition to the above factors, special attention should be paid to various weight loss products, as they may contain substances with a strong laxative effect. Their action disrupts the absorption of nutrients by the body, leading to anemia and vitamin deficiency.

Risk factors for female baldness include genetic predisposition, hormonal fluctuations, living in a poor ecological environment, and the physiological aging process. Insufficient blood circulation is also dangerous, when the follicles do not receive the amount of nutrients necessary for normal growth and fall into a state of hibernation.

Read about other causes of baldness in women in this article.

[ 6 ], [ 7 ], [ 8 ]

Pathogenesis

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

Although hair is a connective tissue structure, it has a nervous innervation and blood supply, and consists of several parts:

1. The core is the visible part that is above the skin surface. It has several concentric layers:
   • External (cuticle, covering, scaly) – performs protective and barrier functions. Formed by a dozen transparent keratin plates, which are connected to each other by transverse and lipid layers. Protects from mechanical and physical impact. Reflects light, due to which the strands are shiny and elastic.
   • Cortex is the main substance, it makes up 80-85% of the total volume of the hair. It consists of many keratin fibers, which are twisted together by strong cross-links.
   • Medullary - this is the central medulla. Filled with air bubbles that provide thermal conductivity. Does not participate in chemical or physical processes.
2. Root – is located in the dermis, forms the hair bulb (follicle). The bulb is a compacted structure that contains the lower part of the root – the papilla in the form of a small cone-shaped elevation. Inside the papilla are blood vessels and nerve endings responsible for growth and restoration. Through the papilla, the hair follicle receives nutrients.

The lifespan of a hair is from 5 to 15 years. The shaft dies and a new one appears in its place. If the bulb is damaged, then the shaft cannot be restored. Therefore, after its loss, a void is formed. With extensive hair loss, a serious problem arises, the elimination of which should be dealt with by a trichologist.

Normal hair loss in women

Every woman, at least once in her life, faces the problem of hair loss. Luxurious, thick hair is a sign of health and beauty. Hair structure, its thickness and color are individual for each person, as they are determined at the genetic level. That is, it is impossible to increase the number of hair follicles naturally.

Each bulb has a development cycle:

• Renewal (telogen),
• Growth (anagen),
• Completion of growth or decline (catagen).

The duration of all phases is 2-5 years, they are repeated many times throughout life. If the cycle is disrupted during the resting phase, this leads to abundant hair loss and even baldness.

Normally, a woman can lose from 50 to 100 hairs per day. At the same time, in the autumn-spring period and with hormonal changes, the process of hair loss is aggravated. If 15% of hair falls out per day, then 85% is in the process of growth, which is normal 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 dacons, but there are more of them than redheads, so the loss is greater.

Approximate rate of hair loss in women:

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

The norm changes under the influence of various factors. Chronic diseases and hormonal imbalances, improper hair care and unbalanced nutrition have a negative effect on the condition of the hair. Frequent experiments with color changes and hot styling also contribute to baldness.

The mechanism of baldness in women is directly related to the causal factors and the hair growth cycle. In its development, the follicle continuously goes through the following stages:

• Height
• 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 in the resting stage, the hair dies and no new one grows in its place. This leads to active and, what is important, uniform baldness.

There are several types of hair loss in women.

The pathogenesis of alopecia is characterized by the gradual formation of small bald spots, most often in the crown, frontal part of the head or along the parting. The skin in the place of follicle death acquires a peculiar glossy shine. Single hairs may grow in the center of the foci of atrophy.

[ 9 ], [ 10 ], [ 11 ]

Symptoms female pattern hair loss

On average, women lose up to 100 hairs daily, and the numbers can vary depending on many factors. But the lack of hair on the comb is also a cause for concern. This is due to the fact that the strands stop falling out due to the lack of new hairs. As soon as the grown hairs fall out naturally, a sharp baldness will occur.

During normal growth, a small thickening in the form of a white root can be seen at the end of the hair. Trichologists identify a number of symptoms characteristic of alopecia. Let's consider the first signs of impending baldness:

• The thickening at the end of the hair is dark, not light.
• Hairs do not fall out with the roots at all - a sign of their growth stopping and the death 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 fork at the end.

Very often women mistakenly perceive increased fragility for the beginning of baldness. Fragility occurs due to severe drying of hair, which happens with frequent use of a hair dryer, curling of curls or their coloring. At the same time, the bulbs function normally, and the broken hair gradually grows back. Also, hair loss in women can indicate the presence of a disease.

[ 12 ], [ 13 ], [ 14 ]

Complications and consequences

Alopecia is a rather serious disease, which without appropriate treatment leads to serious consequences and complications. Let's consider the main ones:

• Psychological problems – thinning hair creates problems when communicating with others. Dissatisfaction with one’s own appearance, combined with the condemning and mocking looks of others, leads to depression and neurological disorders. Against this background, there is a significant deterioration in the quality of life.
• Dandruff – can occur simultaneously with baldness or occur after hair restoration. Dandruff irritates the skin, dries it, causes itching and burning. Dead skin particles fall in flakes onto the shoulders, causing aesthetic discomfort.
• Sunburn – intense hair loss on the head is a high risk of ultraviolet radiation. To protect the head from sunstroke and burns, sunscreen should be used and hats should be worn. 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 leave a negative imprint on the process of self-realization and life in society.

[ 15 ], [ 16 ], [ 17 ], [ 18 ], [ 19 ], [ 20 ]

Diagnostics female pattern hair loss

At the first signs of hair thinning, you should seek medical help and determine the cause of the painful condition, thereby preventing further alopecia. Hair loss diagnostics are carried out by a trichologist, dermatologist, endocrinologist, gynecologist and a number of other narrow specialists.

The diagnostic algorithm for female baldness consists of:

1. Collection of anamnesis and analysis of patient complaints.
   • Analysis of cases of familial alopecia in the ascending line.
   • When hair loss increases/slows down (during washing, combing) and there are accompanying symptoms (itching, burning, dandruff, irritation, rashes).
   • Were there any cases of alopecia in the past? What factors could have caused the problem, in the patient's opinion?
   • Presence of chronic diseases and assessment of medications taken.
2. Visual assessment of the condition of the hair and scalp.
   • Areas of baldness and broken hairs are identified.
   • A test is carried out to determine the strength of the curls. The hairs are grabbed and pulled slightly, weak strands are easily separated from the follicles.
   • The structure of damaged hairs is studied.
3. Laboratory and instrumental studies.

In addition to the above diagnostic measures, the doctor examines the general condition of the body and the functioning of the immune system. An examination of the skin and nail plates, which are deformed in severe forms of alopecia, is carried out.

[ 21 ], [ 22 ], [ 23 ], [ 24 ], [ 25 ]

Tests for hair loss in women

Hair is an indicator of the health of the body. Its dullness, loss of volume and loss are a real problem that requires careful study and treatment. Particular attention is paid to laboratory diagnostics. The tests are aimed at establishing the level of the main hormones in the body, and also allow you to assess the condition of the internal organs.

Mandatory tests:

• Complete blood count.
• Biochemical blood test.
• Analysis for infections, including STDs.
• Serum iron level.
• Level of sex hormones.
• Thyroid hormones: TSH, T3, T4.

A set of laboratory tests determines the level of hemoglobin in the blood, which can be used to diagnose iron deficiency anemia as one of the causes of alopecia. An increased level of leukocytes indicates inflammatory processes in the body, pathologies of the gastrointestinal tract and reproductive organs.

A biochemical blood test reveals pathologies of the kidneys and liver, and a deficiency of useful components in the body. Another important test is a study of thyroid hormones. Deviations from their normal level affect not only the condition of the hair, but also the general health.

Changes in the level of female sex hormones also affect the external and internal state of the body. Sex hormone imbalances manifest themselves in irregular menstrual cycles, increased hair growth on the body and thinning hair on the head, acne on the face and other symptoms.

[ 26 ], [ 27 ]

Ferritin levels in women with hair loss

A water-soluble complex of iron hydroxide and apoferritin, which is found in liver cells, bone marrow, spleen and blood serum, is ferritin (metalloprotein). Structurally, this substance is a complex protein and contains 24 components necessary for the normal functioning of the female body. It is responsible for the normal absorption of iron, the process of building red blood cells with a sufficient amount of hemoglobin.

Changes in the quantitative composition of the hormone occur under the influence of the following factors:

• Inflammatory processes in the body.
• Last trimester of pregnancy.
• Diseases of the small intestine.
• Unbalanced diet with a deficiency of beneficial microelements.
• Heavy menstruation and severe bleeding.

Ferritin levels depend on the iron reserves in the body. Its norm for a female body over 15 years old is from 10 to 150 kg/ml. To study this indicator, a venous blood test is performed. One of the symptoms of a ferritin level disorder is hair loss. Its deficiency makes curls brittle and dull, weakens follicles and accelerates their death.

To normalize ferritin, cosmetic hair care procedures alone are not enough. Treatment should be comprehensive and affect the body from the inside. Patients are prescribed dietary table No. 15 according to Pevzner to supply the body with vitamins and microelements. Additional use of multivitamin preparations is also recommended. The course of therapy should be at least 3-4 months, that is, the average lifespan of red blood cells. To monitor the effectiveness of treatment, it is necessary to donate blood for analysis every month.

Instrumental diagnostics

To assess the condition of the hair and identify the causes of hair loss, instrumental diagnostics are mandatory. It consists of the following studies:

1. Trichoscopy

Using a special device, a trichoscope, the condition of the hair is examined. 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 diagnostics, the doctor evaluates each criterion obtained and their deviations from the norm. The data makes it possible to make a final diagnosis or serves as a reason for further analysis.

2. Phototrichogram

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

• Density of hairs per 1 sq. centimeter.
• Hair thickness ranges from 30 microns to 80 microns and above.
• The relationship between the condition of the hair and its growth phases.
• Anisotrichosis.

During the diagnostic process, the size of the hairs can increase by 1000 times. As a rule, such an increase is used to assess the condition of the hair shaft. Phototrichogram is performed every week during the entire course of treatment. This is necessary to determine the dynamics of hair restoration.

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

Differential diagnosis

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

• Cicatricial changes in the scalp.
• Dermatoses and mycoses.
• Syphilis.
• Telogen effluvium.
• Trichotillomania.
• Improper hair care.
• Iron deficiency anemia.
• Taking medications.
• Poor nutrition and sudden changes in body weight.

To carry out differential diagnostics, a set of the following analyses is used:

• Microscopy for pathogenic fungi (if trichophytosis is suspected).
• Determination of cortisol (stress hormone) levels.
• Blood biochemistry: ALT, AST, protein, bilirubin, cholesterol, sugar, alkaline phosphatase.
• Comprehensive analysis of thyroid hormones: T3, T4, TSH, antibodies to TPO and TG, prolactin.

To exclude psychosomatic factors of the painful condition, a consultation with a psychologist is recommended.

Treatment female pattern hair loss

Almost all women at different ages face the problem of hair loss. Treatment of alopecia depends on the factors that provoked it. To determine the causes of the cosmetic defect, special diagnostics are carried out, aimed at studying the structure of the curls, the presence of fungal infections and other problems. Diagnostics and preparation of a therapy plan are carried out by a trichologist, endocrinologist and other narrow specialists.

The algorithm for treating female baldness looks something like this:

• A course of drug therapy.
• Use of special shampoos, masks, lotions, sprays, folk remedies to strengthen curls and accelerate their growth.
• Vitamin therapy.
• Normalization of nutrition.
• Preventive measures.

Let's look at the treatment of the most common causes of alopecia:

1. Fungal lesions of the scalp (microsporia, candidiasis, erythrasma, trichophytosis). For treatment, local and internal use of antifungal drugs is used. Most often, patients are prescribed the following drugs: Naftifine, Amphotericin B, Fluconazole, Tioconazole. The main mechanism of action of drugs is the disruption of the normal structure and functioning of the cell membranes of the fungus.
2. Iron deficiency anemia – this problem is based on the lack of vitamin B12 in the body. For treatment, preparations of salts of divalent iron (Ferroplex, Ferrogradumet, Sorbifer durules) and trivalent iron (Maltofer, Biofer, Venofer, Likferr) are used, as well as vitamin preparations to stimulate the maturation of red blood cells.
3. Endocrine disorders
   • Insulin-dependent diabetes mellitus – insulins of different durations of action are used to normalize blood glucose.
   • Type 2 diabetes – sulfonylurea drugs, glycoside inhibitors, thiazolidinediones and other drugs.
   • Thyroid diseases – dysfunction of the thyroid gland leads to loss of hair on the head and eyebrows. Hormonal replacement therapy with analogues of the hormone T4, T3, sodium levothyroxine and their combinations is indicated for recovery.
   • Hormonal disorders – when estrogen production decreases, patients are prescribed drugs 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. Immune system disorders (systemic diseases, cutaneous vasculitis, circulatory disorders, autoimmune inflammatory processes) – thymus gland stimulants (Levamisole, Inosine), humoral immunity activators (Vigam, Sodium Nucleinate, Likopild), cellular immunity activators (Diucifon, Pentoxil, Biotorin), interferons (Viferon, Intron, Gamma-feron) are used for treatment.
6. Diseases of the central nervous system (neuroses, depression, stress, increased emotional stress) – sedatives, tranquilizers, and antidepressants are used for treatment.

Regardless of the cause of the painful condition, treatment of female alopecia begins with normalizing lifestyle and correcting nutrition. It is necessary to give up bad habits, hair coloring and the use of styling products. You should also avoid drying and styling curls with a hair dryer, curling iron, coarse combs, and cure existing diseases.

Doctor Treating Hair Loss in Women

A trichologist treats problems with the scalp. This doctor is a dermatologist of a narrow specialization who studies exclusively hair diseases. The doctor's tasks include treating alopecia and developing preventive measures to prevent baldness and improve the condition of the curls.

A trichologist deals with the treatment of the following pathologies:

• Alopecia (diffuse, focal, telogen, androgenetic).
• Premature graying of hair.
• Dandruff.
• Changes in the appearance of hair: dullness, brittleness, dryness, split ends.
• Hair atrophy and thinning.
• Ring-shaped strands.
• Purulent inflammation of the hair follicles.
• Asbestos lichen.
• Hirsutism.
• Hypertrichosis.
• Mycoses.
• Microsporia.
• Trichophytosis.
• Pediculosis.

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

As a rule, a trichologist works in specialized cosmetology clinics, dermatovenereology dispensaries, and specialized research institutes. A visit to a doctor requires special preparation. You cannot wash your hair before the appointment. This is necessary to assess the natural condition of the skin and hair roots. The most informative are curls that were washed two days before visiting a doctor. You also cannot use styling products or topical medications.

How to stop hair loss in women?

Hair loss is a physiological process that occurs in the life of every person. Hair follicles are renewed, old cells die off, and new ones replace them. The average rate of hair loss is about 150 pcs. per day and, as a rule, does not pose a threat to the general condition of the hair. But if hair loss has increased, it must be stopped, since a cosmetic problem can lead to serious complications.

First of all, you should see a doctor and determine the cause of the sudden thinning of your hair. To do this, you will have to undergo a series of laboratory and instrumental examinations. Based on the results of the diagnostics, a treatment plan is drawn up.

In order to stop the baldness process, it is necessary to approach this problem comprehensively. First of all, unfavorable factors affecting the growth of curls are eliminated, lifestyle and diet, hair care methods are revised. Particular attention is paid to local effects on the condition of the hair. The doctor selects a high-quality shampoo and mask. Most often, these are professional cosmetics with keratin, lactic acid and other vitamin supplements. During treatment, blow-drying, tight hairstyles and other traumatic factors are prohibited, hormonal treatment may be prescribed.

Surgical treatment

A radical method of combating alopecia, used in cases where conservative therapy has proven ineffective, is surgical treatment. Today, the following types of operations are used to restore hair in case of baldness:

1. FUE (sutureless method)

FUE (Follicular Unit Extraction) is a new method of transplanting donor hair grafts from the occipital region and other parts of the body. Each follicle is transplanted separately, which helps to avoid the appearance of linear scars. After transplantation, red micro scars remain on the skin, which disappear after a couple of days. This method is effective for alopecia from I to V degrees according to Norwood.

Advantages of FUE:

• Absence of cicatricial changes in the donor and patient.
• Possibility of using hair from any part of the body.
• No need for stitches.
• An accurate calculation of the number of bulbs and their structure is required.

The seamless technique is used for alopecia caused by post-traumatic or post-burn cuttings, as well as for eyebrow and eyelash restoration. With a small donor supply of follicles, grafts are taken from other hairy areas of the body (chest, legs, shoulders, pubis, beard). In one operation lasting 6-8 hours, up to 2500-3000 follicular units can be transplanted.

2. STRIP method (patchwork)

Hair transplantation using this method allows for the implantation of 3,500 micrografts in one procedure, each consisting of 1-4 follicles. This creates the effect of natural hair thickness.

• The main disadvantage of the STRIP method is the visible scars that remain after cutting a skin flap from the back of the head to extract the grafts.
• This method does not involve transplanting hair from other parts of the body.
• It is quite traumatic and therefore requires a full recovery period.

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

Surgical treatment of baldness has a number of contraindications:

• Blood clotting disorder.
• Intolerance to anesthesia.
• Patients under 15 years of age.
• Mental illnesses (trichotillomania, obsessive-compulsive disorder, body dysmorphic disorder).
• Diabetes mellitus.
• Dermatological diseases in the acute stage.

The operation is performed with special caution for patients with high blood pressure, cardiovascular diseases, and oncological pathologies.

Another nuance of hair transplantation is the risk of complications:

• Postoperative numbness – develops due to damage to nerve endings in the donor area of the transplant. It is temporary.
• Scarring – when using flap techniques, both the donor and the patient are left with visible scars.
• Implant rejection.

The success of surgical treatment of female alopecia depends on the qualifications of the surgeon and the chosen transplant method.

Trichologist's advice for hair loss in women

To quickly and successfully combat the problem of baldness, you need to follow these tips from a trichologist:

1. Hair care – wash your hair as it gets dirty, frequent washing can cause dandruff and its complication – alopecia. Choose an individual product for hair care. 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 hair, especially if there is a problem with hair loss and increased fragility. Comb dry short strands from the roots to the tips. For long hair, first the tips, then the roots. Choose wooden combs and brushes that do not injure the skin and strands. To care for your comb, regularly wash it with warm soapy water. Never use someone else's combs.
3. Massage – try to massage your scalp 2-3 times a week using vegetable and essential oils. Even with normal hair growth, take a course of Darsonval.
4. Protection – if you have alopecia, do not use thermal styling or curl drying products. Do not forget to protect your head in the cold season and in the summer when the sun is active.
5. Hairstyle – in case of severe baldness, the locks should be cut as short as possible. This will speed up the process of their restoration and stop further loss. In case of brittle locks, chemical perms, extensions, African braids and other hairstyles that damage the hair are strictly prohibited. Hair coloring is prohibited.
6. Nutrition and vitamin therapy – review your diet and balance it, eliminating all harmful products. Consult a doctor and choose a multivitamin complex to compensate for beneficial microelements.

Prevention

To prevent any type of baldness, you must follow these recommendations:

• Complete healthy nutrition.
• Minimizing stress factors and irritants.
• Proper care of your hair (avoid coloring, blow-drying, and damaging hairstyles).
• Using professional cosmetics for care.
• Timely treatment of any diseases that can cause alopecia or lead to its exacerbation.

A healthy lifestyle, good nutrition and regular exercise are the best prevention of hair loss and other body disorders.

[ 28 ]

Forecast

Hair loss in women occurs due to many factors and comes in several types, which differ in symptoms, i.e. severity of the disease. The prognosis for baldness depends on the following factors:

• A form of alopecia.
• The patient's lifestyle.
• Timeliness and relevance of the prescribed treatment.

The best prognosis is for genetically determined alopecia, since it can be corrected with conservative methods. Scarring and focal forms, when severe, require serious treatment, and in some cases, surgical intervention.

If hair thinning is caused by hormonal imbalances, dermatomycosis, trichotillomania or other diseases, then after their correction, complete restoration of vegetation occurs.

In general, the outcome of female baldness depends on compliance with medical recommendations and on the stage of the disease at which the patient seeks help. If the problem is left without medical help, that is, left to its own devices, then the prognosis for any form of alopecia is negative.