Posts Tagged: Hair Thinning

Why is Hair Loss in Women Difficult to Diagnosis?

August 4th, 2009

Q: Why is hair loss in women difficult to diagnosis?

A: The majority of hair loss in women is diffuse. This means that the hair thins all over the scalp, rather than on the front and top characteristic of balding in men.

Diffuse hair loss can be caused by a number of things besides genetics; including medical problems such as anemia, thyroid disease, and polycystic ovaries; and medications such as birth control pills, blood pressure pills, seizure medications and blood thinners. Stress and pregnancy can also cause this type of diffuse hair loss.

The hallmark of genetic female pattern hair loss is miniaturization (change in hair shaft diameter).

Hair shedding is characteristic of many of the other conditions, but is less commonly seen in genetic hair loss.

For a complete discussion on hair loss in women, visit the pages for the diagnosis, causes, and classification of female hair loss. Or view photos of our female hair restoration patients for examples of Dr. Bernstein’s work on restoring hairlines, hair at the temples, and eyebrows.

Also, a reminder, Bernstein Medical – Center for Hair Restoration will be holding a Women’s Hair Loss Open House at our facility in Midtown Manhattan, New York City on Wednesday, August 12th, 2009 (4-6pm). You can register to attend the open house by following this link. We look forward to seeing you there!


Posted by Robert M. Bernstein M.D. at 8:10 am

What are Most Common Causes of Hair Loss in Women?

February 24th, 2009

Q: What are the most common causes of hair loss in women other than genes?

A: For localized hair loss the most common causes are traction (due to tight braiding) and alopecia areata (an autoimmune disease that produces smooth round patches of hair loss).

Other than genetic (hereditary) thinning; generalized hair loss is most commonly caused by medications, anemia, and thyroid disease.


Posted by Robert M. Bernstein M.D. at 8:21 am

Why Does One Shed Hair in First Months of Hair Loss Treatment with Rogaine?

February 17th, 2009

Q: I started thinning and saw more hair in the tub. I began Rogaine and stopped shampooing every night and is seems that there is now more coming out every time I shower. What is going on?

A: Rogaine can cause shedding at the beginning of treatment (i.e. in the first 3 months) but this is expected as it causes some hair to begin a new cycle of shedding and re-growth. This means the medication is working.

Another reason for your apparent shedding is that the less you wash your hair, the more will be lost each time. Go back to shampooing every day and see what happens.


Posted by Robert M. Bernstein M.D. at 4:45 am

What Causes Hair Loss in Women and How do You Treat General Thinning?

February 3rd, 2009

Q: I’ve been losing my hair just around the front of my scalp for years, but now it’s bad enough that I need to wear a wig to hide the top and back. Do you transplant women?

A: If you have thinning in such a broad area, most likely your donor area is also thin and you would not be a good candidate for surgery.

An examination can determine this and also determine if there is some other cause of your hair loss other than genetics.


Posted by Robert M. Bernstein M.D. at 4:32 am

What Hair Loss Treatment Can Prevent Hairline Retreat, Thinning?

January 20th, 2009

Q: I am having hair thinning and retreating from the front part of the scalp. According to Norwood’s classification I rank a category III. From what I see on the Rogaine pack it is used in hereditary hair loss on the (vertex) on top of the scalp. Any recommendations?

A: Minoxidil does work on the front of the scalp to prevent the progression of hair loss and may thicken areas of early thinning, although it won’t re-grow hair in areas that are bald.

I would also consider using finasteride (the active ingredient in the hair loss medication Propecia) as this will also work on the front of the scalp to prevent further hair loss and to increase areas of thinning – and it is more effective than minoxidil.


Posted by Robert M. Bernstein M.D. at 4:34 am



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