Posts Tagged: Shedding

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

Hair Transplant Using Shedded Hair?

July 14th, 2008

Q: Can a hair transplant be done using the hair which has fallen out?

A: A hair transplant is really a misnomer, since it is the follicle (or root) that is transplanted not the hair itself – although the transplanted follicle usually contains a hair.

Hair, like fingernails, are dead and cannot grow once detached from the root.


Posted by Robert M. Bernstein M.D. at 8:49 am

Can Stress Cause Diffuse Unpatterned Hair Loss (DUPA)?

October 30th, 2007

Q: Can stress produce diffuse unpatterned hair loss (DUPA), or was it bound to happen anyway?

A: Both DPA (diffuse patterned hair loss) and DUPA (diffuse unpatterned hair loss) are genetic conditions, unrelated to stress and would have happened anyway. These types of hair loss are characterized by a high percentage of mininiaturized hair in broad areas of the scalp. See the Classification of Hair Loss in Men and Classification of Hair Loss in Women pages on the Bernstein Medical – Center for Hair Restoration website for more information on this topic.

In contrast, stress generally presents as increased hair shedding, a reversible condition referred to as telogen effluvium. It is called this because the normal growing hair is shifted to a resting (telogen) phase before it temporarily falls out. Increased miniaturization is not associated with telogen effluvium.


Posted by Robert M. Bernstein M.D. at 8:24 am

Can Stress Cause Hair Loss or is that a Myth?

September 6th, 2007

Q: I’ve been dealing with daily mental stress for the past few months. I’ve notice that during that time, I’ve experience a lot of frontal hair loss and thinning. I thought stress was a myth for causing hair loss.

A: Stress may cause temporary shedding, but it generally does not affect the long-term course of genetic hair loss.

It seems that women’s hair is affected by stress more commonly than men’s hair, but the reason is not clear.


Posted by Robert M. Bernstein M.D. at 12:46 pm

Can Avodart Hair Loss Medication Cause Shedding?

April 30th, 2007

Q: I’m male, early thirties and in the early stages of hair loss, too early for hair transplants. I am experiencing extreme shedding. I took Avodart for 6 weeks, but because of the shedding I stopped. Now, it still continues as strong as ever. I’ve been losing about 200 hairs every day in the shower. 3 months ago I had so much more hair, what is going on? I heard that shedding can happen, but not like this. Could this have caused telogen effluvium, or something else?

A: Since Avodart (dutasteride) is a more potent medication than Propecia (finasteride), the shedding (telogen effluvium) may be more dramatic. If you have made a decision to use Avodart, then you need to tolerate this short-term effect. It should subside within the first 6 months on the drug.


Posted by Robert M. Bernstein M.D. at 3:19 am



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