Bernstein Medical Center for Hair Restoration - Diagnosis of Hair Loss in Women

Diagnosis of Hair Loss in Women

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Thinning Hair Nightmare - Cosmopolitan Magazine - January 2014

A patient who visited Dr. Bernstein to learn about her hair loss authored an article on her experiences which appeared in the January 2014 issue of Cosmopolitan Magazine. In an article titled, “Thinning Hair Nightmare,” the patient wrote about her struggle in coping with thinning hair, the taboo of talking about women’s hair loss, and ways in which she attempted to overcome these physical and emotional difficulties.

On visiting Bernstein Medical – Center for Hair Restoration:

I dialed up New York dermatologist and hair transplant surgeon Robert Bernstein, MD — I’d just seen him on Oprah talking about hair loss, so he had to be good — and booked an appointment.

Dr. Bernstein ordered a blood test to rule out common hair loss causes, like thyroid disorders and hormone abnormalities, and he made sure my diet and any medications weren’t to blame. Everything came back normal.

On the diagnosis of hair loss in women:

During a follow-up visit, the doc broke out a densitometer — a crazy flashlight-looking tool that measures the changes in diameter between hair — dove into my mane, resurfacing moments later with a diagnosis: mild androgenetic alopecia, aka female pattern hair loss (FPHL). “It’s the most common type of hair loss in women, affecting perhaps one-third of the adult female population,” he explained. It occurs when a woman’s hair follicles shrink in response to her body’s own hormones.

On the taboo of female hair loss:

In search of solutions, I turned to the blogosphere… While the topic of female hair loss feels taboo, here were thousands of women talking openly — not just about the physicality of the issue but also its psychological toll. […] Whenever any conversation turns to hair, I push myself to talk openly about my issue. I’m determined not to let this condition make me feel ashamed. With more than 30 million U.S. women affected by FPHL, we should find strength in our numbers.

Dr. Bernstein was the featured guest on the Doctor Oz Show, where they discussed women’s hair loss and how the subject is often, unfortunately, considered taboo.

Consultations for female hair loss patients

Video: watch Dr. Bernstein and Dr. Mehmet Oz discuss the taboo of female hair loss

View before & after hair transplant photos of some of our female patients

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Hair Loss & Replacement for Dummies

Hair Transplant Surgeons Author Hair Loss for Dummies Book

An authoritative guide explaining the causes of hair loss and the newest ways to treat it.

Hair Loss & Replacement for Dummies

New York, NY (PRWEB) December 1, 2008

Renowned hair restoration surgeons Robert M. Bernstein, M.D., F.A.A.D., and Dr. William Rassman, have co-authored the first authoritative, but user-friendly guide, to help both men and women understand hair loss, its prevention, and their medical and hair transplant options. The book, published by John Wiley & Sons, Inc., is set for a December 3 publication date. Titled Hair Loss & Replacement for Dummies, the book follows in the tradition of the other informative books in the popular For Dummies series.

Dr. Bernstein is the author of numerous medical publications on hair restoration, which can be found at www.bernsteinmedical.com.

Those who follow the current trends in hair restoration and hair transplant procedures know Dr. Bernstein for his pioneering work in the development of the Follicular Unit Transplantation procedure which has revolutionized the treatment of hair loss. Recently awarded a certificate of achievement from Columbia University, he has been named one of New York Magazine’s “The Best Doctors in New York” for the ninth consecutive year.

“Dr. Rassman and I felt it was necessary to write this book because we wanted to dispel many of the myths about hair loss and give men and women basic, easily understandable information about their hair loss,” Dr. Bernstein explained. “We feel that this book will provide men and women suffering from common baldness and other types of alopecia with the tools necessary to make informed decisions about their condition. There are a lot of options when it comes to the treatment of hair loss and we want to make certain that consumers are making the decisions that are the best fit for them as individuals – whether it is medical therapy or a hair transplant.”

In addition to providing readers with information about the latest trends in hair loss medications and hair transplants, the book also aims to caution against potentially harmful products that are currently on the market for treating hair loss. Finally, the text also gives tips for maintaining a healthy head of hair: from washing and drying correctly, to caring for children’s hair.

About Dr. Bernstein
Dr. Bernstein is Clinical Professor of Dermatology at the College of Physicians and Surgeons of Columbia University in New York. He achieved worldwide recognition for pioneering Follicular Unit Hair Transplantation. He is founder of Bernstein Medical – Center for Hair Restoration in Manhattan which is devoted to the treatment of hair loss using his state-of-the-art hair restoration techniques.

Dr. Bernstein has been chosen as one of “America’s Top Doctors,” by Castle Connolly Medical and New York Magazine’s “The Best Doctors in New York” for nine consecutive years. He has been selected to be among New York Magazine’s “Best Beauty Docs in New York” for his pioneering work in Follicular Unit Transplantation and Follicular Unit Extraction and is the most widely published author on these subjects. He is the founder of Bernstein Medical -Center for Hair Restoration in New York City (www.BernsteinMedical.com).

About John Wiley & Sons, Inc. /For Dummies Series
John Wiley & Sons, Inc. was founded in 1807 during the Jefferson presidency. In the early years, Wiley was best known for publishing the works of Washington Irving, Edgar Allan Poe, Herman Melville, and other 19th-century American literary giants. By the turn of the century, the company was established as a leading publisher of scientific and technical information.

In recent years, Wiley has focused its efforts on delivering its deep reservoir of “must-have” content to global communities of interest, forming collaborative relationships with such significant partners as Dow Jones/Wall Street Journal, CNBC and PricewaterhouseCoopers, among others. In 2001, Wiley acquired Hungry Minds, Inc., including the latter company’s wildly popular For Dummies series of books. Cleverly written, packaged and marketed, all For Dummies books utilize a lighthearted approach and down-to-earth style (often including cartoons and humorous icons) to dispel fears, inspire confidence and educate the public. For more information on John Wiley & Sons, Inc., visit wiley.com.

For further reading see the Hair Loss & Replacement for Dummies summary, the transcript of an interview with Dr. Bernstein about the book, or purchase the book at Amazon.com.

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Q: I am female and thinning can I be a candidate for a Follicular Unit Hair Transplant?

A: If it turns out that you have female pattern hair loss, you may be a candidate a hair transplant, but would need to be evaluated by a doctor who specializes in surgical hair restoration.

In the evaluation, you should have your degree of hair loss assessed and donor supply measured, using an instrument called a densitometer, to be certain that you have enough permanent donor hair to meet your desired goals. For more information about hair loss in women, please see the Diagnosis of Hair Loss in Women page of the Bernstein Medical – Center for Hair Restoration website.

If you are thinking about your hair loss and would like to be evaluated, go to the physician consult page to schedule a consultation.

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Q: I heard that you can buy a laser for hair loss and use it at home. What are the advantages or disadvantages of doing this?

A: The advantages of home use are convenience and that it is generally less expensive than going to a doctor’s office for treatment.

The main disadvantage of using laser treatments without a doctor’s supervision is that a more effective treatment for hair loss may be available and you may not know about it. By spending time using the laser, the window for a more effective treatment may be missed. A good example is the 20 year old male who has extensive hair loss in his family and is just starting to thin. It is very important for this person to start Propecia (finasteride) as soon as possible, since the long-term benefits of using this medication are well established.

Laser treatment at home, without a prior evaluation by a physician, also risks missing the diagnosis of an underlying medical condition. This can be a particular problem in women where hair loss tends to be diffuse and the cause may not be readily apparent. If the cause of the thinning was due to anemia, thyroid, or ovarian disease, the diagnoses of these treatable conditions might be missed.

Finally, the laser therapy available in a doctor’s office may be significantly more effective than a home unit.

Read more about Laser Therapy for Hair Loss

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Q: Dr. Bernstein, I was reading about a densitometer on your website. What is it and what is it actually used for? — Z.A., Westchester, NY

A: The hair densitometer was introduced to hair restoration surgeons by Dr. Rassman in 1993. It is a small, portable, instrument that has a magnifying lens and an opening of 10mm2.

To use it, the doctor clips the hair short (~ 1-mm) and the instrument is then placed on the scalp. The doctor counts the total number of hairs in the field, looks at the number of hairs per follicular unit and assesses the diameter of the hair, looking in particular for abnormal levels of miniaturization (decreased hair shaft diameter caused by the effects of DHT).

The densitometer can increase the accuracy of the diagnosis of genetic hair loss by picking up early miniaturization.

It can also better assess a person’s donor hair supply, thus helping to determine which patients are candidates for a hair transplant.

Densitometry has helped us define the conditions of diffuse patterned and unpatterned hair loss (DPA and DUPA) and help to refine the diagnosis of hair loss in women.

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Hair loss has a variety of causes. Diagnosis and treatment is best determined by a board-certified dermatologist. We offer both in-person and online photo consults.

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