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Tressed out: Is your hair thinning?

The latest treatment options may help restore thinning hair to its former glory.

By
Wing Sze Tang
Photography
Nelson Simoneau
(23 people)
Document user evaluation

Pagination

Tressed out

Pluck, wax, sugar off and shave — you’ve tried every trick in the book to keep unwanted hair at bay. But, as Murphy’s beauty law would have it, you’re suddenly losing it in the wrong place: on your head. Your usually lavish locks are falling fast, and your brush looks like a bird’s nest. While most of us think that only men or older people are afflicted with sparse or thinning strands, an estimated 40 to 50 percent of women experience hair loss by the time they reach menopause, according to the Canadian Hair Research Foundation.

We all lose a little: It’s normal to cast off roughly 100 hairs a day — a hardly noticeable number, given that the average head boasts 100,000 or more. It’s just part of the process: Each hair you have cycles through a growth stage (three to seven years) and a resting period (about three months). “If the hair is in an area that is not destined to go bald or thin out, it grows back exactly the same way it did in the first place,” says Dr. Walter Unger, an associate professor of derma­tology at the University of Toronto. “This goes on over and over again throughout your lifetime.”

But for those predisposed to go bare, the hair comes back progressively shorter and finer. In many cases, genes are the culprit. The most widespread type of hair loss for both men and women is hereditary: androgen­etic alopecia, or pattern baldness. Some people inherit hair follicles that are just more sensitive to a naturally occurring hormone called DHT, which is formed when testosterone hooks up with an enzyme found in the oil glands of the hair follicles. The problem is, DHT has the ability to shrink those follicles over time. Pattern hair loss affects a whopping 38 percent of females, says Dr. Jerry Shapiro, director of clinical research in the Hair Research Laboratory at Vancouver General Hospital and the University of British Columbia’s department of dermatology. It’s more likely to happen post-menopause (when levels of estrogen — which counterbalances DHT — drop), but it can hit anytime after puberty.

'Pattern hair loss affects a whopping 38 percent of females,' says Dr. Jerry Shapiro, director of clinical research in the Hair Research
Even if you’ve won the lush-hair lottery, you could still find yourself suddenly sparser. Everything from emotional stress, a high fever and childbirth to crash dieting, nutrient shortages and certain drugs (like the birth control pill) can spark a condition called telogen effluvium, the
second-most-common type of hair loss. It’s marked by abrupt shedding all over the head two or three months after a shock to the system. Essen­tially, a higher-than-usual number of follicles fast-forward into fallout mode, so you end up losing 300 or more hairs daily instead of the typ­ical hundred.

COMMENTS

  • Danielle
    Published:
    2009-10-12 11:54 PM

    I experienced hair loss due to a chronic gluten allergy, of which I was unaware until quite recently. What I was surprised by is the amount of shampoos and conditioners that actually contain wheat, oats, or gluten, and thus cause a problem to my scalp. Do you know of any brands that do not contain these ingredients, and that can help boost my slowly-regrowing strands?
  • Laurie
    Published:
    2009-05-30 8:41 PM

    Is there any other medications that can cause hair loss? I have been prescribed sleeping pills and since using them have noticed an alarming amount of hair loss.
  • Dr. Alan Bauman -- Boca Raton, FL
    Published:
    2009-05-26 8:50 PM

    The take-home message is that like its male counterpart, combination treatment is needed for female patte
    hair loss. You need a non-invasive treatment (like minoxidil/rogaine, laser therapy, etc.) to enhance and protect the existing hair, as well as hair transplantation.
  • sandy
    Published:
    2009-05-25 9:25 PM

    I am 67 and my hair has been thining for a year at least. I started taking progesterone for 1 month, and I think its too early to tell if it is working. Has anyone heard of this and is progesterone bad for u?
  • Tara
    Published:
    2009-04-28 5:58 PM

    Anti-depressants can also make your hair fall out and B12 deficient. Have your doc do a blood test!
  • GIRL
    Published:
    2009-04-28 11:10 AM

    I had no idea that the birth control pill I have been taking could be the reson for my thining hair. Now that I think back on it I can recall that my hair started thining around the same time as I started taking the pill. Thank you for this article, it's very informative.
  • Melanie
    Published:
    2009-04-28 1:26 AM

    SOSGirl, it sounds like you may have something called Polycystic Ovarian Syndrome or PCOS. If you have any of the symptoms listed here, http://en.wikipedia.org/wiki/Polycystic_ovary_syndrome, I suggest you talk to your family doctor or gynecologist. With proper maintenance, your symptoms can be controlled.
  • wilda
    Published:
    2009-04-27 8:54 PM

    Your right nioxon does work,I have been using it about 3 months and find that I have a lot of new growth and lose less hair ,its great.
  • candy
    Published:
    2009-04-27 3:25 PM

    use nioxin, they usually have them at hair saloons and stuff and they do work very well with my hair...
  • .J.B.
    Published:
    2009-04-27 12:42 PM

    our son had alapechia large chunks of hair came out. read health article suggesting a supplement of zinc. Not only did the hair spots fill in but his beard became healthy .
  • Leanne
    Published:
    2009-04-27 11:12 AM

    I have also heard that not shampooing every day or two can also help you lost hair...has anyone heard of this? Please help, I have low thyroid, low iron and early menopause, I have now lost about half my hair!
  • Lilly
    Published:
    2009-04-14 5:20 PM

    look at nioxin website. my hair is coming back!!!
  • SOSGirl
    Published:
    2009-04-08 8:37 PM

    I am so scared. I'm like loosing hair and I have not had my first period yet either. I'm 15. I think it's about time. I have too much stress.
  • LAZERFISH
    Published:
    2009-04-08 4:14 AM

    Low Level Laser Therapy (LLLT) is an effective treatment for women or men suffering from hair loss and there are absolutely no negative side effects associated with this form of treatment.
  • H Doyle
    Published:
    2009-04-08 1:35 AM

    Don't waste your time and money with Propecia. It is completely worthless and expensive. I took it for 7 years and my hair continued to fall out. The only time my hair looked better was when I stopped taking it!
  • lynnhussey
    Published:
    2009-04-08 12:28 AM

    maybe you could also show hair styles and types of cuts which would help make hair loss less noticeable..my hair is thin in the front and I'm always trying to get a cut that helps mask it.
  • lynn hussey
    Published:
    2009-04-08 12:24 AM

    Thank you for the info on thinning hair; I have this problem and as a woman I don't often see anything helpful on it..I would appreciate seeing more.
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