Female Hair Loss

The female hair loss can have diverse causes and intensities, but it is always a great upheaval. Many times exaggerated, the hair loss is a great problem once the hair is the “facial frame” and contributes a lot to female beauty. What happens frequently is that the initial case of female hair fall is hardly clinically evident. That’s why many times a patient with hair complaints is not taken that seriously by some doctors, who may see on women, a certain exaggeration and for this reason, many times can end up not given the proper attention, failing in investigate the problem appropriately.

Until the initial complains turn into an evident clinical case, much time may have been wasted. To make the diagnosis even more difficult, there are many variation when it comes to hair types: it can be thick or thin, long or short, of slow or fast growth, of short cycles from 2 to 3 years, or long, of up to 7; it can be dense or sparse, or fragile, brightless, discolored, smoothing, relaxed, lighted and other infinities of cosmetic handlings. Therefore, many times it’s hard for the doctor to precise the size of damage that the loss have achieved, therefore to the initial examination the volume is still apparently normal. As example, we have a woman with pretty thick, long, dense and shining hair. In this case, even with intense losses, the clinical aspect would still be normal, once its volume would be above the average.

Thus, the specialist can disregard the complaint labeling the case as a normal physiological one. And many times it is! How to differentiate them, though? The answer is: With detailed anamnesis and a criterious laboratorial and clinical examination. If a meticulous examination was lead, signs of chronical hair loss would be observed, thus allowing a precocious diagnosis and an equally soon, handling. A total different example is of a woman with fine and sparse hair, almost of baby, in which any variation of volume or hair loss is soon evident, not only for the doctor as for herself, and others. For an adequate handling a proper diagnosis is necessary. As Hippocrates once said, "he who does not know what he’s looking for, cannot interpret what he finds".

> Rarefaction in the top of the head (Ludwig II). Zoom of the frontal region, with rarefaction and miniaturization.

Occipital Part (inferior-posterior) Preserved.

It’s worth to remember that hair symptoms can be the indication of other systemic illnesses, as they were the tip of the iceberg. Therefore, total attention is advised. The doctor must be careful and the patient must be "patient" because the diagnosis is not always easy, as it isn’t the handling.

Female hair loss classification
The first sign of female hair loss is a hair thinning, generally seen on the forepart and the superior part of the head. In the beginning it seems that the hairdo scratch becomes wider, until it’s able to notice a reduction of the volume and a slow growth of the hair (Degree I). Later, an accented rarefaction creates a kind of transparency allowing one to see the contour of the head through the hair (Degree II). The hair becomes ultra thin, clearer, and fragile (Degree III). In this stage the baldness is installed already. The hair line on the forehead is generally saved, as well as the hair on the posterior region, above the nape of the neck, for being less susceptible to hormonal action. In the anterior line the aromatase enzyme helps protecting the hair from hormonal action.

Table of Ludwig.

Types of Hair Loss
The types of hair loss is a complex and extensive subject, therefore we made a simplified classification of the most frequent complaints. The following is the most usual possible causes to these types of hair loss.

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