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Alopecia

Hair loss, medically known as alopecia, is a condition characterized by the partial or complete loss of hair from the scalp or other parts of the body. It is a common concern affecting millions of people worldwide, and while it is often considered a cosmetic issue, it can also indicate underlying health problems. Hair loss can occur gradually over time or suddenly, depending on the cause. It can affect both men and women, and although it is more prevalent with age, it can also occur in younger individuals due to various reasons.

There are several types of hair loss, each with different causes and characteristics:

  1. Androgenetic Alopecia (Pattern Hair Loss):This is the most common form of hair loss, affecting both men (male-pattern baldness) and women (female-pattern baldness). It is hereditary and often progresses gradually, leading to thinning hair or bald patches.
  2. Alopecia Areata:An autoimmune condition where the immune system mistakenly attacks hair follicles, leading to patchy hair loss. It can occur suddenly and affect the scalp, eyebrows, and other body hair.
  3. Telogen Effluvium:A temporary form of hair loss that occurs when a large number of hair follicles enter the resting phase due to physical or emotional stress, illness, hormonal changes, or medication.
  4. Traction Alopecia:This type results from excessive pulling or tension on the hair, often caused by tight hairstyles such as braids, ponytails, or hair extensions.
  5. Scarring Alopecia (Cicatricial Alopecia):A condition where inflammation leads to permanent destruction of hair follicles and scar tissue formation, preventing new hair growth. Early detection is key to preventing permanent scarring from forming.
  6. Trichotillomania:A psychological disorder where individuals have an uncontrollable urge to pull out their hair, leading to noticeable hair thinning or bald spots.

Hair loss can result from various factors, including genetic predisposition, medical conditions, lifestyle choices, and environmental factors. Common causes include:

  1. Genetics:Hereditary hair loss, such as androgenetic alopecia, is the leading cause of hair thinning and baldness.
  2. Hormonal Changes:Hormonal fluctuations due to pregnancy, menopause, thyroid disorders, or polycystic ovary syndrome (PCOS) can trigger hair loss.
  3. Medical Conditions:Autoimmune diseases (such as lupus), scalp infections, and certain skin conditions like psoriasis can contribute to hair loss.
  4. Medications and Treatments:Drugs for cancer (chemotherapy), arthritis, depression, heart disease, and high blood pressure may have hair loss as a side effect.
  5. Nutritional Deficiencies:Lack of essential nutrients like iron, vitamin d, protein, biotin, and zinc can weaken hair and cause excessive shedding.
  6. Stress and Trauma:Emotional or physical stress, severe illness, or surgery can push hair follicles into a resting phase, leading to hair thinning.
  7. Excessive Hair Treatments:Frequent use of heat styling tools, harsh chemical treatments, and hair dyes can weaken hair and cause breakage.
  8. Infections:Fungal infections, such as ringworm, can affect the scalp and lead to hair loss.

The symptoms of hair loss vary depending on the underlying cause. Common signs include:

  1. Gradual Thinning on the Scalp:This is the most common sign of hereditary hair loss, where hair becomes progressively finer and recedes at the hairline, part, or crown.
  2. Patchy or Circular Bald Spots:In cases of alopecia areata, small, round bald patches may develop on the scalp or other areas of the body.
  3. Sudden Hair Shedding:Large amounts of hair falling out when washing, brushing, or gently pulling can indicate telogen effluvium.
  4. Scalp Redness, Itching, or Scaling:Skin conditions and infections may accompany hair loss with visible irritation or flaking.
  5. Widening Part or Balding at the Crown:This is often seen in female-pattern hair loss, where the hair becomes noticeably thinner on the top of the head.
  6. Broken or Brittle Hair:Weak, easily breakable hair can result from excessive styling, chemical damage, or nutritional deficiencies.

Addressing hair loss early is crucial for managing its progression and improving hair health. Some reasons why seeking treatment is essential include:

  1. Preventing Further Hair Loss:Identifying and treating the underlying cause can help slow down or stop hair loss before it becomes severe.
  2. Enhancing Self-Esteem and Confidence:Hair plays a significant role in appearance, and hair loss can negatively impact a person’s self-image and mental well-being.
  3. Identifying Underlying Health Issues:Hair loss can be a symptom of an underlying medical condition, such as thyroid disorders, autoimmune diseases, or nutritional deficiencies. Treating the root cause can improve overall health.
  4. Promoting Hair Regrowth:Many treatment options, including medications (such as spironolactone, minoxidil, dutasteride, and finasteride), hair transplants, laser therapy, and platelet-rich plasma (PRP) therapy, can stimulate hair regrowth.
  5. Reducing Psychological Distress:Hair loss can lead to stress, anxiety, or depression, affecting daily life. Seeking treatment can help alleviate emotional distress.
  6. Improving Scalp Health:Addressing scalp infections, dandruff, or inflammation can contribute to healthier hair growth.

Hair loss treatment options vary depending on the cause and severity of the condition. Early intervention and proper hair care can help maintain strong, healthy hair and prevent further damage. Early diagnosis, medical treatment, and emotional support can help individuals with hair loss manage the condition and improve their quality of life. Dr. Seena Monjazeb at Rosebranch Dermatology has extensive experience in treating hair loss and can help come up with a treatment plan to improve your condition. Rosebranch Dermatology sees patients in Friendswood, Texas and serves the greater Houston area including League City, Clear Lake, Pearland, and Alvin.

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Dr. Seena Monjazeb

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