Healthy, full-bodied hair - especially for women, this is also a sign of attractiveness. The worse, if the hair fails. In many cases, hormones or heredity are to blame. Although more men than women suffer from hair loss, affected women suffer much more. One reason is certainly the social acceptance of little or no hair in men as opposed to hair loss in women. However, not every hair loss is a hair loss. From a morbid hair loss, the so-called effluvium is only spoken if more than 100 hair fail daily.
Hair loss has many faces
In addition to a hereditary predisposition for hair loss, women fall out more often especially the hair when they are pregnant or menopause or during a pill break. The reason: Estrogens increase hair growth while androgens inhibit it.
In such hormonal special times, the production of the female gonads is throttled, and there is a relative preponderance of male hormones. Therefore, it is understandable that just when a change in the hormone balance occurs, increased hair loss can. Other factors such as age or season also play a big role.
Causes of Hair Loss in Women
- Hereditary factors (plant-related female hair loss)
- Shift of hormonal balance after childbirth
- Falling estrogen levels during menopause
- Dysfunction of the thyroid
- Heavy infections, poisoning
- Metabolic diseases such as diabetes mellitus
- Stress, dietary deficiencies, nutritional deficiencies
- Medicines for high blood lipid levels, blood pressure medicines (ACE inhibitors, beta-blockers) and drugs for cancer treatment
To be able to fight hair loss effectively, the causes should be known. For diagnostic purposes, a visit to the dermatologist and - for women - the gynecologist is recommended. Hair loss due to stress, nutritional deficiencies, hormonal imbalances or medications is usually a transient phenomenon that is reversible.
Those who want to be active themselves should know that there are over-the-counter medicines for diffuse alopecia in the pharmacy that supply the hair root with sulfur-containing amino acids and B vitamins.
Hair loss after pregnancy
After a pregnancy or lactation, hair loss - the so-called postpartum effluvium - can occur. This is no reason to worry, because the hair usually grows after several weeks to months, even without therapy. What is happening?
During pregnancy, the level of estrogen in the blood is very high. That is why most women first observe beautiful, dense and shiny hair and smooth skin. At birth, however, the estrogen level drops sharply, resulting in the sudden transfer of hair in the growth stage (Anagenpahse) in the resting and failure stage (telogen phase). These hairs typically fall out 2-3 months later.
Hair loss during menopause
During and during the menopause, not a few women have a permanently increased hair change. This phenomenon is called chronic telogen effluvium (CTE). Suspicion of CTE is intensified by increased telogen hair rates over months or years. This can be determined by means of a trichogram.
The trichogram is a commonly used method to measure the extent of hair loss or the effect of hair therapeutics. For this purpose, 50 to 100 hairs are plucked out with tweezers in order to be able to assess the hair roots under the microscope and assign them to the individual growth phases. Normal would be a maximum of 20% telogen hairs. Another method of measurement increasingly used by dermatologists is the so-called TrichoScan procedure, in which no hair has to be epilated.
What to do if hair loss occurs?
It is important to know that there are times with increased hair changes, which usually do not lead to a permanent hair clearing in the sense of an androgenetic alopecia. For special support, the pharmacy offers over-the-counter medicines that provide the hair with all the essential nutrients it needs for healthy hair growth. If the hair change lasts longer or the hair suddenly goes out in larger quantities, you should consult an expert.
Meanwhile, there are so-called hair consultation hours for those affected throughout Germany. In the hair consultation, the doctors devote themselves intensively to the forms of hair loss and diseases of the scalp. Different methods are available for diagnosis and therapy.