Alopecia, Hair Loss, Medication and Hormones

Did you know there are different types of Alopecia? Well, if not, there are and I will do  a general overview of they types before digging into my type.

From Wikipedia “Common types include: male-pattern hair loss, female-pattern hair loss, alopecia areata, and a thinning of hair known as telogen effluvium.[3] The cause of male-pattern hair loss is a combination of genetics and male hormones, the cause of female pattern hair loss is unclear, the cause of alopecia areata is autoimmune, and the cause of telogen effluvium is typically a physically or psychologically stressful event.[3] Telogen effluvium is very common following pregnancy.[3]

Less common causes of hair loss without inflammation or scarring include the pulling out of hair, certain medications including chemotherapy, HIV/AIDS, hypothyroidism, and malnutrition including iron deficiency.[2][3] Causes of hair loss that occurs with scarring or inflammation include fungal infection, lupus erythematosus, radiation therapy, and sarcoidosis.”

Androgenic Alopecia is what I have and it is considered “pattern hair loss”, both female and male. This is typically has a genetic component and a hormonal component. There is no cure, you can take medication that blocks the hormone that causes the hair loss and for men there is hair transplants, some people see less hair loss with special shampoos that contain minoxidil.

When I was a child I had so much hair that it gave me migraines. My hair was thick and long. Besides starting to gray at the age of 11 I didn’t really notice the slow hair loss that started in my late teens. In my twenties I kept my hair super short and I still had plenty.

After my first son was born my hair started to come out in fist-fulls when I would wash it. I asked the doctor at this time and was told it was normal due to hormones after birth. Months later it was still happening and they told me there was no way to check my hormones…. this is a lie, do not accept this as an answer. The problem for hair loss in women is that it can be caused by so many different things.

I went to a dermatologist who took a biopsy of my scalp to determine the cause. Drum roll, it was hormones. My body was producing too much testosterone and causing the hair follicles to shut down to put it simply. It’s actually a balance between several hormones but they put me on a testosterone blocking medication to slow down the loss of hair.

For me, the loss is not just my scalp, it is also my eye brows and eye lashes. Minoxidil, biotin and folic acid supplements never helped me but spironolactone did help for a bit. Then we got pregnant again and I had to stop because that medication can cause birth defects. After our second son was born I tried the medication again for a bit but it didn’t seem to work anymore. The clips of hair extensions I had been using to assist what hair I had were now not wide enough to actually cover the areas where I lost hair. That is when I started shaving my head.

Here’s the thing, as females we are bombarded with advertisements for shampoo and beauty products for luxurious hair. “Hair is part of who we are and how we present ourselves to the world. This is why thinning hair is kind of a big deal – it can be a very frustrating topic for many women as there is no quick solution to getting more hair instantly.”ZRTLab. This blog page has a good selection of nutrients and supplements to keep your healthy.

Types of treatments for hair loss include the minoxidil shampoo and hormone blocking medications, which once they are stopped the hair loss resumes. Some other types are laser combs or helmets which are supposed to stimulate hair growth; platelet rich plasma taken from your own blood, separated and then injected into your scalp. Stem cells, like the plasma is in research still as treatment and then supplements like biotin and folic acid.

As a person who could no longer grow hair I felt like less of a woman. I know this is not true, I still have value but it took many years for me to embrace that fact. If I am being honest, I still have moments when I don’t feel like I fit in because my lack of hair. I had my eyebrows tattooed on so that when they fall out it is less noticeable.

With my MS I take a medication that is actually a form of chemotherapy, this can cause hair loss. So now my hair loss is not just related to my hormones but a side effect of the medication I take to keep my body from destroying my brain. I have people assume I have cancer because I keep my head covered and after the 10th time I usually just accept their empathy without correcting them because I get very tired of having to explain my personal health issues to strangers who feel the need to know what’s wrong with me.

When it’s cooler outside I am able to wear one of my wigs since it is less likely to cause me to overheat and make my MS symptoms worse. As you can imagine, this also gets a lot of questions but usually from people who see me more often since I go from no hair to hair. When I am at my youngest son’s school it’s amusing because the kids all think I got a hair cut or magically grew hair (if only).

Sources:

https://en.wikipedia.org/wiki/Hair_loss

https://www.zrtlab.com/blog/archive/hormones-and-hair-loss/

https://www.aad.org/female

https://www.health.harvard.edu/staying-healthy/treating-female-pattern-hair-loss

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