Learn About Female Hair Transplant
Female pattern baldness is as common as male baldness, but less severe, and of a different clinical presentation. The onset is gradual and after puberty, however, with peaks appearing between 30 and 50 years. One in four women between the ages of 25 and 40 and half of women over the age of 40 have some degree of baldness. As in the male, there is also a genetic predisposition transmitted by both parents. Only 20% of the cases have a positive family history.
The cause is considered to be multi-factorial, with the conversion of testosterone (male hormone that also circulates in women, but in lesser amounts than men) into DHT (dihydrotestosterone) through the enzyme 5 alpha reductase . Most often, no male hormone increases in the bloodstream. What happens is a sensitivity of the cellular receptors to the DHT, triggering the process of miniaturization (diminution of the diameter and size of the stem of the wires and reduction of the phase of growth of the same) of the wires. The triggering factors may be: hormonal disorder, including onset or discontinuation of contraceptive use, ovarian cysts, and pre and post menopausal periods.
Other causes of hair loss include: Iron deficiency anemia, restrictive diet, thyroid disease, hormonal changes with increased male hormones, use of performance enhancing products (pumps) with testosterone precursors, Starting or stopping the use of oral contraceptives, the postpartum period, the use of some medications, postsurgical or post-stress conditions, and the presence of inflammatory or infectious foci. For this, the patient must be submitted to a detailed clinical history, physical examination, and to laboratory exams done by the dermatologist specialized in the capillary area. A digital microscopy examination can also identify skin diseases that lead to hair loss. Seborrhea, seborrheic dermatitis, dandruff, “wounds” and fungi.
At clinical examination we did not find a completely bald area or entrances, as in men. The previous line of hairs remains on its original site. Female hormones help protect women from baldness, and it is through the presence of these hormones and their genetic pattern that the clinical presentation of women is different from that of men.
The main complaint of female patients is to be able to see the scalp through the hair strands when looking in the mirror, but it all starts with the loss of volume due to thinning and reducing the amount of yarn.
Female pattern baldness is classified into 3 main types according to Ludwig. The classification is based on the hair rarefaction that begins in the hair distribution line and evolves laterally affecting the entire upper surface of the scalp. It is characteristic the presence of normal hair in the front frontal band of the head.
Once the diagnosis is made, there are 3 possibilities of treatment, according to the indication of the specialist doctor. The clinical, the surgical, or the association of both.