Lucie came to see us for an initial consultation back in March 2014 and was diagnosed with severe androgenetic alopecia, also known as female-pattern hair loss and with severe telogen effluvium.
Androgenetic alopecia (female pattern baldness) in women is often linked to hormonal changes with the hair loss following events such as the menopause, childbirth or as a result of stopping or starting oral contraceptive pills. The hair loss is generally more uniform over the scalp than in the male counterpart, but also results from a complex chemical reaction when the enzyme 5-alpha-reductase converts the testosterone in the system into DHT or dihydrotestosterone. The hair follicles are genetically predisposed to be over sensitive to the DHT and become smaller and smaller with time, leading to the eventual hair loss.
Telogen effluvium occurs when the growing phase of the hair is interrupted prematurely causing the hair follicles to enter the telogen (resting) phase of the hair cycle earlier than normal. Two to four months later, following the normal cyclic pattern, diffuse shedding of the hair begins. When this happens there are not enough hair left in the anagen phase, or growing phase, and the result is therefore diffuse thinning of the hair. Telogen effluvium can be triggered by anaemia.
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