Women’s hair loss can be observed after childbirth, if she has ferrous deficit or deficit of thyroid hormones. However, in connection with epidemic of general androgenization in big cities, androgenic alopecia is the main women’s hair disease now and in 90 % is the reason of hair loss.
First strokes of androgenic hair loss mask under uniform alopecia. And such reason as increasing level of man’s hormones do not occur to the majority of women and during 2-3 years they treat all possible reasons of hair loss while thinning of hair formes in frontoparietal area.
Women’s androgenic alopecia is called androgenic, because it is connected with increasing of level of man’s hormones or hypersensibility of receptors of hair follicles to androgens. It can also be a result of abnormalities in activity of enzymes, which are participating in a metabolism of hormones, such as: 5-alpha- reductase (increase of activity) or aromatase (decrease of activity of this enzyme).
From the clinical point of view it is necessary to differentiate:
1. androgenic alopecia, developed in the period from 14 to 40 years;
2. androgenic alopecia, developed after 40 years.
In the first case, disease is chronical with gradual progressing and in 99 % cases it is possible to find out increase of man’s hormones.
In the second case, alopecia develops as a result of misbalance between male and female hormones.
Sometimes it can be accompanied by blackheads (pimples), hirsutism, and changes in menstrual cycle.
The most important thing that women should understand, that alopecia is only external display of the general androgenization of an organism and trying to treat hair loss will have only temporary positive effect, and the general androgenization of an organism steadily continues.
What will be the next? It will be increasing of muscular weight, changes in state of mind, changes of social behavior, polycystic ovary syndrome (which leads to infertility), insulin resistance which causes an increase of sensitivity of cells of an organism to insulin and, accordingly, an increase of sugar level in blood.
From the beginning of development of this disease to occurrence of these signs from 5 till 15 years will pass.
It may lead to decrease in fertility rate, social deadaptation, and as an extreme result of androgenization is changing of sexual orientation.
In view of the aforesaid, trichologist, dermatologist or endocrinologist should expect development of general androgenization of women and may not be limited only by external cosmetic influences.
Women with androgenic alopecia should understand that changes in metabolism of their man’s hormones, which begun in their organisms, will proceed during all life. And only systematic treatment will allow them to avoid all unpleasant symptoms of general androgenization of female organism.
So, patients should understand that there is no alternative for them, and moving from one beauty salon to another and rubbing in different external preparations gives only temporary effect.
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