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Differences between female and male alopecia

The most effective treatments for hair loss

The most frequent types of female Alopecia are, in general, the same ones that affect men, although with significant differences that help the diagnosis. The alopecia areata affects both sexes equally, but androgenetic is much more common in males . When it occurs in women, explains José Domínguez Auñón, a dermatologist at the Hospital del Henares , in Madrid, hormonal factors tend to influence, such as excessive androgen activity.

Telogen effluvium is uncommon in them and almost always affects women. “In this type the Hair begins to fall abruptly between two and four months after suffering some physical or psychic episode of relevance , as a disease that causes fever, surgery, childbirth , important psychological stress , etc”.

The dermatologist adds that there are forms of alopecia exclusive to postmenopausal women , such as fibrosing frontal alopecia. It is a cicatricial alopecia through which hair is lost in the area of ​​the diadema.

It even speaks of traction alopecia , which is caused by prolonged excessive stretching by certain fashions in the hairstyle (ponytails or very stretched braids). “If it is maintained, it can become permanent.”

Child alopecia

Compared with children there are also differences. “There are forms of childhood alopecia, such as trichotillomania, in which hair is removed from certain areas . Also the loose anagen syndrome, typical of blond girls between three and six years of age who present diffuse hair loss “.

Who can suffer alopecia areata and androgenetic

“Alopecia areata usually appears in children or young people, although it can also come later. Androgenetic and chronic telogen effluvium usually occur in women between 30 and 60 years old , although the former may appear earlier, sometimes from puberty, and acute telogen effluvium at any age. ”

In general it is possible that they occur in normal, healthy women. Although Domínguez points out that there are other causes that can cause hair loss:

• Nutritional deficiencies

• Iron deficiency (with or without anemia )

•  Thyroid and metabolic disorders

• Drug-induced hair loss

•  Syphilis

• Liver or kidney disorders .

•  Cutaneous diseases located at the level of the scalp.

Avoid hair loss

Prevention is difficult in most cases , except if it has been detected that the cause is one of the above reasons.

“We must maintain a correct diet, since we know that nutritional deficits ( protein-calorie malnutrition or anorexia nervosa) are a cause of hair loss. It is also important to treat possible diseases that occur with desquamation of the scalp (seborrheic dermatitis and psoriasis ), as well as to maintain a correct capillary hygiene “.

Shampoos contain ingredients that give them other physical and aesthetic properties such as foaming agents, conditioners, pH balancers, fragrances and specialized additives, etc.

” There is no shampoo that specifically treats alopecia. Some would have vasodilator substances (for example, tocopherol) that would facilitate the absorption of therapeutic products such as minoxidil, “Domínguez explains.

If alopecia is associated with another pathology such as seborrheic dermatitis or psoriasis, shampoos with specific ingredients are used.

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Differences between female and male alopecia


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