hair loss

Women’s Hair Transplant

by Y on November 7, 2007

Women's Hair TransplantDoes anyone know anything about hair transplants…I’m really considering it. I have an appointment on Nov 8… Has anyone here had a hair transplant? What do I need to qualify for one?
Thanks,
gypsy

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Dear Gypsy,

It is my opinion that most women who suffer with typical female pattern hair loss are not candidates for hair transplantation. The reason being, usually women’s hair loss exhibits itself in a diffuse thinning all over the scalp leaving no stable donor hair. In order to understand what I am referring to it is important to first understand how a hair transplant is performed. Since I’m not trying to reinvent the wheel here, with permission I am republishing the hair transplant information provided by The American Hair Loss Association

Understanding Hair Transplants (from the American Hair Loss Association)

At this point a hair transplant can only be performed by harvesting DHT resistant hair from the back of your own scalp, and then transplanting it into the balding areas. Typically, men experiencing male pattern baldness will remain with a permanent wreath of hair surrounding the sides and the back of their head, this is where hair is harvested from for transplantation. This hair is genetically programmed to continue to grow even in the worse cases of male pattern baldness.

The exception is men suffering with diffuse hair loss. These men suffer with a similar form of hair loss as women; the hair loss is distributed throughout the entire scalp leaving the sides and the back very sparse. If this hair were to be transplanted, there would be no guarantee that the hair would continue to grow in the recipient area due to the fact that this hair seems to be inherently unstable and just as susceptible to DHT as the hair lost on the top of the scalp. For this reason the vast majority of women suffering from hair loss should never have a hair transplant.

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Since hair transplantation is a good option for nearly 90 percent of the balding men in the country, women think that they will make a good hair transplant candidate as well, but this is usually not the case. Very few women have the type of hair loss that would make them good candidates, and that’s because most women have what’s called diffuse hair loss. That means that women have an overall thinning in all areas of the head, including the sides and back, these are the areas that act as donor sites in men. It is from these sites that the hair is removed for hair transplantation to other areas of the head. In men, the donor sites are called stable sites, which means that the hair and follicles in those areas are not affected by the DHT that shrinks follicles elsewhere on the head in those with androgenetic alopecia, or what’s commonly called male pattern baldness. In female pattern baldness, however, these donor areas are usually unstable. They are thinning, [click to continue…]

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Lisa's Hair Loss Story - Really Need Some Support, Please Help MeHello. My name is Lisa. I have been experiencing hair loss for a few months now and really need advice from women who have been through it. Firstly, I was wondering if you could recommend any good doctors in Massachusetts and if there are any support groups where you can meet with other women in person.

I hope its ok that I am telling you this personal information. I am really desperate for advice and have not found a good dermatologist yet that will help me. Plus it is like pulling teeth to get a referral with my health clinic.

I will try to tell you briefly of my hair loss story. I had an abortion in the beginning of April 2007. After the procedure (which was done by the medical abortion pill) I did not get my period for approximately two months and notice sometime in May or June that my hair seemed to be drying out. In July I started shedding abnormal amounts of hair in the shower and on my brushes. I have always been a big shedder but this was much more than normal. I went to my primary care and she did blood work for a thyroid and it came back “normal”. I just shrugged it off to be stress.

On top of the abortion at that time I was suffering from severe stress due to my job. My boss literally verbally abused me on a regularly basis, plus I was a paralegal so that is a stressful position on its own. Basically every aspect of that job for the two years I worked there was stressful. Come the month of August my hair was starting to really really dry out and break. By September I freaked out because it was broke everywhere and I was still losing hair. At this point it was noticeable how thin my hair got. I normally have thick wavy hair. There is no type of baldness that runs in either side of my family, even the men. My family on both sides have very thick hair.

In September I seen one doctor who told me I had telogen effluvium do to stress and a terminated pregnancy I had in April. I wasn’t satisfied with his diagnosis so I went to Dr. Howard Baden (who is supposedly this fabulous doctor known worldwide) and he was an awful mean man with the worst bedside manner I have ever experienced. I was in tears when I left his office because of the way he treated me. Just by briefly looking at my scalp he said “female pattern baldness” but it was very unclear if it was a definite diagnosis or an educated guess. I have been losing hair all over my head not just one spot and it isn’t coming out in clumps. I have two spots on the crown of my head that have definitely gotten thinner and receded back but they have always been pretty thin. I couldn’t even ask him questions because he would shoot me down every time. He did tell me to send in a hair sample and I will have the results this Monday, November 5, 2007. Should I ask for a scalp biopsy too? [click to continue…]

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A Bittersweet Light At The End Of The Tunnel? Anrea's Hair Loss StoryHi girls,

I wanted to write with regard to all the women on this forum, and specifically because of a recent post I read from Rosalinda. Her story sounds similar to mine, and I recently had an eye-opening dermatologist appointment that I haven’t had time to write about until now.

Let me start out with my hair loss story:

I first noticed my hair loss when I was 18 years old, 4 months after I started taking ortho-tricyclen lo. My hair had been coming out quite a bit in the shower but I didn’t think anything of it because I had incredibly thick hair. You know, hair so thick it makes the hairdressers cringe when they have to blow dry and style it because they know it will take like, an hour. I wish more than anything I could say the same about my hair today! One night as we were about to go out my boyfriend said he was a little concerned that he could see parts of my scalp through my hair, and asked whether it could be due to my pill. Well I became alarmed by my hair loss and began researching it extensively. I got bloodwork done at two different clinics with everything being normal, but I asked them to switch my pill anyway. I picked Yasmin because it is supposed to have anti-androgenic effects. That was 3 years ago. The hair loss never stopped, and my diffuse thinning kept progressing. I have probably lost 2/3 of the hair I used to have… when I put my hair in a ponytail it is barely the size of a sharpie marker. I have been hesitant to quit my pill altogether because I’m afraid I will go through the “dread shed” telogen effluvium and lose even MORE hair. I also get terrible cramps, heavy, long periods, and acne (my face is pristine when I’m on the pill though). However, I’m not really sure if it was my pill that caused it because I do distinctly remember mentioning in the past that my hair felt thinner and easier to manage than usual (this was when I was about 17, as I was getting ready for a homecoming dance). It is all so confusing and difficult to pinpoint. As trivial as most people think hair is, this has been the most traumatic and challenging experience of my life. Sometimes I have to stop myself and thank my lucky stars that I am healthy and I have a good life and my hair isn’t everything. But some days, hair really does feel like everything.

This month, I hit a major turning point. I had a scalp biopsy done by my dermatologist, expecting nothing to turn up. When I walked into his office 2 weeks later for the results I got a diagnosis I had never dreamed of or never researched. Scarring alopecia, due to Lichen planopilaris. My heart hit the floor. SCARRING… seemed so final, like the death sentence for my hair. My dermatologist seemed a little more optimistic though. He said it’s an infection of the scalp, no one knows how you acquire it, it’s just kind of a freak occurrence (why me??). My scalp hadn’t looked inflamed at all, but he said it showed mild inflammation under the skin when the biopsy was analyzed. Even weirder, lichen planopilaris normally presents itself as a patch of hair loss, rather than diffuse. I am still a little skeptical about my diagnosis, but I am following the protocol: antibiotic (minocycline) and topical steroid (olux foam). Together these are supposed to reduce the inflammation under my skin and help stop the hair loss. My derm also said I could try the Rogaine 5% once per day to try and revive some of my recently attacked follicles. He wasn’t sure if it would work though because I don’t have androgenic alopecia. We shall see. When I left the dermatologists office I just broke down and started bawling. Partly out of relief that I could possibly control the fate of the rest of my hair, and partly out of extreme frustration. I had been shouting from the mountaintops about my hair loss to every doctor that would ever listen, and none of them did anything until now. I shudder to think this could have been prevented.
[click to continue…]

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The Number 38 - Why Does it Make Me So Happy?The number 38 can mean a lot of different things to different people. The number 38 is:

The number of slots on the American Roulette wheel

38 is the largest even number which cannot be written as the sum of two odd composite numbers

A 38 is often the name for a snub nose .38 caliber revolver

And…. 38 is the number of hairs I lost combing my hair after my shower today!!! That is a huge victory and success for me considering just a short while ago I was loosing 500+ hairs a day. I don’t want to jinx myself, but things seem to be getting better and my horrific shed that has lasted consistently for the last 2 years has finally slowed down. I can’t describe how much of a relief that is, and it gives me hope that perhaps I can gain back a little ground. For some people who never have experienced hair loss, 38 hairs lost in a comb may seems like a lot to them, but for me it is a giant step in the right direction. After living with hair loss for 8 years, I am at peace with settling for a lot less than I use to hope for, and I’m fine living with thin hair as long as my hair loss is stable. The panic that sets in is derived from the possibility of the unknown when the shedding continues with no end in sight. I’d be thrilled if I could regain some hair lost from 2007, but even if I couldn’t and things stayed as they are now, my mind would be at rest. I have very very thin hair, but at least I would be more comfortable exploring the option of adding hair to my own if the shedding subsides. So I’m staying hopeful and positive that I’m finally getting a break and looking forward to better days ahead.

What do I attribute the lessening in shedding to? I’ve lowered my synthroid dosage down to the level I had it at back in 2005. I’ve had a feeling that the excessive telogen effluvium was due to my synthroid dosage being increased in 2006 and then again in 2007. I’ve had other side effects that seems to support my hunch that the dosage given to me was too high despite what my blood work “chart” indicated. You cannot just treat the chart and you have to go by how you feel. Numbers on a piece of paper don’t tell the whole story. So with the support of a physician I had spoken to on the phone I went to the local Urgent Care and asked if they would provide me a lower dose for synthroid. I explained the whole story and even took my bloodwork records with me from 2007 back to 2003, and they agreed to lower the dosage as long as I came back in 6 weeks for a bloodwork recheck, which of course I’m more than happy to do. My regular doctor would not have made that change in medication for me because he was the one who prescribed the higher doses both this year and last, and according to the numbers that is the level he felt I should be on. But I just didn’t feel it was right. So I took action. It’s my body and I have to do what is best for me.

What else? I also started taking an Ayurveda herbal supplement 2 months ago that contains 41 different herbs that are suppose to promote health and vitality. It doesn’t claim to grow hair, and that isn’t what it is sold for. It’s rich in antioxidants and is suppose to help with detoxification. I am just trying to give my body the best chance at healing and if possible correcting any imbalances. The herbal supplement tastes so awful I feel like I’m gonna throw up after drinking it and it makes me gag. But who cares right? I’d eat 20 raw eggs a day if I thought it would help! I also am more consistent now with making sure I take my women’s multivitamin daily as well.

That is about all that is different. Oh and I started blogging about women’s hair loss 🙂 I just wanted to let all of you know about my recent improvement to give you hope that no matter how bad your hair loss and shedding is today, it can get better. I’m not kidding you when I say this is the first break and improvement I’ve seen after about 2 year shedding battle. My fingers are crossed that the shedding continues to slow down.

On a different note, Happy Halloween to everyone! I’m armed with 4 bowls filled with candy ready for the trick’O’treaters. There are a lot of kids in my neighborhood. I try to make sure I get rid of all the candy by the end of the night, otherwise I’ll be wearing it on my thighs the next couple of weeks 🙂

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Losing My Hair... Am I Vain? Rosalinda's Hair Loss StoryHi, my name is Rosalinda and I have been losing my hair since I was 17 years old. I am now 22 years of age. I started out with a huge thick mane and now I can pin everything up with two bobby pins. Sad! I dread taking showers or brushing my hair. I close my eyes when I take my hair out of my brush. I’ve heard from doctors that stress can cause hair loss and I stress about my hair loss all day long. I went to see a movie this weekend and I spent half the time looking at Eva Mendes’s full head of hair. I feel vain for thinking about it so much, it’s driving me nuts. I am on Yasmin and have been on it since I was 19. My hair loss started before I began the pill and I have been assured by many doctors that Yasmin wouldn’t make my hair fall out. I don’t want to leave the pill because my cramps are so severe I can’t function when I have them. I have had blood work and I am “fine” thyroid and anemia wise.

I don’t even remember all the tests the doctors ran. The three doctors I have seen have attributed my hair loss to stress and genetics. The dermatologist recommended dandruff shampoo and rogaine. Rogaine helps keep my hair from falling out, I do notice a difference when I try to get off of it. I am currently using extra strength for men (dermatologist said to do so) but it makes my scalp very itchy and full of dandruff. Does anyone else experience this? So I have a choice…head full of dandruff or a head with some hair, *sigh*. I am going to see a doctor again on Wed. to do blood work again, since the tests I took before were two years ago. I am also thinking of buying the laser comb. It is pricey $395-$500. Yikes! I laugh to myself because I just paid $700 to do laser hair removal surgery on my legs. Ack!

I’m trying to rearrange all of my hair situations my body has. Too funny. I noticed that no one on the blog site really had anything to say about the laser comb. Perhaps I can be the guinea pig for all of you. Take pictures and what not. What do you all think? Should I do it?

-Rosalinda

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Dear Rosalina –

Thank you so much for writing and sharing your story. I know the exact movie you made reference to, “We Own The Night” because I did the same thing as you. I couldn’t watch anything else other than Eva Mendes hair during the entire film. I’ve had that problem for quite sometime now, I actually wrote about that in this post titled “Hair Loss Can Quickly Become An Obession

Are you Vain? I don’t think so. I think you react in a very normal way to a disturbingly uncontrollable situation. Reading your email was like reading my own thoughts on paper. Trust me when I say I know exactly what you are going through, you used the words “thick mane” to describe your hair. I would as well to describe my former tresses that have since been replaced by thin fluffs of wispy hair. I actually use to get my hair thinned out at the hair dresser! Can you believe that??? My heart weeps when I think about that.

Since your hair loss started 2 years prior to you getting on the pill surely it cannot be responsible for the onset of your hair loss. In my opinion a doctor cannot state definitively whether the pill will make your hair fall out or not. Do they have a crystal ball? Likely not, and since most educated physicians know the possibility of hair loss occurring from the treatment of any synthetic hormones, they shouldn’t state things as facts that they have no way of knowing in advance. It really bothers me when I hear things like that. [click to continue…]

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At What Point Do We Let Go?

by Y on October 27, 2007

At What Point Do We Let Go?As I got up today I was pondering at what point do I let go of the thoughts that I need my hair. I certainly don’t need it to live. If I was stuck on a deserted island I wouldn’t mind one bit if I had my hair. But unfortunately by nature people seem to be incredibly judgmental, so the fact that at I live in a populated society in contrast to the solitary island, my mind convinces me that without my hair I am somewhat less than.

Less than… Less than… Less than what? Less than a woman with hair? Sounds ridiculous when I say it out loud or write it down. Who I am, and all my qualities certainly amount to more than the sum of follicles attached to my scalp. And I know in my heart, I am not my hair. We all have our challenges to face in life, and this, in this moment, is mine. I can either submit to defeat or accept myself. I choose to accept myself, however hard it is each time I look in the mirror. But I get stronger all the time, and I know I will get though this and be a better person for it.

When I first started losing my hair 8 years ago, I used to pray and pray that I would recover completely from whatever ailment or messed up hormone was causing me to lose my hair and that it would all grow back. As the years went by my attitude changed and I started pray that I could just keep what I had and have it stop falling out. More years past, and I started pray that I could be given strength to mentally deal with my hair loss and move on. That is where I am today. Oh course I want my hair back, I always keep hope that things may turn around, but ultimately I really want to learn how to accept myself as I am, today.

At what point do we let go? For me, its been quite sometime that I’ve been working on letting go and accepting myself more and more. I never thought that I could have endured all the hair loss and pain and loss of self, that accompanies it. But I have, and I do. And I still have plenty of happy, smiling, laughing moments even with the the thin wisps of hair that I have left. Those moments remind me that I will be okay.

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This Hair Loss Thing Is New To Me -Patt's Hair Loss StoryIn the last 2 months I have lost about 3/4 of my hair. Plus pubic hair. Weird! This is all so disconcerting and difficult. I have turned into a hat junkie … and I am grateful for them, but it gets real hard some days. I am
thankful for so many things and for this website. It’s good to read the stories from the other ladies out there who understand. and all the helpful advice. Is the loss of pubic hair normal too! I have been diagnosed with hypothyroid, adrenal fatigue, high cortisol (stress), and all my hormones are very low. I just started on bio-identical hormone treatment and a number of supplements from my nutritionist and I am starting to feel better. But there are some days that I don’t want to leave the house! Many blessings to all of you beautiful precious women out there! Patti

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Dear Patti,

Thank you so much for writing. I always say this at the beginning of my responses to emails so that there is no misunderstanding. I am not a doctor and cannot give medical advice, these are just my thoughts and opinions.

Your extreme rapid hair loss loss, 3/4 of your hair in 2 months in conjunction with the fact you have also lost your pubic hair, would in my opinion definitely point to some underlying cause other than typical androgenetic alopecia (female pattern baldness). Of course I have no way to know for sure. This was just my initial thought after reading your email. Especially since you mentioned that you have been diagnosed with hypothyroid, adrenal fatigue, high cortisol, and that all your hormones are very low. That is a lot of stuff happening and any one of them or all of them could be responsible for your hair loss. But the pubic hair loss still left questions in my mind so I did some research on the internet and found that any of the following could be responsible for pubic hair loss:

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Hair Loss – pubic hair loss may occur for many of the same reasons as any hair loss.
Menopause
Normal Aging
Underactive adrenal gland***
Addison’s Disease
Liver Cirrhosis
Pituitary Disease
Hypopituitarism

*Source
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You mentioned you were diagnosed with adrenal fatigue and this list mentions “underactive adrenal gland” as a possible cause for pubic hair loss. [click to continue…]

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Letting My Hair Down... How bout a little inspirationSo this weekend I decided to let my hair down… literally. I usually just pull it back, but Sunday I had to go to an event that required that I look more proper, a little more put together. Also for the outfit I was wearing I thought it would look so much nicer with my hair down. So for the first time in a long time I did the “hair routine.” I have avoided doing it for quite sometime because it seemed pointless. My hair is so thin and lifeless that the less time I spend working on it the better. If you haven’t already read it in one of my past postings, the hair routine usually takes about 1 – 1 1/2 hours and involves the use of a thickening shampoo and conditioner, then the use of a defrizzer that is applied after I’ve combed through my wet hair, then a thickening agent, and then I use a giant roll brush and blowdryer to make my hair look fuller. The final thing is the use of a flat iron to smooth it out.

Part of why I hate wearing it down is because it feels like nothing is there, I can’t feel the weight of my hair anymore, I haven’t for quite sometime, but it’s even worse now. I sucked it up anyways. You know what, most of those people I saw on Sunday didn’t have any idea I was losing my hair… I was able to perform hair magic one more time. I didn’t see any wandering eyes drifting upwards to stare at my thinning hair. I do look like a person with thin hair, but to them they probably thought it was just naturally thin. Even with that I still consider shaving my head because it is complete torture to lose 500+ hairs on some days. That is the type of extreme shedding that has started the last couple years, mainly the last year. I do think it is getting a little better now for whatever reason. Hair is cyclical and maybe I’m finally on the upswing. *fingers crossed*

But there is more…So after I finally made it through Sunday with the hair down, I kept it down, after all that effort I wanted to squeeze out another day of trying to feel normal. My fiance made a comment that I seemed so much more confident and social with my hair down, that I was like a different person. That makes sense, I hate wearing my hair up all the time, and I’m always feeling self conscious so I never have a chance to really be me. Monday night we out to a nice dinner and then went to a blues club to listen to music and have drinks. For a split second I sort of forgot about everything and enjoyed myself. I haven’t done that in a really really long time. It felt wonderful. Those moments are few and far between and I really appreciated it. In fact I told my fiance I wanted to start doing that at least once a week, get dressed up have a nice dinner, listen to some music… be normal. Even if I have to go with my hair pulled back in a not so attractive manner, I want to live life. [click to continue…]

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Low Iron Stores: A Risk Factor For Excessive Hair Loss In Non-Menopausal WomenI found this study really interesting as it cites low iron stores as a possible contributing cause of women’s hair loss. I know one of the first things that usually gets tested when a woman complains of hair loss is the iron levels. Of course there is such a huge range of what is considered normal its hard to tell the optimal level for our body.

Here it is:

European Journal of Dermatology. Volume 17, Number 6, 507-12, November-December 2007, Investigative report

*Abstract

Author(s) : Claire Deloche, Philippe Bastien, Stéphanie Chadoutaud, Pilar Galan, Sandrine Bertrais, Serge Hercberg, Olivier de Lacharrière

Summary : Iron deficiency has been suspected to represent one of the possible causes of excessive hair loss in women. The aim of our study was to assess this relationship in a very large population of 5110 women aged between 35 and 60 years. Hair loss was evaluated using a standardized questionnaire sent to all volunteers. The iron status was assessed by a serum ferritin assay carried out in each volunteer. Multivariate analysis allowed us to identify three categories: “absence of hair loss” (43%), “moderate hair loss” (48%) and “excessive hair loss” (9%). Among the women affected by excessive hair loss, a larger proportion of women (59%) had low iron stores (<\; 40 µg/L) compared to the remainder of the population (48%). Analysis of variance and logistic regression show that a low iron store represents a risk factor for hair loss in non-menopausal women.

The article is broken down into the following areas

Introduction

Materials and Methods

  • Volunteers
  • Hair Loss Assessment
  • Biochemical Measurements
  • Statistical Analysis

Results

  • Hair Loss Quantification
  • Link Between Hair Loss And Serum Ferritin Levels

Discussion

This study, carried out for the first time on a very large cohort of women, provides strong arguments in favor of an association between depleted iron stores and hair loss, particularly excessive hair loss in women before menopause. [click to continue…]

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My Sister Is Losing Her Hair And I Want To Help HerHi all. I don’t know if i’m stepping over the boundaries here and if I am, please let me know. I mean no disrespect. I am a family member of someone who has recently experienced hair loss. she’s my big sister and we live together. this has been an absolutely devastating experience for her. She started to really notice thining about a month or so ago and she has been to a couple of doctors, but hasn’t had too many tests done yet. I’ve been trying to find doctors and information for her, but i don’t know if i’m just making it harder. she is having a hard time so i try to take over the logistical stuff so she doesn’t have to think about it.

I guess i’m posting this just to ask you if there is anything i can do to help her or make this less painful. I know i can’t know what she’s feeling, but thought I would reach out to see if any of you could tell me stories of someone helping you make the situation better. She is a very guarded person and she doesn’t let people in very easily. I know she must feel completely isolated and I just want her to know she isn’t. We have a very close family and everyone is here for her when she needs it.

Again, I apologize if I am making anyone feel violated. I just want to help my sister any way I can. Thanks for listening.

~Brooke

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Dear Brooke –

Thank you so much for writing. I think it is really wonderful that you are trying to take on an active role in helping your sister through this extremely difficult time. Hair loss is devastating for any woman, and your sister is not alone in this. I’m certain your support means more to her than you even realize, and I certainly don’t think you are making anything worse by being there for her. Just a couple questions, how old is your sister? Did she recently start or stop taking birth control pills, nuva ring or the patch or experienced any recent extreme weight loss?

You asked for stories of situations where someone was able to make the situation better for the woman experiencing hair loss. For myself, the biggest help was just having someone there to listen to me. My fiance was there from the beginning and he always listened and understood my emotional pain, sense of confusion and fear for the unknown future. He understood my real loss. Having my feelings validated was extremely important to me, it still is. Having someone who believed my words “I am losing my hair” and fully comprehending the impact that was having on me, was helpful to me. What do I mean by believing? By believing I mean not denying or trivializing my pain by telling me “oh you look fine, you’re not losing your hair.” If a woman is losing her hair, she knows it, end of story. On the flip side, words that helped me was when he told me ” I know you are losing your hair, but to the rest of the world you look like you have a full head of hair, so try and enjoy today.” It was very delicate wording. He validated my situation and then gave the best hair complement a women with hair loss could get 🙂 He wasn’t lying either, it was the truth. When we are engulfed in the early stages of hair loss we struggle with what our former image was…. a full head of hair. As it thins, nothing is good enough and the depression and sadness creeps to an all time high even when no one else can really tell. Now people can tell I’m losing me hair, but I’d say definitely for the first 5 years, my secret was known to only me. That didn’t prevent me from feeling ugly, sad and avoiding social gatherings, but it was something I wish I fully realized back then. Having my fiance tell me it “looked like I had a full head of hair” reminded me what I couldn’t remind myself, I was still OK. [click to continue…]

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