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Hair Loss Symptoms in Female (Women) and Testing the Degree of a Woman’s Hair Loss

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Hair Loss Symptoms in Female (Women)
Testing the Degree of a Woman’s Hair Loss
                                                                   Hair Loss Symptoms and Testing Degree by Yourself

Hair loss in women isn't always as straightforward as it is in most men. In men about 90% of all cases are caused by hereditary male pattern baldness. In women, however, hair loss can be triggered by a multitude of conditions and circumstances. The diagnostic tests below should be performed to help pinpoint the hair loss trigger. The truth of the matter is that for many patients these tests usually come back with readings within the normal range, but these tests can at the very least eliminate the possibility of certain disorders causing your hair loss. It's important to remember that the proper diagnosis of female hair loss usually starts with the process of elimination.

Tests for Hair Loss in Female

  • Hormone levels

    (DHEA, testosterone, androstenedione, prolactin, follicular stimulating hormone, and leutinizing hormone)

  • Serum iron, serum ferritin, and total iron binding capacity (TIBC)

  • Thyroid levels (T3, T4, TSH)

  • VDRL (a screening test for syphilis)

  • Complete blood count (CBC)

  • Scalp biopsy
    A small section of scalp, usually 4 mm in diameter, is removed and examined under a microscope to help determine the cause of hair loss.

  • Hair pull
    A doctor lightly pulls a small amount of hair (about 100 strands) to determine if there is excessive loss. If more that 3 hairs come out, then the patient is likely suffering from excess hair loss. Normal range is one to three hairs per pull.

  • Densitometry
    The densitometer is a handheld magnification device used to check for miniaturization of the hair shaft.

Testing the Degree for Ludwig Scale

Ludwig 1-1 : The central parting of a woman with no hair loss.

Ludwig 1-2 1-3 1-4 : The width of the parting gets progressively wider indicating thinner hair along the center of the scalp.

Ludwig 2-1 2-2 : Diffuse thinning of the hair over the top of the scalp

Ludwig 3 : A woman with extensive diffuse hair loss on top of the scalp, but some hair does survive

Ludwig Advanced : A woman with extensive hair loss and little to no surviving hair in the alopecia affected area. Very few women ever reach this stage and if they do it is usually because they have a condition that causes significant, abnormally excessive androgen hormone production.

 




Ludwig Frontal :
A woman with a pattern of hair loss that is described as “frontally accentuated”. That means there is more hair loss at the front and center of the hair parting instead of just in the top middle of the scalp.

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