Hair Loss Affects More Than Half of Postmenopausal Women

Hair Loss Impacts Extra Than Half of Postmenopausal Ladies

Feminine-pattern hair loss (FPHL) was recognized in 52% of postmenopausal ladies, and 4% of those circumstances concerned in depth baldness, based mostly on information from 178 people.

FPHL can develop at any time from teenage years via and past menopause, wrote Sukanya Chaikittisilpa, MD, of Chulalongkorn College, Bangkok, and colleagues.

The reason for FPHL stays unsure, however the presence of estrogen receptors in hair follicles means that the hormone adjustments of menopause might have an effect on hair progress, the researchers stated.

In a examine revealed in Menopause, the researchers evaluated 178 postmenopausal ladies aged 50-65 years for FPHL. FPLH was decided based mostly on images and on measures of hormone ranges, hair density, and hair diameter.

The general prevalence of FPHL was 52.2%. The hair loss was divided into three classes indicating gentle, reasonable, and extreme (Ludwig grades I, II, and III) with prevalence of 73.2%, 22.6%, and 4.3%, respectively. The prevalence of FPHL additionally elevated with age and time since menopause. In a easy logistic regression evaluation, age 56 years and older and greater than 6 years since menopause had been considerably related to FPHL (odds ratios, 3.41 and 1.98, respectively).

Nonetheless, after adjustment for a number of variables, solely a physique mass index of 25 kg/m2 or greater additionally was related to elevated prevalence of FPHL (adjusted OR, 2.65).

A complete of 60% of the examine members met standards for low shallowness, together with all the ladies within the extreme hair loss class.

“The postmenopausal ladies with FPHL in our cohort had decrease whole hair density, terminal hair density, hair thickness, hair unit density, and common hair per unit than these with regular hair patterns,” though vellus hair density was greater in ladies with FPHL, the researchers wrote of their dialogue of the findings. This distinction could also be induced partly by the shortened hair cycle and lowered anagen section of velluslike follicles, they stated.

The examine findings had been restricted by a number of elements, together with the cross-sectional design and the inclusion of solely ladies from a single menopause clinic, which can not replicate FPHL within the common inhabitants, in addition to the reliance on sufferers’ recall, the researchers famous. One other limitation was the shortcoming to evaluate postmenopausal hormone ranges, they added.

Nonetheless, “This examine stands out as the first FPHL examine performed in a menopause clinic that focused solely wholesome postmenopausal ladies,” they wrote. Extra analysis is required to find out the potential position of estrogen and testosterone on FPHL in postmenopausal ladies, and whether or not a historical past of polycystic ovarian syndrome has an impact, they stated. In the meantime, present examine outcomes might assist clinicians and sufferers decide probably the most applicable menopausal hormone therapies for postmenopausal ladies with FPHL, they concluded.

Take into account way of life and shallowness points

The present examine is essential right now as a result of a bigger proportion of ladies are both reaching menopause or are menopausal, stated Constance Bohon, MD, a gynecologist in non-public apply in Washington, in an interview.

“No matter we within the medical group can do to assist ladies transition into the menopausal years with the least anxiousness is essential,” together with serving to ladies really feel snug about their look, she stated.

“For girls within the peri- and postmenopausal years, hair loss is a comparatively frequent concern,” Bohon stated. Nonetheless, within the present examine, “I used to be shocked that it was related to low shallowness and weight problems,” she famous. “For these ladies, it might be attention-grabbing to know whether or not in addition they had considerations concerning the look of their our bodies, or simply their hair loss,” she stated. The query is whether or not the hair loss in and of itself induced low shallowness within the examine inhabitants, or whether or not it exacerbated their already poor self-assessment, Bohon stated. “One other consideration is that maybe these ladies had been already feeling the consequences of ageing and had been making an attempt to vary their look through the use of hair dyes, and now they discover themselves shedding hair as nicely,” she famous.

The takeaway message for clinicians is that discussions with perimenopausal and postmenopausal ladies ought to embrace the subject of hair loss together with sizzling flashes and night time sweats, stated Bohon.

Ladies who’re experiencing hair loss or involved about the potential of hair loss ought to ask their medical doctors about doable interventions that will mitigate or forestall additional hair loss, she stated.

As for extra analysis, “a very powerful situation is to find out the elements which can be related to hair loss within the perimenopausal and postmenopausal years,” Bohon stated. Analysis questions ought to embrace affect of dyeing or straightening hair on the chance of hair loss, and whether or not ladies with extra extreme sizzling flashes/night time sweats and/or sleeplessness have extra hair loss than ladies who don’t expertise any of the signs as they undergo menopause, she emphasised.

Different issues are whether or not sure diets or meals are extra frequent amongst ladies who’ve extra hair loss, and whether or not weight reduction into a traditional vary or weight acquire right into a physique mass index higher than 25 kg/m2 impacts hair loss, stated Bohon. Additionally, don’t low cost the affect of stress, and whether or not ladies who’ve misplaced hair determine sure worrying occasions that preceded their hair loss, in addition to what medicines might be related to hair loss, and whether or not hormone remedy would possibly forestall hair loss, she stated.

The examine was supported by the Ratchadapiseksompotch Fund, School of Medication, Chulalongkorn College. The researchers had no monetary conflicts to reveal. Bohon had no monetary conflicts to reveal and serves on the Editorial Advisory Board of Ob.Gyn. Information.

This story initially appeared on, a part of the Medscape Skilled Community.

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