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Which doctor treats male pattern baldness?

At the first suspicion of the development of alopecia, it is necessary to consult a doctor whose profession is called a trichologist. This is a specialist with a narrow focus, who knows everything about the causes of baldness and is engaged in its treatment. The trichologist will conduct a comprehensive diagnosis of the disease, will prescribe the necessary course of treatment.

If necessary, the trichologist can connect other specialists (dermatologists, endocrinologists, gynecologists) to clarify the reasons for the development of pathology or the correction of already prescribed treatment.

When to contact a trichologist

Hair loss is a natural result of changes in the functioning of internal organs and systems. If the hair falls out moderately (the norm is up to 100 pieces per day) and evenly over the entire surface of the head, then you should not particularly worry.

You should contact a trichologist with active baldness,accompanied by the following pathological processes:

  • Seborrhea - a fungal disease, the clinical picture of which is manifested in peeling of the skin, dandruff, itching, redness. Ignoring seborrhea can cause severe complications, such as seborrheic eczema.
  • Split ends of hair in women indicate that the body is out of balance with hormones, vitamins and trace elements. The doctor writes out the necessary directions for examination, the results of which can determine the cause of this problem.
  • Early gray hair. Normally, the first gray hairs appear after thirty-five years. Early gray hair requires specialist advice, as it may indicate metabolic disorders, diseases of the digestive system, anemia.

How to prepare for a visit

Before you go to the office of a trichologist, you need to prepare. Compliance with some recommendations will help in an objective assessment of the condition of the hairline and making the correct diagnosis:

  • Do not wash your hair a few days before visiting your doctor.
  • Do not change the shampoo on the eve of the trip to the trichologist.
  • Do not use mousses and hair sprays, as well as tight weaving in styling.

Attention! It is important to provide the doctor with unhindered access to any area of ​​the study.

Diagnostic Methods

Qualitative and complete diagnosis of baldness consists of three main stages:

Stage 1: initial inspection and consultation. A trichologist examines the hair with a trichoscope, talks with the patient, finding out the presence of current diseases, chronic pathologies. After the examination, the specialist decides on the need for additional examinations, consultations with other specialists.

Stage 2: conducting instrumental methods for diagnosing baldness:

  • Trichogram carried out using a trichoscope (special micro-video camera). With its help, the doctor gets the opportunity to accurately determine the thickness and density of the hair.
  • Phototrichogram allows you to visually assess the standing of the skin of the head, identify foci of peeling and redness, measure the number of follicles per 1 cm square. hairline.
  • Trichoscopy carried out using a dermatoscope. Acting on the principle of a magnifying glass, a dermatoscope allows you to study in detail the condition of the hair follicles.
  • Phototrichoscopy held on a pre-shaved area of ​​the head. The trichologist evaluates the condition of the follicles, calculates the ratio of growing and already dying hair.
  • Spectral analysis of hair is carried out in order to determine the deficiency or excess of certain trace elements, as well as the presence of toxic substances that affect the condition of the hairline.
  • Biochemical hair analysis allows you to determine the level of adenosine triphosphoric acid, the lack of which slows down growth and provokes active baldness.

Stage 3: after all examinations, a repeated consultation of the trichologist is appointed, where the patient is voiced with a diagnosis and a plan for future treatment.

Treatment methods

The maximum effect of the treatment of baldness can be achieved only with an integrated approach. The doctor uses the following combination of techniques:

  1. Drug treatment involves the intake of vitamin complexes that make up for the lack of vitamins, trace elements and amino acids in the body.
  2. Cosmetic procedures. The most effective and popular hair restoration procedures:
  • Ozone Therapy By deep penetration of oxygen into the scalp, blood vessels are stimulated, and the nutrition of hair follicles improves.
  • Cryotherapy. Damaged areas of the scalp are frozen with liquid nitrogen. As a result, blood flow is activated, hair follicles are strengthened, and the growth of new hairs is stimulated.
  • Iontophoresis. Substances that strengthen the hair follicles are injected into the scalp.
  • Miostimulation. The procedure using pulsed current quickly restores the disturbed balance of hormones and metabolism of the scalp.


Often the cause of alopecia is disruption of the endocrine system. Diseases that provoke active hair loss: diabetes mellitus, thyroid pathology, autoimmune diseases.

The endocrinologist is able to accurately diagnose the pathological process, paint the course of necessary treatment and give recommendations, the implementation of which will improve the condition of the hair and reduce the manifestations of alopecia.


Problems of the functioning of the digestive system clearly manifested in the appearance of a person. First of all, hair is affected. They lose their luster and elasticity, begin to fall out strongly. A gastroenterologist can diagnose and cure the disease that triggered alopecia.


The result of hormonal imbalance, caused by various diseases of the pelvic organs and childbirth, is excessive hair loss. A gynecologist can diagnose and eliminate the cause of the development of alopecia according to the results of studies and laboratory tests.

The success of the treatment of baldness directly depends on a timely visit to a trichologist, a competent approach to treatment, adherence to his advice and support, if necessary, from specialists in other areas.

Causes of Hair Loss

The first thing a doctor will say to any man is that baldness is not a sentence; this condition of the hair can be corrected by gentle or, in extreme cases, radical methods. It is important only to undergo a timely examination and establish provoking factors. Based on these data, the doctor chooses the best treatment for alopecia. Today, medicine distinguishes the following causes of male pattern baldness:

  1. Telogen miasma - against the background of extreme stress, a serious illness or surgery, after 2-3 months, hair loss may begin. In this case, the hair itself becomes thin and weak, falling everywhere on the head.
  2. Drug treatment - against the background of prolonged use of potent drugs, a side effect may develop, that is, alopecia. These can be antidepressant drugs against arthritis, hypertension, oncology or diseases of the cardiovascular system.
  3. Systemic diseases - Alopecia can become a symptom of a disease, be it syphilis, lupus erythematosus, Down syndrome, endocrine pathologies, anemia or diabetes mellitus, as well as against the background of a deficiency of vitamins and other substances.
  4. "Ringworm" - a fungal disease, due to which the hair falls out with a focus on the scalp, leaving a bare spot.
  5. Alopecia areata - against the background of the development of autoimmune antibodies, tissue is destroyed and damaged, including on the scalp.
  6. Traumatic alopecia - against the background of any injuries to the scalp, hair loss may occur.
  7. Androgenic alopecia is the most common type of male pattern baldness caused by hormonal surges. A jump in testosterone, as well as the transformation of testosterone into dihydrotestosterone, can lead to hair loss.

Doctors also attribute bad habits to the causes of baldness, that is, the abuse of drugs, alcohol and tobacco, a sedentary lifestyle and poor nutrition. Due to such a wide variety of causes of alopecia, the disease involves several scenarios for its treatment.

Which doctor treats hair problems?

A trichologist is a baldness doctor for men and women who is qualified to treat any diseases and problems associated with hair and scalp. But due to the fact that the causes of hair loss can be various internal disorders of the body, pathology and systemic diseases, in addition to the trichologist, the patient may need to consult other specialists.

The first doctor to go to is a therapist who will evaluate the general condition of the body, prescribe the necessary tests to determine the causes of hair loss. Then the patient can be referred to other specialists, whether it is an endocrinologist, infectious disease specialist, cardiologist or other doctor. The final point in obtaining qualified help is a trichologist who will assess the condition of the patient and his hair, and then prescribe a course of treatment.

How can a trichologist help?

Only knowing for sure which doctor to go to and when exactly medical consultation is needed, a man will be able to start a fight against pathological processes in the body in a timely manner. Only a trichologist knows in detail what the root and structure of the hair consists of, what phases of growth the hair goes through, and also at what rate the hair falls out and germinates again. He also determines the diagnosis and the nature of male pattern baldness.

Only the trichologist knows what tests to take to the patient in order to accurately determine the triggering factors of alopecia. These data will tell you which course of treatment will be most effective. The trichologist will determine the patient’s diet, which will support the health of the hair, select cosmetic care products to stop the flow, and prescribe drugs and procedures that establish the normal rate of hair growth.

Should I go to the trichologist?

Self-control of baldness is appropriate only if bald patches or pronounced bald patches on the head are not visible, and only thinning hair is visible. In this case, you can take vitamins for the health of your hair, adjust your diet, and also choose high-quality care products that stop hair loss. If preventive measures did not help, a consultation with a trichologist is needed.

Only a trichologist can accurately determine the causes of hair loss, as they are often the result of other serious diseases. Only in the conditions of the clinic are important analyzes and diagnostic methods performed, after which the patient is referred to other specialists. And only a trichologist will be able to choose a course of treatment that will give the expected results.

How is male pattern baldness treated?

The first thing that baldness treatment will focus on is the normalization of the regeneration of the functioning of hair follicles. At the initial stages of baldness, this can be done without medical treatment by adjusting the diet, lifestyle and taking vitamin complexes. If the disease progresses, the doctor prescribes not only multivitamins, but also injections of B vitamins, consult a psychotherapist.

Further, the course of therapy will be compiled on the basis of several groups of drugs against alopecia:

  • topical preparations affecting the follicles,
  • non-specific stimuli for the activation of dormant bulbs,
  • preparations for stimulating hair follicles (e.g. minoxidil),
  • corticosteroids or immunosuppressants for focal alopecia,
  • experimental drugs.

If drug treatment gives poor results, you can increase the effectiveness in parallel with physiotherapy. Also, good results are demonstrated by the mesotherapy technique. In an extreme case, the doctor prescribes surgical treatment - surgical or non-surgical hair transplantation. Additional methods of treatment can be folk remedies approved by a trichologist.

Diagnostic procedures

  • Photography
    Using a “sensitive” technique with a custom flash, the doctor captures the scalp and strands in the photo under certain lighting conditions. This procedure is performed at the beginning and end of treatment of strands in order to assess their health status and see the result of treatment.
  • Trichoscopy
    This is a diagnosis using a special microscope - a trichoscope. To study the causes of hair loss, a trichologist examines the surface of the scalp and determines the condition of the hair follicles, the density of the hair. 2-3 follicles should grow from each follicle. If their number is less, this indicates a problem of baldness.
  • Phototrichogram
    By attaching a trichoscope to a computer, you can see the program for processing the treatment results and the current state of the patient. A phototrichogram captures hair loss and monitors changes in the surface of the scalp. The frequency of such a procedure is once every two days.

Additional analyzes

Diagnosing the problem of loss of strands requires an integrated approach. To study the condition of the body, a specialist prescribes many tests.

  • Among them are clinical blood and urine tests, tests for hormone levels and biochemistry, tests for the amount of iron in the body, and tests for infections.
  • Other tests include a biopsy of the scalp for fungal infections and a spectral analysis of the hairline.
  • In case of itching, severe peeling of the scalp, profuse dandruff or folliculitis, the doctor takes biological material for analysis to identify bacteria.

According to the results of analyzes and diagnostics, the trichologist will prescribe a comprehensive treatment. Recovery methods for damaged strands are grouped into the following groups:

  • External use of cosmetic products to strengthen the strands - therapeutic shampoos, balms, masks, tonics, scrubs, ointments, lotions, etc.
  • Ingestion of vitamin complexes and medical products - drugs to improve blood circulation, corticosteroids, antifungal drugs
  • Physiotherapy
  • Manual scalp massage that improves blood circulation and promotes better absorption of nutrients

A doctor who treats hair can prescribe the following oral medications - dietary supplements “Rinfoltil”, “Selenzin”, “Hair Expert”, vitamin and mineral complexes “Perfect”, “Alerana”.

Firming and healing drug for hair is Pantovigar. Taking Revalid capsules, you can restore hormonal imbalance and improve metabolic processes.


Hair loss is observed in absolutely every person, but normally a new one should immediately appear on the spot of the fallen hair. If a man has hair loss at times higher than the growth rate, most likely he is faced with the development of alopecia. To confirm the diagnosis, a consultation with a trichologist doctor is necessary, as well as a full examination in a clinical setting. And only the doctor determines the treatment methods, the duration of the course and subsequent measures for the prevention of relapse.

What is alopecia?

Alopecia Is a medically correct name baldness. Most often, this term means baldness for pathological reasons, but sometimes you can also find the phrase "physiological alopecia."It is understood as the natural process of thinning and hair loss, which is found in most people.

There are many different types of alopecia, each of which has its own developmental mechanisms and causes. Statistically the most common is the so-called androgenic and androgenetic alopecia, which is due to genetic factors and hormonal changes in the body.

Hair loss currently considered one of the most common cosmetic problems. From a medical point of view, it belongs to the field of dermatology. There are many different methods of prevention and treatment, which, unfortunately, are not always effective.

In some cases, alopecia can be regarded not as an independent disease, but as a manifestation of another pathology or its consequence. For example, in some autoimmune processes or due to injuries, skin in the scalp may be damaged. Then baldness will be secondary. Sometimes this process is reversible, that is, eliminating the root cause of alopecia will cause the hair to grow back.

Alopecia can be local and capture the following areas:

  • scalp (most often by alopecia mean this form)
  • a beard in men
  • eyebrows
  • eyelashes,
  • groin area,
  • axillary region.
Total alopecia can also occur, in which hair falls out throughout the body. Most often this is due to systemic processes in the body - malfunctions in the immune system, genetic or hormonal disorders.

Sometimes local alopecia can be regarded as a symptom. For example, in case of common ringworm or other fungal skin diseases, the hair will split and fall out in a certain area. However, in this case, this is only a typical appearance of another disease, and its treatment will restore hair growth in the future.

What are the causes of alopecia?

There can be many reasons for baldness. They can be divided into physiological and pathological. Physiological reasons include age-related skin changes. Part of the hair follicles atrophy, the nutrition of the skin worsens, and the hair gradually thinns and falls out. This process takes a lot of time and proceeds gradually. An important factor is hereditary predisposition. It affects the rate of baldness, the age at which it begins, as well as the direct change in hairstyle (from which area baldness begins).

Among the pathological causes of hair loss, the following diseases can be distinguished:

  • Hormonal disorders. Androgens have the greatest influence on the process of hair growth and hair loss. The hormone dihydrotestosterone damages the hair follicles, which leads to their degradation and termination of hair growth. Since the production of this hormone can be disturbed in a number of different diseases, alopecia can have quite a few reasons. Baldness sometimes accompanies hormonal disorders such as hypothyroidism or hyperthyroidism (for diseases of the thyroid gland), as well as impaired pituitary gland, which controls the work of other endocrine glands. Problems with the functioning of the pituitary gland, for example, are observed in Simmonds disease.
  • The reaction to taking medication. Taking certain medications can also cause hair loss. In this case, hormonal mechanisms (via dihydrotestosterone), autoimmune or allergic processes may be involved. The most common medications that can cause baldness are cytostatics, anticoagulants, ibuprofen, D-penicillamine, antimalarial drugs. In this case, it is not necessarily a question of an overdose or an incorrect regimen of taking medications. This side effect may appear (although rarely) and when taking these drugs in therapeutic doses.It depends on the individual sensitivity of the body. As a rule, rapid hair loss after a short course of treatment is almost never encountered. Usually we are talking about pathologies in which patients take the above groups of medications for several months or more.
  • Stress. The cause of stress can be strong and prolonged emotional experiences, injuries, and sometimes just a change of habitual environment. It is believed that overall stress is an adaptive mechanism. It is realized through a series of hormones and biologically active substances that enter the bloodstream. Prolonged release of these substances can be detrimental to the body. One of the effects may be baldness. In this case, it is most often reversible and responds well to treatment if the factors causing stress are eliminated.
  • Hypovitaminosis.Vitamins are important components of various enzymes that are responsible for the conversion of some substances to others. Thus, a lack of vitamins slows down metabolic processes. Each vitamin is involved in the nutrition of a particular tissue, so its lack has very specific symptoms. For normal hair growth, vitamins such as B2, B3, B6, H, E, and folic acid are of particular importance. Most of these vitamins enter the body with food, so it is important for patients with baldness that begins to monitor their diet.
  • Poisoning. Sometimes baldness is the result of ingestion of various toxins. In this case, we can talk about both a direct effect on the hair follicles and indirect inhibition of hair growth (through the endocrine system, metabolism, etc.). Baldness can accompany poisoning with substances such as thallium, mercury, chloroprene, and some pesticides. Also, hair loss due to severe intoxication often accompanies chemotherapy in the treatment of cancer.
  • Infectious diseases. Of infectious diseases, a very common problem is fungal skin lesions, causing a section of hair and local (focal) alopecia. As a rule, hair loss in these cases is temporary. A slightly different situation with bacterial skin lesions. In this case, scarring and gradual overgrowth of hair follicles often take place. Alopecia is irreversible. Infectious skin lesions with leishmaniasis, pyoderma, skin tuberculosis, syphilis, leprosy (leprosy), etc. can lead to such consequences.
  • Congenital Disorders There are a number of congenital diseases or syndromes in which the intrauterine process of the development of the skin and its appendages is disrupted. Then the hair follicles may be absent altogether or function poorly. In both cases, we will talk about the lack of hair growth from birth.
  • Chronic diseases Hair loss can occur in long-term serious illnesses (infectious or non-infectious), which greatly affect the metabolism in the body. Such pathologies are, for example, diabetes mellitus, chronic viral hepatitis, leukemia. Hair with these diseases first thinns, and then completely drops out. This symptom is observed not only on the head. Often thinning eyebrows, vellus hair on the skin, hair in the armpits.
  • Injuries. Injury baldness will also be discussed in more detail below. It appears due to direct destruction of the hair follicles due to physical exposure. This type of alopecia is called cicatricial.
  • Autoimmune diseases. In autoimmune diseases, the formation of antibodies against the body's own cells takes place. In some cases, these antibodies attack the hair follicles, and the hair falls out, or their growth stops.
  • Radiation sickness.Radiation sickness is a symptom complex that develops when radiation is exposed to the body.If the received dose exceeds the threshold of 3 Gray, then there may not be general manifestations, but the follicles in the skin are already damaged, and the hair falls out. At higher doses, symptoms are also observed from the hematopoietic system, the gastrointestinal tract, the nervous and genitourinary system. Radiotherapy for cancer is also accompanied by exposure to the patient. However, in this case, the radiation falls on a specific area. Therefore, hair loss can be observed only in the irradiation zone.

Physiotherapeutic treatments

  • Darsonvalization
    This procedure involves exposure to hair follicles with current for active growth of strands. Thanks to it, puffiness is relieved, blood circulation improves, cells are saturated with oxygen, the sebaceous glands work is stabilized. The treatment course is from five to fifteen procedures.
  • Plasmolifting
    Another name for this method is PRP therapy. It involves the introduction into the scalp of the patient's blood plasma saturated with platelets. Platelets secrete special molecules that contribute to the healing of hair follicles and the growth of hair. The number of injections in one course of treatment is from three to five.
  • Microcurrent Therapy
    The procedure involves the impact of electric discharges on problem areas. The current strength is low, so patients do not feel pain. After a course of treatment, metabolic processes in the scalp improve, tissue is restored. The required number of sessions - from ten to twelve.
  • Ionophoresis
    To treat hair, a trichologist introduces vitamins and minerals into the deeper layers of the skin using current. Iontophoresis has a positive effect on blood circulation and improves metabolism in the skin. The duration of treatment is 8-12 sessions.

In the most difficult cases, when all the methods do not help, doctors recommend surgical intervention - a hair transplant. However, this procedure has several contraindications - some diseases and intolerance to drugs for anesthesia.

It is not always necessary to go first to a paid consultation with a trichologist. If you have problems with hair, you can also contact other doctors from the state clinic.

Consult with experts, pass all the necessary tests - Perhaps the intense loss of strands is associated with diseases according to their profile. The following is a list of doctors to visit.

  • Dermatologist
    Trichology is a branch of dermatology, therefore a competent dermatologist will cure a scalp disease no worse than a trichologist. Consulting a dermatologist is necessary if you are concerned about folliculitis, seborrhea, itching, redness or peeling of the skin. Most often, this problem is associated with a fungal infection. Hair in such cases can intensively fall out or break off near the roots.
  • Endocrinologist
    One of the causes of baldness is problems with the endocrine system. If you have a thyroid disease, an endocrinologist is the first doctor to visit. In addition, the endocrinologist will prescribe tests for the level and balance of hormones - hormonal disruptions occur during puberty and during the restructuring of the body (pregnancy, childbirth, lactation). Signs of hormonal imbalance are dryness or excessive oily scalp.
  • Gynecologist
    Every woman should visit a gynecologist regularly. Many women notice that in the early stages of pregnancy the hair structure changes and they begin to fall out in whole strands. The doctor will tell you how to improve hair and scalp without harm to the unborn child.
  • Gastroenterologist
    A common cause of hair loss is an unbalanced diet and a lack of nutrients. A gastroenterologist or nutritionist can help you create the right diet and get rid of problems with your stomach or intestines.
  • Therapist
    At the beginning of any disease, it is worth visiting a therapist.He will evaluate the general condition of the body and prescribe the main tests - a blood test for hormones and biochemistry, clinical blood and urine tests. With the results of these analyzes, the therapist will refer you to the right specialists.
  • Psychologist
    Stress is another cause of hair problems. A psychologist will advise how to balance the nervous system with psychotherapy or drugs.

Do not treat hair loss yourself - consult a doctor. Most often, this disease requires a complete examination of the body. If you do not eliminate the causes of baldness, treatment of damaged hair will not bring any result.

The causes of hair loss are many. The most important thing is not to self-medicate and not immediately consult a specialist. Also watch our videos, they have a lot of interesting and useful information on the topic of hair loss.

The science of trichology: treatment for hair loss - what to do, how to treat and protect yourself from losing strands?

If you treat hair loss yourself, the process may be ineffective.

If you yourself treat this problem, and the hair continues to fall out, consult a trichologist. This specialist knows how to defeat an ailment and maintain a beautiful hairstyle.

Trichologist is a hair specialist who deals with various issues of scalp and strand health.

It will help solve problems related to baldness, hair loss, cure seborrhea and other problems.

Causes of Alopecia in Men

In men, the most common cause of baldness (in more than 90% of cases) is androgenetic alopecia. With this type of disease, it is not always a pathological process. Just at the genetic level, hair loss programs are implemented at a certain age. The male hormone dihydrotestosterone is directly involved in this process. Unlike women, who have much less of this hormone, men go bald more often, and this process is more noticeable.

The degree and stage of physiological baldness in men is usually evaluated on the Norwood scale. This scale reflects the localization of the area of ​​hair loss (usually the line of hair on the forehead and hair loss on the crown), as well as the total area of ​​baldness. It should be noted that baldness for physiological reasons almost always affects only part of the hair. A certain amount, as a rule, remains on the back of the head or in the form of lines behind the ears. This is due to the fact that the hair on the back of the head has increased resistance (resistance) to the action of dihydrotestosterone. Completely bald people most often simply shave off the remnants of hair for aesthetic reasons. With hormonal disorders, infections and other pathologies, complete hair loss is also possible.

If we talk about pathological variants of alopecia (alopecia areata, skin infections, etc.), then they occur in men and women with approximately the same frequency.

Causes of Alopecia in Women

In women, the hormone dihydrotestosterone also plays a role in the development of alopecia. But hair loss happens differently. In particular, the so-called diffuse alopecia occurs. In most cases, it is the result of various pathologies or external influences.

Physiological hair loss for women is also characteristic, but it manifests itself in the fact that hair grows more rarely, become thinner and brittle. The degree and stage of baldness in women is measured on the Ludwig scale. The principle of division in this scale is the extension of the central parting in the scalp.

An important factor affecting the development of alopecia in women is pregnancy and menopause. In the first case, women often lose hair immediately after childbirth. With menopause, the level of estrogen in the blood drops sharply. The balance between female and male sex hormones is upset, and at a certain point, the action of dihydrotestosterone can lead to increased hair loss.

Causes of alopecia in children

Activation of hair growth occurs in the very first days after the birth of the baby. Alopecia, which appeared before the age of 3 years, is most often the result of various congenital disorders. In particular, we are talking about problems with the development of hair follicles in the skin, problems with the endocrine glands, various syndromes affecting the skin.

After 3 years, children most often develop alopecia areata. One or more foci of hair loss appear on the head that have a clear boundary. In the appearance of this pathology, quite a few different factors are involved, but the mechanism of its development has not yet been finally established. Unlike adults, in children alopecia areata often appears in the occipital region and can spread to the hair behind the ears. Sometimes the process of hair loss occurs symmetrically. In most cases, there is a slow but steady progression of the disease. Treatment is not always successful, but cases of spontaneous recovery are known. Alopecia areata can occur in adolescents, however, the prevalence of this disease in children is still lower than in adults.

Another common cause of focal alopecia in children is ringworm. In medicine, it is accepted to distinguish between microsporia and trichophytosis - two common variants of this disease, named according to the pathogen. Microsporia most often affects the scalp, and trichophytosis can also affect the nails and skin in other parts of the body. Both diseases are caused by fungi and are infectious, that is, infectious. Hair loss occurs gradually over several days or weeks. It begins 3 to 4 days after contact with a sick person or animal (cat, dog).

Beard alopecia

Beard hair loss is not as common a problem as scalp alopecia, but may have similar developmental mechanisms and causes. In general, it is noted that factors contributing to hair loss sometimes locally affect the beard. Most often, the appearance of one or more small foci in which hair growth stops. Due to their localization, such foci create a serious cosmetic defect in people who grow a beard and mustache.

Normalization of the diet, elimination of stress and proper skin care can gradually restore hair growth. There are no specific diseases that would affect this particular area. Often in patients with alopecia in the chin area sooner or later, bald patches appear on the scalp.

Sometimes beard alopecia is associated with a number of dermatological problems with the skin of the face. In particular, it is about acne and rosacea (rosacea). Damage to the hair follicles is possible with contamination of the skin with the parasite Demodex follicuculorum. Similar cases are more common in men aged 18 to 30 years. Excess dihydrotestosterone affects beard hair to a lesser extent, since their follicles, like the hair follicles on the back of the head, are less sensitive to the action of this hormone.

Eyebrow Alopecia

Eyebrow loss most often begins with the lateral (lateral) part. In most cases, it is one of the symptoms or manifestations of various systemic diseases. However, there are a number of pathologies in which only the eyebrows are affected, and alopecia does not spread to other parts of the body. Local eyebrow loss can be, for example, a consequence of their improper plucking or damage to the hair follicles with the Demodex folliculorum mite. Then the process rarely spreads, but eyebrows can fall out completely.

Of the systemic diseases, the following pathologies most often lead to eyebrow loss:

  • Hypothyroidism A decrease in the level of thyroid hormones usually develops with iodine deficiency, benign or malignant tumors of this organ, and autoimmune degeneration of the gland tissue.
  • Secondary syphilis. Eyebrow loss is a possible, but not necessary symptom. It occurs due to the spread of infection with a blood stream from the primary focus.
  • Diabetes. In this case, it is a metabolic disorder throughout the body, and eyebrow loss is most often combined with the appearance of alopecia in other parts of the body.
  • Deficiency of iron and vitamin B12. It is a common cause of hair loss in pregnant women.
  • Leprosy (leprosy). It is currently extremely rare in some tropical countries. The disease is characterized by an infectious skin lesion with characteristic changes in facial features.

Why does hair fall out after childbirth?

During pregnancy and lactation, the woman’s body undergoes serious changes. First of all, this relates to metabolism and hormonal levels. One of the possible consequences of these changes may be alopecia. Most often, it is a temporary problem, and as the body recovers, the hair grows back.

In general, the causes of hair loss after pregnancy lie in the different effects of hormones on the hair follicles. If male hormones (of which there are not many in the female body) contribute to hair loss, then female ones, on the contrary, keep them. During pregnancy, a large amount of estrogen is contained in the mother’s blood. Because of this, even aged hair does not yet fall out, and new ones continue to grow. After childbirth, estrogen levels drop sharply. In proportion to the preponderance of the hormone dihydrotestosterone, the aged hair begins to precipitate more rapidly. Because of this, the physiological norm of hair loss increases for several weeks (and sometimes months). In this case, diffuse alopecia occurs with a uniform reduction in the scalp.

Eyelashes and eyebrows (and sometimes hair) can begin to fall even in the late stages of pregnancy. But then the reason is rather the lack of certain nutrients. In particular, a pregnant mother needs more vitamin B12 and iron. Without them, both diffuse and focal alopecia can develop, affecting various anatomical areas. All these disorders are reversible, and with timely treatment to a doctor and qualified treatment, hair grows back quickly.

What types of alopecia are there?

There are several different signs by which alopecia can be classified. The correct classification is very important, since the treatment and prognosis in each individual case varies greatly. The simplest criterion is the area and localization of the pathological process. However, this criterion is not so important in the diagnosis.

The following types of alopecia are distinguished by the area and localization of hair loss:

  • Diffuse alopecia. Diffuse alopecia is sometimes understood as a type of pathological hair loss in women. In this classification, diffuse alopecia is characterized not by hair loss in a particular place, but by a strong, visible thinning of the hairline on the entire surface of the head.
  • Local (focal) alopecia. In this case, we are talking about local hair loss in a small focus. As a rule, it has a round or oval shape. There may be several such foci on the surface of the head.
  • Subtotal alopecia. Subtotal is called alopecia, in which hair falls out on at least 40% of the surface of the head.
  • Ophiasis. With this form, there is a gradual loss of hair along the edge (around the circumference) or in some specific area (for example, only on the back of the head, only on the temples, etc.).
  • Total alopecia. With total alopecia, complete loss of all hair on the head is observed (excluding beard and mustache).
  • Universal alopecia. In this case, we are talking about the complete loss of hairline not only on the head, but also on the whole body (eyebrows, eyelashes, hair on the beard, trunk, in the armpits, in the pubic region fall out).
This classification does not reflect the causes and pathological mechanisms that caused the disease, therefore, its practical use is small. However, some forms have a very limited range of possible causes. For example, universal alopecia is most often observed in congenital diseases. An important disadvantage of this classification is that it is inconsistent. In other words, the same pathological process can begin as focal alopecia, then go into subtotal, and then into total form.

It is also customary to distinguish between two important types of alopecia, depending on what phase of growth is the hair that falls out. Only specialists can classify the disease by this symptom after a thorough examination of the roots of the fallen hair.

Hair may fall out in the following phases:

  • Anagen phase. This phase is the first in the process of hair growth. It is an active division of cells, the development of structural components. Hair loss in the anagen phase is quite rare in practice and always with various pathologies. Possible causes may be poisoning with certain chemicals, chemotherapy or radiotherapy. Hair begins to fall out only 3 to 4 days after a provoking effect. The process can capture the entire hairline and cause total alopecia.
  • Catagenic phase. This phase is transitional. Hair loss at this stage of hair growth is rare because the phase lasts only a few weeks (while the anagen phase lasts for years).
  • Telogen phase. The telogen phase follows the catagenic phase. Hair loss in this phase occurs for most physiological or pathological reasons. The early onset of the telogen phase, for example, may be due to starvation, blood loss, prolonged fever. Also, this type is characteristic of baldness after childbirth or after a sharp cessation of taking combined oral contraceptives (COCs).
However, this classification is not universal, as it does not cover the root causes and mechanisms of baldness. It is widely used as a stage in the diagnosis. Ultimately, doctors need to determine the mechanism of development of the disease. Many different classifications have been proposed for this, none of which is universal. As a rule, the name of the forms of alopecia as independent diseases varies from one state to another.

From a practical point of view, it is most convenient to distinguish the following types of alopecia:

  • androgenic alopecia,
  • diffuse alopecia,
  • cicatricial alopecia,
  • alopecia areata,
  • congenital alopecia,
  • autoimmune alopecia,
  • hormonal alopecia,
  • seborrheic alopecia.

What is the norm?

Hair loss in an amount of 50 to 150 pieces per day is the norm. Women consider beautiful, thick and well-groomed hair an indispensable attribute of a chic appearance and if it seems to them that the number of hair loss has increased dramatically, they begin to panic. Often, this panic is unfounded. .

It must be remembered that there are a number of factors that can provoke a temporary increase in the number of hair loss. The factors that trigger hair loss include:

  • abrupt climate change (flights, seasonal cooling),
  • hormonal fluctuations in the body (pregnancy, the postpartum period, certain periods of the menstrual cycle),
  • seasonal factor (periods of vitamin deficiency, walking in winter without a hat),
  • external factors (washing your hair, styling with a hairdryer, using low-quality hairbrushes, using foams and varnishes, painting your head with poor-quality materials),
  • stressful situations (worries, anger)

ATTENTION! These factors can provoke active hair loss, and after their elimination, it is necessary at least three months to reduce the process of hair loss.

If you doubt the reason that could provoke a sharp loss of hair or do not want to count every hair that fell out, To determine the severity of the situation, do the following test:

  1. Hair is not washed for three days.
  2. On the fourth day, hands clasp small strands in the temples and nape and begin to pull them slightly.
  3. If after such a manipulation, more than 5 hair remains in the hands - it makes sense to consult a doctor.

When is it worth starting to worry?

It is worth worrying when the heavy loss lasts more than three months. It is worth the alarm in the following cases:

  • hair loss is accompanied by severe itching of the scalp, pain (may be a symptom of a dermatological disease, ringworm, folliculitis),
  • when examining the fallen hair, a dark or completely black bulb at the end is clearly visible (means that the bulb has completely died),
  • active hair loss in a specific area of ​​the head is preceded by severe burning, and sometimes pain in this place (such a manifestation may signal the onset of focal or nesting alopecia).

Who is a trichologist?

Trichology is a science that studies the physiology and morphology of hair, its diseases, as well as diseases of the scalp that provoke hair loss. According to the international medical classification, trichology is defined in the “dermacosmetology” section.

According to the definition trichologist is a narrow-focus dermatologist, which specializes in the study of hair, combating hair loss, and also treats specific dermatological diseases of the head.

IMPORTANT! A trichologist doctor does not have the competence to treat diseases of internal organs and hormonal disruptions. If necessary, he issues a referral for analysis and consultation to another specialized specialist.

If circumstances develop in such a way that there is no possibility to get an appointment with a trichologist, you can turn to an ordinary dermatologist. You can also make an appointment for an endocrinologist’s consultation who will write out an appointment for an ultrasound of the thyroid gland and hormone levels. Hormonal imbalance is one of the main causes of hair loss.

In extreme cases, you can make an appointment with a local therapist, who can also write out directions for the necessary tests.

Androgenic alopecia

There is more dihydrotestosterone in men than in women, so they often bald earlier. However, in the female body, this hormone is also present in small quantities, so the hair gradually thinns and falls out. A strong increase in the level of this hormone in women, leading to rapid baldness, is pathological.

In the development of androgenetic alopecia, the following stages can be conditionally distinguished:

  • At first, dihydrotestosterone joins the hair follicle receptors, but only modifies their work. Because of this, various hair problems begin - dryness, brittleness, dullness.
  • Next, problems with hair growth begin, as they begin to grow more slowly, and hair loss is restored worse. In general, visually thinning hair. However, metabolic processes still occur in the hair follicles, and with a thorough examination, hair is still found. However, these are short, thin and faded hairs that are indistinguishable at first sight.
  • Then the hair follicles stop producing the actual hair, and baldness occurs when the hair falls out but does not grow.
  • On average, 10-15 years after the start of the process, the mouth of the follicle, which does not produce hair, is overgrown with connective tissue.Hair growth after this becomes impossible, and drug stimulation of the follicles or blocking of dihydrotestosterone will not return the natural hair growth.
This process is most often observed precisely on the scalp. If we talk about eyebrows, a beard in men or other parts of the body, then the effect of dihydrotestosterone is usually felt weaker, but in general, the above process also takes place.

Alopecia in men against the background of androgenetic alopecia can begin as early as 17 - 18 years (at the end of the formation of the reproductive system), and in women - by 25 - 27 years. We are talking about healthy people who simply have a hereditary predisposition to early hair loss. In men, as a rule, alopecia begins from the forehead (the forehead rises, the so-called bitemporal bald patches appear) or from the crown (parietal region). In women, the hair initially falls out along the central parting, from the frontal to the parietal region, but the front line of the hair hardly rises. Such features of the spread of alopecia are explained by the different sensitivity of the hair follicles to dihydrotestosterone. In the frontal and parietal region they are more sensitive, and hair falls out faster. In the occipital lobe, the follicles are almost not susceptible to this hormone, so hair can remain there for a long time. As a rule, it is the back of the head that becomes the donor area for a hair transplant.

What diagnostic procedures should be performed before treatment?

To correctly determine the cause of hair loss, the patient should undergo the following diagnostics:

  1. Spectral Hair Testing. It is carried out under a microscope and helps to establish the structure, to notice pathology in the development of follicles, to see disturbances in the growth phase.
  2. Scraping the scalp. It will detect the presence of dermatological diseases, for example, depriving. Detects fungal infections of the scalp in cases of their presence.
  3. Biochemical and general blood test. Indicate the presence of inflammatory processes in the body. They also give an idea of ​​the work of internal organs (liver, kidneys, gall bladder) and the quality of metabolic processes in the body.
  4. Analysis for serum iron. To determine this indicator, most often, blood is taken from the finger for a detailed analysis according to the hematological formula. Also, the indicator can be determined by the usual general analysis, in which they look at the level of hemoglobin.REFERENCE! This method diagnoses possible anemia, in which active hair loss is one of the main symptoms.
  5. Blood tests. The level of hormones and the work of the endocrine glands are determined. The indicators of thyroid hormones such as tetraiodothyronine, triiodothyronine and thyrotropic are studied.
  6. Laboratory diagnosis of blood. Blood tests that help identify pathologies in the work of the hypatolamus and pituitary gland, which can provoke hormonal imbalances. During such a laboratory diagnosis, testosterone, luteinizing and follicle-stimulating hormones are examined.
  7. Ultrasound of the ovaries and thyroid gland. It helps to identify the pathologies of these organs, because they are, in many respects, responsible for the production of hormones in the female body.

In cases where hair loss is provoked by diseases of the body or hormonal imbalance, it will not be possible to cope with the problem on its own. Folk remedies, expensive masks and vitamins can not solve this problem until the internal cause is eliminated.

If there are certain signs that accompany hair loss (black bulbs, itching of the scalp), you should contact a specialist - trichologist. The trichologist specializes specifically in the problem of hair. He will be able to diagnose the general condition of the hair and scalp and, if necessary, give directions for analysis and further diagnosis.

Only having the results of the examination in hand can one make the correct diagnosis and begin the correct treatment.

Hair loss treatment - causes of hair loss and treatment in women and men in the clinic

  • Chemicals such as hair dyes and perms may have a negative effect. This is especially noticeable when balms and masks are not used.
  • Incorrectly selected combs (for example, iron or with small sharp teeth), tight elastic bands, strongly tightening hair, from which they literally suffocate and lose their strength, other types of mechanical stress.
  • Styling products, providing a strong temperature, from which the hair gradually dries out, become brittle and dull. We are talking about ironing, curling irons, hair dryers, etc. By the way, excessive exposure to ultraviolet radiation is also negative and dangerous.
  • Improper and difficult diets, selected without the participation of a specialist, vitamin deficiency, which became the cause or appeared in the absence of good nutrition and the use of vitamin complexes.
  • Chemotherapy, radiation, severe diseases.
  • Disorders inside the body caused by any hormonal causes (taking hormonal drugs, contraceptives, lactation, and also an aborted pregnancy).

For normal, healthy hair, the rate of hair loss has long been determined - a hundred pieces per day. If there are several times more of them, and besides, they are weakened and have a number of other violations, it is urgent to contact doctors who will find out the exact cause and choose the best way to eliminate it.

Diffuse alopecia

Diffuse alopecia is called uniform hair loss over the entire area of ​​the head. Most often, it occurs in women. Hair gradually becomes brittle, thin, thinning and does not grow back. In healthy women, these changes are usually age-related. They are due to the action of the hormone dihydrotestosterone, and diffuse alopecia is only a variant of androgenic alopecia in women.

Some experts also call diffuse alopecia uniform hair loss (but usually not complete) for various pathological reasons. This usually refers to systemic diseases, and not to local skin lesions.

Possible pathological causes of diffuse alopecia are:

  • stress,
  • poisoning
  • radiation sickness,
  • autoimmune diseases.

Hair doctor

Both men and women periodically experience the fact that hair becomes brittle, dull or begins to fall out. According to the norms, a person can lose 60-80 hairs per day, if there are more of them, this is an occasion to seriously think about their health.

It is quite simple to calculate them: morning hair is collected from the pillow, those that were left after washing the hair and those that were collected from the comb are added to them (you need to do the counting on the third day after washing your hair). Hair loss can occur for various reasons, which can be determined and prescribed on the basis of them, adequate treatment can only be a special doctor who treats hair.

So, which doctor treats hair loss? The doctor on problems with hair has a specialization trichologist.

Specialty Trichology

This is a direction in dermatology, the subject of attention of which is everything related to hair and scalp. Narrow trichologists specialize in the treatment and prevention of diseases such as:

  • hair loss in women and men, due to genetic hereditary causes,
  • total and focal baldness,
  • premature depletion of the coloring hair pigment (graying),
  • skin problems: dandruff, fungal diseases that cause hair loss on the head,
  • increased fragility of hair, especially at the ends,
  • ringworm caused by spores of the fungus of the genus Microsporum,
  • psoriasis and other skin diseases localized on the scalp,
  • lice (the presence of lice or nits in the hair).

The trichologist is also an indispensable specialist in the treatment of oncology, because during treatment, as well as after anesthesia, all patients completely or partially lose their hair, and the doctor’s task is to solve these problems.

Although the internal organs are not within the scope of interest of a specialist in scalp and hair, he is able to suspect the symptoms of serious diseases that affect the appearance of the hairstyle and refer the client to a doctor with the corresponding specialization.

A trichologist can also recommend preventative measures that prevent future problems with hair loss. Experienced doctors are gaining practice to cure hair growth pathologies.

What symptoms should encourage a person to go to the doctor for treatment of hair and scalp:

  • the hair is thinning and falling out, despite the enumeration of various cosmetics and alternative methods of treatment, and many have a bald head in a kindred environment,
  • brittleness (especially at the ends) and dryness of the hair increase, but it does not work out on its own,
  • oily hair rises uncontrollably, despite frequent washing,
  • can't get rid of dandruff
  • problems with the scalp: wounds, rashes, itching, peeling, pain,
  • the early appearance of gray strands,
  • slow hair growth
  • recently undergoing therapy with strong hormonal drugs,
  • for girls, the question arises of hair loss after childbirth.

Now it’s clear which doctor to contact if the hair falls out badly, and there are other problems in this area. Applying for an appointment with a trichologist is worthwhile for treating the causes of the disease, and not the consequences in the form of hair loss. Self-medication is highly discouraged, because as a result of illiterate actions, complete baldness is possible.

Cicatricial alopecia

Cicatricial alopecia, according to most experts, is not an independent disease. With this form of baldness, we are talking about the formation of scars (connective tissue) on the scalp. Because of this, the hair follicles are destroyed, and hair growth stops. However, scars are only a consequence, the end result of other pathological processes. Thus, cicatricial alopecia can be considered a complication of other diseases.

Scars with subsequent local hair loss can form due to the following pathological processes:

  • thermal burns
  • mechanical injuries (scalped wounds),
  • chemical burns (ingress of concentrated acids or alkalis),
  • pyoderma (purulent infectious processes),
  • dermatomycoses (fungal diseases, including lichen),
  • skin neoplasms,
  • local manifestations of certain infectious and autoimmune diseases (tuberculosis, syphilis, sarcoidosis, discoid lupus erythematosus, scleroderma, etc.).
In these cases, the area of ​​damage depends on the initial pathology. As it progresses, the site may increase, and local alopecia will become total. This is especially true for infectious and autoimmune processes. The skin in these cases is almost always changed. There is compaction, peeling or other pathological changes.

How is the reception

After finding out which profile doctor to contact, if hair falls out, it is advisable to immediately make an appointment with him.

Note! It is recommended to go to the appointment with a trichologist one day after having washed your hair. Before visiting a doctor, you don’t need to change your usual hair care products or experiment with medical products on your own.

Previously, for the correct diagnosis, the trichologist examines the problem area of ​​the head, assesses the condition of the patient’s hair and skin, does the necessary research:

  • general blood test, its biochemical parameters,
  • analysis for the content of various hormones (especially for testosterone),
  • ultrasound examination of the thyroid gland and liver.

To determine which alopecia is to be treated, the following studies may be required:

  • Trichogram and phototrichogram are the so-called methods for counting the number of hairs in the focus where there is alopecia, on this basis the stage of alopecia, its appearance and viability of the hair follicles are determined, this analysis is very informative, especially in the early stages of the disease. To conduct such a study, a small square is shaved (no more than 1 sq. Cm), after a couple of days, the trichologist paints it with a special pigment to highlight each hair and examines it in detail through a magnifying video camera.
  • Micro-video diagnostics of the “well-being” of the scalp hair and skin with computer programs - the hair structure is examined using the strongest professional microscope (150x magnification), and the recordings are transmitted through special cameras,
  • Biochemical analysis of hair: it is removed through the hair from different areas (absolutely painless and almost instantly), the roots of which determine the metabolic rate (the lower, the more intensive treatment is necessary), the hair shaft can be used to calculate the rate at which protein substances are washed out of hair ( if it is high, you can limit yourself to reorganizing the rods directly)
  • Analysis of the hair spectrum - it needs curls from different sides of the head, the number and types of microelements contained in them are estimated, thanks to this information, the doctor can determine if there is a metabolic disorder in the body, whether there is a deficiency or excess of individual components.

From a conversation with the patient, the doctor concludes about his lifestyle, eating habits, as well as hereditary diseases associated with early and rapid baldness are clarified.

Alopecia areata

Alopecia areata is recognized worldwide as an independent disease that has little to do with other types of alopecia. It is also called pelada, circular or focal alopecia (as an independent form, not only referring to localization). The mechanisms of development of this form of the disease are not fully understood. In the course of numerous studies, it was only possible to identify some factors that can affect the development of this pathology. According to statistics, people from 20 to 40 years old are most often affected by alopecia areata, but it can also occur in adolescents. In people older than 50 years, this disease is rare.

Currently, it is believed that the appearance and progression of alopecia areata is influenced by the following factors:

  • genetic predisposition - within the family, blood relatives have a much higher incidence of the disease than the average population,
  • immune disorders - often in patients detect organ-specific antibodies or other manifestations of autoimmune processes (Hashimoto's thyroiditis, vitiligo, rheumatoid arthritis, etc.),
  • infectious factor - the disease is more often observed in people with chronic infectious foci (caries, chronic tonsillitis, pharyngitis, otitis media, etc.),
  • psychosomatic factor - usually more pronounced in children and consists in pathological manifestations of prolonged stress or emotional stress (for example, increased intracranial pressure against this background),
  • endocrine factor - just like with many other types of alopecia, the effect of thyroid hormones and male sex hormones is considered,
  • circulatory disorders - with atherosclerosis or circulatory problems in the vessels of the head, the nutrition of hair follicles with arterial blood deteriorates (the risk also increases with some heart and respiratory diseases),
  • nutrient imbalance - in the hair that has fallen in patients with this disease, the zinc content is reduced and copper is increased.
The duration of the disease and its development is difficult to predict. Most patients develop one or more foci of hair loss. First they thin, become thinner, and then fall out completely. The focus has clear boundaries, but the hair on the border of this focus is also thin, dull. They can be pulled out painlessly. In rare cases, other symptoms are observed in the area of ​​hair loss. There is, for example, a decrease in skin sensitivity, a slight periodic itching, mild swelling, which usually disappears after 1 to 2 days. Peeling of the skin, as a rule, is not observed. Other, new foci of hair loss may appear in the patient, not only on the head.

The disease may not respond to treatment for a long time, but as a rule, hair grows sooner or later again. At first they are thin and dull, but gradually become normal. Hair growth can be restored spontaneously, without specific treatment. A relatively frequent consequence after hair regrowth is again hypopigmentation or depigmentation (hair in this area is lighter). In rare cases, alopecia areata progresses slowly, foci grow and merge, leading to subtotal, and then total alopecia. In approximately 10% of cases, patients experience concomitant nail problems (brittleness, dullness, fragility).

Trichologist's recommendations

Based on the analysis and research, the specialist determines the cause of the problem with the hair or scalp, makes a diagnosis and prescribes adequate treatment. All diseases that are not due to genetic problems are treated with modern drugs and procedures.

A competent attitude of the patient to his problem and strict adherence to the doctor's instructions can successfully resist hair loss on the head and impaired scalp health. The main areas of healing for the hair and scalp, which trichologists recommend to their patients, are as follows:

  • dietary adjustment in the direction of the predominance of plant foods,
  • reduction of stress and nervous tension,
  • competent selection of shampoos, conditioners and other hair care products (this is especially important in the fight against dandruff),
  • hair care in cold and sunny weather (the obligatory wearing of a hat and its correct choice),
  • giving up bad habits such as smoking and alcohol.

If a spectral analysis of hair revealed a metabolic disorder of minerals, it should be corrected, as well as visiting a dermatologist, cosmetologist, gastroenterologist, or even a gynecologist and endocrinologist (as you can see, the question of which doctor to address for hair loss has a different answer).

Having studied all the tests, the doctor will select the necessary drugs and procedures, including nonspecific strengthening of the curls (physical, and mesotherapy). To protect against androgen hormones, regular applications of the drug "Minoxidil" are often prescribed.

Physiotherapy, for example, can be performed on a modern Trichoprogram apparatus, which sequentially performs vacuum massage, galvanic peeling, microionophoresis and electrical stimulation.

After a course of such procedures, it is possible to get rid of seborrhea and seborrheic dermatitis, increased greasiness and hair loss.

Physiotherapy on hair with Tikhoprogram apparatus

The trichologist will definitely recommend to come for a second appointment, where he will visually evaluate whether there are any positive changes as a result of the treatment, you may need a second phototrichogram (usually it is done after four months).

Baldness is a big problem for both men and women. It is not possible to solve it independently; it is advisable to consult a specialist. To do this, you need to know which doctor to contact for hair loss.

What is the name of the doctor who will help with alopecia and problems with the scalp? This is a trichologist.

Such a narrow specialist has extensive knowledge in order to use all the means of modern trichology and to return the curls to a healthy and flowering appearance.

What is a hair doctor and a doctor who treats them

Hair loss is a serious problem for men and women regardless of age group. When the situation is rampant, people think about medical care, wonder which doctor treats hair and scalp?

Trichology is a branch of medicine that studies the morphology and physiology of the hairline and develops treatment methods. Accordingly, a hair specialist is called a trichologist.

What does a trichologist treat?

Trichologist specializes in various pathologies of the scalp. Based on knowledge about the structure of the hairline and follicles, growth phases, etc. aspects, he determines the etiology of the problem, prescribes the appropriate treatment.

In addition, the specialist provides information of a recommendatory nature regarding the proper care of hair and scalp, nutrition. The treatment regimen is determined by the causes and factors that triggered the problem.

The doctor treats the following pathological conditions:

  • Alopecia diffuse nature,
  • Focal baldness,
  • Hair loss,
  • Premature graying,
  • Dandruff, seborrhea,
  • Atrophic changes in the structure of hairs,
  • Lupus erythematosus,
  • Mycosis, lice, etc.

The specialist in this field receives the appropriate education. Usually, training in this specialization takes place only after the dermatology section has been studied, since the disciplines are tightly interconnected.

When is trichologist's help needed?

Definitely, with hair loss, an extremely small percentage of people turn to a medical institution for help. Initially, they try other methods - shampoos and conditioners for strengthening hair, masks for early growth, various gels and sprays, oils.

When hair loss is caused by a seasonal phenomenon or a deficiency of vitamins and mineral components, the products work efficiently, cope with the task, returning a healthy shine, leveling brittleness.

If the problem was transformed into pathology, then they are useless. Adequate treatment prescribed by a specialist in a narrow area is necessary.

The doctor is consulted in such cases:

  1. Mass loss, while shampoos, traditional medicine and other methods do not give the desired result.
  2. Excessive fragility and dryness of the hair.
  3. Increased fat curls.
  4. Cosmetics do not relieve dandruff.
  5. The scalp itches and itches, wounds, a rash appear.
  6. Graying at an early age.

The causes of hair loss include hormonal imbalance, decreased immune status, chronic stress, disruption of the gastrointestinal tract, and the use of certain medications.

At the doctor’s appointment

Knowing what hair doctors are called, it is necessary to visit a selected specialist. In many public health facilities this service is not available. Therefore, you will need to contact a private clinic.

During the appointment, the doctor interviews the patient for complaints, making up an approximate clinical picture. To establish an accurate diagnosis, certain studies will be needed.

In most cases, it is recommended to determine the biochemical parameters of the blood, take an analysis for hormones, and undergo an ultrasound examination of the thyroid gland. The following diagnostic methods are individually prescribed:

  • Micro-video diagnostics involves the study of the structure of hair through computer equipment. They use specific video cameras, strong microscopes, allowing you to enlarge the resulting image by 150 times. Manipulation allows you to examine the skin on the head and the hair itself,
  • Spectral examination - a procedure that determines the composition of the mineral components located in the hairline.With its help, they diagnose the causes of loss, metabolic disorders, deficiency or excess of minerals in the human body,
  • Phototrichogram or trichogram. Methods determine the number of follicles in the problem area, give an idea of ​​the stage of alopecia.

Therapy at the Trichologist

After establishing the cause, the doctor is engaged in the preparation of treatment. Conventionally, therapy is divided into three areas - the main, symptomatic and additional. The main treatment regimen is determined individually, depending on the primary source of the problem:

  1. Against the background of mycoses or infectious pathologies, drugs are prescribed that contribute to the destruction of pathological microorganisms on the head.
  2. When the cause is hormonal imbalance, synthetic drugs are recommended to restore it.
  3. If the factor is improper care, the doctor who treats the scalp will select the necessary remedies.

Symptomatic therapy is aimed at eliminating the symptoms provoked by the primary pathology. This is required in those clinical pictures when the patient is worried about itching, rash and other negative manifestations.

Prescribe topical preparations with emollient properties, anti-inflammatory and analgesic effects for oral administration.

The goal of complementary therapy is to quickly restore hair shine and a healthy look. They recommend manipulations that accelerate the natural recovery process, normalize the sebaceous glands, and strengthen follicles.

Effective reinforcing manipulations:

  • Mesotherapy During the procedure, drugs are injected into the skin by injection. They include several active substances. They are selected according to the patient’s problem,
  • Darsonvalization involves “combing” the hair through a specific device resembling a comb. Discharges of electric current are delivered through the device, which significantly enhances the nutrition of the follicles, accelerates the growth of curls,
  • Electrophoresis With the help of electric current, drugs are introduced into the scalp. Wipes soaked with medicines are applied to the affected area, after which electrodes are attached to them, through which current flows,
  • Massaging is of two types - manual and hardware. In the first case, they act with fingers, in the second embodiment, with a device in the form of a suction cup. The procedure improves blood circulation, which significantly speeds up the process of updating the hairline,
  • Cryotherapy is the action of liquid nitrogen, which has a reduced temperature regime. Cold favorably affects the skin, especially in case of impaired functionality of the sebaceous glands.

Preventive actions

Hair loss in both women and men is a massive problem. Ignoring the situation can lead to absolute baldness. Medical practice shows that a large list of skin diseases develops in those cases when elementary rules of care are ignored.

Another factor is malnutrition, leading to a deficiency of vitamins, minerals, amino acids, antioxidants, and other useful components.

Timely elimination of negative circumstances can prevent the pathological condition of the hair. As a prevention, doctors recommend:

  1. Refuse to use other people's hygiene items (combs).
  2. Wear hats to protect against ultraviolet rays or cold.
  3. Use specialized sun protection products.
  4. Exclude combs and accessories made of metal.
  5. Choose the right care products. Shampoos and balms should match the type of scalp.
  6. Reduce the use of hair dryers, irons and other heating devices.

Inflammatory processes, exhaustion, stress and nervous tension, disruption of the digestive tract, weakening of the immune system contribute to the loss of strands.Careful attitude to your health and timely treatment of existing diseases will preserve the volume of hair and prevent their loss.

How to treat hair loss

Every year, the number of people suffering from hair loss increases by 10%. Despite the severity of the problem, many do not even know which profile doctor to contact for hair loss.

A pair of hairs on a comb is not a reason to immediately run to the doctor headlong. Perhaps this problem is temporary and caused by seasonal vitamin deficiency or stress, and soon everything will return to normal. The truly dangerous symptoms that require you to go to the hospital are:

  • the presence of lost hair in the sink, on clothes, a pillow, a carpet,
  • dandruff,
  • redness and itching of the scalp,
  • oily substance that remains under the nail after scratching the head,
  • small scars on the site of hair loss,
  • lack of germination of new hair in place of the lost.

In men, alopecia has a zonal character: baldness is clearly expressed in a certain area - for example, in the temporal-frontal region or on the back of the head. In women, the hair thins more or less evenly.

If there are alarming symptoms, the first thing you should go to the therapist. He will conduct a general assessment of your condition, and then, most likely, he will write out a referral to a trichologist. The main specialization of this doctor is medical cosmetology, so if there is no trichologist in your area, you can contact a dermatologist.

Trichology is a relatively young science of a very narrow focus, which studies the scalp. The profession is not yet officially recognized, and trichologists are still included in the category of dermatocosmetologists.

The day before the visit to the trichologist, you should not wash your hair and use any means to treat them. This will allow the doctor to carry out all the necessary studies and determine the exact causes of hair loss.


To make a diagnosis, the trichologist uses the following methods:

  1. Trichoscopy - determining the type of baldness using a video camera.
  2. Trichogram - a study of hair under a microscope.
  3. Identification of fungal lesions with special light.
  4. History taking.

After conducting all the studies, the trichologist may ask the patient to go to other doctors - including a gastroenterologist and endocrinologist. Alopecia can be both an independent disease and a manifestation of some kind of internal disease.

Women will also need to be examined by a gynecologist and take a blood test, because hair loss causes a low level of female sex hormones.

Treatment methods

Women with alopecia are prescribed specific therapy, which may include birth control pills or other drugs with estrogen. Treatment of men is aimed at suppressing the effects of 5-alpha reductase. This enzyme converts testosterone to dihydrotestosterone, resulting in shrinkage of hair follicles.

In complex therapy for alopecia, internal and external agents are used:

  • finasteride
  • dutasteride
  • minoxidil
  • vitamins
  • cosmetics.

Finasteride is the most effective drug in the treatment of hair loss. It interferes with the production of a substance that translates testosterone into a more active form. Dutasteride reduces testosterone consumption, which is necessary for the treatment of hormonal alopecia in men. Side effects of these drugs are a decrease in libido, an increase in chest pain, and less often in allergies.

For external use, both women and men are most often prescribed a solution of minoxidil, which improves blood flow and promotes improved nutrition of hair follicles.

Since hair loss is often associated with vitamin deficiency, it is recommended to drink vitamins A, B, E, C and use appropriate hair balms.

Trichologist's advice: a few rules for chic hair

Hair loss is a normal process.Each person loses them per day from 50 to 100 pieces. Concern is caused when this amount increases to such an extent that whole shreds are found on the comb and pillow. In such a situation, urgent need to take measures to preserve the hair.

Do not grab on the advertised expensive means - without finding out the cause of the problem, they may be useless. First you need to contact a specialist. Especially important are the advice of a trichologist for hair loss.

After the examination, he will draw up a treatment regimen, help you choose the right care products.

Hair life cycle

The formation of hair begins in the mother’s womb, when a soft, colorless fluff appears. Closer to childbirth, it is replaced by pigmented hairs. The process of their growth is an integral part of the functioning of the body. The life span of each hair is from 2 to 7 years. During this period he experiences 3 stages of development:

  • Anagen. The longest stage, characterized by a growth process. New hair, advancing to the surface of the scalp, pushes the dead out.
  • Catagen. Cell division slows down, the follicle goes into a dormant stage. The root ceases to receive food and is disconnected from the papilla. The process takes 1 to 3 weeks.
  • Telogen Cell renewal completely stops. The bulb wakes up and, advancing to the surface of the skin, begins to grow new hair, pushing out the almost fallen old one.

Such an update occurs alternately, therefore, the hairline on the person’s head is constant. At the same time, part of the hair is in a state of growth (up to 85%), others are in a sleeping state (1%). In the stage of precipitation is up to 14%. When this balance is disturbed, a deterioration in the appearance of the hair is observed and partial (or complete) baldness sets in.

How will the trichologist help?

Trichologist will help identify the cause of hair loss and prescribe treatment

Many people postpone a visit to a medical institution because they do not know which doctor to go to.

The problem is of a medical nature, so the solution to the problem should be entrusted to a specialist in the field of trichology, who will help you choose the right treatment. First of all, the doctor finds out the causes of hair loss and examines problem areas.

Methods of treatment are selected only after the examination, sometimes including the delivery of tests.

When diagnosing, the patient’s medical history is studied, which medications were taken. Do not be surprised that the doctor will ask questions not only regarding the state of health, but also about the life events that have taken place over the past six months.

The reaction of the body to any shocks may not occur immediately, but after a few months. If necessary, a laboratory study of hair samples is performed.

During a visual examination, the doctor determines the features, scale and extent of baldness. In addition to the trichologist, consultation may also need to be obtained from other specialists.

Given the close relationship of the state of the hair with the functioning of all systems in the body, you can turn for examination to an endocrinologist, dermatologist, neurologist. Hair loss is a problem that requires an integrated approach.

In addition to the general therapeutic course, including taking medications, physiotherapeutic procedures, head massage, and a special diet are often prescribed.

Hair conservation specialist recommendations

You need to comb your hair correctly too

There is no universal remedy equally effective for all people. But you can preserve the beauty of your curls, if you follow the simple rules for caring for them, following the advice of a doctor, which is better to contact as soon as possible. And you need to do this regularly. To stop the loss will help:

  • A complete, balanced diet.The diet must include foods rich in vitamins, trace elements. The doctor will recommend a diet specially designed for this purpose.
  • Compliance with the rules of combing. The procedure starts from the middle of the strand, moving to the end, then rises to the roots. It is useful to do an evening massage of the scalp with a special brush. For care, use combs made from natural materials, preferably wooden. Supplementary nutrition in the form of vitamins mixed with vegetable oils will help strengthen the follicles and give the hair a healthy look. Do not comb wet hair. Having become wet, they become heavier, as a result of which they easily break off, deform. When washing, be sure to use balms that facilitate combing.
  • Proper shampooing. According to trichologists, a daily hair cleansing procedure leads to serious problems. As a result of frequent washing, the protective layer is broken, the sebum that performs this function does not have time to be produced. Curls fade, become dry and brittle. Before the procedure, the hair must be thoroughly combed. Lathering of the head is done very carefully, with soft, smooth movements. Shampoo is selected taking into account the type of hair, preferably enriched with trace elements and vitamins. When buying, it is important to pay attention to its composition.
  • The use of special tools that provide additional courtship. If hair falls out, masks can help. For their preparation, ordinary kefir, honey, cognac, milk are suitable. You can use olive, burdock oil, adding vitamins to it. The mask is applied for several hours before shampooing. Avoid exposure to harmful chemical components contained in store hair care products by making shampoo and balm at home. Since ancient times, all kinds of herbal infusions and decoctions have been successfully used against hair loss.
  • Protection of hair from ultraviolet radiation, exposure to low temperatures. It is necessary to cover your head in hot sunny weather and in winter during frosts.
  • Compliance with the rules for dyeing hair. To protect against the aggressive effects of the dye helps sebum, which, standing out, protects the roots and shaft of hair. Therefore, staining is recommended for unwashed head. After the procedure, it is necessary to apply a mask to restore the damaged hair structure.

How is baldness treated?

Tablets are prescribed for an advanced stage of the disease.

Stop total hair loss is possible only thanks to a comprehensive treatment. It takes a fairly long period. Only after 8–9 months do the first signs of improvement in the state of hair appear.

To enhance hair nutrition, the doctor includes vitamin complexes in the treatment regimen. The advanced stage of the disease, if the strands fall out in large numbers, requires the use of medications, which are selected individually. Corticosteroids are prescribed, hair growth stimulating agents - Minoxidil, Ditranol, Antralin.

Perhaps the use of experimental drugs, such as Neoral, Tacrolimus.

Symptoms of partial baldness, manifested to a mild degree, can be eliminated using home methods. The use of special shampoos that help strengthen masks is enough.

Today in any pharmacy you can buy products designed to strengthen hair. It’s easy to cook them yourself, using old folk recipes.

In any case, you must first obtain expert advice. To do this, you need to know which doctor treats baldness.

Are there any rates of hair loss in men?

It is important to know that on the head of every person (men, women, children) there are from 80 to 150 thousand hairs. Moreover, each of them began its growth in a certain period.So, each of them will fall out in a certain period, since it is inherent in nature. In general, the loss of particles of hair in an amount of 50 to 100 units per day is considered the norm.

In order not to wait until the doctor on the scalp and hair determines the severity of the pathology or its presence in general, you can conduct an independent test. To do this, do not wash your hair for 3 or more days. Then you need to pull a small lock of hair on the temples and on the top of the head. If in your hand after that there will be more than 5 pieces of hair, then you can safely talk about the pathological loss of vegetation on the head. In this case, it is worthwhile to be especially alarmed if the roots of the fallen hair are not white (as is normal in obsolete hair), but dark. In the case of a dark / black hair root, we can talk about its premature death and loss.

Also, in order not to wait until the hair loss specialist makes a diagnosis, it is recommended to prepare for his visit by counting the number of hair units lost per day. Yes, you have to count the hairs on the pillow, comb and collar of a shirt or jacket. But it may also be that the alarm is false, if the total number of units of hair does not go beyond the norm. In this case, a visit to a hair loss specialist will be unreasonable.

It should be borne in mind that there is a rate of hairs fallen out per day for each type of hair. It looks like this:

  • Blondes - up to 150 units of vegetation,
  • Brunette and brown hair - an average of 100 units of hair loss,
  • Red - about 80 units per day.

Important: in one representative of a strong half of humanity, the number of units of vegetation falling out per day may vary depending on the season, diseases or stresses, etc.

Which doctor should i contact for hair loss?

It is worth knowing that the doctor who treats the hair on the head is called a trichologist. Therefore, all the problems that occur with hair are his main activity. The science of trichology is relatively young. She is only 10 years old or more. But at the same time, specialists are already available in many commercial medical and cosmetic clinics. Unfortunately, a trichologist cannot be found in municipal hospitals. Trichology studies the morphology and physiology of hair, which makes it possible to identify the causes of hair loss in a number of studies.

So, if hair falls out and you do not know which doctor to go to, then you should contact a trichologist. Wake-up calls for his visit should be:

  • The increased thinning of the hair or its loss by foci,
  • Fragility of units of vegetation on the head (if the hairs remain on the pillow and shirt without roots),
  • The feeling of lack of new hair growth,
  • Excessive dandruff or severe oily / dry hair,
  • The appearance of a pungent odor from the mane and redness of the dermis of the head,
  • Change in hair color by foci (but not gray hair).

In addition, if you do not understand which doctor to contact if your hair falls out and there is no trichologist in your clinic, then you can visit such specialists who will also provide significant assistance:

  • Endocrinologist. The fact is that often the cause of hair loss is a disorder of the hormonal and endocrine systems.
  • Dermatologist. A visit to this doctor is especially shown if problems can be traced not only with the hair itself, but also with the scalp.
  • Gastroenterologist. Often, hair problems are a reflection of the pathological condition of the digestive tract. It is especially necessary to visit this doctor if complaints of gastrointestinal tract dysfunction are simultaneously traced.
  • Psychologist. Given that stress may also cause hair loss on the head, such a specialist will help restore peace of mind and tell you if you need tests for hair loss in this case or whether you can restrict yourself to sedatives and drugs that stimulate blood flow to the hair follicle to activate hair growth .

How is the diagnosis of a specialist trichologist?

If you find a trichologist and decide to check with him to identify a hair disease, then you first need to prepare for the visit. To do this, wash your hair the day before visiting a doctor. And you need to use the usual shampoo.After shampooing, it is forbidden to use hair styling products or perfumes for applying them to hair. At the initial appointment, the doctor will tell you what tests you need to pass in case of hair loss. Initially, the patient is prescribed a set of such studies to identify the causes of the loss of units of vegetation on the head:

  • A blood test is general to determine the level of hemoglobin. Anemia often causes thinning of vegetation,
  • ELISA for the detection of parasitic and other infections,
  • Biochemical blood test to determine the level of trace elements in the body,
  • Tests for thyroid and reproductive hormones
  • Dermis biopsy of the head to detect fungus,
  • Analysis of the spectral bulbs and the hair shaft itself.

In addition, the specialist will conduct a private survey about the patient’s lifestyle over the past six months. The fact is that many reasons for the loss of vegetation of the head and changes in the shape of the hairstyle lie in stressful events or past illnesses of an early period, and the body reacts to them a little later. That is why baldness occurs late.

Having found out who you need to go to for hair loss and what tests you need to pass, it’s worthwhile to understand the other actions of the trichologist, which will be applied to the patient.

So, the doctor will conduct a series of the following diagnostic measures:

  • Trichoscopy It implies the study of the patient's hair and scalp under a special microscope. The doctor assesses in this case the level of clogging of the pores of the dermis with sebum and the amount of hair growing from one bulb. 2-3 units are considered normal. If the number is less, then we can already talk about pathology.
  • In-depth study. It is used if, according to laboratory parameters, the patient is all right and there is no indicator of heredity for baldness. Here, a specialist performs a deep study of the epidermis and vessels of the dermis of the head at the cellular level.
  • Standardized photography. It is used at the beginning of therapy and after it to evaluate its effectiveness. In this case, the specialist takes a picture of the patient’s hair in conditions of a certain lighting and at a certain angle.
  • Phototrichogram. A research method that allows you to record studies under a microscope on a computer and compare previously obtained results with the results after therapy. It is also possible to monitor changes in the state of hair every other day to determine the severity of the pathology.

It is important to understand that the service of a trichologist specialist is currently paid. The cost of treatment (one dose) may vary depending on the region and the general status of the clinic. On average, in small cities, a trichologist will take 10 cu per visit (700 rubles), while in the capital cities and regional centers the price of a visit to a doctor will already be 22 cu (1500 rubles).

To whom to entrust the treatment of curls

Any problems related to the health of hair and scalp are the field of activity of trichologists.

Trichologist- A specialist who is engaged in the prevention and treatment of diseases of the hair and scalp.

Trichology- A science that studies the morphology and physiology of hair, and also develops theoretical and practical methods for the restoration and rehabilitation of the scalp. Translated from Greek "tricho "-" hair ".

Despite the fact that the first hair research began in 1902 by scientists from the UK, trichology as an independent direction in medicine has existed for only a little over a decade. Therefore, in small cities it is rather difficult to find a trichologist. But in the capital, the services of a hair specialist have long been in high demand.

Indications for contacting a trichologist

It is necessary to resort to the help of a specialist if the following problems occur:

  • intense focal or total hair loss,
  • fragility, dullness, exhaustion of the hair shaft,
  • too slow hair growth or a feeling of its complete absence,
  • the hair is easily pulled out even with a slight pull,
  • dryness and itching of the scalp, profuse dandruff, excessive work of the sebaceous glands,
  • irritation, redness of the scalp, the appearance of purulent inflammation and an unpleasant odor,
  • change in hair pigmentation.

How a trichologist treats hair loss

A doctor who specializes in trichology treats not only hair, but also the epidermis in adults and children. At the first visit, the doctor carries out diagnostics of hair and hair follicles, collects all the necessary information about the state of health, habits, work characteristics, client’s daily routine. The resulting picture allows you to immediately identify the boundaries of the search for causes of hair loss.

In specialized clinics, hair diagnostics are carried out in several stages.

With severe hair loss, the attending physician performs photofixation in standardized lighting conditions at a certain angle. For this, a “sensitive” technique with special flash settings is used. This stage allows the trichologist and patient to visually evaluate the result of therapy and make adjustments to the continuation of the course.

Examination of the scalp using a special device (trichoscope) with a multiple increase allows you to assess the condition of the skin, the level of “clogged” pores with sebum, the activity of hair follicles. An important indicator here is the density of hair. So, normally 2-3 hairs should grow from one bulb. If this indicator is lower, we can talk about a strong loss of curls.

The examination is also carried out using a trichoscope connected to a computer. A specialized program processes the information received and allows you to monitor the results of treatment in dynamics. A phototrichogram is performed twice with a difference of one day and makes it possible to assess the ratio of lost and new hair and the intensity of loss. It is worth noting here that the camera must have a high resolution to cover even the most thinned hairs.

  1. Examination of patient test results

The doctor who deals with the problem of hair loss prescribes tests, the purpose of which is to identify the true cause of the ailment, without eliminating which superficial treatment will be useless.

What tests does the doctor prescribe:

  • general blood analysis,
  • blood biochemistry (shows the content of essential trace elements),
  • blood test for infections,
  • serum iron (for the likelihood of iron deficiency anemia),
  • analysis of hormones of the reproductive system and thyroid gland,
  • skin biopsy for pathomorphological diagnosis,
  • scraping from the scalp (to determine fungal lesions of the scalp)
  • spectral analysis of the hair shaft and bulb.
  1. In-depth study

In the case when there is no adverse heredity, and the test results do not indicate obvious trigger factors, the doctor decides to conduct an in-depth study of the epidermis and blood vessels of the scalp, which implies a study at the cellular level.

The presence of bacterial diseases of the scalp can cause intense hair loss. A bacteriological study is carried out if there is an appropriate indication: oily or dry dandruff, not treatable, severe persistent itching, folliculitis.

What remedies can a doctor prescribe

As a rule, on the basis of the data obtained, the doctor prescribes drugs externally (shampoos, tonics, sprays, ampoules) and inside (vitamin-mineral complexes, medications).

One of the most effective tools that have successfully proven themselves in trichology is considered ALERANA ® Spray for external use. Daily use of the spray can significantly reduce hair loss and increase the activity of hair follicles, which contributes to a noticeable increase in the density of curls.It is clinically proven that after 6 weeks, intense loss ends in 87% of cases. The drug is a drug.

Recommendations before receiving a trichologist

The trichologist is engaged in the diagnosis and treatment of diseases of the hair and skin of the scalp. Before visiting a trichologist, you need to wash your hair for a day. If you do this immediately before visiting a doctor, he may not see some signs of the disease. For an accurate diagnosis, the picture should be objective. The trichologist needs to be told about all the complaints, the time of their appearance, and the attempted treatment. Often, hair problems are a symptom of any disturbances in the body, so be sure to inform your doctor about all existing diseases.

Universal recommendations trichologist

Now you know which doctor to consult for severe hair loss. However, if the curls began to break and “crumble” recently, it may be enough for you to simply review the daily care.

  • Wash your hair with soft water. Tap water is too hard for hair, so it is recommended to soften it, for example, using table vinegar or lemon juice.
  • The water temperature should not be too low or too high. Ideally, 35-45 ºС.
  • Frequent washing removes the protective film of hair, which leads to dryness and brittleness, so use shampoo only at the roots, and it is enough to clean the ends once a week.
  • Do not jerk or injure the roots while washing - the movements should be smooth circular, but not sharp.
  • Do not rub wet curls with a towel. Just make a “turban” on your head and let it absorb in excess moisture.
  • Once a week, moisturize the scalp with oils that can be bought at each pharmacy - this allows you to restore the epidermis and nourish the hair follicles with useful substances.
  • Take personal hygiene products with greater responsibility - do not give other people your comb or hair bands. Remember, the microflora of the scalp is different for everyone, and it’s not worth sharing it.

How much does a trichologist consultation cost

At the moment, the profession of trichologist is not listed in the All-Russian Classifier of Professions (OKKDTR), and, therefore, state universities do not graduate from such specialists. Highly specialized doctors receive their knowledge in paid courses at medical schools, and, therefore, the rate of a trichologist is not provided for by budgetary medical institutions.

Get the advice of a trichologist on compulsory medical insurance does not work, you need to seek help in a paid clinic. The price tag of a specialist varies depending on the region and the status of the institution. In the province, the cost of admission is slightly lower, about 500-700 rubles, and in the capital or in one of the major megacities, you will have to pay 1000-1500 hard earned for a consultation.

Clinical researches

In 2012, VMA S.M.Kirova conducted an open, non-comparative study. Specialists evaluated the effectiveness, safety and tolerance of the spray. ALERANA ® (2% and 5% minoxidil solution).

Experts have proved that after 6 weeks of using the product:

  • in 87% of cases, increased hair loss stopped
  • in 66% of cases there was an increase in the amount of hair in the anagen phase (hair growth phase.
  • After 4 months of treatment:
  • in 73% of cases, clinical recovery was observed, as well as a significant improvement in the condition of the hair.
  • in 96% of cases there was a decrease in the amount of hair in the telogen phase (rest phase, preceding hair loss) by 2.7 times.
  • The number of hair follicles in the growth phase increased by 20%, which indicates an increase in the duration of the active hair growth phase.
  • Hair thickness increased by an average of 41%
  • Hair density (amount of hair per unit area) increased by an average of 29%.

Consumer Reviews

Koshara1988 (otzovik.com)

"Hello everybody! It's about hair loss.Not just about seasonal molting, or postnatal, but about serious hair problems - about alopecia and about the remedy against it. The remedy is called Aleran spray 5%. A little explanation.

The fact is that our hair is not only beauty, but also a very sensitive indicator of the beginning and already obvious malfunction of the body. The body is a complicated thing, everything in it is interconnected. There are no magic pills, but doctors treat us, thanks to them for this, but, as a rule, treatment is aimed at the main symptom or consequence of the disease. In a complex, we will not consider our sores and features.

A bit about the causes of hair loss.

There are so many of them. It can be endocrine diseases (thyroid, pancreas, adrenal glands), diseases of the genitals, gastrointestinal tract, hormonal disorders, anemia, vitamin deficiency (there may be a shortage of one or more vitamins or minerals), cancer, some men are bald due to hereditary susceptibility of hair follicles to dihydrotestosterone.

What am I talking about? And I’m saying that while you are looking for the cause of hair loss, they can quickly leave you. And the hair is programmed for a certain number of hair loss, so you need to protect it.

And how to protect? If the hair does not fall catastrophically, up to 120 pieces per day, then funds based on minoxidil, which is our St. Petersburg Alerana, are not needed. In this case, I believe that enough shampoos against hair loss (with pepper, coffee, etc.), special. oils, masks, massages and combs Darsonval - review here and multivitamin.

But if the hair is strewed in shreds, more than 150 pieces a day, it's time to beat the bells and blow the horn. I began to sound the alarm when it seemed to me that the hair was falling out more than usual, counted, there were 400 of them. 400. The next day, she counted - 300, then 200, then again 400 pieces.

In addition, the hair became thin and dull. The head began to glow. It became scary, trips to doctors began. The trichologist immediately prescribed a spray to Aleran. I am a meticulous person, I read a lot about Aleran and about the active substance - minoxidil.

Minoxidil is a vasodilator for hair growth, slows or stops hair loss and stimulates the growth of new hair.

Minoxidil allows defective follicles to grow so that they begin to produce normal, strong hair. With an increase in follicles, the hair growth phase also lengthens, allowing them to become longer and thicker. Follicles located in the telogen phase go into the anagen phase (active growth). In order for a significant amount of hair to go through the growth phase and become healthy, it takes a lot of time, so the treatment effect is noticeable only after 4 months of using minoxidil. So do not expect instant action from Alerana.

How Aleran 5% acted on me.

I apply Alerana spray once a day, spraying it mainly on the parietal zone and temples. These areas are actively thinning. The first month of application was marked by an even stronger hair fall, well, or the same. This is normal. This happens due to the fact that those hair that should soon fall out fall out now. And there is a synchronization. That is, the hair together leaves the head. Do not panic! On the contrary, it shows that minoxidil acts on you.

After about a month, the hair stops rolling. Now I see a buildup of undercoat. The length is completely empty, but these small antennas give hope for a brighter future. The areas above the forehead began to overgrow.

By the way, she discovered another important action of Alerana. Eyebrows have begun to grow! It seems I’ll have to arm myself with tweezers, and the last time I plucked the eyebrows in 10th grade. How Alerana leaked to her eyebrows is a mystery to me, because after applying to my scalp, I washed my hands with soap.

Now I continue to apply Alerana, too, since you cannot cancel it. Treatment from 6 months to a year.In the future, it will be possible to reduce the dose. In the meantime, I'm looking for problems in my body. Of those found today - this is low ferritin (iron reserve). To restore it, I drink iron. I also found that I eat little protein, now I try to monitor its amount in food.

Thus, I can recommend Aleran spray for you to fight for hair, but remember that the reason is inside and it must be sought and treated. ”

sos88 (otzovik.com)

“Greetings to all my readers!

I can say with confidence that every modern woman looks after her appearance, especially her face and hair and hands, and none of us wants our beauty to be lost. As you already know, I suffer from seasonal hair loss, I tried a lot of shampoos, from which I selected a couple that were to some extent effective, but I still could not completely get rid of hair loss. So, my sister advised me to get a special spray for hair loss which she used after giving birth, and which helped her to keep her hair thick. What happened to my sister ?!

Immediately after giving birth, my sister decided to lighten her hair and then dye it so that it would turn from a brunette into a blonde. After half a month of this procedure, her hair began to fall out, at first she did not pay attention to it, referring to the fact that they behave like this after childbirth, but then, when a pile of hair appeared on the comb, she already began to worry. She didn’t want to lose her hair, climbed up on beauty sites and began to study recommendations, and then came across a spray from Alerana hair loss 2%. It was recommended by many girls, they wrote that it was still quite effective, but how to stay here and not try it on yourself, I had to run to the pharmacy and buy.

This tool looks like this (photo of my bottle already)

On the back of the bottle you can find additional information.

This spray helped her, so I bought it for myself.

I used this spray strictly according to the instructions. 7 pressing the dispenser, for one application, sprayed it only on the roots of the hair, and so every day for 1.5 months.

The product itself is transparent, it smells nice, but the smell on the hair does not linger. This spray does not dirty the hair; after it, it does not look dirty, greasy, or tangled.

After a month and a half of regular use of this spray, the result pleased me, the hair on the comb each time became smaller and smaller, and even when washing the hair in the bathroom there were already none of the frightening drops of hair that I observed before using this spray.

Thanks to him, I kept my beautiful and thick hair, I advise you to buy! ”

1. Alexander Dale. Baldness: A practical guide for men and women to treat, restore and care for different types of hair. Centerpolygraph Publishing House, 2002
2. F.M. Meng, On the prevalence of hair diseases among the population, Siberian Medical Journal. Publisher: Irkutsk State Medical University (Irkutsk), 2006
3. Ovcharenko Yu.S., Actual problems of trichology at the present stage, the Exchange of Experience journal. Link to the article: https://cyberleninka.ru/article/n/aktualnye-problemy-trihologii-na-sovremennom-etape

For an accurate diagnosis, contact a specialist.

When should you contact a trichologist?

Immediately after finding that the hair falls out - to the trichologist in big steps!

The daily rate of loss of strands is 100 pieces.

If a person loses more hairs, it is necessary to consult a specialist who will help find the cause of their loss. Go to the doctor as soon as possible. Then you can quickly and effortlessly solve the problem of baldness.

The trichologist should be consulted in such cases:

  • when hair falls out more than usual
  • if the problem of losing strands worries you for more than a month,
  • the density of hair has greatly decreased,
  • bald patches are visible
  • you constantly change shampoo, other products,
  • folk methods do not give a result,
  • in addition to falling out, there are other problems with strands (brittleness, dryness, split ends),
  • dandruff (do not treat it yourself)
  • hair grows slowly
  • the strands became brittle, brittle, they strongly split at the tips along the entire length.

When hair loss is not treated for a long time, you can “miss” the key moment when the loss of strands turns into a pathology (alopecia). Such an ailment can cause baldness.

What examinations and tests are prescribed?

At the reception trichologist asks the client about when and under what conditions the hair began to fall out, what it could be connected with, whether there was any treatment before and what, if the person got the result, what are the complaints today.

Further inspection follows.: specialist evaluates the condition of the skin, hair, nails. So that the doctor can make an objective picture, before visiting the trichologist, do not wash your hair for one day and remove the nail polish.

Also, the specialist will conduct trichoscopy. This examination consists of the diagnosis of hair and scalp through special devices. Other diagnostic methods are selected individually (analyzes, consultation with other specialists, etc.).

To examine the state of health, the doctor will prescribe detailed blood test. If deviations from the norm are observed, the person may have pathologies.

A biochemical blood test indicates the state of work of all systems and organs.

To examine immunity, a doctor will prescribe immunogram, which will determine the state of the immune system. An allergy test will also be required (this is necessary if the loss is combined with itching and intense loss of strands).

In addition to the above studies, it is necessary endocrinologist consultation, analysis of the endocrine glands (palpation, ultrasound, hormone levels of the endocrine and genital glands).

If the tests did not reveal the causes of hair loss, the trichologist will refer the person to a neurologist, gastroenterologist, gynecologist for further examination.

The most popular fallout treatments are professional treatment options. Trichologists advise hardware cosmetology. It can be carried out in centers under the supervision of a doctor.

Such therapy include:

  • vacuum massage for the head, which trains the hair follicles, normalizes the microcirculation of the blood vessels of the head,
  • microcurrent therapy to stimulate growth,
  • electrophoresis, which promotes the appearance of new hairs,
  • laser therapy (roots are treated with a cold laser).

Remedies that are guaranteed to help against hair loss do not exist. Each method has its drawbacks, because any treatment option does not affect the whole body, but fights a specific problem.

For treatment, you can use masks, balms, sprays, lotions, balms or shampoos. If you follow the basic rules, the likelihood of hair loss will decrease several times. But for this it is necessary to provide good care to the skin and strands.

Popular remedies for hair loss are:

  1. Vitamin complexes. If nutrition is unbalanced, the body lacks certain substances. Trichologists believe that it is important to take drugs such as Pantovigar, Merz, Aevit, Vitrum Beauty and Revalid.
  2. Folk remedies. Home recipes are effective in the fight for the health of hairstyles. Pamper yourself with masks based on oils and natural products.
  3. Cosmetics. Sprays, masks, shampoos from the pharmacy are useful and effective agents that are prescribed by doctors to restore hair. Trichologists recommend such cosmetics as Fitoval, Alerana, Generol, etc.

Important: before buying vitamins or other dietary supplements, consult your doctor. You may have hypervitaminosis and this is the source of the problem.

To stop baldness, it is necessary to adhere to the general advice of trichologists from hair loss:

Trichologists prescribe therapeutic shampoos, pharmaceuticals, pills, and healing masks. They should be used only for the period recommended by the doctor. It is better not to use such methods on your own, because everything is good in moderation.

Excessive hair loss is often observed after childbirth. The process of carrying a child slows down the action of hormones, strands almost do not fall out at this time.

But, when a baby is born, a woman loses a lot of hair. It can scare a young mom. However, in a couple of months the process will stop and the loss will return to normal.

If 90 days after delivery this did not happen and the strands still fall out intensively, you need to contact a trichologist.

At the reception you will receive Trichologist's advice for hair loss, which is important to observe:

  • The doctor advises all clients to take care of their hair, to take a number of measures to improve and strengthen their hair,
  • it’s important to choose the right comb,
  • do not use combing tools made of metal, plastic,
  • if a person loses hair within six months, the ailment can become chronic.

To stay healthy it is important to nourish the hair with vitamins, micro-, macrocells, other substances important for health. The body needs vitamins of groups B, A, C, E, PP.

Also, healthy foods rich in these ingredients should be included in the daily diet. It is extremely important to eat fresh vegetables, herbs, nuts, fruits, as well as sea fish, seafood.

It is necessary to comb 3-4 times a day. Also, comb combs made of wood should be used.

Pay attention to the structure of your hair. Long is important to comb from the middle to the tips, then you can go to the roots. In the evening, you can massage your hair with brushes. Such a massage is a great way to relax before bedtime.

Some more tips for hair loss:

  • do not comb wet hair
  • wash off shampoo and other products thoroughly and completely,
  • comb strands in the fresh air.

Wash your hair properly. If you wash your hair every day, it can cause a real illness. To begin with, the protective layer will suffer (water will remove it). Then the head does not have time to develop sebum, which is a defense.

The curls will eventually become dry, thin, dull, they will no longer receive the nutrition and vitamins that are needed by the tips and roots. And the skin will lose protective functions, which will contribute to the emergence of various diseases.

Do not mix hair when washing your hair. A light massage, smooth movements - what hair needs. It is important to comb them first. Use shampoo that is suitable for daily use.

More useful information on trichologically correct shampooing - in the video:

It happens that the hair falls out for no good reason. Often baldness and loss of strands signal about disorders in the body. Hairstyle reflects the current state of the body.

Inflammation, exhaustion, hormonal disruptions, nutritional imbalances, stress, intestinal disorders and weakened immunity, allergies - all this contributes to the loss of strands. To stop the destructive process, you need to contact a trichologist as soon as possible, find the cause of the disease and restore health.

Which doctor treats male pattern baldness?

The problem of hair loss and the formation of bald spots worries almost every third man. Various reasons can contribute to this, and in men the hair roots are much closer to the scalp than in women.

The hormonal background plays an important role in the scalp, and any jumps can lead to hair loss. Therefore, it is extremely important to know which doctor treats male pattern baldness in order to seek help in a timely manner.

In order to cure baldness, it is important for a man to contact the clinic as soon as possible, find a narrow specialist who is qualified in such matters, and then undergo an examination.

After the established reasons that provoked hair loss, the doctor will be able to draw up a course of therapy, as modern medicine offers a huge number of methods and tools.

Solving the problem of baldness is fraught with complete loss of hair on the head.

Which doctor to contact for focal alopecia - all doctors treating the disease

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Make an appointment with a doctor online. Children's doctor. Home visit. According to the VHI policy.

Here you can choose a doctor who treats alopecia areata focal. If you are not sure about the diagnosis, make an appointment with a general practitioner or general practitioner to clarify the diagnosis.

This page provides ratings, prices and reviews about Moscow doctors specializing in the treatment of focal alopecia.

To choose the most effective treatment, the doctor can refer you to a consultation with specialists: endocrinologist, mycologist.

Popular Rating Seniority Cost Reviews
9.2 117 reviews Dermatologist Trichologist Beautician Velieva Elnara Dzhabarovna Experience 25 years Doctor of the highest category 8.6 105 reviews Beautician Dermatologist Trichologist Isaeva Fatima Atkhoevna Experience 10 years The doctor of the highest category 8.6 45 reviews Beautician Trichologist Dermatologist Bratilova Anastasia Triologist Dentist Cosmetologist Triathologist 8 years old 8.6 316 reviews Elena Aleksandrovna Experience 14 years. Doctor of the highest category 9.5 68 reviews Cosmetologist Dermatologist Trichologist Venereologist Mycologist Zhmakina Liliya Viktorovna Experience 20 years Ph.D. 8.6 59 reviews Dermatologist Trichologist Venereologist Mycologist Zueva Ksenia Mikhailovna Experience 7 years Doctor of the second category 8.6 59 reviews Dermatologist Trichologist Venereologist Mycologist Kuleshov Andrey Nikolaevich Experience 21 years 9.5 133 reviews Dermatologist Mycologist Trichologist Yakovleva Natalya Nikolaevna Experience 17 years Doctor of the highest category Ph.D. 8.8 92 reviews Mycologist Dermatologist Allergologist Trichologist Kopileva Viktoriya Stepanovna Experience 24 years Doctor of the highest category Ph.D. 8.8 73 reviews Beautician Dermatologist Trichologist Olga Palamarenko Experience 32 years Doctor of the highest category 1 2 3 4

  • Partial hair loss
  • Brittle hair
  • Itchy skin
  • Skin peeling
  • Baldness.

If you find similar symptoms in yourself, do not wait, consult a doctor immediately!

The trichologist is engaged in the diagnosis and treatment of diseases of the hair and skin of the scalp. Before visiting a trichologist, you need to wash your hair for a day. If you do this immediately before visiting a doctor, he may not see some signs of the disease.

For an accurate diagnosis, the picture should be objective. The trichologist needs to be told about all the complaints, the time of their appearance, and the attempted treatment.

Often, hair problems are a symptom of any disturbances in the body, so be sure to inform your doctor about all existing diseases.

Very competently explained everything and prescribed a medicine! A connoisseur of his business, for the most part, such people on this bright planet! Good luck to her in everything! Friendly and attentive doctor. I was at a reception with my teenage son about current skin acne. I received recommendations, treatment for a month and was satisfied! I have no negative emotions, and then I decided to still meet with the doctor to make adjustments if necessary. Anastasia Viktorovna is a good, sympathetic and responsive doctor. The doctor prescribed me a bunch of tests that cost a lot of money. But I didn’t go to take them. A competent doctor. She talked with me, clarified all the questions, correctly diagnosed and prescribed several blood tests. I have a rare sore, no one could answer my questions, and only Lilia Viktorovna helped me! I got everything that was needed! Good, excellent, smart and knowledgeable doctor.Well done! Good girl! My hands itched where I just didn’t go. The doctor identified an allergy and prescribed a transfusion. Thank you very much! The reception was not clear to me! The doctor didn’t say clearly what it was, didn’t specifically answer the questions why it happened, made two approximate diagnoses, and sent it just for an unnecessary ultrasound. I left the office at a loss! Attentive and responsive doctor. She conducted an examination, prescribed tests, answered all the questions and told her to come up again with the results to find out what to do. Show 10 reviews out of 7045

  • Treatment of alopecia areata focal.

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Which doctor should i contact for hair loss?

Are you very worried about hair loss? This is the main problem that patients seek medical attention about the condition of their hair.

Trichologist - this is the name of the doctor who deals with hair. But many problems, such as loss, fat, dandruff, and itching, have serious causes. And not only this narrow specialist will help here.

If your city clinic does not have a trichologist, which doctor can you address with this delicate problem? Read in our material.

When should I go to the doctor?

If you really have serious problems - hair loss, dandruff, excessive oiliness, brittleness, section, itching, crusts on the scalp - then the help of a specialist is absolutely necessary for you.

Unfortunately, most patients with prolapse are rarely treated and already at the stage when the thinning (widening of the parting and the visibility of the skin in it) becomes too noticeable.

The normal number of hairs lost per day is up to 150. But this primarily depends on their natural density, the number of hair follicles in the scalp. Most of them are blondes and redheads.

Within 24 hours you can calculate how much you have. You need to be very careful - count the hairs on the pillow, on the comb, on clothes and in the bath after washing. The rest of the time, tie the hair with an elastic band.

If the hair is very long, it may seem that there are a lot of them. And when counting, this will not be confirmed. But if there really are more than 150, it's time to seek help.

The main causes of hair loss:

  • chronic diseases, diseases of internal organs, hormonal disorders associated with them,
  • unbalanced nutrition or pathology of the gastrointestinal tract, as a result of a lack of vitamins, minerals, nutrients,
  • aggressive care - coloring, daily styling, tight hairstyles, inappropriate cosmetics,
  • scalp diseases
  • experienced stress, chronic fatigue, lack of sleep,
  • the restructuring of the body after the birth of the baby and during breastfeeding,
  • hereditary predisposition.

See our material on the causes of hair loss >>>>

Details of hair loss after childbirth and during HB> >>>

First of all, if there is such an opportunity, it is better to go to an appointment with a “hair loss doctor” - a trichologist. Consultation with this specialist will give you at least an understanding of what type of hair and scalp you have, whether there are serious problems and a prognosis for the future. And also, of course, in case of alopecia - a diagnosis, treatment plan and care tips.

If necessary, the trichologist will necessarily appoint examinations and consultations with other specialists - an endocrinologist, gastroenterologist, gynecologist.

How is the treatment with a trichologist?

To receive this doctor you need to prepare:

  1. Do not wash your hair the day before
  2. Do not use styling products or other indelible products.
  3. Do not make difficult styling, tight hairstyle
  4. Do not change shampoo or other routine care before the inspection.
  • Compliance with these rules will help the doctor most adequately assess the condition of your hairline.
  • Initial inspection
  • As a rule, at the appointment, a trichologist will ask you about the features of your hair, your usual care and lifestyle, nutrition, chronic diseases and heredity (baldness in relatives), complaints and wishes.
  • With the help of a trichoscope, he will study and evaluate the condition of the scalp, hair follicles and scalp, measure the thickness of the hair.
  • Surveys
  • There are several methods for diagnosing alopecia:
  • trichoscopy - the study of hair follicles under magnification using a micro-video camera (trichoscope),
  • phototrichogram - an estimate of the number of follicles in a shaved area of ​​the skin in the growth phase and the resting phase,
  • spectral analysis of hair - the study of their composition to determine the lack of trace elements or the presence of toxic substances.

If there are indications, such studies may be prescribed:

  • biochemical blood test (to assess metabolism),
  • blood test to assess the mineral, amino acid and vitamin status of the body,
  • consultations of other specialists


After examining your data and test results, the trichologist will announce the diagnosis, give recommendations and, if necessary, prescribe treatment:

  • vitamins, medicines for local and internal use,
  • medical shampoos
  • scalp massage
  • ozone therapy (oxygen treatment),
  • cryotherapy (freezing with liquid nitrogen of problem areas to stimulate blood circulation),
  • iontophoresis (administration of drugs to the scalp),
  • myostimulation (using pulsed current),
  • stimulation of hair growth using a trichological laser,
  • injection methods of treatment - mesotherapy, plasma therapy.

Thus, you can understand the features of your hair, learn how to properly care for them and stop making old mistakes.

Where to find a good trichologist?

Unfortunately, in ordinary polyclinics and budgetary medical institutions, rates for such specialists are not provided by “hair doctors”. The fact is that this narrow specialty is not included in the all-Russian classifier of professions and is not taught at medical universities, only at special courses at institutes.

It is advisable to look for a trichologist in a good, proven clinic or medical center so as not to run into scammers.

The fact is that the beauty industry sometimes turns into a business and tries to squeeze as many benefits out of customers as possible. Treatment can be prescribed very expensive, and no one can guarantee the result.

An unclean “doctor by hair” in order to treat you longer and more expensively can “find” serious violations and intimidate him in such a way that it doesn't seem enough.

And in order to really solve your problems fundamentally, you need to find the cause of the disease, if you have it. Rubbing miraculous sera can give a short-term effect, but if the reason lies in the lifestyle, then everything will return very soon.

Watch the video: how the consultation with the trichologist of the Ana-Cosmo clinic A.V.Seleverstov takes place:

Comment by our expert

Nagaitseva Julia Vasilievna. Doctor dermatovenerologist, trichologist.Member of the Society of Trichologists. @ tricholog.nagaytseva

If you encounter hair loss, notice that the amount of hair loss has become many times more than a few weeks, months ago, then this is an occasion to worry and immediately contact a specialist.

Unfortunately, most of our patients regard this problem as aesthetic rather than medical, resorting to the help of cosmetologists, hairdressers. They undergo a course of mesotherapy, buy professional anti-alopecia medications, and try to reduce hair loss using traditional medicine methods.

As a result, precious time is spent, and with it, hair. What could be returned 4-6 months ago at the time of the appeal is extremely difficult, and sometimes impossible.

Someone believes that going to the trichologist and treatment is a very expensive pleasure, but if you count the number of tools and procedures that you did on your own and did not get the result, and at the same time lost time, it comes out exactly as much as the earlier appeal to a specialist.

Which doctor should I go to for hair loss?

If you are not ready yet to pay for the consultation of a trichologist, or if he is simply not in your village, you can check your health at the district clinic.


First of all, with a hair loss, you should contact a dermatologist, because the main specialty of a trichologist is precisely a dermatovenerologist.

With a problem such as seborrhea or suspicion of a fungal disease of the scalp, you need to go to a dermatologist in the Department of Internal Affairs. You should be alert for symptoms (especially those that have suddenly arisen) such as severe dandruff, itching, redness of the scalp, loss and breaking off of hair near the roots.


You should also visit an endocrinologist if you are concerned about severe oily or dry scalp, hair loss, sudden changes in their condition. All this can be a consequence of problems with the thyroid gland or sex hormones, hormone-producing tumors.


The balance of hormones in the body is a very delicate process that affects the condition of the skin and hair. For example, a sudden increase in head fat can occur as a result of hormonal changes in the initial stages of pregnancy. And after childbirth, the hair begins to just “crumble”.

Alopecia can also begin against the background of menopause or the abolition of oral contraceptives.

Congenital alopecia

Congenital alopecia (atrichosis) exists as an independent genetic disease, and also occurs in combination with other congenital disorders. In this case, we are talking about intrauterine malformation of the skin as a whole or the absence of hair follicles as such. As a rule, with this disease, hair is absent throughout the body.

This disease can occur in both men and women. Its frequency is quite low. The vast majority of patients with alopecia are still not congenital, but acquired form. With atrihosis, an effective treatment most often does not exist. The genes responsible for the formation of hair follicles in the prenatal period are absent, or the follicles themselves are still there, but they are non-functional.

Congenital alopecia can be combined with the following problems:

  • hypopigmentation or hyperpigmentation of the skin (too light or too dark)
  • peeling skin
  • predisposition to skin forms of allergies,
  • increased skin elasticity
  • abnormalities in the development of nails and teeth.

Autoimmune Alopecia

This type of alopecia is quite rare. Failures in the body's immune system are the cause of hair loss. Certain proteins in the hair follicles begin to be perceived by the body as foreign bodies. Antibodies are produced against them that specifically attack and destroy the follicles. As a result, hair growth is disturbed and alopecia occurs.

Often, such disorders occur after illness, accompanied by hormonal disruptions. Sometimes this type of alopecia develops after childbirth. Baldness is usually diffuse in nature, since the structure of the hair follicles is the same, and antigens with blood flow and through diffusion in the tissues can enter any part of the body.

Sometimes alopecia arises as a result of some autoimmune diseases - systemic lupus erythematosus, scleroderma, sarcoidosis of the skin, etc. However, in these cases, antibodies are not produced against follicles, but against certain cells in the skin, which is why scars form and hair stops growing. This alopecia is correctly called scarring, and not autoimmune.

Hormonal alopecia

Hormonal alopecia can conditionally include baldness in the following diseases:

  • Bazedova’s disease (thyrotoxic goiter),
  • Simmonds disease
  • Hashimoto's autoimmune thyroiditis,
  • Alopecia with diabetes
  • sexual disorders.

Seborrheic alopecia

By seborrheic alopecia is meant hair loss due to a skin disease of seborrhea. With seborrhea, the sebaceous glands of the skin are disrupted, which is accompanied by peeling of the skin and sometimes (but not necessarily) the cessation of hair growth or their loss. In this case, the process is reversible, since the disease is not accompanied by direct destruction of the hair follicles. There are problems with their functioning.

It is believed that the following factors can provoke the development of seborrhea and subsequent alopecia:

  • malnutrition
  • neglect of personal hygiene
  • taking hormonal drugs (including birth control),
  • untreated skin diseases
  • frequent stress
  • numerous trips (change of climatic conditions),
  • hypothermia or overheating of the scalp.
Seborrhea often appears in adolescence and is accompanied by the appearance of acne on the face. Also, of the accompanying symptoms, it is necessary to note peeling of the skin (the appearance of dandruff), itching of the scalp, oily sheen of the skin. Typically, these symptoms precede hair loss, which appears already in the late stages of the disease.


First of all, with a hair loss, you should contact a dermatologist, because the main specialty of a trichologist is precisely a dermatovenerologist.

With a problem such as seborrhea or suspicion of a fungal disease of the scalp, you need to go to a dermatologist in the Department of Internal Affairs. You should be alert for symptoms (especially those that have suddenly arisen) such as severe dandruff, itching, redness of the scalp, loss and breaking off of hair near the roots.

Which doctor treats alopecia?

Diagnosis and treatment of alopecia is usually done by dermatologists or trichologists. In general, the area that studies the hair and scalp is called trichology. This discipline is at the junction of medicine and cosmetology. Finding a good profile specialist can be quite difficult. That is why at the first stages of diagnosis, dermatologists are often involved - specialists in diseases of the skin as a whole and its appendages (hair, nails). It should be borne in mind that if alopecia is only a symptom or manifestation of skin pathology, then it is the dermatologist who will better cope with the treatment of the patient.

If necessary, specialists in the following profiles can be involved in the treatment of patients with alopecia:

  • endocrinologists - when detecting hormonal diseases or disorders,
  • immunologists - to correct the functioning of the immune system,
  • rheumatologists - if alopecia has developed amid autoimmune processes,
  • pediatricians - may be required for the appointment of a comprehensive treatment of alopecia in children,
  • psychotherapist - when stress is detected as one of the possible provoking factors,
  • nutritionists - are involved in consultation in case of malnutrition or detected metabolic disorders,
  • beauticians - to correct cosmetic problems and hide the symptoms of the disease,
  • psychologists - sometimes required for adolescents suffering from alopecia.
Thus, dermatologists most often become the first doctors whom patients turn to. Further, after establishing the cause of the disease, other doctors also participate in the process.

Alopecia Treatment

The treatment of alopecia is quite complicated, as often doctors do not know exactly what mechanisms are involved in the development of this disease. However, for each type of this disease, its own treatment regimen was developed over time. However, the dosage of the drugs, the mode of administration and the duration of treatment are selected individually by the attending physician.

In most cases, treatment for alopecia occurs at home. This disease does not pose a threat to life and does not require mandatory hospitalization. The patient may be admitted to the hospital if it is suspected of infectious diseases (skin tuberculosis, leishmaniasis, etc.) that caused hair loss, or an exacerbation of concomitant diseases that do not directly affect the skin (diabetes, heart failure, etc.). In these cases, hair loss will be only a symptom, and the disease itself can affect other organs, creating a threat to life. Hospitalization is also necessary in cases of suspected radiation sickness, since it is difficult to establish immediately what dose of radiation the patient received and which organs are damaged.

In the event that alopecia is secondary or appears as a symptom of another disease, they primarily try to cure the underlying pathology. If after this the hair growth does not resume, go to local treatment. It will be different for each type of alopecia.

Comment by our expert

Anna Bogdanova, obstetrician-gynecologist

“In our body, everything is very closely interconnected, so each of the above doctors can evaluate the condition of the hair from the position of his specialty.

As a gynecologist, I am sometimes treated with complaints of hair loss. Usually these are women with heavy menstruation (they develop chronic iron deficiency anemia), mothers of babies (2-6 months after birth), women in menopause. Further examination and recommendations are individual in each case. ”

Treatment of androgenetic alopecia

Treatment of androgenetic alopecia most often comes down to the use of hormonal drugs that block the receptors for dihydrotestosterone or reduce its excretion. In this case, the treatment will be different for men and women. Doses of drugs and the form of their use are calculated on the basis of analyzes (according to the content of various hormones in the blood).

The following drugs are used in the treatment of androgenetic alopecia:

  • preparations based on herbs with antiandrogenic action (chronostim, tricostim, 101G),
  • minoxidil 2 - 5%,
  • finasteride (for men) 1 mg per day,
  • cyproterone acetate - for women,
  • women can also be prescribed combined oral contraceptives Diane-35 or Silest.
Such treatment should be taken for a long time, for several months. It should be borne in mind that taking hormonal drugs can give a wide range of side effects. Discontinuation of treatment often leads to the fact that the hair begins to fall out again. Full recovery can occur if the level of hormones is changed due to pathology. If a genetic program is being implemented due to aging, then treatment must be taken continuously to preserve hair. It is also relevant after hair transplantation, as it protects transplanted hair from premature loss.

Treatment of alopecia areata

Treatment of alopecia areata does not always give good results, since the cause and mechanism of the development of this disease are not known. Most often, preventive treatment is prescribed for various disorders that could cause this disease. Supportive immunotherapy and vitamin therapy are also prescribed.

With alopecia areata, the following treatment is prescribed:

  • elimination of chronic foci of infection (caries, chronic tonsillitis or otitis media, etc.),
  • B vitamins,
  • multivitamin preparations (novofan, revalid, fitoval, vitrum, etc.),
  • immunostimulating agents (isoprinosine 50 mg per 1 kg of body weight per day, in 4 doses),
  • glucocorticosteroid drugs - according to indications,
  • PUVA therapy - hardware treatment with ultraviolet radiation, 2 to 3 procedures per week,
  • dalargin intramuscularly 1 mg 1 time per day,
  • zinc oxide or zinc sulfate - inside,
  • pentoxifylline orally 0.1 g twice a day,
  • ointments and creams are used after stopping hair loss (vasodilators, cignolin 0.5 - 1%, glucocorticosteroid ointments, minoxidil 2 - 5%),
  • locally betamethasone solution,
  • sedatives to eliminate nervous disorders and intracranial pressure (prescribed by a neuropathologist after consultation).
As noted above, recovery can occur spontaneously, after the cessation of treatment. It is very difficult to predict at the first stages when exactly hair growth will begin. However, in young patients, sooner or later, recovery occurs in 80 - 90% of cases.

Can alopecia be cured?

At the current level of development of medicine, it cannot be said that there are incurable types of alopecia. Most often, doctors manage to stop the pathological hair loss. Problems can occur with cicatricial alopecia, when the hair follicles themselves are destroyed or overgrown with connective tissue. Then drug treatment will be useless, and you will have to resort to hair transplantation.

Certain difficulties also arise in the case of androgenetic alopecia in men after 40 years. The fact is that hair loss in this case is usually genetically programmed and it is quite difficult to stop it. Long-term treatment with hormonal drugs that are most effective can have many side effects.

Hair transplantation for baldness

As noted above, in many cases, degenerative processes in the hair follicles are irreversible, therefore, conservative treatment with medications does not give the desired effect. In this case, there is a surgical solution to the problem - hair transplantation. Since the hair on the parietal and frontal parts of the head often thins and falls out, usually small flaps of skin from the back of the head are transplanted into this area. Such a flap is divided into separate strips and placed on the area of ​​baldness. Since the hair follicles on the donor flap are preserved, with a successful transplant, hair growth is maintained. This type of transplantation provides a uniform distribution of hair on the head and is effective for focal baldness.

Another option for transplantation is the follicular method. In this case, a special apparatus removes follicles from the donor area and implants them into the area of ​​baldness. So you can transplant hair on the head from other parts of the body. The effectiveness of this method in leading clinics reaches 95%. If we are talking about cicatricial alopecia, then plastic surgeons first remove the scar tissue in the area of ​​baldness, as it is less suitable for implanting follicles (it has fewer blood vessels).

When treating baldness with hair transplantation, the following disadvantages can be noted:

  • the formation of scars and scars in the donor area when transplanting skin flaps,
  • hair loss in the first weeks after graft transplantation (however, when the skin takes root, after a few months, hair growth usually resumes),
  • slight changes in the color of hair transplanted by the follicular method are possible,
  • it is very difficult to transplant so much hair to ensure dense growth (not all follicles take root),
  • the follicular transplant method remains a rather expensive procedure,
  • if you transplant the hair by any method, but do not reveal the cause of the initial baldness, then the hair will most likely fall out again.

What are folk remedies for hair loss?

There are many folk remedies that can help with hair loss from the scalp. However, their effectiveness in most cases is very relative. Alopecia can have many different causes, and each traditional medicine is usually aimed at eliminating only one of them. Thus, the use of these funds without consulting a dermatologist can be simply ineffective.For example, the use of nourishing masks does not make much sense if the cause of baldness is an infectious process, and vice versa.

However, in general, when finding out the causes of hair loss and the right choice of recipes, folk remedies can be very effective. Moreover, they are recommended by many experts in cases where the patient has contraindications (for example, allergies) for treatment with conventional pharmacological drugs. It is believed that one of the most effective remedies for baldness is garlic.

The following folk remedies based on garlic juice:

  • Alternating gruel from mashed garlic and mashed onions. The gruel is rubbed every other day, at night, covering the area of ​​hair loss with a thin layer of gruel.
  • Aloe juice is mixed with garlic juice in equal proportions. After that, add a little honey. The mixture is rubbed into thinning hair before washing the head for 2 to 4 minutes. After that, they wash their hair with ordinary shampoo.
  • The juice is filtered from the garlic gruel. Further, depending on the type of hair (with alopecia beginning), vegetable oil is added. Its volume should be from 10 to 50% of the volume of garlic juice. With dry hair, the proportion of oil is higher, and with greasy - less.
Garlic contains essential oils, vitamin C, sulfur compounds and many other nutrients. They partly have a disinfecting effect, partly they nourish the scalp with the necessary trace elements. Due to this, the hair follicles function better. However, treatment with these agents has a significant minus. The specific repulsive odor becomes a problem for patients, since they have to use such treatment for a long time.

An alternative to garlic treatment is the following medicinal plants:

  • A decoction of the roots of burdock. The roots are folded into a pan and filled with water (until it covers the roots completely). The pot is put on a slow fire or in the oven and boiled until the roots are boiled. Then the broth is removed from the heat and stirred as it cools. The resulting mixture is put on the site of baldness twice a day.
  • Sea buckthorn broth. 100 g of sea buckthorn berries and 100 g of chopped young branches (with leaves) are ground into a homogeneous mass. 200 ml of boiling water is added to it and the resulting mixture is boiled for another 7-10 minutes. After cooling, the resulting mass is rubbed into the roots of the hair and left for half an hour. Then the mask is washed off with warm water. If hair loss is caused by a lack of nutrients or metabolic disorders, the result will be noticeable after 2 weeks of daily procedures.
  • Infusion of calendula. Calendula inflorescences are poured with vodka or diluted alcohol in a ratio of 1 to 10. Infusion takes place in a tightly closed vessel for 24 hours. The resulting infusion is added to a glass of boiled water (1 tablespoon per glass) and drunk twice a day.
  • Linden flowers. 5 tablespoons of linden flowers pour 1 liter of boiling water and cool. The resulting infusion is rinsed with hair after washing.
The above remedies can help slow down the process of baldness. However, if the hair has already fallen out due to hormonal disorders or other pathologies, then these procedures will not have the desired effect. Then you should consult a dermatologist to clarify the causes of alopecia and begin medication.

What is the prevention of baldness?

Since with many types of alopecia (for example, with alopecia areata), the causes and mechanisms of the development of the disease are not fully understood, there are no specific effective preventive measures. To reduce the likelihood of the disease, you should carefully consider hair care and try to exclude various adverse factors that can weaken them.

The following recommendations can be attributed to the prevention of alopecia:

  • regular hair wash using nutritious shampoos or other hair care products,
  • wearing hats in the cold and heat to protect the scalp from extreme temperatures,
  • treatment of chronic diseases
  • avoid prolonged use of drugs that can cause alopecia,
  • contacting a dermatologist or trichologist at the first sign of excessive hair loss.
Since in some situations these measures will still not protect against alopecia, and treatment may be unsuccessful, you should also contact specialists in the field of cosmetology and qualified hairdressers in a timely manner. They can help with a change in image so that the manifestations of the disease are less noticeable. With alopecia areata in adolescents, the help of a psychologist may also be required. It should be remembered that many types of this disease cause temporary hair loss, and recovery can occur spontaneously, at almost any moment.

What is the rate of hair loss?

In general, there is no single norm for hair loss that is suitable for all people. The fact is that hair loss and growth is a completely normal physiological process, which is influenced by many factors. This indicator can vary from day to day. On average, loss of up to 150 hairs per day is considered the norm, and the healthiest person inevitably loses 40-50 anyway. However, exceeding the norm of 150 hair does not always indicate pathology.

When calculating the rate of hair loss, the following features should be considered:

  • in people with red hair, for example, the hair itself is thicker and fall out in less quantity than, for example, in blondes,
  • hair falls out faster with a sharp change in diet, while the body adapts to new food,
  • after severe psychoemotional stresses, a person may lose 2–3 times more hair, but this phenomenon lasts only 1–2 days,
  • counting hair loss is best done in the morning during normal combing, because after washing your hair at a time more hair usually falls out at a time, and the result will be biased,
  • hair in other parts of the body falls out in much smaller quantities,
  • counting hair loss should not be done while taking antibiotics or other potent drugs,
  • in winter in severe frost or in summer in the heat of hair more hair may fall out
  • hair coloring, straightening, curling or regular pulling them into a tight bun or tail can also accelerate hair loss one-time,
  • after childbirth, the daily rate of hair loss is increased to 400-500, and it can last several weeks.
However, in all these cases, we are not talking about pathology, but about the normal effect of external and internal factors on a healthy body. Of course, with a significant excess of the norm, you should still consult a dermatologist or trichologist. With their help, one can estimate not the amount of hair lost, but their changes. A careful analysis of hair loss can tell a lot about pathological changes in the body. Normally, the hair does not fall out with the root, their tips retain their normal shape (do not split, do not split, etc.). The presence of these changes indicates the onset of baldness, even if the patient has up to 100 hairs lost per day.

Watch the video: Mayo Clinic Minute: Treating male hair loss (February 2020).

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