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Female Pattern Hairloss Diagnosis

Female hairloss is an issue that affects at least 20% of women.

Female hairloss can be very difficult to diagnose. Many different conditions and causes can have a similar superficial appearance. A visit to a board certified dermatologist is recommended, since they specialize the most in hairloss. They will need to perform a series of tests.

Because many doctors do not spend much time researching hairloss, it may take visits to several doctors to find an experienced dermatologist who knows how to diagnose and treat women's hairloss properly. Any doctor who does not take a medical history such as the one below or perform the blood tests below may not have the proper background and knowledge to treat your hairloss.

The following tests should be performed in most circumstances to determine the cause of any hairloss:

Hormone levels (DHEAS,Testosterone, Androstenedione, Prolactin, Follicular Stimulating Hormone, and Leutinizing Hormone).
Serum Iron, Serum Ferritin, TIBC (Total Iron Binding capacity)
Thyroid Stimulating Hormone
VDRL
Complete Blood Count (CBC)
Scalp Biopsy

Your Doctor Will Need the Following Medical History Information

What is the duration of the hairloss problem?
Is the hair coming out by the roots, or is it breaking?
Increased shedding or increasing thinning?
Age of onset
Drugs
Menses, pregnancy, menopause
Past health
Family history
Hair care, hair cosmetics
Diet

Differential Diagnosis
Hair coming out by roots	Hair breaking
Telogen effluvium	Tinea capitis
Androgenetic alopecia	Structural hair shaft abnormalities
Alopecia areata	Breakage due to improper use of hair care cosmetics
Drugs	Anagen arrest


Types of Hairloss
Non-scarring	Scarring
Androgenetic alopecia	Discoid lupus erythematosus
Telogen effluvium	Lichen planus
Alopecia areata	Pseudopelade
Tinea capitis	Severe fungal, viral or bacterial infection