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Healthy and lustrous hair is the desire of every soul, whether it’s a man or a woman. Due to several factors, though this desire of many remains a desire. Hair loss has become a major problem for many people, due to change in climatic condition, poor diet, stress or persistence of any medical condition. There can be numerous reasons for the same. Hair loss problem if not addressed on time can lead to severe hair fall and permanent baldness, so one should get the same diagnosed and treated well in time.


TRICHOSCOPY: is a method of hair and scalp evaluation and is used for diagnosing hair and scalp diseases.The method is based on dermoscopy. In trichoscopy hair and scalp structures may be visualized at many-fold magnification. Currently, magnifications ranging from 10-fold to 70-fold are most popular in research and clinical practice. It uses a handheld dermoscope or polarized light video microscope to evaluate the affected scalp. It’s useful in checking for alopecia symptoms.

HAIR PULL TEST: The hair pull test is, in essence, very simple. Approximately 20-60 hairs are grasped between the thumb, index and middle fingers from the base of the hairs near the scalp and firmly, but not forcefully, tugged away from the scalp. If more than 10% hairs are pulled away from the scalp, this constitutes a positive pull test and implies active hair fall. The patient must not shampoo for at least a day prior to the pull test. It helps to assess the severity and location of hair loss.

PHYSICAL EXAMINATION OF HAIR SHAFT AND ROOT: The diagnosis of hair disorders is complex, and an evaluation of the clinical presentation, history, and physical examination is necessary. Laboratory work-up may be helpful. Diagnostic office techniques include visual examination of all the hair-bearing skin areas as well as examination of the nails. Clinical examination should include scalp condition, pattern of hair loss, and length and diameter of hair fibres.
Post diagnosis of the hair loss problem, the next step is to take steps to resolve the issue. There are several procedures which are effective in treatment of hair loss.



The most common cause of hair loss for both men and women is heredity. Either or both parents can pass on the gene that causes hair loss. Typically, men are more susceptible to hereditary loss of hair because of testosterone. When broken down to dihydrotestosterone, it acts as a catalyst to activate the hair loss gene. Both men and women are susceptible to this condition, which has been labeled as androgenetic alopecia.
Also, traumatic injuries, scarring scalp conditions, or burns to the scalp can cause permanent hair loss.
Tight hairstyles such as extensions, braiding, and tight ponytails that place excessive tension on the scalp can cause a hair loss condition known as traction alopecia. Certain people are more susceptible to this type of hair loss. For instance, some people have sensitive hair follicles that are more easily traumatized than others.
As highlighted in our previous women’s hair loss blog series, a dermatologist can help you identify the cause of your hair loss. The single most important element in determining hair loss is the doctor’s experience. First, he or she will start by asking a round of questions to better understand your condition. If the cause of hair loss remains unclear, he/she can order or perform tests which may include hair pull test, hair shed/pull collection, scalp biopsy, and blood tests.
No one can make such a prediction—even after studying your family tree. Because the expression of your genetic makeup is unpredictable, the best forecast is only a guess. Generally, the younger you start to notice baldness (before 20), the more baldness you can expect to have.
Yes, the patterns are generally very different but do have their similarities. In female pattern baldness, hair is most commonly lost on the top of the scalp while sparing a rim of hair along the front border. In women, only 12% will show any temporal thinning, while in men this is seen in over 80% as one of the first signs of loss. Like men, the crown in women may thin but the loss is highly variable. Crown thinning in men or women is considered one of the patterns of hair loss associated with the balding gene and androgens.
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