Loss of hair; Alopecia; Baldness; Scarring alopecia; Non-scarring alopecia
What to Expect at Your Office Visit
A careful medical history and examination of the hair and scalp are usually enough to diagnose the cause of your hair loss.
Your provider will ask detailed questions about:
- Symptoms of your hair loss. If there is a pattern to your hair loss or if you are losing hair from other parts of your body as well, if other family members have hair loss.
- How you care for your hair. How often you shampoo and blow dry or if you use hair products.
- Your emotional well-being and if you are under a lot of physical or emotional stress
- Your diet, if you have made recent changes
- Recent illnesses such as a high fever or any surgeries
Tests that may be performed (but are rarely needed) include:
- Blood tests to rule out disease
- Microscopic examination of a plucked hair
- Skin biopsy of the scalp
If you have ringworm on the scalp, you may be prescribed an antifungal shampoo and oral medicine for you to take. Applying creams and lotions may not get into the hair follicles to kill the fungus. Your provider may advise you to use a solution, such as Minoxidil that is applied to the scalp to stimulate hair growth. Other medicines, such as hormones, may be prescribed to decrease hair loss and promote hair growth. Drugs such as finasteride and dutasteride can be taken by men to decrease hair loss and grow new hair.
If you have a certain vitamin deficiency, your provider will likely recommend that you take a supplement. Hair transplant may also be recommended.