When we see a bald man walking on the streets, this will not attract our attention to look again. But will this be the case if a bald woman passes? This is doubtful. Hair loss - although sad - is generally more acceptable to men, although women account for 40% of all people who experience hair loss in the United States, according to recent statistics. In this regard, we look at the main causes of hair loss in women, the emotional impact it can have, and the reason behind the delay in research in treating female hair loss.

The most common cause of hair loss in both men and women is hereditary baldness, which is also referred to as male or female baldness. It is believed that this genetic condition, especially in masculinity, is caused by the modified DHT, which stems from the male testosterone hormone.

And with an enzyme called 5-alpha reductase which is present in the oil glands of hair follicles - the skin organs that produce hair - it helps convert testosterone into dihydrotestosterone. This derived substance binds and shrinks hair follicles, resulting in killing healthy hair.

Because men have higher levels of testosterone than women, they are likely to produce higher DHT levels, which leads to increased hair loss. As such, men with androgenic hair loss often have a regressive hairline that can develop into partial or full baldness, while women tend to have thin hair on the top and sides of the scalp.

Hair loss in female baldness differs from male pattern baldness in that the front hairline is not affected except for the normal stagnation, which occurs for every person over time, and hair loss rarely develops to or is similar to total baldness.

What are other common causes of hair loss in women?

Telogen effluvium is a form of hair loss that can develop when the body is experiencing severe stress, such as childbirth, malnutrition, or major surgery.

The condition includes a sudden shift from the hair growth stage or the resting stages to the hair removal phase, known as telogen. This can happen within 6 weeks to 3 months after a stressful experience.

According to Dr. Shane Francis, a fellow at the American Academy of Dermatology and director of the Center for Excellence in Hair Diseases at Northshore University in Health System, Illinois, thrombo-toxicity is more common in women than in men.

What did you find after you combed your hair the last time?

 Hair loss in women And the suffering that comes with it

Telogen-evelium is a common form of hair loss in women, which can increase when the body is under severe stress. Some causes of the condition - such as iron deficiency and changes in medications - are more likely to occur in women. Also, these stimuli usually affect women more than men because of menstruation, which is the most common cause of iron deficiency, and the high rate of contraceptive use - and some women change birth control medications frequently.

Traction alopecia is another form of hair loss that is more likely to occur in women. It is increased by a sudden change in the hair follicles, most of the time it is due to frequent styling of hair or tying it like a narrow horse's tail.

Another common cause of hair loss in both men and women is alopecia areata - an autoimmune disease that affects about 2% of the US population. It is also inheritable, as about 1 in every 5 people suffers from alopecia areata, so there will be a family member with this disorder.

This occurs when the immune system mistakenly attacks cells in the hair follicles, causing hair to fall to the scalp and other areas of the body. In alopecia areata, hair is usually located in small patches of the head, however, it can lead to complete baldness.

Specific medical conditions - such as anemia and thyroid disorders - and the use of certain medications can also lead to hair loss.

The severe emotional impact of hair loss in women

We don't need to mention that hair loss - regardless of gender - can be devastating. It can affect a person's self-esteem and adversely affect his or her way of life.

Studies on the psychological and social impact of hair loss have demonstrated that a patient's self-esteem, body image and self-confidence may be affected negatively, and that psychological and social complications may reach depression, less frequent and less pleasant social contact. Many experts are clear that women are more likely to suffer emotionally as a result of hair loss.

Hair loss for a woman is so emotionally devastating that it can lead to a wide range of social and emotional issues that can negatively affect healthy everyday life and life in general.

There are some women who have withdrawn from social events and preferred not to attend for fear of embarrassment, as it affects their performance at work, they even change their healthy lives, avoid exercise and overeat, and they may refuse to treat other diseases, because of their hair loss .

But why do women see a greater emotional impact from hair loss than men? It is up to the meaning that society gives to beauty. Society unfairly places a tremendous amount of pressure on beauty standards that shows its consequential effect on a woman's hair.

This is evident in some of the ideas that society makes and sometimes feels strongly for women. For women, poetry is the crown, the symbol of beauty / pride. If this begins to fade, it can be detrimental to a woman's identity and self-esteem, especially when affected at a young age. For older women, hair loss is seen as an accelerating aging.

Because of differences in societal perception, this is more emotional for women, as aesthetic acceptance is limited for a bald woman, which increases societal pressure on women to be attractive.

The condition of female hair loss should not be unacceptable. The Scottish model and TV presenter Gail Porter - who was diagnosed with hair loss in 2005 and who led to complete baldness - testifies to the fact that women are beautiful with or without hair. In an interview with Scottish Express last year, Porter spoke of her challenges as hair falls in front of the public eye. And she said before: "As far as it is said that people don't judge you the way you appear, they do that." They [demonstration leaders] say things like, "Are you thinking about using a wig? “When I refuse, they say, 'Oh, well, I'll call you again.' But in reality they say inside them: “We will not choose you because you do not have hair.” I am in a good place and I am not going to use a wig.

Drugs licensed to treat hair loss in women

It is not only community support that women with hair loss lack. The medical world seems to be ignoring the needs of these women, too.

There is only one drug approved by the Food and Drug Administration (FDA) for women with hereditary alopecia - a topical treatment called minoxidil that works by stimulating hair follicles.

In addition to minoxidil, men with hereditary baldness can be treated with another drug called finasteride. This medication works by dramatically lowering dihydrotestosterone levels, and then stopping the development of hair loss.

Due to conflicting experiences, finasteride has not yet been approved for treating hereditary hair loss in women. Some studies have found that finasteride can lead to genetic mutations in women of childbearing age.

These results have hindered researchers from testing hormonally active drugs in women with hair loss. Even the American Hair Loss Association recognizes that women are in a mess when it comes to treating hair loss.

While many medications may work somewhat for some women, doctors are reluctant to prescribe them, and drug companies don't care much about testing existing or new drugs specifically for their ability to prevent and treat the traditional tissue pattern.

Researchers tend to seek more testing for men’s hair loss medications because it is easier to measure their responses to treatment; their hair is generally shorter so their scalp is easier to see. And women also have very diverse hairdressing and decorating styles - which many don't want to change - making research more difficult to stabilize factors.

Point of light

And while it is clear that progress in treating hair loss in women has been slow, recent research has shown some hope - which has led to developments in the treatment of hair loss that can be applied to both genders.

In August 2014, for example, a study published in the journal Nature Medecine revealed that a drug already approved by the FDA for rare bone marrow disease had re-growth hair in patients with alopecia areata. The researchers found that ruxolitinib completely restored patients' hair within 4-5 months by preventing immune system cells from attacking hair follicles.
There are a few tools for treating alopecia areata that have proven efficacy. This is a major step in improving the standard of care for patients suffering from this devastating disease.

More recently, in January 2015, researchers from the Sanford-Burnham Institute for Medical Research in La Jolla, California, claimed to have found a way to generate hair growth using multicellular stem cells. Such research leads us a step closer to finding effective hair loss treatments for both men and women.

Also, the latest pioneering research on hair attempts to determine the biological and genetic basis for specific types of hair loss. This of course has value for both sexes. Also research that tries to benefit from stem cells has broad implications for both hair loss treatments for men and women and may have a role in treatment over the next decade.

While it's a good news that progress has been made in treating female hair loss, there is clearly a need for more awareness of how this condition affects women - especially how it can affect them emotionally. Most people may not realize the extent of the suffering of these women, noting that many of them cover their hair loss using wigs, scalp invisible and other cosmetic tools.

Again, this is due to the fact that hair loss is generally more acceptable to men. Men are more willing to shave the rest of the heads if hair begins to fall, and this is aesthetically acceptable and in some cases attractive. Women are unable to get the same social support for the hairless bald head.