Doctor for hair loss. What doctor to contact when hair falls out?

Hair loss can be a sign of a number of diseases, both local and systemic. To understand the situation and solve this problem, you need a doctor who treats hair - trichologist. It is better to come to the consultation of the trichologist on the second day after washing the head. Before the visit to the doctor, it is not necessary to change the usual hair care products or experiment with medical preparations.

In many ways, the doctor will understand already in the course of the conversation. Then the trichologist will diagnose the condition of the scalp and hair with a special camera, giving an increase of 60 and 200 times, combined with a computer. Video diagnostics - just an examination of the scalp on an increase, phototrichogram - a more detailed analysis: a tiny area (about 0.8 cm 2) is shaved on the head. After 2-3 days, the patient returns to the doctor, who paints this area with eyebrow dye (so that all the hairs are clearly visible) and examines it with a video camera. This examination will help to distinguish between different types of hair loss, and a repeated phototrichogram after four months will objectively show how effective the treatment is.

At the end of the first visit, the trichologist will take the hair for biochemical analysis. To do this, out of ten different places on the head pull out just one hair. It is not painful and fast. According to the hair roots in the laboratory, the metabolic rate will be determined (the lower it is, the more active the treatment will be). The main part of the hair - the rod - is checked for the degree of protein leaching, which determines whether the rods should be treated directly.

It is possible that the doctor will prescribe additional blood tests (biochemical and hormones) or consult a gynecologist, an endocrinologist or a gastroenterologist for consultation.

After two or three days, all the tests will be ready and the trichologist, having established the diagnosis, will be able to prescribe the necessary treatment. Most likely, you will encounter one of three situations.

Telogen Alopecia or "Ballast overboard!"

The essence of this form of baldness is that a lot of hair at once passes from the growth phase directly into the extinction phase. As a result, two or three months after this metamorphosis, the chord fallout begins.

Why is this happening? When the body needs to mobilize its forces, it, first of all, “deprives of allowances” for those tissues that are not vital. And the first in this black list are listed hair.

Therefore, any stress: as a sudden conflict or painful experiences, and cold, spring deficiency of vitamins, a sharp change in the usual set of drugs or their complete cancellation, exacerbation of chronic diseases can lead to hair loss.

Fortunately, this state is reversible.. Sometimes it can end on its own when the cause has been exhausted, but it can also turn into a chronic form, an approximate transition criterion — if such a loss lasts more than three months. However, it is better not to wait for such a long time, but to support the hair at the initial stage, until there is a decrease in the density of the hair, since the restoration of density is a fairly long process.

The peculiarity of telogen alopecia is daily abundant hair loss, especially noticeable during shampooing and combing. But discard the alarm, telogen alopecia almost never gives complete baldness, the hair is restored after treatment in the same amount, although not immediately.

What will the doctor prescribe?

First, two or three cosmetological procedures for deep cleansing of the scalp to prepare for treatment. Then you need to stimulate the hair, and to their roots apply additional necessary nutrients. To do this, conduct a course of mesotherapy. You need 3-6 sessions of micro-injection into the scalp. Mesotherapy is performed with a needle, which itself is not thicker than a hair.

For one to three months, you will need to drink B vitamins, calcium pantothenate, other common medicines, such as sulfur-containing amino acids or aloe preparations. The exact selection of drugs will make a doctor.

"Excess" or increased fat content of the head, dandruff.

If you have too high production of sebum, then in the absence of treatment, the mouth of the hair follicles become clogged with desquamated skin scales. Nutrition hair and metabolic processes are broken, the scalp is inflamed. All this leads to a gradual thinning of the hair and the cessation of their growth. This is clearly seen in video diagnostics. When viewed with the naked eye, the scalp may look clean, but with a high magnification, the doctor can immediately see clogged pores and inflamed hair roots.

What will the doctor prescribe?

First and foremost - cleaning the mouth of the follicles. It is better if these are professional peelings for the scalp, carried out by a specialist, however, there are effective kits for home treatment (firms Optima, Simone, etc.). Trichologist will help you choose the right one. Course - 7-14 procedures.

At the same time need reduce the activity of bacteria of the scalp. This is achieved by regularly using home remedies containing piroctone olamine, climbazole, tea tree, tar, zinc, etc. It is more effective when the remedy combines several of the above-mentioned active substances in high concentration. Usually, these are professional products sold in the clinic on the recommendation of a doctor.

Normalize sebaceous gland activity you can homeopathic mesotherapy, held in the clinic, the course - 7-14 procedures, in home care products with comparable efficacy practically does not exist.

Androgenetic alopecia is “your family trait”.

The most common cause of hair loss is androgenetic alopecia. It is found in both men and women. This type of hair loss is simply an inherited age feature, like eye color or a birthmark. Its essence is that there are receptors for male sex hormones (androgens) on the hair follicles. Under their influence, hair on the head slows down its growth, becomes thinner and thinner, and then stops growing at all. On the body, the hair on the contrary becomes thicker and thicker).

In this form of baldness, hair falls out gradually, slowly and imperceptibly thinning, especially since we rarely look at our parietal zone with which this alopecia begins.

What will the doctor prescribe?

The trichologist has the task to strengthen your hair and protect it from androgens. For this, both men and women are shown daily systematic rubbing of Minoxidil solution into the scalp.

With this type of alopecia, non-specific hair strengthening methods (mesotherapy, physiotherapy) are also effective, while hair loss is just beginning. The later you go to the trichologist, the worse the prognosis.

Health is always displayed on appearance. Well-groomed appearance always raises self-esteem before others.

But it happens that the hair falls out in large quantities. It is worth sounding the alarm.

Which doctor to contact if hair falls out, few know.

First you need to figure out why they fall out and what is the norm for them.

Norm or disease

A day is considered the norm to lose from 70 to 100 strands. Run your hand through your hair: 2–3 strands left in your hand are normal.

If when combing on a hairbrush there are strands, you need to determine their number by eye. A little spinning is the norm.

But if the hair falls out, you should immediately contact a specialist.

Why fall out?

Hair with growth passes 3 stages:

Education;
Transition phase;
Calm stage that ends the life cycle. Phase can last 2-5 years.

Finishing its cycle, the hair leaves the scalp. It can fall out when combing or just when holding hands.

Causes of Fallout

If, however, the loss exceeds the norm, then the reasons for this are varied.

Causes that are observed most often:

After infectious diseases. If there was scarlet fever, flu, or another infection that caused a fever, curls fall out several months after the disease. In this case, the loss ends quickly. No need to worry;
Pregnancy. Changes in hormonal levels can affect a woman's hair. In such a situation, it is worth refusing from hairdressing procedures: perm, dyeing;
Loss of serious illness. After treatment, you need to undergo rehabilitation procedures;
Chronic stress;
Use of rubber bands and pins. Curls experience stress, fray and begin to fall out;
Building up Please note that after an artificial head of hair, all the girls have to cut their hair very short;
Water quality Tap fluid has impurities that negatively affect the condition of the hairstyle;
C, B, PP, magnesium, iron, calcium, zinc affects the state of the roots and hair follicles;
Wrong care.

Who will help?

“Which doctor should I contact if?”. This is the first question you ask yourself if you notice the excessive loss of your favorite hair.

Expert Tips:

It seems that you can go to any specialist on the basis of. But there is a doctor who deals only with the health of the scalp and hair. He is called - trichologist.

Trichology as a direction of medicine appeared no more than 10 years ago. In the classifier of professions there is no such specialty as “doctor-trichologist”. Therefore, trichology is referred to dermatocosmetology.

Trichologist, thanks to a special apparatus, conducts computer trichoscopy. This is carried out to identify the causes of precipitation. With a multiple increase of 100-200 times, it is possible to assess the follicles, damage to the base of the hair.

There are more than 35 types of disorders in the structure of the hairline. Often, during laboratory testing, it turns out that a person suffers from several diseases at the same time. Most problems can be solved with the help of treatment, and others - over time.

Visit to the trichologist

It is necessary to visit the doctor on the 2nd day after washing the head. Usually a consultation is held on the first visit. The patient tells for what purpose he came, a way of life, diseases that were recently.

On the next visit, the trichologist paints the area of hair with eyebrow dye. This is done so that the strands are clearly visible on a computer trichoscopy.

Viewing determines the reason for the fallout. Trichologist takes a curl on biochemical analysis. Strands are pulled out of ten different parts of the head.

According to the results of the analysis are determined:

Metabolic activity (hair root is analyzed);
The degree of protein leaching (rod analysis);
This procedure as much as possible allows to define a problem.

The doctor may additionally prescribe a blood test or refer to another specialist for a consultation: a gynecologist, a gastroenterologist, an endocrinologist.

Upon receipt of test results, the trichologist can establish an accurate diagnosis and prescribe a specific treatment.

After 3-4 months, repeated computer trichoscopy will determine the effectiveness of the treatment.

Methods of hardware cosmetology

In addition to individual medical treatment, hardware cosmetology will favorably affect the scalp and hair growth.

Procedures include:

Vacuum massage. It improves blood circulation in the blood vessels of the head and promotes active hair growth;
Current therapy for intensive growth;
Electrophoresis;
Laser therapy. Treatment of hair roots due to cold laser.

To curls do not fall out, you need to follow simple guidelines for care:

Washing head. Each washing frequency may be different. It is advised to wash your hair as it gets dirty. Someone washes his hair every other day, and some once a week.

It is optimal to wash every 2 days and less. But if there are causes of pollution: playing sports, working in a dusty room, then it is possible more often.

Coloring. It is better to carry it out in salons and trust professionals. They can pick up the paint, not only by the type and condition of the hair, but also by the composition that suits you.

Laying. How often you can use styling products: hair dryer, ironing, curling, - there is no specific information. But with the deterioration of the strands - change your hair.

Daily care. Try to use a minimum of hairpins, elastics, pins. They load the root. Combing wet strands is not recommended.

Choose the right care products. For example, after using shampoo, you should be comfortable. The skin should not peel off, itch and be tight.

Following the recommendations of the trichologist, the health of the hair can be maintained for a long time. If the fallout has begun, then a timely visit to the specialist will not cause unnecessary problems. Now you know which doctor you should consult if.

The problem of rapid hair loss worries people of very different age, gender, social groups. What to do if hair loss continues, the most expensive modern shampoos and masks do not help? What doctor can help restore the health of your hair? If you have tried all means, but they did not bring the proper result, you should seek medical advice from a trichologist.

Trichologist - a doctor specializing in diseases of the scalp, examining the composition, structure of hair, hair follicles, growth phase. It treats the causes of their loss. If necessary, the trichologist prescribes additional tests, on the basis of which he draws final conclusions about the specifics of the disease and sends him to treatment.

History of trichology

Trichology (Greek trichos - hair; logos - science), as a separate area in medicine, appeared quite recently, in the middle of the last century in Western countries. With the change in attitudes towards a healthy lifestyle, appearance, and the promotion of proper nutrition, there was a need for a new medical specialization whose mission is to treat diseases of the scalp. In Russia and the CIS countries trichology appeared in the 90s of the XX century. But qualified specialists in this field began to appear only since 2000.

It is believed that trichology is a section of dermatology and cosmetology. In the classification of occupations of the Ministry of Health today there is no concept "doctor-trichologist". Nevertheless, the profession is becoming so in demand that new clinics, medical offices specializing in the prevention and treatment of hair diseases are being opened everywhere.

In 2008, the first Russian Society of Trichologists was established under the auspices of the National Alliance of Dermatologists and Cosmetologists (NADK) to train young specialists, attract scientists and pharmacists to develop new modern hair treatments, familiarize practitioners with scientists, to work together sharing experience of Russian and foreign doctors.

In the west, there are several large associations in the field of trichology: IAT - International Association of Trichologists, EHRS - European Hair Research Society, and others.

Prerequisites for contacting a doctor

If the hair began to fall out in bunches, the scalp is dry or oily, there is dandruff and irritation, there are visible thinned areas on the scalp - these are the first signals about the unhealthiness of your hair and a reason to go to a trichologist.

Hair loss can be associated not only with the use of cosmetics, but also with common diseases of the body, exposure to the environment, unhealthy diet, heredity, changes in the balance of hormones and so on. The correct diagnosis can only be made by a doctor - trichologist.

The trichologist will determine the diagnosis using the latest techniques, devices, give advice on proper care, nutrition, hair restoration, prescribe the appropriate treatment, taking into account the characteristics of your body. It is important to go through the prescribed procedures and the course of treatment with drugs until the end, since interrupted treatment, for example, with products containing minoxidil, can lead to the opposite effect - hair loss will only increase.

If the trichologist determines that hair loss is associated with a change in the hormonal balance of the body, he will give a referral for consultation to an endocrinologist. Often the loss occurs due to improper or inadequate nutrition, then the situation can be corrected by consulting a dietitian.

There is the concept of a trichologist-psychologist - a doctor who treats not only physical diseases, but also identifies the causes of hair loss associated with the psycho-emotional state of the patient. These include stress, neurosis associated with a busy schedule, which cause loss. The trichologist-psychologist is studying the effects of the psychological and emotional state of a person on the condition of the hair and scalp.

Medical procedures and preparations for the treatment of the scalp

Diagnosis is carried out on special equipment, including computer diagnostics on a video dermatoscope. With its help, determine the structure, hair type, skin diseases associated with loss. The doctor can determine a detailed picture of the disease with the help of a phototrichogram, a small trimmed area of the scalp. Immediately the device will not be able to capture the hairs, so the photo trichogram is viewed after 1-2 days, having previously painted this area with special paint. The procedure will determine the cause of the loss and make the correct diagnosis.

For the purpose of diagnosis, histological examination of a small area of skin is sometimes used - a biopsy. It is done under local anesthesia, it grows over time, and the place of the fence becomes imperceptible.

The trichologist also prescribes a general blood test, blood for hormones and biochemistry, in order to rule out more serious causes of hair loss. Having diagnosed, the doctor prescribes treatment. Using a complex therapy, including taking pills and cosmetic procedures, you can achieve a quick effect.

For treatment, the doctor may prescribe procedures:

Ozone therapy. In fact, it is a cosmetic procedure for the body, but it gives a good effect in the treatment of hair loss, is painful. Treats by deep penetration of molecular oxygen into the scalp. Stimulates blood circulation in the scalp vessels, increases the amount of incoming nutrients, vitamins and trace elements with blood flow to the hair follicles.
Plasma lifting - purification and enrichment of the patient’s blood, direct introduction of altered plasma into the scalp. It has a wonderful regenerating effect.
Mesotherapy. Selection of a complex of drugs for the patient, depending on the cause of loss and the introduction of the drug in problem areas of the scalp. The mixture of drugs includes hyaluronic acid, antioxidants, vitamins, vasodilator components and others. The drug is injected into the scalp, around the problem area.
Iontophoresis - the introduction of drugs that stimulate the follicles in the deep layers of the scalp using a small amount of galvanic current.
Myostimulation - Impact of pulsed currents on the scalp. Restores hormonal balance, stimulates the blood circulation of the scalp, normalizes metabolism.
Cryotherapy - freezing problem areas using liquid nitrogen. Stimulates blood circulation, strengthens hair follicles.
Massage. The effect of the massage is based on improving blood circulation in the scalp, improving the nutrition of the hair follicles, strengthening them.
Scalp pilling. The procedure of deep cleaning of the mouth of the follicle, is carried out using special devices using homeopathic cosmetics containing active ingredients.
Drugs for oral administration. As a therapy, the doctor will prescribe vitamins, complex dietary supplements containing essential trace elements, fats, amino acids, and, if necessary, medicines containing active substances.

Remember: cosmetic procedures should be carried out only by a cosmetologist or a trichotherapist in a specially equipped office in compliance with the rules of hygiene.

To achieve a permanent effect, you should follow all the recommendations of the doctor, monitor the course of treatment, do not forget about proper nutrition and a healthy lifestyle. Remember: a beautician removes the symptoms, and the doctor treats the cause. Therefore, to obtain results in hair restoration, it is best to contact a specialized clinic, where the trichologist will examine you and offer an effective treatment.

Few who notice hair loss immediately runs to the doctor. At first, they try to solve the problem with folk remedies, and only when she takes a threatening scale - not only the hostess of the head of hair, but also those around her, begin to notice the loss, people think about medical consultation.

What doctor treats hair loss in women?

Unfortunately, trichologists who deal with hair are not available in all clinics. Trichology - the science of hair - appeared only recently. Therefore, most often have to contact a dermatologist.

Trichology

In medicine, trichology deals with the study of the structure of the hair, their physiology and morphology, form and quality. This section of dermatology is responsible for diseases of the scalp and hair zone.

However, the classification in the system of the Ministry of Health still does not exist, so patients often have to register for a consultation with a dermatologist. In this case, the visits will relate to the causes of baldness, diseases of the epidermis of the hair area, treatment of seborrhea and dandruff.

If the problems relate to the quality of the strands - they are dull, lifeless, break, then the dermatologist will not do it. You will still have to look for a trichologist or go back to traditional medicine.

Difference in specialization

A person is constantly changing hair cover - this is a natural physiological process. A few hairs on a comb - this is normal, it is worth sounding the alarm no sooner than 100-120 pieces are noticed per day.

External causes of the disease appear much later - when it becomes visible visually.

Symptoms of a dangerous condition:

dandruff;
weakness of keratin rods, their thinning,
dryness, section of hair;
slow growth;
alopecia - diffuse, focal, androgenetic;
loss of thickness;
seborrhea - dry or oily;
graying at the age of 16-25 years.

When the factors fail to figure out, then the patient is prescribed consultations from other specialists. They may be gynecologists, endocrinologists, gastroenterologists, infectious disease specialists - even neurologists!

Exhaustion, dullness, brittleness - they can also be associated with problems in other organic systems, so the trichologist also has to treat narrow specialists to treat baldness.

The reasons for the loss of hair

There are 9 main causes of hair loss, and indicate which doctor treats them.

Which doctor to contact, with problems with hair, so that he would suggest the reasons for which you should focus attention? Trichologist - if he is in the staff of the clinic, or a dermatologist or therapist.

Treatment methods

In order to restore the quality of the hair, medical and homeopathic remedies of general effect, preparations of directed external action are prescribed.

Physiotherapy is connected:

mesotherapy;
peeling;
massage effects of various types - from the massage of the neck area to reflexotherapy;
laser therapy;
acupuncture;
treatment of problem areas with liquid nitrogen or other stimulants.

For a long time, one has to undergo a course of vitamin therapy, to follow the recommendations on the attraction of drugs made according to traditional medicine recipes. Hair restoration requires patience. The doctor will not only prescribe medical treatments and procedures that help treat baldness, but also adjust lifestyle.

If the therapy is ineffective, a hair transplant surgery may be necessary.

It is no secret that every person wants to be beautiful at any age. First of all, it is important for his self-esteem, and only then it can be used as a plus when applying for a job or at the time of searching for the second half. We can be beautiful by nature, but we can make ourselves beautiful on our own.

When we see a stranger, we automatically evaluate him. Clothing, posture, style and, most importantly,. If a person wants to like the opposite sex, he will always pay special attention to hair. But they also have serious problems, some of which lead to hair loss. For beauty, this is one of the most terrible phenomena. But if there is a disease, then there must be a doctor?

Who to entrust the hair?

Have you heard anything about a doctor like a trichologist? This is the doctor who treats hair. The relatively young science of trichology studies the hairy part of the scalp. As one of the directions in medical practice, trichology has existed for just over a decade. Officially, this profession has not yet been recognized, so the trichologist can be considered an expert in the field of dermatology and cosmetology.

This trichologist combines the best qualities of other professionals. Since the field of his activity is quite extensive, he has knowledge in all major areas of medicine. He should simultaneously be a psychologist, a nutritionist, and a therapist.

In medium-sized cities, this area of medicine is poorly developed, and it will be difficult to find a specialist in this field. But if the problem really exists, it should be solved immediately, otherwise you risk being left without a magnificent or strict hairstyle. But this is true for both men and women.

What rules should be followed before contacting the trichologist

It makes no sense to make an appointment with a doctor if there are two or three hairs left on the comb after each use. If the hair falls out in a small amount, then there is nothing terrible - this is a natural process. But, if abundant hair loss begins, then it is worth worrying and looking for the causes of this trouble.

Excessive hair loss often signals problems in the body. What processes affected your hair, the trichologist will tell. He will also assign the necessary procedures to stop the fallout. As a rule, these are all kinds of masks, balms, and if problems are more serious, then complexes, physical exercises and a certain one.

It is best to go to an appointment with such a doctor not with a cleanly washed head, but the next day after you have washed your head. Before the visit, you do not need to use any therapeutic agents that you have chosen yourself.

The doctor usually begins his examination with a conversation with the patient. Then he diagnoses the condition of the hair and scalp. Diagnosis is carried out using a special camera and computer. After that, the trichologist performs a biochemical analysis of the hair. If the doctor deems it necessary, he can send you for consultation to such doctors as an endocrinologist, a gynecologist, a gastroenterologist. As already mentioned, the causes of loss can be hidden in any of the body systems.

Why does hair fall out anyway?

Unfortunately, there are no treatment tips here, the hair covering will disappear almost completely for a while.

For these reasons, hair falls out in both men and women. But there are certain features of each sex. Women, for example, have hair health problems during pregnancy or in the postpartum period. This is facilitated by the hormonal failure and the fact that most of the nutrients goes to the fetus. But men are more likely to women are bald. The reasons for this are heredity and improper hair care.

Hair care is just as important as caring for the whole body. At first glance, this is only beauty, but hair is a mirror of health, all negative processes are always reflected on them. To have strong, healthy, lush hair means to have good health.