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Step
2 - Gathering the Information
With women's hair loss it's important that you know what you need
to help your doctor correctly diagnose your condition. Before you
jump into any treatment, make sure you follow these steps.
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First
Steps to Combating Women's Hair Loss |
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Two very important things must be done in order to effectively get yourself
good health care. We have already established that women's hair loss is
not something you can self diagnose, and immediately jump into treatments
with. Let's go over the things you will need to help your doctor do his
job effectively.
First and foremost, you need to find a qualified physician.
If the ailment in focus were Cancer, the chances of finding a good specialist
would be high. Unfortunately, for women's hair loss, the chances of
finding a qualified physician are very slim. When we began helping Carol
find a physician in the San Diego area, we ran into several roadblocks.
First, we contacted some of the leading researchers in the industry
and were informed that there weren't any highly educated specialists
on women's hair loss anywhere in the Southern California area at all.
The closest one we could find was Dr. Vera Price in San Francisco, and
her waiting list was over 4 months. Her staff recommended a couple physicians
in the San Diego area, but they too had a waiting list of 4+ months.
Prepare to encounter a similar situation.
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have time to read the whole Guide? Go
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At the very least, Dermatologists are the physicians which handle hair
disorders. If your Health Insurance allows it (typically PPO or POS
plans), you can go directly to a specialist without having to get a
referral from your Primary Care physician. We recommend this option
by far. This is a condition that at this time, we do not feel many General
Practitioners can provide adequate care for. If your Insurance is an
HMO, we strongly suggest you use the information below, have it all
written up and ready, and simply approach your Primary Care physician
with the intent of getting the appropriate bloodwork done, and getting
the referral you need. If you approach them with any meekness or lack
of confidence in this area, you may risk being denied the referral.
This is the sad state of HMO's today. We will go into this in more detail
below.
Another possibility is that your specialist may not have a lot of training
in women's hair loss, and it is at this time that you insist on them
referring you to what is known as a "Dermatologist Specialist"
who specializes in Women's hair loss.
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Hair
Loss Video Webcast |
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If you want to play it safe (and we suggest you do), the American
Academy of Dermatology has a Physician
Referral Service. There you can type in your city and see a list
of dermatologists in your area. Click each name and find the section
labeled "Specialties". If Alopecia, Hair Loss, or Women's
Skin Conditions is not listed verbatim, read through the rest of their
profile and see if it is mentioned. If you are unable to find a specialist
in your area, make use of the AAD's more broad Statewide
Search. You will be presented with all the registered Dermatologists
in your state by City. Some have profiles, some don't, but all have
contact information. It is worth the work to print out a list and call
them one by one, and inquire as to the physicians experience with Women's
Hair Loss.
"First find the specialist, then
get the tests done..."
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Helping
the Medical System
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Unfortunately these days, it is all too common that physicians
don't know enough about any given ailment to help much with it. A completely
uneducated consumer who spends a half hour researching something on
the web can often become more of an expert on it than their physician
is. Women's hair loss is a prime example of this.
Consequently, we have contacted the top researchers and physicians in
the country and compiled the information that well educated specialists
in women's hair loss need in order to accurately diagnose Alopecia.
Two things are needed: blood tests and clinical history.
Blood Tests: There are a series
of tests that an educated specialist will have done on you. Without
these tests, there is no way for any physician to accurately diagnose
your condition. If your physician says these tests are not necessary,
or refuses to do them for you, then it is advised that you find another
physician to handle this situation. We cannot stress this strongly enough.
You need to have these tests done, and you need a qualified specialist
to review them, and your scalp, in order to get the care you need. The
tests are as follows:
» Hormone levels (DHEAS, Testosterone, Androstenedione,
Prolactin, Follicular Stimulating Hormone, and Leutinizing Hormone)
» Serum Iron, Serum Ferritin, TIBC (Total Iron Binding
capacity)
» Thyroid Stimulating Hormone (TSH)
» VDRL
» Complete Blood Count (CBC)
Clinical History:
Take a moment and write down the answers to the following questions,
and have them prepared for your physician's review. Again, if he or
she does not request the answers to these questions, nor seem interested
in the paper you've brought in, find another specialist.
» Are you on any medications?
If so, what.
» How long has this problem been occurring?
» Is the hair falling out fully intact, or is it breaking?
» Family history of diabetes, asthma, arthritis, lupus,
vitiligo, anemia, or Addison's disease?
» Have you recently given birth, or gone through menopause?
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Hair
Loss Video Webcast |
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Treating women's hair loss requires a knowledgeable physician, and the
appropriate tests. Even if you are unable to find a qualified dermatologist,
you can insist on having the above blood tests done. If an abnormality
is found in your levels, any doctor should be able to give you direction
on returning them to normal. A simple supplement or the appropriate medications
should fix the imbalance, and result in full regrowth of your hair within
a year.
If your levels are all normal, or you want to "kickstart" your
hair growth anyway, there are actual hair loss treatments which can help
you along. In the next Step, we will discuss the only treatments available
on the market today for each of the types of women's hair loss.
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