The hair began to fall out - what kind of doctor should I contact?


Table of contents

  • Causes of hair loss
  • Which doctor treats hair problems?
  • What can a trichologist help?
  • How is baldness treated in men?

In our troubled times, the problem of hair loss worries men quite often. Stress, poor ecology, hereditary diseases - the causes of baldness (alopecia) are quite diverse, but it does not become easier for representatives of the stronger sex. Whatever one may say, it affects strongly the self-esteem, and a lot of nerves are spent on overcoming psychological problems caused by loss of violent hair. One of the ways in which men often stand with signs of baldness is the denial of the problem. This is a destructive option, because with the rapid adoption of measures against hair loss, there is a greater number of chances to solve the problem.

It should be remembered that baldness is not a sentence. Most importantly, in time to identify the causes of its appearance and start a competent and effective treatment. There are a lot of questions in front of men. What kind of doctor should I consult for hair loss? What surveys are conducted in such cases? What are the most effective treatments? There are no unequivocal answers to these questions. The reasons for the occurrence of alopecia are many. And it is from them will depend on the methods of treatment.

Causes of hair loss

Daily loss of a small amount of hair (50-100 pieces) is the norm.

Over time, hair dies and falls out in a natural way. To start to sound alarm it is necessary, if the quantity of falling out hair exceeds norm or in any local zone loss of 10-50% of hair is observed.


From a medical point of view, the causes of hair loss are divided into several categories, including:

  1. Telogen of the miasma. This is a common type of hair loss that develops within 2-3 months after the body experiences severe stress, (a prolonged illness, a serious operation or an infection). With the telogen of the miasma, the hair is thinned, drops out in moderate amounts from all parts of the head, but large bald patches are rare.
  2. Side effects of drugs in the treatment of cancer, arthritis, depression, heart disease, hypertension. These drugs include lithium drugs, beta-blockers, warfarin, heparin, amphetamine and drugs used in chemotherapy for cancer - for example, doxorubicin (adriamycin).
  3. A symptom of the disease. Hair loss can act as a symptom of a physical illness, such as lupus erythematosus, syphilis, endocrine pathology, Down's syndrome, Addison's disease (adrenal pathology), hormonal failures, anemia, protein, zinc deficiency and biotin. The lack of vitamins and trace elements, as a rule, is associated with unbalanced nutrition, the lack of vegetables and fruits, sour-milk products and the prevalence of carbohydrates and heavy fats.
  4. "Ringworm". This disease is contagious and is caused by a fungal infection. With ringworm, there is a patchy hair loss. Most often he is exposed to children.
  5. Alopecia areata. This disease is caused by the pathological production of autoimmune antibodies, leading to damage and destruction of normal tissues. The causes of focal alopecia, like most autoimmune diseases, are unknown, but often it accompanies other diseases of the same nature. Full loss of hair on the head is known in medicine as total alopecia.
  6. Traumatic alopecia. This form of hair loss can be caused by unprofessional manipulations of hairdressers, frequent curling, drying with a hair dryer and cardinally hard staining. Yes, in our age of progress, men are used to watching themselves and not neglecting beauty salons, but this useful habit at first glance also has its side effects. Another cause of traumatic alopecia is an unusual mental disorder (trichotillomania), in which the man obsessively pulls his hair and twists them, which leads to the formation of bald spots.
  7. Androgenic alopecia. This is a hereditary hair loss according to the type characteristic for men (an increase in the bald patch in the front and / or thinning of the hair on the vertex). This type of baldness occurs most often and can begin to progress at any time in the life of a man, even in the juvenile period. Androgenic alopecia is affected by 3 factors: the inherited tendency to baldness, the level of male hormones and age. Scientists have noticed that an increased level of testosterone often leads to baldness.

If there are no diseases, the beginning of baldness can have other reasons. For example, stress. A large number of fallen hair after a stressful situation can become noticeable not immediately, for example, after, -2 months. Of great importance are proper nutrition and hair care. Their loss can begin after private and unbalanced diets and as a result of ruthless treatment of the hair.

Which doctor treats hair problems?


As can be seen from the above, a large number of cases of hair loss is associated with progressive diseases and a weakened state of the body. Very often, anxiety is caused by the absence of a visible cause, according to which the hair can fall out, so it is not worthwhile to tighten it with a doctor. If hair falls out, what kind of doctor should I contact?It is generally accepted that a doctor who deals with a variety of diseases of the scalp is a trichologist.But more often the trichologist is still the final destination.

Hair loss can be caused by a mass of causes, including serious diseases. Therefore, the first doctor you should visit is a therapist. He will be able to assess the general condition of the body, assign tests for hormones and a mandatory biochemical blood test, and then send to the trichologist. Often other experts (dieticians, endocrinologists, psychologists) are involved in identifying the causes of baldness. If there are no problems in the general condition of the body, then the trichologist will most likely be dealing with hair health problems. This is a doctor specializing in a variety of scalp diseases, and trichology is a section of dermatology that studies hair-related problems. Therefore, if in your clinic there is no such highly specialized specialist as a trichologist, it can be replaced by an existing dermatologist.

What can a trichologist help?

A competent trichologist knows everything about the composition and structure of hair and hair follicles, their phases of growth, etc. Initially, he determines the causes that led to problems with the hair, and the nature of baldness in a particular patient. After complete examination and delivery of tests, the trichologist decides which methods should be treated disease, and also gives advice on the proper care of scalp and hair, selects a diet etc.

Diagnosis of the disease the doctor makes based on the analysis of the medical history, medications taken by the patient, the diet used, as well as during the medical examination. If a fungal infection is suspected, the trichologist takes hair samples to conduct laboratory tests.

Also, be prepared to share information about the diseases and events that have occurred with you in the last six months. This is due to the fact that the reaction of the organism to certain cataclysms does not occur immediately, therefore baldness can begin in 3-4 months.

During the examination, the trichologist will determine the extent of the problems, analyze the frequency and nature of hair growth. It is not necessary to be surprised, if the direction to loru, the dermatologist, the endocrinologist, the neuropathologist and even the stomatologist will be written out. Often problems in the body arise in a complex way, and they need to be eliminated in the same way. After consultation of narrow specialists and necessary research, in addition to general therapy, the trichologist may prescribe a course of restorative procedures with application of lotions, ointments, etc. In complex situations, a complex of medicines, physiotherapy, including darsonvalization. This exposure to alternating current of high voltage through glass electrodes filled with gas. This procedure will help improve the microcirculation of the scalp and stimulate the growth of activity of hair follicles.


How is baldness treated in men?

The treatment of male pattern baldness is initially aimed at regenerating the functioning of the hair follicles in normal mode. In mild cases, a self-healing process that does not require medical intervention can start. But there may be a situation where the disease will progress and / or return after discontinuation of treatment.

As a rule, treatment affects the entire area affected by the pathological process. Do not expect rapid positive results of treatment, they usually begin to manifest after 6-9 months. Effectively affect the growth of hair multivitamin complexes, in advanced cases recommended injections of B vitamins and counseling psychologist. Currently, there are many medications that can stop hair loss in men. But the choice of the most effective and safe medication is strictly individual and is indicated only by the prescription of the doctor.

All medicines used in the treatment of this pathology are divided into the following groups:

  • external preparations having a direct effect on the hair follicles;
  • nonspecific stimuli (anthralin, dithranol, croton oil);
  • drugs directly affecting the hair follicles: minoxidil, etc .;
  • drugs that cause contact dermatitis (dinitrochlorobenzine, diphenylcyclopropenone);
  • immunosuppressors and corticosteroids;
  • experimental preparations: neoral, tacrolimus (FK506), cytokines

Whatever it was, the prescribed drug, its pharmacology will be directed against hair loss and helps restore their growth, i.e. regeneration of the normal structure of the hair bulb. In severe cases, hair transplantation can be indicated.


Folk remedies can help only in the absence of systemic pathologies and with systematic application. The most effective folk remedies are those based on cones of hops and burdock roots. They contain phytoestrogens, favorably affecting the growth and quality of hair. To remove the inflammation and strengthen the hair from the scalp will help St. John's wort, calendula and chamomile. Masks using onions, garlic and a rush of blood to the capillaries. But they have unstable and insignificant individual effect, and the risk to burn the skin, and to increase hair loss is large enough. When they are used, consultation with a trichologist is mandatory.