This article is from the WebMD Feature Archive
The ABCs of Premature Graying
American Idol winner Taylor Hicks sports a gray thatch and he's only
29. CNN's Anderson Cooper says he started to see salt mixed in with the pepper
at age 20. Phil Donohue has used his striking white hair for decades to create
an aura of eminence.
But take notice -- these are all men. Women, with the possible exception of household hinter Heloise and her long white mane, usually don't flaunt the early gray look.
Why do some people go gray early? And does it have any health implications?
How Hair Works
Hair grows in stages, with a certain percentage of hair either growing or resting at any one time. The hair follicles -- the little bags under the skin where hair is formed out of skin -- also contain pigment called melanin.
When the body stops producing pigments, the hair becomes colorless, turning white. Mixed with darker hair, this produces a look most commonly associated with "gray." An actual gray hair may be a result of pigment dilution.
Why Start This Early?
"Premature graying is genetically determined for the most part," David Bank, MD, tells WebMD. Bank is director of the Center for Dermatology, Cosmetic, and Laser Surgery in Mount Kisco, N.Y. "Graying is natural. We all do it eventually."
When more than half the hair is white by age 40, though, this is considered "premature."
Bank also points out that head hair grows more actively than body hair. So the head can go gray while other hairy parts remain your normal color. Correction: Your former color.
Basically, Bank says, if you look around your family and see a lot of gray, you may be headed in that direction.
What About Turning White Overnight?
A good scare, legend has it, can turn hair white overnight. Martyr Thomas More and the notorious Marie Antoinette supposedly went "white" the night before their executions.
What about Cooper? His new book, just out, titled A Memoir of War, Disasters, and Survival, recounts many harrowing adventures. Could his exploits have turned him white?
Of course, existing hair cannot "turn" any color because the part above the skin is already whatever color it is. One explanation for this "white overnight phenomenon," is that the dark hairs suddenly fall victim to an autoimmune condition called alopecia areata, which can cause dark hairs to fall out overnight -- leaving the white ones.
Bank adds that the dark hair can fall out in quite large quantities in a short period of time and you might not notice. "I know that sounds weird," he says, "but some goes down the drain. You may not notice."
He also points out that going gray does not mean that your body's aging process has sped up. You aren't suddenly going to lose function in other areas.
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.

