Tracy Pittin was just 17 when she discovered that her thick, brown hair was
gradually falling out. One day a friend cutting her hair remarked that it was
noticeably thinner. Tracy couldn't believe it -- she thought her hair was her
best feature, and to begin to lose it at such an early age was devastating.
Unable to accept what was happening, Tracy avoided professional stylists --
anyone who might draw attention to the loss. As her hair thinned, her
self-esteem declined, too.
"There simply was no information about hair loss or
treatments available to women at that time," Tracy says. "It just
wasn't talked about." With nowhere to go for help or answers, she went into
denial. She told herself the loss was temporary, perhaps related to a crash
diet she had tried. But it wasn't, and her hair only got thinner.
Like good health and youth, most of us take a thick head of hair for granted -- that is, until it is gone. For many people, hair transplant procedures can help bring back the appearance of a full -- or, at least, fuller -- head of hair.
Although women in Tracy's position often feel alone, they
aren't. According to the American Academy of Dermatology, nearly half of all
adults in the U.S. will experience thinning hair by age 40. And while baldness
is largely considered a male problem, for every five men who experience hair
loss, there are three women who suffer as well. Hair-loss treatments are
typically advertised for men, but effective options exist for women, too. But
to get them, women must move beyond denying their hair loss and seek help.
Getting to the Root of Things
Determining the cause of the problem is the first step, says
Richard S. Greene, MD, co-chairman of Advanced Dermatology Management and
managing partner in Skin and Cancer Associates in Plantation, Fla. Greene
recommends that women see a primary care physician or dermatologist for a
complete workup to rule out any underlying causes, such as malnutrition,
hormonal imbalances, or the autoimmune diseases lupus and scleroderma.
Sometimes pregnancy, a reaction to a medication, or stress may cause hair to
fall out in large clumps; fortunately, this problem usually reverses on its
Oddly enough, the most common type of hair loss in women like
Tracy -- female pattern baldness -- is caused by testosterone, a hormone we
typically associate with men. But women's bodies produce it, too. When
testosterone breaks down, a chemical called dihydrotestosterone, or DHT, is
created, says Spenser David Kobren, founder and director of The Bald Truth
Foundation and author of the book The Truth About Women's Hair Loss. In
his book, Kobren explains that in both female and male pattern baldness, DHT
attacks the hair follicle, causing it to shrink in diameter and produce smaller
and thinner hairs until they become baby-fine or stop growing at all, allowing
the scalp to become more visible. This type of hair loss frequently responds to
treatment with medications or, in some cases, surgery.
For Tracy, it was a co-worker's casual comment that finally
spurred her to take action. Ten years after her hair began to fall out, a male
co-worker with thinning hair asked what she did about her hair loss.
"Suddenly it felt like someone had ripped my clothes off, and I was
standing there in public, naked," she says. "But he did me the biggest
That conversation signaled a turning point for Tracy. The
energy she directed toward denying her problem fueled a quest for answers.
Tracy's search led to a clinical trial in San Francisco for the then-unreleased
When Tracy started using the drug, not only did her hair stop
falling out, it started growing back. "While it wasn't a lot, maybe 20%, it
meant the world to me," she says. "More important, the drug stopped any