Dr. Friedman discusses who a woman should see if she suspects her hair loss is endocrine related.
She can start with her internist, her family doctor, especially if she has a good relationship and the doctor is thorough and knows what he is doing. And the doctor can order a thyroid test and bio-available and total testosterone levels I would say as well as an endocrinologist can.
But I think sort of for the fine tuning of the hormones and truly look for that I think it’s worth seeing an endocrinologist.
Some people see a dermatologist and they might do a biopsy of the hair. I am not sure how helpful it is, and I think a dermatologist would be likely to give Minoxidil which can work a lot of cases in hair loss in women. An endocrinologist would probably first try to adjust the hormones.
Well you tell your doctor you have this problem. You are concerned that you may have an endocrine problem like thyroid problem. You say you thought to go over the other symptoms and say I’d like to get my thyroid tested; I’d like to get tested for this polycystic ovarian syndrome.
If you have symptoms going on with that you’d like to have a ferritin tested just to see what your iron stores are and you would say, “Doctor, I’d like to get better on this. Let’s try to see if there’s any endocrine causes.”
I think those doctors will agree with you. Some will say again, your mother had or your grandmother had it then you are going to get it and there’s not much to do about it, but I think the philosophy should be to try to correct anything that’s correctable.
About Dr. Theodore Friedman, M.D., Ph.D., M.Phil.:
Dr. Theodore Friedman, M.D., Ph.D., M.Phil., specializes in hard-to-diagnose-and- treat cases of adrenal, pituitary, thyroid, and fatigue disorders. He's been with the University of California Los Angeles School of Medicine since 2005 and serves as Chief of the Endocrinology, Metabolism and Molecular Medicine Division at Charles R. Drew University of Medicine and Science. He also served as Director of the Multi-Disciplinary Chronic Fatigue Clinic at Cedars-Sinai Medical Center from 1998-2000.
Dr. Friedman has a private practice near Beverly Hills, California as well as privileges at Cedars-Sinai Medical Center and Martin Luther King Medical Center.