Initial Office Evaluation of Hair Loss in Adult Women

The 2011 document provides a comprehensive guide for clinicians on the evaluation and management of hair loss in adult women, noting that up to 50% may experience this condition. It outlines the hair growth cycle and categorizes hair loss into disruptions of the cycle, disorders of the hair follicle, and disorders of the hair shaft, while also considering systemic and infectious causes, and medication side effects. The importance of a detailed medical and family history, physical examination, and appropriate laboratory tests is emphasized to identify underlying conditions or triggers. The psychological impact of hair loss is acknowledged, and the document underscores the necessity for primary care providers to be well-informed about common causes, treatment options, and indications for specialist referral, given the prevalence of hair loss complaints in clinical practice.