Top 5 Hormones Affecting the Health of Your Skin

There are many important factors to healthy skin:  a diet rich in fruits and vegetables of many colors, good hydration, regular exercise.  There are some important factors to avoid as well including sun damage, smoking, sugar and processed foods.  

But did you know that there are also many hormonal issues that can affect skin health?

Estrogen has many important actions on the skin:  It retains moisture, to prevent dry skin (and dry hair and dry eyes and vaginal dryness…).   It maintains collagen and elasticity to prevent wrinkling.  It also helps to maintain the thickness of the skin.  There are more estrogen receptors in the skin of the face than on other parts of the body, so declining estrogen levels cause more obvious changes on facial skin.  

Estrogen replacement has been shown to increase skin thickness and elasticity, improve collagen content in the skin, and reduce fine lines and wrinkles.  Some women actually choose to apply their topical estrogen cream on their face to maximize skin benefits.  Even if estrogen is not applied to the skin, women often notice improvements in their skin, including that healthy glow, when their estrogen levels are restored.  

Testosterone can cause skin problems when it is too low OR too high! 

When testosterone levels are low in older men and women,  skin tends to become thinner, and wound healing is impaired.  Testosterone adds some oil to the skin, and this can be helpful in aging skin which tends to be dry.

On the other hand, excess testosterone or DHEA can cause excessively oily skin and acne breakouts, as well as excess hair growth.  

Progesterone has been found to help maintain skin thickness and elasticity, and helps to maintain scalp hair growth.  It also helps to reduce the negative effects of testosterone on the skin, so a lack of progesterone can exacerbate the effects of excess testosterone.

Hypothyroidism (low thyroid function) is often associated with skin dryness as a result of decreased sweating and reduced sebum production.  Many other factors may be seen with low thyroid:  pale skin color, dry bumps on the upper arms, puffiness around the eyes, scalp hair loss, loss of the outer third of the eyebrow,  dry and brittle hair.   

Cortisol is your main stress hormone.  Stress has been associated with skin problems such as acne breakouts.  Since cortisol regulates your immune system, stress can exacerbate rashes such as psoriasis and eczema, which are due to immune system problems.  There is actually a new area of study called psychodermatology looking at the links between skin health and emotional stressors. 

As you can see, there are many ways in which hormones affect your complexion.  If you want healthy, glowing skin then proper hormonal balance is important!

If you are having skin issues and feel that hormones may be part of the problem, please give us a call!  704-752-9346 or email us at questions@signaturewellness.org.  You can find more information at www.signaturewellness.org

10 Causes of Hair Loss in Women (and what to do about it!)

Thinning hair worrying you?  Lets do something about it. 

Are you dismayed by how much hair you see in the hairbrush and shower each day?  Hair loss can be extremely devastating for women, and it is not uncommon for women to be in tears in the office because of emotional distress from their hair loss.  While women do not typically lose all their hair, once the hair shedding is underway baldness feels like a very real possibility!  

Here are 8 reasons you may be losing your hair.

 1.  Thyroid problems 

Thyroid problems are a common cause of hair loss, and since thyroid problems are very common in women, we see this often.  Other symptoms associated with low thyroid function include:  fatigue, weight gain, constipation, feeling cold, depressed mood, anxiety, poor memory, low libido, dry skin, and dry/dull hair.  Standard thyroid blood tests often overlook subtle thyroid dysfunction, but even mild problems can be associated with distressing hair loss.  Many women who are being treated with standard thyroid hormone replacement continue to have symptoms despite treatment.  Fortunately, with a more comprehensive lab assessment and natural thyroid replacement, we can optimize thyroid function and achieve healthier, thicker hair.   An over-functioning thyroid gland can also cause hair loss, so good thyroid balance is important. 

2.  Stress

 Cortisol is your main stress hormone.  It is produced in your adrenal glands  to help you cope with emotional stressors, as well as physiologic stressors  (such as pain, allergies, insomnia, toxin exposures, etc). If cortisol levels  are abnormal, hair loss can result.  If you can reduce your stress, your hair  loss may diminish, but you made need some help.  It is possible to measure  your cortisol levels and while there are no prescription medicines to correct  this problem, there are lifestyle changes and nutritional supplements that  can help resolve the issue.

3.  Menopause

Hormone changes associated with menopause (or peri-menopause) can also cause thinning hair (and thinning skin, and thinning bones….).  Restoring hormone levels with bio-identical hormone replacement can help improve the health of your hair (and skin, and bones!) . In a study of women receiving testosterone pellet therapy, 63% noted hair regrowth, and none of the women in the study reported an increase in hair loss after treatment with testosterone.  (Glaser et al, British Journal of Dermatology, 2012).

4.  Prescription medications

Many drugs can contribute to hair loss in women, including the use of birth control pills.  The American Hair Loss Assocation (AHLA) recommends that women consider using a low-androgen index birth control pills to avoid possible hairlsos, especially if they are genetically predisposed to hair loss.  Changing pills or choosing a non-hormonal birth control option may help to correct the problem.  .

5.  Pre-diabetes

Diabetes, or even pre-diabetes may be associated with hair loss.   A holistic approach to balancing blood sugar metabolism including lifestyle changes, nutritional supplements, and weight loss may have a positive impact on hair loss, as well as reducing the risks for some very serious longterm health issues.

6.  Nutritional deficiencies

While americans do not typically suffer with malnutrition, we tend to be nutritionally deficient due to poor quality food choices.  Even if you are trying hard to eat right, the food available at the grocery store may not have optimal vitamin and mineral content due to our modern farming practices.  If you have symptoms such as gas, bloating, indigestion, heartburn, constipation or diarrhea your ability to digest and absorb the nutrients in your food may be impaired.  Certain medications, such as ant-acids, can also impair your ability to digest nutrients.  Nutritional testing is available to determine whether this may be a problem for you.

One of the common nutrient deficiencies we see associated with hair loss is an iron deficiency.  The lab test that is most helpful is a ferritin level -  this is a marker of your iron stores, and if your level is below 80 it is possible that insufficient iron levels may be contributing to the problem

7.  Chronic disease

If you have any chronic disease, hair growth may be slowed to help redirect your body’s resources to other areas to help promote healing.  So hair loss may be a symptom of another problem going on in your body, such as an auto-immune disorder or chronic inflammatory condition.

8.   Androgenic Alopecia

This is the medical name for genetic hair loss (female pattern baldness)  This is hereditary and happens slowly over time (over a period of many years). Typically there is family history of baldness in male relatives and thinning hair in female relatives.  Women do not typically become completely bald.  Hair loss is first noticeable at areas of parts, and hair thinning progresses until the scalp becomes visible.  The hair loss occurs even with normal levels of hormones so treatment for hair loss, such as a PRP (platelet rich plasma) treatment,  is frequently required to restore hair growth.

9.  Alopecia Areata

This is a medical condition where the immune system attacks the hair follicles, causing patches of hair loss.   This is much less common, but more difficult to manage.  The hair may not grow back on its own and may require treatment to restore hair growth.  PRP has been effective in helping with this type of hair loss. 

10.  Physical stress  

If you have any kind of physical trauma, such as a severe illness, a serious injury or surgery, this can trigger increased hair shedding which is not usually seen until 3-6 months later.  The stressful event "shocks" the hair cycle temporarily, so less hair is shed around the time of the incident (you don't notice this!).  When the hair cycle starts up again, more hair is lost all at once (so you notice the shedding!).  The good news is that this is a self limited problem called "telogen effluvium", and the hair growing cycles will reset and go back to normal without treatment.

Healthy Hair Recommendations

Reduce stress.  Simplify your life if possible, and know that it is not always the AMOUNT of stress you are under that is the biggest factor, but how you ALLOW the stress to affect you that matters. 

Ensure hormonal balance – Take steps to restore hormone levels to optimal ranges.  Measuring your hormone levels and restoring normal hormone balance with natural, bio-identical hormone therapy can be life changing for women and affects far more benefits than simply improving the health of your hair. 

Improve nutrition and optimize digestive health to allow better absorption of nutrients.  Eat whole foods including fruits and vegetables, avoid processed food and especially sugar.  Ensure that you are not iron deficient, and consider being tested for a full panel of nutrients. 

Get regular moderate exercise – exercise increases blood flow to the scalp and improves your overall health.  Since your hair is a reflection of your overall health, your nutrition and fitness level are important to hair health.

Take biotin, a nutrient that can be helpful for hair and nails.  Our patients have found excellent results with RegeneMax Plus, which is a form of biotin with added silica (another nutrient important for hair).  This has worked better than standard biotin, and has quickly become one of our top selling supplements (people come back for more because they can see a difference!)

Consider PRP (platelet rich plasma) treatments.  PRP is appropriate for most woman concerned about hair thinning.  By the time the hair thinning is visible, approximately 50% of the hairs have been lost.  Most women are well aware far sooner – their pony tail is thinner, their part becomes wider and they can see the hair shedding.  PRP treatments will have the best effects on hair follicles that still have some function.  This innovative procedure has been featured on  ABC news (Oct 2015).  http://abcnews.go.com/GMA/video/treatment-millions-people-suffering-hair-loss-34336528

For best results, it is important to address your hair loss BEFORE it is in the advanced stages  So starting sooner rather than later (as a preventive measure) is perfectly reasonable.

If you would like more information or need help to correct your hair loss issues, please contact the office at 704-752-9346 or email us at questions@signaturewellness.org.  More information is available at www.signaturewellness.org.  

Deborah Matthew MD

Miracle grow for your tissues?

During the past several years, much has been written about a preparation called platelet-rich plasma (PRP).

It has been used by famous athletes including Tiger Woods to help with more rapid healing from injuries including sprains and chronic tendon injuries.  It has also been used in race horses, in dentistry,  and in surgery to help improve the healing process.

Other uses for PRP are now available - including correcting incontinence, rejuvenation of the skin, stimulating hair re-growth, and restoring lift and fullness to breasts.

PRP for Stress Incontinence - the O Shot

Many women lose urine when laughing, coughing, or exercising.  This is called stress incontinence, and is caused by a weakening of the pelvic sphincter muscles due to the effects of childbirth or aging.

Until now we did not have good solutions, other than wearing a pad or having surgery.  The O-Shot has been a game changer in managing incontinence - it is non-invasive, simple, fast and relatively inexpensive, with virtually no risks. 

It starts with a simple blood draw.  Using a proprietary technique, the platelets are separated and the Platelet Rich Plasma (PRP), containing growth factors, is extracted.  The PRP is injected into an area adjacent to the urethra.  The area is numbed prior to the procedure, so there is little to no discomfort.

The O-Shot activates stem cells in the localized region and these tissues are able to regenerate and improve their strength and ability to prevent urine flow.  In many cases, the incontinence may be completely resolved.  We have had patients who had been able to cancel surgery for their incontinence .

PRP for Skin rejuvenation - the Vampire Facelift

With age, your skin changes.  The color becomes more gray because of less blood flow, the shape of the face collapses as muscle and collagen decrease, and the skin texture becomes less smooth.  As a result, you look worn and tired. 

The Vampire Facelift offers a way of both restoring shape, and improving tone and texture, as well as literally rejuvenating new and younger tissue!   

The procedure involves using fillers such as Juvederm to restore shape followed by injecting growth factors (PRP) into the skin to help restore color and texture along with enhancing a normal shape.   The PRP activates stem cells in your skin to grow new collage, new fatty tissue (for smoothness) and new blood vessels (for a healthy glow).  The effects of the procedure improve for 2-3 months and last for at least 1 to 2 years.  

PRP for hair regrowth

Did you know that 40 percent of Americans with hair loss are women?  Hair loss can effect our self image, and in some cases can be very devastating to emotional health.  

While restoring hormone balance and nutritional status can help in some cases, it is not always enough.   PRP may be a good choice for women (and men!) with chronic hair thinning.  

The application of PRP stimulates the hair follicles to become healthier and larger, producing thicker, darker hairs with better scalp coverage.  

First, your blood is drawn and then specially processed to produce the PRP.  A local anesthetic is administered to numb the scalp treatment area. The PRP is then administered via a series of tiny injections in the required areas of the scalp or in areas such as the eyebrows or beard. Additional growth factors are then applied topically.

New hair growth can be seen as early as 2 months, but is typically evident between 5-8 months and will continue to improve up to a year after treatment. The addition of Laser Therapy (LaserCap) can enhance the outcome.

I am really excited about offering PRP to our patients.  This treatment honors the body’s intelligence and ability to heal itself, it does not disrupt hormone balance, does not contain chemicals, and offers great results.  

If you have an issue that may be helped with PRP and would like more information, please click here. To schedule an appointment please call at 704-752-9346 or email us at questions@signaturewellness.org.

Yours In Health, 

DrM