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Q:  I am 27 and have recently been diagnosed with AGA. I have some noticeable thinning on top. I was going to begin treatment and have now become pregnant. I am worried about the alopecia worsening during pregnancy. I hope to have some hair left to try and save. What is your experience with this.

A: Many women with androgenic alopecia (AGA, which is hormonal hair loss) are nervous about what effect pregnancy will have on their hair. There is no reason to worry. Because estrogen levels rise substantially during pregnancy, pregnancy is one of the best things for hair. Usually hair gets better during pregnancy though this is not apparent until about 4 or 5 months.

However, there tends to be significant shedding 2 to 4 months after childbirth. This can be minimized by going on treatment within a couple of weeks after the baby is born. However, if a woman decides to breast feed, she cannot take the medications used to treat the alopecia until the baby is completely weaned.

Hope this is helpful.

Geoffrey Redmond, MD

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