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Hair loss Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Hair loss. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had problems with hair loss?

    Why: to determine if acute or chronic.

  2. Is the hair loss focal or diffuse?
  3. If the hair loss is focal, is there a rash in the area of hair loss?

    Why: If rash is present must consider tinea capitis, lupus erythematosus, psoriasis, seborrheic dermatitis. If rash is not present, should consider alopecia areata, syphilis, burns and other injuries to the skin.

  4. Is there a family history of male pattern baldness?

    Why: i.e. receding hair line at the front, especially each side which results in an M-shaped recession. Following this, a bald spot may appear on the crown.

  5. Is there a family history of female pattern baldness?

    Why: e.g. diffuse thinning of the hair on top of the head.

  6. Is there a simple reason for hair loss?

    Why: e.g. normal aging, excessive shampoo or hair drying, excessively tight hair accessories, poor diet.

  7. Have you recently been pregnant?

    Why: e.g. hair gets stronger during pregnancy and then falls out after the birth.

  8. Has there been recent "crash dieting" ?

    Why: "crash" dieting is a common cause of transient increased shedding of normal hair.

  9. Is there a compulsion to pull out one's own hair?

    Why: may suggest trichotillomania.

  10. Past medical history?

    Why: e.g. hypothyroidism, hyperthyroidism, hyperpituitarism may be associated with diffuse hair loss; vitiligo, hypoparathyroidism, Addison's disease, Hashimoto's disease and myasthenia gravis may be associated with alopecia areata; recent significant medical illness especially if associated with fever is a common cause of transient increased shedding of normal hair.

  11. Medications?

    Why: e.g. anticoagulant drug therapy (heparin and warfarin), cancer chemotherapy, some gout medications, some arthritis medications, some antidepressant medications, high dose Vitamin A or retinoids may cause hair loss; discontinuing or changing type of oral contraceptive pill is a common cause of transient increased shedding of normal hair.

  12. If female pattern baldness, are there signs of androgen excess?

    Why: e.g. acne, excess hairiness (of genitals, nipples, abdomen and face), irregular periods, deepening of the voice, enlarged clitoris - may suggest endocrine dysfunction.

  13. Symptoms of menopause?

    Why: e.g. hot flushes, night sweats, heart palpitations, lightheadedness, dry vaginal, dry skin, headaches and sometimes diffuse hair loss.

  14. Symptoms of chronic Vitamin A excess?

    Why: e.g. bone or joint pain, hair loss, dryness and fissures of the lips, poor appetite, itchy skin, weight loss, low grade fever.

  15. Symptoms of Hyperthyroidism

    Why: e.g. preference for cooler weather, increased appetite, heart palpitations, increased sweating, nervousness, irritability, diarrhea, lack of menstrual periods.

  16. Symptoms of hypothyroidism?

    Why: e.g. husky voice, tiredness, weight gain, constipation, cold intolerance, loss of hair.

Conditions listing medical symptoms: Hair loss:

The following list of conditions have 'Hair loss' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Hair loss or choose View All.

View All A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

Conditions listing medical complications: Hair loss:

The following list of medical conditions have 'Hair loss' or similar listed as a medical complication in our database.


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