How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Thomas, MD Your Own Question

Dr. Thomas, MD
Dr. Thomas, MD, Board Certified MD
Category: Endocrinology
Satisfied Customers: 63757
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
24257177
Type Your Endocrinology Question Here...
Dr. Thomas, MD is online now

I am currently suffering from hair loss and a condition called

Customer Question

I am currently suffering from hair loss and a condition called lichen sclerosis (et atrophicus. ) Could these two conditions be related and are they as a result of hormone imbalance?

When can I expect a response ?

Submitted: 2 years ago.
Category: Endocrinology
Expert:  Shantal-Mod replied 2 years ago.
Hello,

I'm Shantal and I'm a moderator for this topic.

We have been working with the Experts to try to help you with your question. Sometimes it may take a bit of time to find the right fit.

I was checking to see if you had already found your answer or if you still need assistance from one of the Experts.

Please let me know if you wish to continue waiting or if you would like for us to close your question?

Thank you,

Shantal
Expert:  Dr. Thomas, MD replied 2 years ago.
Hello
No
They are generally not related.

Where is the lichen sclerosis exactly?
Customer: replied 2 years ago.

It is on my vulva and is very distressing and uncomfortable. Could there be a link to thyroid issues.

Customer: replied 2 years ago.

It is on the vulva area and is very distressing and uncomfortable. Could the hair loss and this condition be auto immune related or undiagnosed side effects of thyroid problems?

Expert:  Dr. Thomas, MD replied 2 years ago.
No
There is no direct known link.
What was your most recent TSH?
Customer: replied 2 years ago.

I had a general thyroid test which was within the acceptable scales.

Expert:  Dr. Thomas, MD replied 2 years ago.
That is not enough.
The acceptable scale is too wide.
Do you know the TSH value?
Customer: replied 2 years ago.

No I don't know the value and I was not asked to fast before the test so did have a cup of tea with milk.

Expert:  Dr. Thomas, MD replied 2 years ago.
It is not a fasting test.

These are two separate conditions.

Your thyroid has nothing to do with the lichen sclerosis.

Are they both autoimmune problems....yes.

Do we know a single cause....no.


I think you have a more specific question perhaps?
Customer: replied 2 years ago.
Could the hair loss be thyroid related?
Expert:  Dr. Thomas, MD replied 2 years ago.
Yes
Both hypo and hyperthyroid can cause hair loss.

Particularly hypo.

The condition is often undertreated.
The normal range of TSH is from .5 to 4.5 in most labs.
However, over 2.5 is clearly hypothyroid, and for treated patients, an optimal TSH is around .8.

So, many patients are undertreated.


Many "normal" patients actually have a TSH over 2.5, and might have hair loss due to hypothyrodism.


Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.


Expert:  Dr. Thomas, MD replied 2 years ago.
Hello
Did you have further questions?
Customer: replied 2 years ago.

If thyroid is Ok what other reason is there for hair loss and what treatment.

Expert:  Dr. Thomas, MD replied 2 years ago.
It is most likely thyroid, and treatment would be replacement.
But, it can be hormonal imbalance of another type, sex hormones, or adrenal hormones, both can be checked and corrected if needed.
Iron deficiency, replace iron.
B vitamin deficiencies, replace them.
Vitamin D.
Autoimmune disease...usually that is hair loss in patches and is treated with steroids.

So, you really have to see your doctor and go over the possibilities.

Please do not forget a positive rating, or we do not get paid for our time.

Find me anytime.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr Adi

    Dr Adi

    Professor

    Satisfied Customers:

    284
    Director of the Pediatric Diabetes Clinics at UCSF.
< Last | Next >
  • http://ww2.justanswer.com/uploads/AB/AbouSteif/2011-3-21_2189_SA.64x64.jpg Dr Adi's Avatar

    Dr Adi

    Professor

    Satisfied Customers:

    284
    Director of the Pediatric Diabetes Clinics at UCSF.
  • /img/opt/shirt.png Dr Eisenbud's Avatar

    Dr Eisenbud

    Board Certified Physician

    Satisfied Customers:

    166
    Endocrinology and metabolism practice for 35 years
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    274
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology