### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi,I experienced and was diagnose with Amenorrhea at the age of 21. My menses ceased and I experienced pre- mature menopause.  I was put on estrogen and progesterone after hospitalization and many tests. In 1994 I had a complete hysterectomy at the age of 39. Then I was on the estrogen patch for a few years.  I stopped using them and all other synthetic estrogen, due to the risks. I am 58 years old at this  time will be 59 in July.  Over the years I have experience hair loss. To date it is extreme and I am quite concern.  My question is. Will taking natural hormones or scalp treatments stop the thinning? And will the follicles replenish to cause regrowth?  What are your views about Bio identical hormones provided by a Body Logic MD

### output:

Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them 