Emma

Emma had a small bald patch at age 14 which regrew with steroid ointment. However, more of her hair fell out whilst at university. She has tried various treatments but Emma says she feels quite comfortable and has accepted that her hair might not grow back.

Emma was 14 years old when a hairdresser noticed a small bald patch on the back of her head. She hid it with the rest of her hair and used a steroid ointment which helped her hair to regrow. However, more of Emma’s hair fell out whilst she was at university, including her eyebrows and eyelashes. Emma originally thought her alopecia could be to do with the fact that she was doing a lot of exercise, underweight and being tested for anemia all at the same time. She doesn’t think alopecia is caused by stress in her case as she doesn’t consider herself to be a very stressed person. She has noticed that her hair falls out around October and so thinks it could be seasonal. For example, Emma experienced quite a lot of hair regrowth last year but it fell out again that November and now she feels she is back to square one.

Losing her hair at university was a very upsetting experience for Emma. She took a break during her studies and remembers crying many times a day. Her GP referred her to a dermatologist when they saw how upset she was. Emma’s GP also suggested that she take antidepressants but Emma didn’t try them as she heard they can make you feel worse. Emma found that her dermatologists helped more with her eczema than her alopecia. Her dermatologist told her there was no cure but did ask how Emma was and helped her with wigs. Emma tried methotrexate (immunosuppressant tablets) for a year, but she didn’t have any regrowth and it made her feel sick, tired and not herself. Emma stopped trying different treatments for alopecia as she says she would rather not build up her hopes and have them knocked down again.

Alopecia had a big impact on Emma emotionally. For example, at university, Emma says she did not feel like herself and worried that no one was going to find her attractive. She felt that first impressions and appearance were very important and she sometimes felt a bit jealous of friends who didn’t have anything wrong’ with them. She did have support from her personal tutor and went to an alopecia support group which she found really useful as she met other women there her age and so felt less isolated. Emma says that she is quite confident now and feels she has accepted her alopecia. She has found that being open helps and prefers people to make jokes and be light-hearted about her hair loss. At university, only her very close friends, family and partner had seen her without a wig on, whereas now Emma feels comfortable enough to only wear bandanas. She adds that there is a positive side to hair loss in saving money on haircuts and not shaving her underarms and legs.

Emma’s advice to other young people with alopecia is to try and accept who you are at the time and what has happened that day. Even though you don’t know what’s going to happen with alopecia, she encourages others to try and just let it happen rather than monitoring hair regrowth. Emma advises people with alopecia to tell others and not hide as well as to try going along to their local support group.

Emma says losing hair and the uncertainty of alopecia is hard for young people recently diagnosed. She says they might be considering treatments and encourages them to take things day-by-day.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma says she wanted an explanation of alopecia causes, but doesn’t like when doctors insist that stress is a trigger.

Age at interview 23

Gender Female

Age at diagnosis 14

When all of Emma’s hair came out in her second year at university, she worried that she wouldn’t fit in any more.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma tops up the NHS wig prescription with her own money so that she can get a human hair wig rather than a synthetic one.

Age at interview 23

Gender Female

Age at diagnosis 14

Initially, Emma was nervous about going to her local alopecia support group but it was really useful and now she recommends it to others.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma talks about losing her eyelashes and the difficulties she has had with false eyelashes.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma felt jealous of friends who don’t have to worry about their hair. She had an emotional time at university when her hair was falling out, but says her friends were very supportive.

Age at interview 23

Gender Female

Age at diagnosis 14

Although being bald is normal for Emma, she found it quite a big thing for her partner to see her without a wig on.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma finds that telling people she is bald makes her feel more confident in herself.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma initially felt less feminine when she shaved her head.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma talks about styling her real hair wig.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma thinks it’s important to go to someone with a lot of experience of eyebrow tattooing.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma talks about some of the emotional support doctors have given her.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma tried prescribed topical steroids and shop-bought minoxidil. This helped when she had a small patch of alopecia, but doesn’t use either now.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma decided to stop taking methotrexate when she didn’t see any improvement with hair regrowth and had difficult side effects, including flaring-up her eczema.

Age at interview 23

Gender Female

Age at diagnosis 14

Emma researched about different types of alopecia as well as causes and treatments.

Age at interview 23

Gender Female

Age at diagnosis 14