National Trichology Services helping men and womens hair loss with practical solutions that work

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National Trichology Services for male and female hair loss treatment National Trichology Services for male and female hair loss treatment

We treat men and womens hair loss problems of all ages.

Male Hair Loss

Female Hair Loss

Treatments

What is Trichology

About Us

I just read the consultation report you returned to me and I have to say I was very impressed with your thoroughness and obvious professionalism.
So thank you! I would recommend your online consultations to anyone.
Mr. TS - Lawyer - Canberra ... more testimonials

Trichology services treating men and womens hair loss
Trichology services treating men and womens hair loss Trichology services treating men and womens hair loss
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**New**
Melbourne Clinic
now taking appointments!

Tony Pearce now offers trichology consults + reviews the 4th Wednesday of every
3rd month.

490 Victoria Street,
North Melbourne 3051

For all appointments
please call
02 9542 2700
or email us

Trichology services treating men and womens hair loss

Hair Loss, Scalp Problems & Hormonal Disturbance
Consultation Service for Women

Welcome to our exclusive online trichology consultation service. We offer the only dedicated internet diagnostic centre for women experiencing hair loss or scalp problems.

What is Trichology?

Trichology is the scientific study of the hair and scalp. Trichology devolved as a specialised discipline from Dermatology in 1902, to become a para-medical field of health care embracing both naturopathic & western medicine, endocrinology and dermatology.

A qualified Trichologist has studied & successfully completed a recognised Trichology Education Program.

A rather obvious Question! How do we know the reasons why you’re losing your hair without seeing you?

Simply put, the type of hair loss you’re experiencing can be recognised by its pattern of loss and rate of hair fall. For example, hair loss from a nutritional deficiency will usually result in slow, steady hair thinning that may only become apparent after many months. By contrast, alopecia areata presents as distinctive patches of total hair loss that appear suddenly.

What’s the Procedure and what do I get for my money?

Successfully treating women for hair loss problems requires careful review of their nutritional, hormonal & lifestyle picture undertaken in an organised & sequential way.

We complete a comprehensive report for you based on your individual questionnaire responses. Attached to this will be a 'baseline' blood test request for some specific pathology – we request you present this to your family doctor for authorising. Upon receipt of your results (faxed/emailed), we will advise you whether or not we believe they are influencing your problem.

Where appropriate we will also attach a prescription request for your doctor’s approval. The advanced Minoxidil formulation we usually commence our patients on is not a prescription item per se, but if you wish to claim it on private health insurance, you need an official pharmacy receipt from us to do so. In Australia almost all pathology testing & pharmaceutical products are claimable through either Medicare or private health insurance.

Our consulting fee is

AUD $250.00

This gives you:

  • A detailed report providing full explanation to your responses
  • Comprehensive + specific blood test request and/or product prescription request (where appropriate)
  • 1st blood pathology review
  • microscopic hair analysis (where appropriate)
  • Salivary hormone testing kit (and test request) where indicated*

*Saliva test result interpretation and follow-up reviews may incur small additional fee ($30). Other pathology testing (gut/liver function; hair mineral analysis) additional where indicated.

Solution Graphics

We provide a secure payment facility utilising PayPal and your credit card for convenience. You will be invited to complete this once you’ve submitted your questionnaire.

Please be assured that your personal details will be treated with the strictest confidence, and will not be disclosed to any person/organization for any reason.
Trichology services treating men and womens hair loss

Personal Details

Date:

Surname:

Given Name:

Postal Address:

Suburb or Town:

Postcode or Zip Code:

Country:

Email:

Work Phone:

Home Phone:

Mobile Phone:

Age: Racial Group:

Married / Single:


No. of Children: Children's Ages:

What is your occupation/profession:

A History of Your Problem

Q. 1

Is the problem you’re seeking help for:

hair loss?
damaged hair which breaks off easily?
crusty, flaking or itching scalp?
other condition (please enter brief description)

Q. 2

When did the hair loss start or first become noticeable to you?

Q. 3

Do you have a family history of fine, thinning hair or balding?

Q. 3A

Which members of your family does it affect? Please indicate which family members;

father, mother, brother(s) sister(s),
aunts, uncles, female cousins, Grandmothers

Q. 4

Did your hair loss commence:

abruptly, with increasingly excessive amounts of hair being shed from "all over" your scalp?

slowly; steady but barely noticeable loss which didn’t become apparent for some time

as distinct circular patches within which there is very scant or no hair growing?

Q. 5A

Is your hair loss:

a) predominantly through the front, sides, and across the top of the scalp, or

b) in very distinct circular patches within which there is very little or no hair present, or

c) thinning evenly throughout your scalp

Q. 5B

If you answered Q.5A as "a" please indicate which category is most similar to your own:


Q. 6

Is there any accompanying ‘sensations’ with your condition, such as:

tight sensitive scalp

itchiness

scaling/flaking or very dry scalp

Q. 6A

Have you noticed any changes in the wave movement or manageability of your hair across the top of your scalp, has it:

become curlier or frizzier

was wavy, but now is straighter

become more unmanageable than before

Q. 7

Is there any accompanying ‘eruptions’ on your scalp, such as:

pustules (pimples with pus in them)

rash; if so what colour is it?

red skin covered by silvery or white/grey scale

Q. 8

How would you describe your hair and scalp? Is it:

hair & scalp both oily or greasy

hair & scalp both dry

scalp greasy but hair dry & brittle

Q. 9

Has your hair loss been accompanied by:

an increase in facial or body hair

an increased oiliness on your face

changes or problems in your menstrual cycle

Q. 9B

If you experience problems with your menstrual cycle, please indicate which of the following applies to you:

Your periods are irregularly “early” or “late” each month

Your menstrual flow is either heavy, scant, or absent each month (indicate which)

Or, your menstrual flow varies significantly from month to month

Q. 9C

Do you regularly experience PMS symptoms with the onset of your menstrual cycle?

If “yes” please indicate which of the following applies to you:

Cramping, “bloating”, low back pain, or pain in your pelvic area

Tender, swollen, or “lumpy” breasts

Irritable, “snappy” mood swings

Or, weepy, “fragile” or depressed mood

Feelings of constant anxiety

Pre-menstrual headaches or migraines

Diminished sex drive (libido)

Q. 9D

Do you have ongoing problems with any of the following:

Sensitivity to cooler temperatures

Memory recall difficulty or “foggy” thinking

Unexplained weight increase, particularly around your hips and abdominal area

Poor sleep patterns

Q. 9E

If you are a post-menopausal woman do you regularly experience any of the following:

Hot flashes

Night sweats

Dry, “ageing” skin

Diminished or absent sex drive (libido)

Excessive vaginal dryness

Q. 9F

Was your menopause prematurely induced by:

Surgical hysterectomy.

For what reason (please indicate: heavy/excessive bleeding, ovarian or endometrial cancer, uterine fibroids, endometriosis, other.)

Chemotherapy or hormonal medication.



Other (please state what medication)

Q. 10

If you answered "a" to Q4, did any of the following happen to you 2-3 months prior to the hair loss commencing:

surgical/dental procedure or have an anaesthetic

suffer blood loss from an injury or procedure

suffer an allergic reaction to something

illness in which you experienced a high temperature or fever

food poisoning and/or severe vomiting & diarrhoea

receive any vaccinations, injections, transfusions or IV antibiotics?

experience intense emotional or other stress?

commence or cease any drugs – including prescribed medication or ‘body-building’ steroids. If "YES" what?

experience rapid weight loss from a "crash" diet or dramatic change in diet (including ‘liver’ or ‘bowel’ cleansing diets)

Q. 11

Do you have any known allergies or sensitivities?


Q. 12

If so, what are you allergic to? (please indicate which foods, medications &/or environmental allergens)

Q. 13

Do you have any current health problems or medical issues, such as:

high blood pressure or raised cholesterol levels. Do you take prescribed medication for this? If "YES", please list in Q.15.

persistent tonsillitis or ‘enlarged neck glands’, or gingivitis (‘bleeding gums)

HIV/AIDS, genital herpes, hepatitis B or C, or other chronic disease?

unrelieved ‘autoimmune’ problem/s such as ‘Lupus’, Sjogren’s Syndrome, etc. Please indicate what condition and when diagnosed.

being very overweight.
If "YES", what is your present weight?

Q. 13A

Do you or your family suffer from any of the following:

skin problems such as eczema/dermatitis or psoriasis

severe allergies, hayfever, chronic sinusitis/rhinitis

thyroid gland problems

Graves Disease (hyperthyroidism)
Hypothyroidism
Hashimoto’s Disease
Surgical removal of thyroid gland

diabetes or unstable blood sugar/insulin levels

blood disorders such as ‘Thalassaemia’ or Haemaphilia?

Q. 13B

Do you consistently experience any of the following:

Pain and Inflammation

Muscle &/or joint pain

Recurring Headaches

Chronic low grade fever

Fatigue & Malaise

Chronic Fatigue Syndrome

Fibromyalgia

Hormone Imbalance

Gastro-intestinal discomfort or bloating

Nausea & Intolerance for fatty foods

Increasing sensitivity to multiple chemicals 

Recurrent infections

Q. 14

Do you take any prescribed medications or vitamin/mineral/herbal supplements of any kind?
(please state what drug/s or supplements, the daily dosage you take, & for how long you’ve been taking them)

Q. 15

Do you use any illicit/recreational drugs of any kind?
(please state what drugs, the average amount you’d use daily, & for how long you’ve been using them)

Q. 16

Are you a smoker? If so how many cigarettes per day?

Q. 17

Do you regularly consume alcohol? If "YES", what form of alcohol and how many standard drinks on an average day?

Q. 17A

Do you consider yourself a BINGE DRINKER? If "YES", is this only at weekends or do you drink constantly?

Q. 18

Is your alcohol consumption:

1-3 drinks daily

more than 1-3 drinks daily (please state how many)

are you a weekend ‘binge’ drinker?

Q. 19

Do you feel you eat a balanced & nutritional diet?

Q. 19A

Do you consume a special type of diet, eg: vegetarian, gluten-free, carbohydrate-free, high protein etc.


Q. 20

Describe an average day’s diet for you (breakfast, lunch, dinner, snacks)

Q. 21

What FLUIDS would you consume on an average day, and how many of each: (water, juices, coffee, tea, cola or other caffeinated drinks)

Q. 22

Do you ‘crave’ sugary/refined foods or caffeinated drinks? If "YES" please detail:

Q. 23

How would you generally describe your energy levels?

high energy and endurance

low or tired much of the day

energy levels fluctuate between morning and afternoon

Q. 23A

Do you feel most tired or are your energy levels lower in the morning or in the afternoon?

Q. 23B

Do you get ‘puffed’, breathless or chest palpitations easily when walking up stairs or an incline?

Q. 24

Over the past 6-12 months, have you gained or lost substantial amounts of weight for no obvious reason?

(please indicate how much weight, & over how many months)

Q. 25

Do you feel you are sensitive to the warmth or cold of weather or room temperatures?
(please indicate which)

Q. 26

What state best describes your skin, is it:

dry or scaly & cool to cold

moist, sweaty, oily & warm

Is the state of your skin different on your face than it is on the rest of your body?

Q. 27

Have you noticed any areas of skin on your body that have become lighter or darker in colour? If so when did this occur, & on which areas of your body are they?

Q. 28

Have you noticed any increase/decrease in facial or body hair?

Q. 28A

Do the outer part of your eyebrows appear to have been lost or thinned-out significantly?

Q. 29

How would you describe the appearance of your fingernails?

‘white spotting’ of the nails? If "YES" please indicate which fingers and how obvious are they (ie" pinprick spot/s or spots millimeters wide)?

appear ‘heavily ridged’ or buckled nails, or ‘pin-hole’-like indentations in them?

Being destroyed by an infective ‘paranychia’, fungal, or other process (including ‘biting them down’)?

thin, soft or flexible nails that break/flake off readily or grow poorly?

Q. 30

How would you best describe your typical emotional state?

‘easy-going’; not dwelling on life’s minor mishaps

continually stressed, tense or easily irritated by life’s minor mishaps

worrisome, nervous or often anxious which you mostly internalise

angry/agitated; becoming verbally or physically aggressive with minor provocation

continually stressed with feelings of high anxiety

dwell on the "what if" matters of life over which you have no control

depressed with feelings of sadness or hopelessness

Q. 31

In what area/s of your life do these feelings prevail?

your place of employment or business

personal relationships

home and family life

generally and in all areas of life

Q. 32

What do you do to relieve these negative emotions?

Q. 33

Are you able to get some daily or weekly exercise? If so what:?

Q. 34

Do you regularly experience disturbed sleep patterns?
If "YES", why do you think this occurs?

Q. 35

How often do you wash your hair?

Daily

‘couple of times’ per week

Less than weekly

Q. 35A

What shampooing and/or grooming products do you use (Brands)?

Q. 36

Do you regularly do any of the following to your hair?
(Please indicate weekly/monthly intervals between procedures).

tint or dye your hair darker

tint/dye or bleach your hair lighter

have your hair permed

have your hair straightened

Q. 37

When styling your hair do you:

use a hot wand/comb

use hot curlers

blow-dry your hair for long periods with your blow-dryer on a heat or hot setting

Thank you for your time and patience in completing this questionaire. When you have submitted this consultation you will be automatically taken to a secure payment form.

 

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