Female Hair Loss

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Female Hair Loss

What is Female Hair Loss

Hair loss is a serious problem for many women. Research has shown that around 40% of women up to the age of 50 years have some form of hair loss, while the percentage of women who continue to have full hair growth into their 80s is low.

The most common form of hair loss in women is androgenetic alopecia (HA) which presents with different symptoms from those of men: in men, androgenetic alopecia usually starts with receding frontal hairline and then progresses to a bald area at the top of the head while in women the main symptom is general hair thinning. Extensive alopecia, like that seen in men, is rare in women and when it occurs it is due to high levels of androgens in their bodies.

  • Over 40% of women after 50 suffer from some form of hair loss

  • Autologous mesotherapy PRP + minoxidil is usually the ideal treatment combination

  • Finasteride, as an antiandrogen, is given to women as a treatment only after menopause

  • For effective treatment it is important to investigate the causes of hair loss

  • Clinical diagnosis is usually combined with scalp biopsy and/or blood tests

  • The timely start of treatment stops the course of hair loss

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Female hair loss


For any form of hair loss, female androgenetic alopecia (GAD) or otherwise, there are many conservative treatments available today that can halt its progression and significantly enhance hair growth. There are two key factors to seeing your hair thick and healthy again if you suffer from hair loss: early diagnosis and consistency in the treatment recommended by your specialist. The main treatments for hair loss are as follows:


Minoxidil is a safe and FDA-approved treatment with proven effectiveness in fighting female hair loss. Minoxidil increases blood flow to hair follicles, stimulates hair growth and prolongs the regenerative (growth) phase of the hair cycle.

The treatment can be in pill, foam, topical solution or in injectable form. It can be used alone or in combination with other treatments, such as autologous PRP mesotherapy, while the doctor may also recommend the use of special shampoos to enhance its effect.

Treatment with minoxidil foam on the scalp.

Autologous hair mesotherapy PRP

Autologous Hair Mesotherapy (PRP) is the leading non-invasive treatment option for female hair loss and is based on the regenerative powers of blood plasma.

The treatment is performed in the office and involves extracting a small amount of the patient’s blood, processing it to collect platelets and injecting it into the scalp. Platelets contain growth factors that stimulate hair follicles, promoting hair growth and improving hair density.

This is a top treatment for hair loss that can be stand-alone or combined with the administration of minoxidil or another form of treatment chosen by the doctor.

Treatment with autologous PRP hair mesotherapy in a woman.


Spironolactone is a medicine in pill form that may be recommended by your doctor to treat female hair loss if you are in the menopausal phase. It is a medicine that works by inhibiting the effects of androgens (male sex hormones) on hair follicles. By reducing the activity of androgens, spironolactone slows down hair loss and enhances natural hair regeneration.

Hair loss treatment with spironolactone in women.

Diagnosis of female hair loss

Depending on the clinical examination, the doctor may request various tests to get the full picture of the causes of hair loss.

  • Pull test (Pull test) where the doctor gently pulls the hair to check how many hairs come out and examine them under the microscope.
  • Blood tests to check hormone levels (including thyroid, as well as androgen and estrogen) and vitamin and mineral levels (such as vitamin D, vitamin B, zinc and iron). In some cases the doctor may recommend tests for polycystic ovary syndrome, a condition that can cause hair loss.
  • Digital photochemical hair loss scan to evaluate hair loss, select the appropriate treatment, and monitor its successful progress.
  • DNA tests to analyse the genes associated with hair loss. Gene testing allows the physician to identify genetic variants associated with hair loss disorders and detects the chances of hair loss in the future. The test is important for prevention and avoiding ineffective treatments.
  • Scalp biopsy by removing and examining a very small sample of scalp skin. Biopsy is necessary in case of differential diagnosis, such as in conditions of scarring alopecia or alopecia gyrus.

Sinclair scale for female hair loss

This scale helps the doctor to determine the stage of hair loss.

  • Stage 1: Normal hair growth
  • Stage 2: Particle enlargement has started
  • Stage 3: There is enlargement of the parting and loss of hair volume on the sides of the parting
  • Stage 4: A hair gap develops in the front part of the scalp.
  • Stage 5: Extensive hair loss
Stages of female hair loss.

Causes of hair loss in women

The causes of hair loss include some basic factors that are common to both men and women:

  • Heredity
  • Chronic diseases
  • Anemia
  • Skin diseases
  • Certain medicines
  • Nutritional deficiencies
  • Stress and anxiety
  • Environmental pollution
  • Seasonality
  • Excessive hair styling

Especially for female hair loss, the causes are complemented by the following possible factors:

  • Pregnancy
  • Menopause
  • Premenopause
  • Polycystic ovary syndrome Polycystic ovary syndrome
  • Pituitary anomalies such as prolactinoma
  • Adrenal and ovarian neoplasms leading to excessive androgen secretion
  • Chronic use of corticosteroids
  • Contraceptive use
  • Cushing’s syndrome

Female hair loss

The types

Female androgenetic alopecia (GAA)

Female androgenetic alopecia.

Androgenetic alopecia is the most common type of alopecia in women and is usually caused by hereditary causes. In this form of hair loss, the hairs have a shorter regrowth phase during their cycle and progressive atrophy of the hair follicles occurs. The earliest symptom is an increase in the width of the parting. Hair loss is most evident in hair above the forehead. In post-menopausal women, symptoms worsen and diffuse thinning and hair loss occurs on the top of the head and at the temples.

Regenerative hair loss

Regenerative hair loss in a woman.

Regenerative hair loss (anagen effluvium) usually occurs in women and men who are receiving chemotherapy or radiation to treat a form of cancer. In this case, the hair follicles undergo a toxic or inflammatory attack, resulting in shrinkage of the hair shaft and hair fall. Since >80% of scalp hair is in the regenerative phase, hair loss is usually significant. [2] [3] [4]

Telogen Trichorrhea or Diffuse Alopecia

Telogen hair loss in a woman.

Telogen effluvium is usually diffuse with uniform hair loss on the scalp. This is why the term diffuse alopecia is sometimes used. This form of hair loss is caused by sudden, intense stress on the body, which can affect the hair follicles and cause them to enter the telogen phase prematurely. Other factors that can contribute to its occurrence include fever-inducing illnesses, infections, severe trauma, surgery, hormonal imbalances, medications and dietary problems.[5] Usually the condition is reversible and once the cause is corrected hair usually comes back.

Localized hair loss

Localized hair loss in a woman.

Localized hair loss (patchy alopecia) occurs in distinct areas of the scalp. In contrast to diffuse hair loss, where hair falls evenly throughout the scalp, localized hairless areas the size of a coin grow in different parts of the scalp. The causes of this form of hair loss may be alopecia gyrus, anterior fibrotic alopecia, smooth lichen, lupus erythematosus, fungal infection, carcinoma, folliculitis or trauma.

Why choose us

Today there are many options available to manage or reverse all types of hair loss in women. It is important not to let the problem worsen and affect your image and mood. At our clinic each treatment is individualized based on your needs. In addition, the results of our clinical research on female hair loss and our treatment protocols have been presented at major international scientific conferences and published in prestigious medical journals.