Women Hair Loss

Women Hair Loss

Female hair loss is known as Telogen effluvium. It causes thinning of hair density rather than bald patches. These are the causes of hair loss in female: Anemia, Stress, anxiety, skin infection, Thyroid hormone, Age , Radiotherapy, medication for birth control, pregnancy, child birth, any gynecological disorder, DHT (Dihydrotestosterone) hormone, Heredity, Poor nutrition ect. Most women who wear their hair tightly pulled up or in very tight braids for long periods of time, the chronic pull on the hair root will eventually work towards killing the follicular system and hair will stop growing in these areas. Most women will notice a diffused hair loss pattern in their mid scalp, but they will retain their hairline. Female’s hair loss usually begins when they reach menopause. Up until that time, the levels of testosterone and Dehydro-Testosterone in their bodies is substantially lower compared to the ones of the female hormones, and those counteract them. When women reach the menopause, the levels of hormones in their bodies drop, and they too become prone to the effect of DHT on hair follicles. The pattern of Female Baldness is different from men. Their hair thins and diffuses throughout the scalp, but mostly there are no bald areas. In rare cases a bald spot may develop at the head.

What causes female pattern hair loss?

FPHL has a strong genetic predisposition although the mode of inheritance remains to be determined. There are many genes that contribute to this condition, and these genes could be inherited from either parent, or both. Genetic testing to assess risk of balding is currently not recommended, as it is unreliable.

Currently, it is not clear if androgens (male sex hormones) play a role in FPHL, although androgens have a clear role in male pattern baldness. The majority of women with FPHL have normal levels of androgens in their bloodstream. Due to this uncertain relationship, the term FPHL is preferred to ‘female androgenetic alopecia’.

The role of oestrogen is uncertain. FPHL is more common after the menopause suggesting oestrogens may be stimulatory for hair growth. But laboratory experiments have also suggested oestrogens may suppress hair growth.


Hair thinning is different from that of male pattern baldness. In female pattern baldness :

  • Hair thins mainly on the top and crown of the scalp. It usually starts with a widening through the center hair part.
  • The front hairline remains.
  • The hair loss rarely progresses to total or near total baldness, as it may in men.

Itching or skin sores on the scalp are generally NOT seen.

Alternative Names

Alopecia in women; Baldness - female; Hair loss in women; Androgenetic alopecia in women

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Hair transplantation is really about relocating (transplanting) the bald resistant hair follicles from the back of the head to the balding areas on the top of the head. This process works for a lifetime because the hair follicles taken from the back of the head are genetically resistant to baldness, regardless of where they are relocated to.

Hair transplantation, when done right, can be so natural that even your hair stylist will not know that you've had it done. But the skill and techniques of hair transplant surgeons does vary widely, as do their results. It's important to choose the right procedure and clinic to assure that you will get completely natural results.

A typical session of between 1,500 to 3,000 grafts normally involves a full day of surgery on an out patient basis. Most patients will arrive in the morning and will have their procedure completed by late afternoon.

Patients are given local anesthesia in the donor and recipient areas. Most patients find that once the anesthesia is given that they feel no pain or discomfort during the surgery. Following surgery patients will typically feel some amount of soreness and numbness, with some mild discomfort. Most patients are pleasantly surprised by how minimal the discomfort from the surgical procedure is.

The amount of grafts you will need ultimately depends on your degree of hair loss, now and in the future, and on how full you desire your hair to be.

With today’s very refined micro hair transplantation procedure the incisions are very small and less invasive than past procedures. This results in more rapid healing. Most patients feel fine within a day or two following surgery, although some numbness and mild soreness can be expected for several days following surgery.

Immediately following surgery a patient’s recipient area is typically pink with scabs forming around the micro incisions. These hundreds of tiny incisions will heal rapidly within a week to ten days.

During the first few days after the surgery a person’s hair transplants will be noticeable if there is no previous hair to mask these temporary scabs. However, most patients feel comfortable being in public without wearing a hat within 5 to 7 days following surgery.

Once the transplanted hair grows out the results should look entirely natural, even under close examination.

Normally it takes between three to five months following surgery before the transplanted hair follicles begin to grow new hair. The transplanted hair grows in very thin initially and gradually grows thicker and fuller over time. After one year a patient’s transplanted hair will be fully mature and will continue to grow for a life time.

Since the hair follicles that are transplanted to the balding areas are genetically resistant to going bald, they will continue to grow for a life time – just as if they had been left in the bald resistant donor area.

Many patients can return to their daily routines within 1 to 2 days, as long as they don't do anything too strenuous. Avoid rigorous exercise until the donor sutures are removed — generally after 10 to 12 days.

For men, the primary reason for hair loss is genetics. Ninety percent of all instances of noticeable hair loss in men are caused by androgenetic alopecia. This inherited predisposition makes some follicles susceptible to a hormone, DHT, resulting in male pattern baldness (a horseshoe fringe around the head which affects more than 30 million men in the United States alone).

While genetics certainly plays a large part in female hair loss, other factors also responsible for balding in women include poor nutrition, physical and emotional stress, thyroid abnormalities, medications and hormonal causes (pregnancy, birth control pills, menopause, etc.)

Androgenetic Alopecia

This is the most common cause of hair loss in women. Hair thins above the forehead and on the top of the head. Complete balding is rare in women, but rather a slow progression of hair thinning occurs over many decades. It is beleived that hormones play a huge part in this type of hair loss, and it is actually the male hormone, testosterone, that causes the hair to thin. Women with Androgenetic Alopecia do not have more of this hormone, but rather they have inherited the tendency to be more sensitive to it. There are treatments available to slow the hair loss down, and preserve the hair longer, but early treatment is essential.

Alopecia Areata

This is a patchy type of hair loss, but in severe cases it can progress to complete baldness. Treatment is only partly successful, but many women have complete, spontaneous recovery without treatment. This is not inherited, but rather the body's own immune system attacks the cells that grow hair. The cause is unknown.

Telogen Effluvium

This is a sudden loss of hair that is usually not permanent. Most women notice more hair on the brush or in the shower after washing. This is caused by stress, both physical and emotional.. Many medications can cause this. Telogen Effluvium is responsible for hair shedding after pregnancy. After a few months, the hair follicles become active again and the hair starts to grow.

Traumatic or Traction Alopecia

This is caused by harsh hair practices, as well as tight braids, which can cause hair loss. The only treatment is a change of hair styling to a less traumatic method.

Every human being loses hair on a daily basis. Shedding anywhere from 50 to 100 hairs per day is considered normal, with an average rate of growth of about 1/2 inch per month.

True genetic hair loss, or androgenetic alopecia, causes hair to be lost from the forehead back to the crown in men, while women’s hair loss can follow two patterns of thinning, involving the areas similar to men on the top of the head, or a more diffuse thinning over the front, crown and sides.

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