Hair loss is often considered a concern affecting men, yet millions of women also experience progressive hair thinning. Female pattern hair loss (FPHL), medically known as androgenetic alopecia, is the most common cause of hair loss in women, typically beginning in midlife but sometimes appearing as early as the 20s. Unlike male pattern baldness, which often results in a receding hairline or bald spots, FPHL usually presents as a general thinning across the scalp, particularly at the crown.
Causes of Female Pattern Hair Loss
The exact causes of FPHL are not entirely understood, but several factors contribute to its development:
- Genetics – A family history of hair loss can increase the likelihood of experiencing FPHL. If close relatives have suffered from hair thinning, you may have a higher genetic predisposition.
- Hormonal Changes & Menopause – Hormonal fluctuations, particularly a decrease in oestrogen levels, play a crucial role in hair loss. This is why many women notice increased hair thinning around menopause. Oestrogen helps maintain hair in the anagen (growth) phase for longer periods. As oestrogen levels decline, hair cycles become shorter, leading to increased shedding and thinner regrowth. Additionally, the relative increase in androgens (male hormones) can cause miniaturisation of hair follicles, making hair progressively finer and weaker. Women going through menopause often experience more pronounced hair thinning and may benefit from targeted treatments that address these hormonal changes.
- Ageing – As women age, hair growth naturally slows, and individual hair strands become finer. This process can lead to noticeable thinning over time.
Treatment Options for Female Pattern Hair Loss
While FPHL is a progressive condition, several approaches can help slow its progression and promote regrowth. Treatment strategies generally focus on improving scalp health, stimulating hair follicles, and preventing further loss.
Compounded Medications for FPHL
Compounded medications can be a viable solution for women seeking personalised treatment options. Unlike commercially available treatments, compounded formulations are customised based on individual patient needs.
A customised approach improves effectiveness and decreases the chances of side effects.
These medications can include combinations of active ingredients designed to address hormonal imbalances, reduce inflammation, and improve scalp circulation. FPHL can often be treated with a single capsule once daily.
In addition, compounded topical treatments, such as scalp serums, include specific ingredients that support follicle health without internal side effects.
Combining a prescription treatment with nutritional support, such as iron, zinc, biotin, and protein, can further support hair health.
Professional & Procedural Treatments
- Platelet-Rich Plasma (PRP) Therapy – This treatment involves drawing a small amount of the patient’s blood, processing it to concentrate growth factors, and injecting it into the scalp to encourage hair regrowth.
- Microneedling – Often used in conjunction with topical treatments, microneedling creates tiny micro-injuries in the scalp to stimulate the body’s natural healing response and improve hair growth.
- Hair Transplant Surgery – Hair transplantation may be considered for more advanced cases of hair loss. This involves moving healthy hair follicles from denser areas to thinning sections of the scalp.
Final Thoughts
Female pattern hair loss is a common yet often overlooked condition that can significantly impact self-esteem and well-being. While no one-size-fits-all solution exists, various treatment options exist to help slow progression and improve hair density. If you are experiencing noticeable thinning, consult a doctor or pharmacist who can guide you on a tailored solution to your needs.
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