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Female Hair Loss

Female Hair Loss

Female Pattern Hair loss is the term used to describe a genetic tendency for hair loss in women.  The genetic tendency is strong and makes the hair sensitive to hormonal changes, particularly estrogen and male sex hormones.  It is the most common cause of thinning and hair loss in women.  The majority of female hair loss is genetic, affecting about 30 million women in the U.S.  Female pattern hair loss affects a woman’s confidence and personality.

What is the pattern in Female Pattern Hair Loss?

The pattern of hair loss in women is different than in men.  The hair line does not recede.  Instead, the first sign is widening of the part, that over time progresses to diffuse thinning of the frontal scalp, temples and vertex (the crown) of the head.  There are not distinct “bald” areas, and most women notice that their ponytail diameter is smaller.

What causes female pattern hair loss?

Female pattern hair loss is caused by a combination of a genetics, androgens or male sex hormones, and aging.  The genetics are milder than in men, and the role genetics play is less clear. The genetic tendency combined with the enzyme that converts testosterone into dihydrotestosterone (DHT) causes the hair follicles to produce thinner and finer hair. Women do experience higher blood levels of testosterone as they age and estrogen levels decrease during and after menopause.  The current science shows that female pattern hair loss is multifactorial including hormone and non-hormone causes.  The science is clear that there is an alteration of the hair growth cycle which causes a gradual reduction in the growth phase and an increase in the time between when hair is shed and when new hair grows.

Who is affected by Female Pattern Hair Loss?

In genetically susceptible women, it usually begins between the ages of 40 and 60, but can begin earlier.  It is most common after menopause because of a decline in production of estrogen which protects the hair follicles. 

Is Female Pattern Hair Loss reversible?

It is a permanent condition, and cannot be reversed. But when the miniaturized hairs are still present, treatments may be able to slow the process. All hair loss is not the same.  Early diagnosis and starting treatments are effective to avoid progression of hair loss.

If you are concerned about your hair thinning, schedule an appointment today with Dr. Jenna Queller to get the correct diagnosis and to go over all your treatment options.

At a Glance

Dr. Jenna Queller

  • Board Certified in Dermatology
  • Practiced at a prestigious dermatology office on Rodeo Drive in Beverly Hills, California
  • Authored several book chapters in clinical textbooks and peer-reviewed publications
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