Hair loss is a common problem for women that can be caused by a variety of factors including aging, menopause, thyroid issues, stress, medications, medical treatments like chemotherapy, and hereditary conditions. There are many potential treatments depending on the underlying cause, such as minoxidil, laser therapy, hair transplants, or treating a medical condition causing the hair loss. Seeing a dermatologist can help diagnose the reason for hair loss and prescribe an effective treatment plan.
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1. All About Hair
Hair is one of the 몭rst things people notice about us when we meet them.
Hair conveys aspects about your style and personality. Throughout their
lives, particularly as they age, hair care may become even more important
Beauty & Cosmetics
Women’s Hair Loss: Causes,
Treatments, and Solutions
Reviewed By Melissa Conrad Stöppler, MD on 9/24/2019
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Women’s Hair Loss: Causes, Tr…
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3. for women. Some researchers found that beginning in the late 20th
century, perceptions about old age began to shift. It became increasingly
important for older women to have groomed, managed hair to avoid
negative perceptions related to aging. Some women begin to experience
hair loss as they age, particularly during menopause. Hair loss in women
over 50 is a common problem. It can be distressing and negatively a몭ect
self-esteem, but there are many strategies and treatments to manage hair
loss in women.
The medical term for baldness is alopecia. Complete baldness of the
scalp is alopecia totalis. Continue reading to learn more about what
causes hair loss in women and about treatment strategies. You'll learn that
some types of hair loss in women are temporary, while others may be
permanent and require treatment. Reasons for hair loss in women are
varied.
4. Hair Loss in Women
We think of hair loss as a common problem in men, but women
experience it, too. Fewer than 45% of women go through their whole lives
with a full head of hair. What causes hair loss in women? Female pattern
hair loss (FPHL) is a common cause, and it increases with advancing age.
This type of hair loss may begin in a woman's 40s, 50s, or 60s. It is
hereditary, and genes inherited from the mother, father, or both may
contribute to the condition. Women who experience hair loss often
experience psychological distress and impaired social functioning as a
result of it. As female pattern hair loss tends to be a chronic, progressive
condition, early diagnosis and treatment are critical. This may help arrest
subsequent hair loss.
Some treatments may even help stimulate the growth of new hair. See
your dermatologist if you are experiencing hair loss. Stopping hair loss in
women is possible depending on the cause and how soon the problem is
identi몭ed. Early treatment may slow or reverse hair loss in women. A
trichologist is a dermatologist who specializes in the health of the scalp
and hair.
5. How Hair Grows
If you're wondering what to do about hair loss in women, it makes sense
to 몭rst understand how hair grows. The human scalp contains about
100,000 hair follicles. Hair grows from the bottom of the follicle from an
area called the root. Blood vessels nourish the root, allowing hair to grow.
Hair grows up and toward the skin, passing an oil gland. Oil glands keep
hair shiny and soft. Too much oil may make hair greasy. Hair is dead by the
time it pokes out through the skin. Hair on the head grows at a rate of
about half an inch per month. Hair on your head remains there for
between 2 to 6 years. That is about the length of time for the growth
phase. Then the hair stops growing for a period before it falls out. The
resting phase of the hair follicle is called the telogen phase. Then the
6. cycle begins anew.
Is Hair Loss Normal?
We all lose hair. Some hair loss is perfectly normal, as hair falls out after it
completes the 2 to 6 year growth phase. You may notice loose hairs that
have fallen out on your clothes or in your comb or hairbrush. The average
person loses about 50 to 100 hairs per day. This is normal. What is not
normal? Excessive hair loss in women may be apparent by the following: If
7. your hair starts to fall out in clumps, especially when you brush or comb it
or are in the shower, you should see your doctor. If you notice that you can
see larger areas of your scalp or that your hair is thinning, see your
dermatologist for diagnosis and treatment of your hair loss condition.
What Causes Hair Loss?
There are many di몭erent types of hair loss with a variety of potential
underlying causes. Several medical conditions are associated with hair
8. loss in women. Common causes include thyroid problems and hormone
imbalances. Wondering how to stop hair loss in women? When the
underlying cause of hair loss is diagnosed and treated, hair loss may stop,
and hair may grow back. Stress, nutritional factors, and genetics may also
play a role in hair loss. Severe physical stress such as going through
childbirth, surgery, or su몭ering a serious illness may precipitate a type of
hair loss called telogen e몭uvium. This is a condition in which stress forces
large numbers of follicles to enter the resting phase, and after a few
months, hair will fall out.
Sometimes doctors are not able to determine what is causing hair loss.
Other potential causes of hair loss include radiation therapy, cancer,
kidney failure, liver failure, medication side e몭ects, and autoimmune
disease. If you are experiencing new or increasing hair loss, see your
doctor for a diagnosis and treatment.
9. How Do You Measure Hair Loss?
Doctors characterize the severity of hair loss using something called the
Savin density scale. This scale has 8 stages and describes hair loss around
the midline part as well recession in the front of the hairline. Some women
lose hair to various degrees around the midline and/or in the front of the
hairline. Some women experience hair thinning all over the scalp. Hair loss
may occur in episodes or continuously. The doctor parts the hair down the
middle of the head and then determines the severity of hair loss. The
most common pattern for female pattern baldness is thinning around the
midline that occurs in the shape of a Christmas tree. The pattern and
severity of female hair loss helps determine the appropriate course of
treatment.
10. The Thyroid Disease Connection
The thyroid is a butter몭y-shaped gland that rests in the front base of the
neck. It secretes thyroid hormones that are used by every cell in the body.
There's a connection between hair loss in women and thyroid disease.
Imbalances in thyroid hormone levels are a common reason for hair loss
in women. Too much thyroid hormone (hyperthyroidism) and too little
thyroid hormone (hypothyroidism) may both trigger hair loss. Other
symptoms of hyperthyroidism include weight loss, rapid heart rate,
inability to fall asleep or stay asleep, and anxiety. In addition to hair loss,
hypothyroidism may be associated with weight gain, fatigue, feeling cold,
slow heart rate, and constipation. Luckily, thyroid hormone imbalances are
easily detectable with blood tests. Treatment helps alleviate symptoms,
including hair loss.
11. PCOS Can Be a Trigger
Polycystic ovary syndrome (PCOS) is a condition in women in which the
body manufactures more androgens, or male hormones, than it normally
should. It is a potential cause of hormonal hair loss in women. Women
who su몭er from this condition may grow facial hair and extra body hair.
One of the other symptoms of this condition is thinning of hair on the
head. Women a몭ected with PCOS may also experience weight gain, acne,
menstrual irregularities, ovulation problems, depression, and infertility.
Hair thinning may be the only outward sign that a woman is su몭ering from
this condition.
12. Alopecia Areata
Alopecia areata is a condition that causes hair loss in round patches on
the scalp and body. Alopecia is the medical term for baldness. With
alopecia areata, missing hair often grows back approximately 6 months to
1 year later. Less than 5% of people lose all the hair on their head and
body. Complete baldness of the scalp is called alopecia totalis. This type
of hair loss is not contagious. What causes alopecia areata? It is an
autoimmune condition in which the immune system attacks and destroys
hair follicles. Hair loss due to alopecia areata tends to come on suddenly.
The condition may be treated with steroids, anti-in몭ammatory drugs, or
13. immunosuppressive medications. People with alopecia areata su몭er from
more allergies, asthma, and autoimmune conditions compared to those
who do not have the condition. Minoxidil (Rogaine) for hair loss in women
is one option for treatment.
Ringworm and Hair Loss
Ringworm is a fungal skin infection that causes patches of hair loss. The
o몭cial medical name for ringworm on the scalp is tinea capitis. The
14. infection starts out as a small pimple that grows larger. A몭ected areas are
itchy, red, in몭amed, scaly patches with temporary baldness. The skin may
ooze. People may have one or more bald spots. Ringworm is more
common in children, but adults can get it, too.
The fungus triggers hair loss by causing hair to become brittle and to
break o몭. The skin often appears most red around the edge of the lesion,
with a more normal appearing skin tone in the center. That is one of the
reasons the condition is called ringworm. The condition is contagious with
skin-to-skin contact. It is also transmissible by infected combs,
hairbrushes, unwashed clothing, and surfaces in gyms, showers, and pool
areas. Your doctor can treat ringworm with oral antifungal medication.
Ringworm on the scalp is one potential cause of hair loss in women that is
reversible.
15. Childbirth May Be a Trigger
Moms-to-be are often very happy that their hair seems much fuller during
pregnancy, but they are then disappointed when they experience hair loss
after giving birth. Losing hair after pregnancy is not true hair loss and is
normal. That's because hormones and hair loss in women are linked. Hair
falls out after women give birth due to decreasing estrogen levels. Some
women notice that they lose a lot of hair in a short period of time after
giving birth. The good news is that after this shedding period, hair fullness
often returns to normal within 1 to 2 years. Many people wonder what's
the best treatment for hair loss in women? For postpartum moms waiting
for their full head of hair to return, using over-the-counter volumizing
shampoo and conditioner formulated for 몭ne hair can make hair appear
fuller.
16. Be Mindful of Birth Control Pills
Birth control pills are a form of contraception that works by suppressing
ovulation and/or making it more di몭cult for a fertilized egg to implant into
the lining of the uterus. Hormonal hair loss in women may occur when
women start or stop taking certain kinds of contraceptives. The hormones
that make birth control pills e몭ective may also cause hair thinning in
women who use them. You are more likely to experience this side e몭ect
from birth control pills if you have a family history of hair loss. Stopping the
pill is also a cause of hair loss in women. Hormones are not the only
medication that may be associated with hair loss. Blood thinners and
blood pressure medications may do it, too. So can drugs used to treat
depression, heart disease, and arthritis.
17. Crash Diets Are Dangerous
Crash diets and fad diets promise quick weight loss, but most do not work
and can be dangerous. If you lose 15 pounds or more very quickly, you
may lose a signi몭cant amount of hair within a matter of months.
Inadequate protein and nutrients is one of the potential reasons for hair
loss in women. Stick to a healthy, balanced eating plan. Fresh fruit,
vegetables, lean meats, and complex carbs give your body the fats,
proteins, carbohydrates, vitamins, and minerals you need to maintain a
healthy body, including a full head of hair. Other dietary risk factors for hair
loss? Excess vitamin A may set the stage for your luscious locks to fall out.
18. Style Hair Carefully
Wondering what to do about hair loss in women? Loosen up! Tight
ponytails, hats, scarves, cornrows, and bandannas can all pull on hair and
lead to hair loss by a process called traction alopecia. The gradual,
constant tension irritates the scalp and may cause hair to fall out. Ditto for
tight rollers. One of the potential solutions for hair loss in women is to
wear your hair down to eliminate tension. Your hair should grow back if
traction alopecia was to blame for losing your locks. Beware especially of
long-term use of tight hairstyles. These may scar your scalp and lead to
hair loss that is permanent.
19. Cancer Treatment Is a Trigger
Radiation and chemotherapy used to treat cancer are some of the
common causes of hair loss in women. Both therapies harm hair follicles
in addition to killing cancer cells. People undergoing cancer treatment
often experience dramatic hair loss as a result of these therapies. They
may wake up with clumps of hair on their pillow or they may lose large
amounts of hair in the shower. Rapid hair loss in women often starts within
2 weeks of beginning treatment. It may be worst between 1 to 2 months
20. into therapy. The scalp may be extra sensitive during this time. It may be
irritating to wash, brush, and comb hair. The good news is that once
cancer treatment is over, hair tends to grow back.
Physical and Emotional Stress
Extreme physical or emotional stress may trigger sudden hair loss in
women. Hair loss due to physical or emotional stress is called telogen
e몭uvium. Circumstances that may precipitate this pattern of hair loss
21. include serious illness or injury, surgery, severe emotional upset, blood
loss, and weight loss. Sometimes a reaction to medication may trigger this
kind of hair loss. Telogen e몭uvium may last for 6 to 8 months before
resolving.
Medication for Hair Loss
Minoxidil, or Rogaine, is a topical medication that is used to treat female
pattern hair loss and male-pattern baldness. It was initially developed as a
22. blood pressure medication and was used o몭-label to treat hair loss until it
became FDA-approved for that purpose. Minoxidil can slow the
progression of hair loss. Most women who use the medication experience
regrowth of hair. The medication needs to be used continuously to
maintain results. Other types of treatment work for di몭erent kinds of hair
loss. Corticosteroids help suppress the immune response that damages
hair follicles in people who have alopecia areata. Once the follicles
recover, hair can grow back. If nutritional de몭ciencies underlie hair loss,
eating a healthy diet with adequate and protein and nutrients can help
you regrow hair. Certain medical problems may trigger hair loss.
Adequately treating these conditions may help restore hair growth.
23. Do Lasers Work?
Low-level laser therapy (LLLT) is a treatment that may help regrow hair
and reverse hair loss in women. The lasers are available for home use and
in doctor's o몭ces. Laser therapy must be used for between 2 to 4 months
before results are visible. Laser therapy is an alternative to medication and
hair transplant surgery. The devices are approved by the FDA, but the
approval process for devices is not as stringent as it is for medications that
undergo a rigorous clinical trial process. Long-term safety and e몭cacy
data for low-level laser therapy is not available. Laser therapy may be
e몭ective for 50% of men over the age of 40 and 75% of women over the
age of 65 who su몭er from certain kinds of hair loss.
24. Hair Transplant Surgery
Hair transplantation is a surgical procedure in which a doctor removes hair
from part of the scalp and transfers it to areas of the scalp where it is
thinning. In cases of female pattern hair loss, hair may be thin all over, so it
may be di몭cult to 몭nd adequate donor sites for harvesting hair. Hair
transplantation is more e몭ective for those who su몭er from male pattern
baldness or those who su몭er from thinning of the frontal scalp. Patients
may need multiple sessions to achieve desired results.
25. Beware of Big Promises
There are numerous devices and products that are marketed as e몭ective
hair loss treatments, but many of them do not work. Beware of all of the
false advertising associated with these products. If a cure for hair loss in
women sounds too good to be true, it probably is. Before-and-after
pictures may have been doctored to be misleading. How do you know if a
hair loss treatment really works? Ask your dermatologist about any
treatment you are considering. Look on the FDA and Federal Trade
Commission (FTC) websites to search for approved medical devices and
drugs.
26. Style Your Hair Right
Hair stylists are a great resource for help for hair loss in women. A new
haircut or hairstyle may be just what you need to make your hair appear
fuller. Ask your stylist for advice about getting a shorter cut, parting your
hair in a di몭erent location, or adding curls or waves to add volume to your
hair. Products for hair loss in women include using styling products
designed for thin hair. Some products are added to the roots while hair is
damp before blowing dry. Some cosmetic products can help disguise the
appearance of bald spots. Keratin 몭ber hair cosmetics have a static charge
that makes hair appear fuller than it is. Ask your stylist or dermatologist for
recommendations about the products and strategies that will work best
for you.