Female pattern baldness involves a typical pattern of hair loss in women, due to hormones, aging, and genes. This is also known as andro-genetic alopecia which leads to thinning of the hair at the sides of the head, crown and front. The hairline mostly stays in intact. About one-third of women experience hair loss (alopecia) at some time in their lives; among postmenopausal women, as many as two-thirds suffer hair thinning or bald spots. Hair loss often has a greater impact on women than on men, because it’s less socially acceptable for them. Female pattern hair loss may begin as early as puberty. The onset of hair loss may be gradual, but can eventually lead to a completely bare scalp. This can occur due to a variety of reasons such as aging, genetics, and intake of certain medications or physical or emotional stress.
- 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
Diagnosis of female pattern baldness
Female pattern baldness is usually diagnosed based on the appearance and pattern of hair loss and by ruling out other causes of hair loss.
- A skin biopsy or other procedures may be used to diagnose medical disorders that cause loss of hair.
- Hair analysis is not accurate for diagnosing nutritional or similar causes of hair loss, although it may reveal substances such as arsenic or lead.
In Female Permanent Baldness hair loss is permanent, if it is not treated. In most cases, hair loss is mild to moderate. The treatment usually recommended is through medication and hair transplant.
The only medication approved by the United States Food and Drug Administration (FDA) to treat female pattern baldness is minoxidil. It is applied to the scalp and only 2% concentration of this is recommended. In most women it may slow or stop hair loss. Hair loss may start again when we stop using it.
Hair transplants remove tiny plugs of hair from areas where hair is thicker, and place them in areas that are balding. This can cause minor scarring where the hair is removed, and carries a slight risk for skin infection. This can be expensive but the results are excellent and permanent. Hair weaving, hairpieces, or a change in hairstyle may disguise hair loss and improve your appearance. This is often the least expensive and safest way to deal with female pattern baldness. However, the use of hair implants made of artificial fibers and stitching (suturing) hair pieces to the scalp is not recommended. It can result in scars, infections, and swelling of the scalp.