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FEMALE HAIR LOSS AND THINNING HAIR IN WOMEN
Most health practitioners and hairdressers would
agree they are seeing increasing numbers of pre and
postmenopausal women experiencing hair loss
problems. It’s estimated over 90% of these women can
be grouped into two categories of female hair loss:
Female androgenetic alopecia from some form of
hormonal change, and
Diffuse (“all over”) hair loss from a nutritional
disturbance, principally low iron levels.
1. Female Androgenetic Alopecia:
With the current prescription medication available,
male genetic balding is relatively uncomplicated to
treat. Conversely, the causes of female hair loss
may be as simple as the wrong choice of
contraceptive, or the effects of an endocrine tumor
requiring immediate medical intervention.
Half a century ago female genetic thinning was
almost exclusively a problem of post-menopausal
women.
The exponential rise in the numbers of younger women
developing genetic thinning is multi-factorial, but
is thought to be in part due to the advent of
synthetic hormones used in contraceptive and hormone
replacement therapies.
In a woman with the inherited tendency to develop
it, genetic hair thinning is always triggered by
some event that causes fluctuations in her body’s
hormone balance.
Female pattern genetic thinning is characterized by
a progressive thinning-out of the top, temple and/or
crown areas of the scalp. Unlike men’s genetic hair
loss, not all the hair follicles across the top of a
woman’s scalp are affected – thus ‘thinning’ of the
hair density occurs rather than total baldness.
Assessing and Treating Female Androgenetic Alopecia
The numerous factors having the potential to both
initiate and/or impact female genetic thinning make
it essential for a careful and detailed history to
be taken by the treating practitioner.
Circumstances surrounding the onset of the problem,
signs/symptoms of hormonal disturbance, menstrual or
reproductive difficulties, and current
contraceptive/hormone replacement therapy are the
predominant issues to explore.
For some time now the accepted treatment regime for
female androgenetic alopecia has centered on some
form of oral hormonal therapy, either as
prescription anti-male hormone medication (Androcur/Aldactone)
or phytohormones.
Hormonal profiling is the specific way to assess
whether or not a woman’s hormones are in balance.
However, because pre-menopausal hormone levels often
vary from day to day, it’s vital that “patterns” of
symptoms over time are assessed, and assessed in
conjunction with the woman’s “total picture” of
diet, stress levels, lifestyle, medical history, and
blood test results.
Minoxidil topical solution in combination with NHR,
proper supplementation and the use of approved Low
level laser is now considered the specific treatment
regime for hair loss of hormonal origin and other
Hair loss problems.
2. Diffuse Hair Loss:
Diffuse hair loss is excessive hair loss from all
over the entire scalp. Because the growing hair is
very sensitive to nutritional, metabolic or
environmental disturbances, hair is often one of the
first areas of the body to reflect disturbances in
physiological functioning.
When hair loss is subtle, slowly thinning out over
many months or even years, the underlying cause is
likely to be a nutritional or metabolic disturbance.
Hypervitaminosis or mineral overdose resulting from
dietary intake is very rare, rather it occurs over
time from the excessive consumption of supplements.
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