Hair loss in women is often recognized when daily shedding surpasses 125 strands, leading to noticeable thinning, bald spots, or increased shedding. Experiencing this kind of hair loss can be distressing, but it’s possible to uncover the root cause and address it effectively. Consulting with a dermatologist is key, as they can accurately diagnose the underlying reason for hair loss and guide patients through personalized treatment options. From hormonal imbalances to lifestyle factors, many causes can influence hair health, and a tailored approach can help restore confidence and improve hair strength.

Hair loss in women occurs when individuals assigned female at birth (AFAB) experience an unexpected and excessive loss of hair. Normally, people shed between 50 to 100 hairs daily as part of a natural balance some hairs fall out while new ones grow in. When this balance is disturbed, leading to more hair falling out than regrowing, hair loss, medically known as “alopecia,” occurs.

Hair covers nearly all skin surfaces except for areas like the palms, soles of the feet, lips, and eyelids. This hair can appear in two forms: vellus hair, which is soft, light, and fine, and terminal hair, which is thicker, darker, and longer. Understanding these types can help with diagnosing and managing hair health, particularly in cases of hair loss.

Types of hair loss in women can be listed as follows:

• Alopecia areata
• Anagen effluvium
• Alopecia universalis
• Traumatic alopecia
• Telogen effluvium
• Androgenetic alopecia
• Bald spots
• Traction alopecia
• Cicatricial alopecia
• Female pattern hair loss (fphl)

Hair loss can manifest differently based on its underlying cause, with some noticing gradual thinning over time while others experience sudden hair shedding. Symptoms of hair loss include:

• General Thinning: One of the most common patterns, especially on the top of the head, gradual thinning can affect both men and women. Men might notice a receding hairline, while women often observe a widening part.
• Bald Patches: Hair loss can also appear in circular or patchy bald spots, often leaving areas of the scalp visibly thinner or entirely bare. This type of hair loss may be accompanied by itching or sensitivity on the scalp just before the hair falls out.
• Sudden Shedding: After physical or emotional stress, some individuals might experience sudden hair loss, with clumps of hair coming loose during washing or brushing, resulting in more pronounced thinning.
• Complete Hair Loss: Certain medical treatments, like chemotherapy, can lead to rapid, widespread hair loss.

Keeping a hair diary to log any new symptoms or changes may help identify patterns and provide valuable insights when consulting with a healthcare professional.

Hair loss in women can be caused from various factors, each affecting the natural growth cycle in different ways. Common causes include damage to hair follicles, rapid dietary changes such as sudden weight loss, and elevated stress levels. Additionally, certain chemical hair treatments, as well as medical interventions like chemotherapy or radiation, can lead to significant hair loss.

Underlying health conditions, such as thyroid imbalances, anemia, or deficiencies in essential vitamins, may also play a role. Hormonal shifts, particularly those linked to pregnancy or menopause, can trigger changes in hair density. Some medications and supplements, including blood pressure drugs, gout medications, and high doses of vitamin A, may likewise contribute to hair thinning. Lastly, a family history of hair loss may indicate a genetic predisposition, heightening the likelihood of experiencing similar issues.

Hair loss treatment varies widely based on its root cause, ranging from lifestyle adjustments to advanced medical procedures. Here’s an overview of the common approaches:

• Stress Management: Reducing stress through practices such as therapy can be essential for managing hair loss tied to mental or emotional strain.
• Avoiding Harmful Hair Products: Steering clear of harsh chemicals and treatments that weaken hair can help protect follicles from damage.
• Supplementing Nutrients: In cases of vitamin deficiencies, replenishing nutrients through vitamins or supplements can support healthier hair growth.
• Gentler Hair Styling: Changing your hairstyling habits to reduce tension on the hair and scalp can prevent follicle stress and breakage.
• Medication: Certain medications may be recommended depending on the type of hair loss.
• Underlying Health Conditions: Addressing medical issues that may be contributing to hair loss is essential, as treatment for conditions like thyroid imbalance or anemia may help restore hair growth.

Medical options may also include light therapy: FDA-cleared products like the HairMax Lasercomb® and Theradome LH80 PRO® laser helmets use low-light therapy to stimulate hair growth.

In some cases, such as hair loss due to temporary hormonal changes, no treatment may be necessary, as hair growth often resumes on its own. For other cases, medical professionals may suggest advanced options:

• Microneedling: Performed with or without minoxidil, microneedling on the scalp can stimulate new growth.
• PRP Injections: Platelet-rich plasma injections can promote hair regeneration by delivering growth factors directly to the scalp.
• Hair Transplant Surgery: For more permanent hair restoration, transplant surgery is also a widely considered option.

Consulting with a healthcare provider is essential before beginning any treatment, especially for individuals who are pregnant, planning a pregnancy, or undergoing menopause, as some treatments may not be safe.