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Hair loss in women: understanding the cause first
Possible causes of hair loss in women, the Ludwig scale, and the circumstances in which a transplant may be considered.
A different pattern
In women, hair loss usually appears as diffuse thinning over the crown and mid-scalp, with the frontal hairline preserved. The Ludwig scale describes this pattern in three stages.
Possible causes
Iron deficiency, thyroid conditions, hormonal changes, the postpartum period, severe stress and genetic predisposition can all contribute to hair loss. This is why a dermatological examination and tests come first.
When might a transplant be considered?
Once the hair loss has stabilised and the donor area is suitable, a transplant may be considered. It is often planned with DHI between existing hairs and, where suitable, without shaving; supportive treatment may form part of the long-term plan.
References
- Ludwig E. Classification of the types of androgenetic alopecia (common baldness) occurring in the female sex. Br J Dermatol. 1977;97(3):247–254.
- Olsen EA. Female pattern hair loss. J Am Acad Dermatol. 2001;45(3 Suppl):S70–S80.
