Female pattern hair loss is the most common type of hair loss in women. It causes gradual thinning over the top and crown of the scalp, while the hairline at the front usually stays in place.
It can start at any age after puberty, but is most often noticed in the 40s and 50s, especially around the menopause. It is not harmful to your health, but it can be very distressing.
Starting treatment early gives the best chance of slowing the hair loss and helping some hair to regrow.
Female Pattern Hair Loss
Our consultant dermatologists assess hair loss in detail, looking at your scalp, your general health and any blood tests that are needed.
They will confirm the type of hair loss, check for treatable causes such as low iron or thyroid problems, and agree a treatment plan with you.
Symptoms of Female Pattern Hair Loss
Hair loss is gradual, usually over months or years, rather than sudden.
Common signs include:
- a widening parting
- thinner hair over the top and crown of the head
- more of the scalp showing through the hair
- a smaller or thinner ponytail
Sudden hair loss, bald patches, or a sore, itchy or scaly scalp suggest a different cause and should be checked by a dermatologist.
Causes of Female Pattern Hair Loss
In female pattern hair loss, the hair follicles gradually shrink and produce finer, shorter hairs. It tends to run in families.
Hormones play a part, which is why it often becomes more noticeable around the menopause. Hair loss can also be made worse by other factors, which your dermatologist will look for:
- low iron levels
- thyroid problems
- polycystic ovary syndrome (PCOS)
- recent illness, surgery, childbirth or significant stress
- some medicines
Diagnosis of Female Pattern Hair Loss
Diagnosis is based on your history and a careful examination of your hair and scalp.
Your dermatologist may examine the scalp with a dermatoscope and arrange blood tests, for example for iron, thyroid function and hormones. A scalp biopsy is occasionally needed if the diagnosis is unclear.
Treatment at Derma for Female Pattern Hair Loss
Treatment aims to stop further thinning and, for some people, to regrow hair. It needs to continue long term, and it usually takes 6 to 12 months to see the full effect.
Treatments include:
- Minoxidil lotion or foam applied to the scalp
- Low-dose minoxidil tablets, for selected patients
- Hormone-blocking tablets, such as spironolactone, for some women
- Treating any underlying cause, such as low iron or a thyroid problem
Your dermatologist will explain the benefits and possible side effects of each option, and arrange follow-up to check your progress.
Further reading: Patient leaflet from the British Association of Dermatologists
Frequently Asked Questions
Will my hair grow back?
Treatment stops or slows further thinning for most women, and some regrowth is common. Results vary, and treatment needs to continue to keep them.
Is it caused by the menopause?
The menopause can make it more noticeable, but female pattern hair loss can start much earlier. Other causes, such as low iron, are checked as well.
Will I need blood tests?
Many women do. Your dermatologist will advise which tests are useful for you.
Can I still dye and style my hair?
Usually, yes. Avoiding tight hairstyles and harsh treatments helps to reduce breakage.
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