Most Effective Treatment Regime for Female Pattern Hair Loss?

for 25 Year Old diagnosed with scalp biopsy

Doctor Answers 6

Female Pattern Baldness

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As female pattern baldness is typically a condition that comes with age—a lifetime of hormonal changes—25 seems relatively young to be suffering this condition. There are many reasons for female hair loss, including:

  • untreated hypothyroidism
  • pregnancy
  • drug use
  • sleep deprivation
  • malnourishment
  • vitamin/iron/folic acid deficiency
  • telogen effluvium
  • traction alopecia

Sometimes the cure for female hair loss at a young age is simply an iron supplement. I highly advise that you seek counsel from your physician, who can run the proper tests to find the source of the problem.

Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 33 reviews

Treatment of Hair Loss

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There are many different types of hair loss and it is of utmost importance to have a firm diagnosis.  This is accomplished by a board certified dermatologist and may or may not require a scalp biopsy.  If the diagnosis of androgenetic female alopecia is rendered, treatment options are available.  Rogaine is a topical solution that provides benefit in selected patients.  Spironolactone, an androgen blocker, is not FDA approved for hair loss but has shown some benefit in small studies.  Spironolactone does have side effects and should never be used during pregnancy.  Finally, hair restoration surgery can provide increased density for many patients suffering from this disease.  As always, visit a board certified dermatologist so a diagnosis and treatment regimen can be tailored for your specific condition. 

Anthony Perri, MD
Houston Dermatologist

Most effective treatment female pattern loss

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The term female pattern hair loss is used to describe one type of hair loss- "androgenetic alopecia" or "AGA"

The beat options for androgenetic alopecia (by far) are:

1. Minoxidil 
2. Anti-androgen pills
3. Hair transplant surgery

Minoxidil helps about 30% of women with female pattern hair loss. Side effects include shedding in month 1, rare itching and allergy, headaches, dizziness, palpitations and hair growth on the face. It must never be used in pregnancy. 

A nice study by Australian dermatologist Dr Rodney Sinclair showed spironolactone pills stop hair loss in 44 % and improve hair density in another 44%. Similar data was found with another hormone blocking pill called cyproterone acetate (not available in USA but available in Canada and Europe and Australia). Anti- androgen pills must never be used in women who are trying to conceive or who are pregnant. They can cause serious harm to a fetus. Other side effects include mood changes (depression), breast tenderness and enlargement)

Hair transplants can help 30-60 % of women with female pattern hair loss. Not all women are candidates for hair transplant surgery (in contrast to men where most are)

These are the top 3 treatments, by far, for female pattern loss. Other options are low level laser therapy, platelet rich plasma (PRP) and others. 

Jeff Donovan, MD, PhD
Vancouver Dermatologist

Effective approach to Female Pattern Hair Thinning

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Androgenetic alopecia unfortunately is not exclusive to men. Women who suffer from hair thinning should be evaluated by board-certified dermatologist where simple blood tests may be obtained to rule out systemic triggers such as anemia or thyroid disorder. We need all the help we can get and synergy may be achieved with combination of topical Rogaine 5% foam, high doses of biotin, and oral anti-androgen such as spironolactone or finasteride for post-menopausal women. While NeoGraft Hair Transplant can bring about relatively quick gratification, above regimen must continue to preserve investment made for hair restoration.

William Ting, MD
Bay Area Dermatologic Surgeon
4.5 out of 5 stars 14 reviews

Hair loss workup in females

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I would first check labs (thyroid, iron, ferritin). Make sure you don't have any medical conditions (ie alopecia aerata). If all albs are ok, and it is clearly a female pattern hair loss, I would consider aldactone. Please see a board certified dermatologist. 

Ben Behnam, MD
Santa Monica Dermatologic Surgeon

Female baldness.

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See an endocrinologist to check hormone levels. If they are normal I would suggest hair additions for now. If you have hair transplants now you may spent a great deal of money and later loose that hair.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.