Female Pattern Hair Loss

Female Pattern Hair Loss

Female pattern hair loss is a very common form of hair loss in women, and it is associated with a reduction of hair density in the central area of the scalp and well-preserved frontal baldness. This condition was first described in 2002 by an expert task force appointed by the Androgen Excess and PCOS Society, and its definition was updated in 2006. In addition to dermatology specialists, reproductive endocrinologists, and reproductive endocrinology physicians, the task force examined this disorder's causes and treatment options.

Focal atrichia

Focused atrichia is a common clinical feature of female pattern baldness. This condition is commonly associated with androgenetic alopecia and is attributed to about 67% of all cases. Patients with this symptom exhibit an area of no hair on the scalp that is about the size of a pencil eraser. Instead, they show an accumulation of tiny vellus hairs.

Reduced duration of the anagen phase

FPHL, or female pattern hair loss, is characterized by a shortened anagen phase and miniaturization of the hair follicle. Both men and women can be affected by this condition. However, FPHL shows important differences from MPHL, such as a smaller hair follicle and diminished density in the affected areas. The main cause of FPHL is a genetic predisposition to hair loss.

Increased percentage of hairs in the telogen phase

FPHL is characterized by an increased percentage of hairs in the telogen phase. The increased hair shedding is not constant and only affects the affected areas. Several hairs should be performed in each affected area to confirm the diagnosis. Hair shedding is a characteristic of telogen hairs with an epithelial sac. In female pattern hair loss, this percentage should be over 25%.

Association with bitemporal recession

The thinning of the hair follicles associated with bitemporal recession is called the Hamilton type. It has the same classical distribution as male pattern baldness and usually affects the vertex and lateral-frontal area of the superior scalp. Women with Ludwig's hair thinning pattern may develop Hamilton's pattern after menopause. Although FPHL may be difficult to distinguish from other hair disorders, early detection is important to avoid permanent hair loss.


There are several treatments available for female pattern hair loss. Minoxidil, which can be found over the counter, is the most common treatment. The medication is considered safe and effective. You can purchase a 2% or 5% solution without a prescription. Your healthcare provider may prescribe other strengths, and you can visit a specialty pharmacy for more potent formulas. This article will discuss the best hair loss treatments for women.