Dr David Saceda – Tricólogo – Dermatólogo – Madrid

DR. DAVID
SACEDA
DERMATOLOGIST

Female Pattern Hair Loss (Androgenetic Alopecia)

Hair loss in women is more common than many people think. Although it’s often associated with men, a growing number of women experience a progressive loss of hair density, which can start at any age and tends to become more noticeable over time.

What is female pattern hair loss?

Female androgenetic alopecia, also known as female pattern hair loss, is a condition where the hair gradually becomes thinner, especially at the top of the scalp. This happens due to increased sensitivity of the hair roots to certain hormones, leading to a progressive weakening of the hair shafts—a process called miniaturization. Unlike in men, this type of hair loss in women usually involves a more complex combination of hormonal, metabolic, and oxidative factors. That’s why it requires a personalized, multi-faceted approach.

Early signs of hair loss in women

One of the first signs of female pattern hair loss is noticing that the part line looks wider or that the hair feels less dense at the crown. While increased shedding may be alarming, it doesn’t always indicate permanent hair loss—other conditions, like telogen effluvium, can cause temporary shedding.

Early diagnosis is essential to prevent further progression. A trichological examination performed by a hair specialist can detect even the earliest signs of hair thinning. This evaluation includes a visual inspection and a trichoscopy, which uses a high-resolution camera to analyze the scalp and hair follicles. It also helps rule out other forms of female alopecia, such as scarring alopecias, which require a different treatment plan.

Hair loss treatment options for women

There are several effective strategies to manage female hair loss, whether acting from within the body or directly on the scalp. The primary goals are to preserve existing hair, stimulate new growth, and slow down further loss.

Some of the most advanced treatments involve the precise application of active compounds directly into the scalp using microinjection techniques. These in-office procedures require no special preparation and allow patients to resume their daily routine immediately after the session.

Hair biostimulation is another innovative option. This approach uses regenerative substances obtained from the patient’s own body—such as certain blood components or cellular material—to help rejuvenate the hair follicles. The treatment is minimally invasive and performed under local anesthesia.

For the best results, it’s important to approach female hair loss as a broader health issue. This often includes a metabolic workup, lifestyle adjustments, and other complementary medical therapies tailored to each individual.

What if significant hair has already been lost?

In cases where hair density is severely reduced, a hair transplant for women can be a safe and effective option. This outpatient procedure involves transplanting individual follicular units from donor areas to areas with thinning or baldness. A personalized assessment is essential to determine the best technique and timing for surgery.

Complementary therapies for female hair restoration

In selected cases, complementary treatments can enhance results. These may include low-level laser therapy (LLLT), targeted supplements, topical products that support the hair growth cycle, and emerging biotechnology-based therapies. Each option is considered on a case-by-case basis, according to individual needs.