Women’s Hair Loss and Alopecia
Hair loss in women is a common concern that can develop gradually or appear suddenly, often affecting confidence, self-esteem, and overall appearance. Changes in hair density, increased shedding, or thinning along the part or crown can occur at different stages of life and may feel difficult to navigate. Because hair loss presents differently for every woman, understanding what is driving the change is an important first step in finding the right approach. At her private dermatology practice on Manhattan’s Upper East Side, Dr. Michele Green works closely with patients to evaluate hair loss patterns and create individualized treatment plans tailored to their needs.
There are many non-surgical options available to help address hair thinning and improve hair appearance over time. A personalized approach allows treatments to be selected based on the specific pattern and underlying cause of hair loss, helping slow progression and encourage healthier regrowth. When care is consistent and thoughtfully planned, many women notice gradual improvements in hair density, texture, and overall scalp condition. Results often develop over time, making regular follow-up an important part of the process. A board-certified dermatologist like Dr. Michele Green will customize each hair loss treatment plan to address individual concerns and long-term goals.
Dr. Michele Green is an internationally recognized, board-certified dermatologist with over 25 years of experience providing advanced medical and non-invasive treatments for female hair loss. She uses a thoughtful, individualized approach, carefully considering each patient’s hair pattern, scalp condition, and medical history when developing a treatment plan. Consistently recognized by Castle Connolly, New York Magazine, and Super Doctors as one of New York City’s leading dermatologists, Dr. Green is known for her expertise and dedication to patient care. When you consult with Dr. Green at her private boutique dermatology office on Manhattan’s Upper East Side, she will work with you to develop a personalized plan to restore healthier, fuller-looking hair and support long-term hair health.
Types of female hair loss and thinning hair
Hair loss, also known as alopecia, can present in many forms. The most common type in women is female pattern hair loss, or androgenic alopecia. Other frequent types in women include alopecia areata, telogen effluvium, and traction alopecia. When examining the various types of hair loss, it is essential to consider them in relation to the hair growth cycle. The hair growth cycle comprises four stages: the growth phase (anagen), the transition phase (catagen), the rest phase (telogen), and the shedding phase (exogen). The anagen phase, also known as the growing phase, is when individual hairs grow for an average of 3 to 5 years. The catagen phase is a brief transitional period during which hair completes its active growth cycle. In the telogen phase, or resting phase, hair remains in its follicle for approximately three months. Lastly, during the exogen phase, individual hair strands are shed, leading to hair loss. These phases vary from hair to hair and follicle to follicle, so most patients do not notice a disruption in the growth cycle unless they experience significant thinning or shedding.
Before and after 4 sessions of PRP
Female pattern hair loss (FPHL)
Female pattern baldness, also known as androgenic or androgenetic alopecia, shares features with male pattern hair loss. However, in women, a receding hairline is less common. Instead, female pattern hair loss (FPHL) is marked by thinning along the part line, which resembles a widening part, followed by hair loss from the top of the head. The widening part is often called the “Christmas Tree pattern” because it resembles an upside-down Christmas tree. Like male pattern baldness, female pattern baldness is thought to result from imbalances in androgen hormones. Additionally, there may be a genetic component to this type of hair loss. Sensitivity to androgens can weaken the hair shaft, shortening the anagen phase of the hair growth cycle while lengthening the exogen phase.
Female pattern hair loss is classified as Type I (minimal thinning that can be concealed with the right hairstyle), Type II (decreased volume and noticeable part widening), and Type III (increased hair shedding with a visibly exposed scalp). Androgenic hair loss is considered a genetic medical condition; however, it can also result from endocrine disturbances and rare androgen-secreting tumors of the adrenal glands, ovaries, or pituitary gland.
Alopecia Areata
Alopecia areata is an autoimmune condition in which the body’s immune system attacks healthy hair follicles, resulting in patchy hair loss that appears as circular bald patches on the scalp. It can occur alongside stress, thyroid disease, anemia, and diabetes. Dr. Green will carefully inspect your scalp and hair to determine the cause of hair loss and order the appropriate blood work. Alopecia areata typically causes bald spots the size of a quarter, but the size and number of spots can vary from person to person. The condition can be treated with steroid injections to promote hair regrowth. When hair loss affects all of the hair on one’s head, it is referred to as Alopecia Totalis. A specific type of alopecia areata, which manifests as hair loss in a band around the sides and back of the head, is known as ophiasis alopecia areata and may be more challenging to treat.
Traction Alopecia
Traction alopecia is a hair loss condition typically caused by repeated tight or restrictive hairstyles. When patients wear tightly pulled styles such as braids, cornrows, top-of-the-head ponytails, buns, or pigtails, breakage and irritation of the hair follicles can occur. Ballet dancers often wear their hair in a tight bun and frequently develop traction alopecia. This condition usually appears where the hair is pulled back and becomes more noticeable as the hair falls once the hairstyle is undone. Traction alopecia can be reversed if treated promptly and appropriately. Otherwise, this type of hair loss can be permanent.
Telogen Effluvium
Telogen effluvium is a type of hair loss associated with disruption of the hair cycle. Hairs shift from the anagen (growth) phase to the telogen (resting) phase simultaneously and then enter the exogen (shedding) phase. This results in a significant amount of hair shedding occurring all at once before the hair cycle resets. Telogen effluvium is usually triggered by a disruptive event, such as undergoing a surgical procedure, experiencing general anesthesia, suffering from a physical accident or injury, or dealing with chronic stress. Some individuals notice telogen effluvium shortly after pregnancy, as hormone levels stabilize and the body recovers from the impact of childbirth. Patients recognize the condition when widespread shedding results in more strands of hair than usual falling out during showering or combing. Typically, telogen effluvium begins 3 to 4 months after the stressor is resolved and can last up to 1 year. Once shedding ceases, hair will start to regrow over several months.
6 months before and after – 3 PRP treatments
What causes hair loss in women?
Many patients in Dr. Green’s private dermatology office ask, “Why does women’s hair fall out?” Hair loss is multifactorial, with many potential causes. Factors such as hormonal imbalances, genetic predisposition, nutrient deficiencies, autoimmune diseases, and stress can lead to hair loss. The most common cause is hormonal imbalance, particularly elevated androgen levels. In female pattern baldness, androgens often trigger hair loss and thinning, and sensitivity to androgens is hereditary. Hormonal changes during pregnancy and menopause, including excess androgens, can also manifest with symptoms beyond hair loss, such as acne and menstrual irregularities. In addition to androgen-related hair loss, other factors can contribute to this condition. Telogen effluvium can affect anyone who has recently experienced a traumatic event or is enduring prolonged high stress. Patients who have undergone surgery with general anesthesia may experience rapid, short-term hair loss in the months following the procedure. Certain illnesses, like COVID, can also provoke telogen effluvium. Stress may lead some patients to unconsciously pull out their hair, a condition known as trichotillomania. Furthermore, individuals taking medications for cancer, blood thinning, or blood pressure often report hair loss. Nutritional deficiencies can also play a role, so those with restrictive diets, as well as individuals suffering from anorexia nervosa or bulimia, frequently experience hair loss.
Autoimmune diseases occur when the immune system mistakenly attacks the body, treating it as foreign. Many autoimmune disorders have systemic effects that disrupt bodily processes, including the hair cycle. Autoimmune diseases that can lead to hair loss include lupus, Sjögren’s syndrome, lichen planopilaris, thyroid disorders such as Hashimoto’s or Graves’ disease, scalp psoriasis, Crohn’s disease, and ulcerative colitis.
In some cases, hair loss may be a symptom of a broader health issue that requires further investigation. For instance, polycystic ovary syndrome (PCOS) often initially presents with thinning hair, increased acne, and excess body hair. Additionally, thyroid problems such as hypothyroidism and hyperthyroidism can also cause hair loss. Many causes of hair loss exist, each with unique treatment options. If you experience hair loss, the first step is to consult a board-certified dermatologist, such as Dr. Michele Green. To identify the cause of hair loss, Dr. Green will conduct a physical evaluation, order blood tests to support specific diagnoses, or collect a scalp biopsy to examine hair follicles more closely.
How to treat hair loss in women?
Treating hair loss in women requires a personalized approach that identifies the underlying cause and supports long-term scalp and hair follicle health. Many effective treatments are non-invasive and aim to reduce shedding, strengthen existing hair, and encourage healthier regrowth over time. During a consultation, Dr. Michele Green carefully evaluates hair density, scalp health, medical history, and contributing factors, including hormones, genetics, stress, and nutritional status, before creating a customized treatment plan. Depending on the type and severity of hair loss, this may include treatments to address hormonal influences, supportive scalp treatments that improve follicle function, or in-office procedures that stimulate hair growth and improve circulation. These approaches are often combined to enhance results and help maintain progress over time. With early intervention and consistent care, many women experience improved hair density, reduced shedding, and stronger, healthier-looking hair under the guidance of a board-certified dermatologist like Dr. Michele Green.
Before and after 3 and 5 sessions of PRP, 6 months then 14 months
Platelet Rich Plasma (PRP) for Female Pattern Hair Loss
Platelet-rich plasma (PRP) is an effective hair loss treatment that uses the patient’s own blood to deliver concentrated growth factors that support hair follicle health and regrowth in both male and female patients. PRP scalp injections offer a non-invasive approach to hair restoration, helping to reduce shedding, strengthen weakened follicles, and encourage healthier hair growth over time. The PRP procedure involves drawing a small amount of blood, which is then centrifuged to separate platelets and plasma from red blood cells. The concentrated plasma is injected into areas of thinning hair to stimulate follicle activity and improve the scalp environment for hair growth.
Platelet-rich plasma therapy delivers a high concentration of naturally occurring growth factors that increase blood supply to hair follicles, support cell repair, and promote collagen production in the scalp. These growth factors include platelet-derived growth factor, vascular endothelial growth factor, epidermal growth factor, fibroblast growth factor, and insulin-like growth factor, all of which support the hair growth cycle. PRP supports the function of existing hair follicles by prolonging the active growth phase. PRP is widely used across multiple medical fields, including orthopedics, wound healing, and dermatology, for its regenerative properties. Most patients require a series of treatments spaced about one month apart to achieve optimal results, with visible improvements often developing gradually over several months. PRP is commonly combined with topical treatments, oral medications, or scalp therapies such as Keravive to enhance and maintain hair regrowth.
What medicine should I take for female hair loss?
Several oral treatment options are available for female patients. The medications in your hair loss treatment plan should be selected and monitored by a board-certified dermatologist, such as Dr. Michele Green in NYC. Oral hair loss medications are not safe during pregnancy or breastfeeding, so it is vital to inform your doctor if you are pregnant or planning to become pregnant before starting the medication or during treatment. The following section outlines the various oral treatment options for female pattern hair loss. As hair growth is a gradual process, noticeable improvement may take several months with any hair loss treatment.
Spironolactone is an anti-androgen medication and the most commonly prescribed oral treatment for women with adult acne and hair loss. It plays a role in hormone regulation and is particularly beneficial for female patients with PCOS-related hair loss. Spironolactone has FDA approval and treats hair loss by slowing the production of androgen hormones. The androgen hormone dihydrotestosterone (DHT) can inhibit hair growth. Spironolactone helps limit the effects of androgen hormones on hair follicles, supporting healthier hair growth. A board-certified dermatologist must monitor treatment with spironolactone to allow for necessary adjustments, as potential side effects can include lightheadedness, fatigue, and irregular periods.
Oral minoxidil was initially prescribed to treat high blood pressure when it was discovered that one of its side effects was increased hair growth. Since then, a low dose of oral minoxidil has proven to be a safe and effective treatment for hair loss. Oral minoxidil strengthens hair follicles, promoting greater retention and regrowth. In clinical trials, nearly 80% of patients reported that their hair became thicker and longer while using oral minoxidil. For many, the oral form of minoxidil is a convenient alternative to the topical version because it leaves no residue on the scalp, is simpler to use than applying a solution daily, and can be safely combined with other hair loss treatments.
Finasteride, commonly known as Propecia, is FDA-approved for the treatment of hair loss. It works by inhibiting the conversion of testosterone to dihydrotestosterone (DHT) in the body, lowering DHT levels. DHT is an androgen that contributes to male sex characteristics, including facial and body hair. It can bind to hair follicles, obstructing new hair growth. Propecia effectively addresses hair loss and thinning in both men and postmenopausal women. However, women who are pregnant or planning to become pregnant should avoid finasteride, as the medication may cause congenital disabilities.
Dutasteride, like finasteride, treats hair thinning and loss by inhibiting the conversion of testosterone to dihydrotestosterone (DHT). DHT can bind to androgen receptors in the scalp, leading to hair follicles stopping hair production. Although Dutasteride has not yet received FDA approval, recent clinical studies demonstrate its benefits as a hair loss treatment. A board-certified dermatologist, such as Dr. Michele Green in NYC, may prescribe oral Dutasteride for “off-label” use if deemed medically appropriate for a patient.
Oral contraceptives can help regulate hormones that may contribute to hair thinning and hair loss. Some forms of birth control may cause hair loss in some women, while others with androgenetic alopecia may benefit from certain types of birth control pills as a treatment for hair loss. Given the varied effects, consulting an expert about using oral contraceptives to treat hair loss is essential. An effective oral contraceptive must have a low androgen index to aid in hair loss treatment. Low-androgen birth control can help regulate hormones and prolong the anagen phase of hair growth, leading to increased hair production and a reduction in hair loss and thinning.
Topical minoxidil for female alopecia
Topical minoxidil is one of the most extensively studied treatments for hair loss. It is available as an FDA-approved over-the-counter treatment for hair loss, either topically or orally. It can help prevent and address hair loss in individuals with a family history of the condition. Rogaine is the brand name for topical minoxidil, available in foam or liquid form. Topical and oral minoxidil should not be used together, as doing so does not provide added benefit and may increase the risk of systemic side effects. For this reason, patients are typically advised to use one form of minoxidil, based on their individual needs and treatment goals, under the guidance of a board-certified dermatologist.
Dr. Green’s proprietary MGSKINLABs line features two specially formulated topical hair serums designed to help prevent further loss and thinning while promoting hair regrowth. The formulas combine 7% minoxidil with either 0.1% topical finasteride (Hair Serum for Men) or 0.1% progesterone (Hair Serum for Women). Dr. Green recommends the appropriate serum for each patient based on age, gender, and her evaluation of their hair loss. The synergy of minoxidil with finasteride or progesterone enhances the medication’s effects and delivers optimal results for hair restoration. With regular use of the topical serum, you will experience reduced shedding and thicker, fuller-looking hair. Dr. Green’s hair serum line is among the few products available that combine topical minoxidil with finasteride or progesterone, offering the ultimate formulation for hair restoration.
Hydrafacial Keravive for hair loss
The Keravive treatment by HydraFacial is a three-step, medical-grade scalp facial. Excess oil and debris can accumulate on the scalp, leading to inflammation and irritation. Inflammation around hair follicles can impede hair growth, leading to hair thinning and hair loss. The Keravive scalp treatment begins with a deep cleanse and scalp exfoliation, which removes impurities and excess oil. Next, the Keravive peptide complex solution is applied to the scalp. It contains growth factors and proteins that hydrate the hair follicles. The Keravive treatment stimulates increased blood circulation to the scalp, enhancing nutrient flow to the area and improving the health of hair follicles. At the conclusion of the in-office procedure, patients receive the Keravive peptide complex spray to use at home for 3-4 weeks after treatment. Most patients achieve the best results after completing three Keravive treatment sessions, each spaced one month apart. Keravive is a safe hair loss treatment that can be combined with other methods.
Surgical options for women’s hair loss
Women’s hair loss treatment can be complex, and some women may turn to surgical options when hair loss is severe and desired results aren’t achievable with non-invasive treatments. Hair transplantation is a surgical option for female pattern hair loss. The procedure involves extracting hair follicles from a healthy area of the scalp and transplanting them to the area where the patient is experiencing hair loss. This hair transplant can encourage new hair growth and help maintain healthy hair. In addition, hair transplant surgeries are often complemented by platelet-rich plasma therapy to maximize hair regrowth.
How to prevent hair loss in women?
Although female pattern hair loss is often genetic and cannot be fully prevented, certain steps can help maintain a healthy scalp and hair follicles during the growth phase. The first step in addressing hair loss is to consult a board-certified dermatologist, such as Dr. Michele Green in New York City. Dr. Green has over 25 years of experience providing her patients from around the world with the most cutting-edge, innovative treatment options, including hair-loss treatments. Many patients aim to prevent hair loss before it occurs, and Dr. Green will conduct a physical assessment of your scalp and hair, discussing your medical and family history in detail. She will then collaborate with you to create a proactive treatment plan that incorporates lifestyle changes, topical treatments, and oral medications to minimize hair loss before it begins.
First, maintaining a balanced diet rich in iron, zinc, and vitamin D—such as red meat, beans, chickpeas, fish, and eggs—can support the health and growth of hair follicles during the anagen phase. Biotin supplements have been suggested as an effective treatment for improving hair and nail health, although research is ongoing to establish their effectiveness. Several natural ingredients can also be applied topically to combat thinning hair, including rosemary oil, keratin, vitamin B5, and creatine. In daily life, limiting stressors and practicing stress-relief techniques can be crucial in preventing hair loss, as stress can trigger unwanted hair shedding. Additionally, avoiding tight hairstyles that strain the hair follicles—such as braids and tight ponytails—and opting instead for loose ponytails, clips, or soft coverings can help prevent damage to the hair follicles.
Which physician to consult for female hair loss?
If you are experiencing hair thinning or hair loss, the best first step is to see a board-certified dermatologist, especially one with experience in hair loss. Dermatologists specialize in conditions of the skin, hair, and nails. They can evaluate your scalp, review your medical history, and order appropriate tests to identify the cause of your hair loss. In some cases, your dermatologist may work with or refer you to other specialists, such as an endocrinologist if hormones are contributing to hair loss or a nutrition expert if dietary factors are involved. Starting with a dermatologist ensures you receive a thorough diagnosis and a treatment plan tailored to your specific hair loss pattern and type. If you have concerns about thinning hair and want support during treatment, an experienced hairstylist familiar with fine or thinning hair can offer styling options to help your hair look fuller.
Before and after 2 sessions of PRP
Frequently Asked Questions (FAQS) for female pattern hair loss:
Can female hair loss be reversed?
Female hair loss can be reversible in many cases, but outcomes depend on the underlying cause, duration of hair loss, and the overall condition of the hair follicles. Some forms of hair loss, such as shedding related to stress, illness, pregnancy, or other temporary changes in the body, often improve once the hair cycle returns to normal. Hair loss caused by hormonal imbalances or nutritional deficiencies may also improve when those issues are properly addressed. Female pattern hair loss, one of the most common causes of thinning in women, tends to progress over time rather than resolve on its own. While it cannot be permanently cured, many women see noticeable improvement in hair density or a slowing of hair loss when treatment begins early. A consultation with a board-certified dermatologist like Dr. Michele Green provides an accurate diagnosis and a realistic understanding of whether hair regrowth, improvement, or stabilization can be expected.
How to reverse hair loss in women?
Reversing hair loss in women involves treatments that support the hair growth cycle and address the underlying cause of thinning. Depending on the diagnosis, this may include medical therapies that help regulate hormones, improve blood flow to the scalp, or strengthen weakened hair follicles. In-office treatments that stimulate the scalp and encourage follicle activity can also play an important role, particularly for women with pattern hair loss or stress-related shedding. Topical or oral medications are often used to slow ongoing loss and support regrowth, while supportive scalp treatments can help create a healthier environment for hair to grow. Results develop gradually over several months, and consistency is essential to maintaining progress. When treatment is started early and tailored to the individual, many women experience reduced shedding, improved density, and stronger, healthier hair over time.
Do women care about hair loss?
Yes! Hair loss is a distressing condition that many women worry about. Women often use wigs, scarves, and various hairstyles to conceal it. Approximately 50% of women will experience some form of hair loss during their lifetime. Like men, women facing hair loss seek ways to treat and reverse it. When experiencing noticeable hair loss, women frequently consult a board-certified dermatologist, such as Dr. Michele Green in NYC. During a consultation with Dr. Michele Green, she gathers your complete medical history, conducts a physical evaluation, and performs any necessary tests to determine the best treatment options to stop your hair loss.
What are some causes of hair loss in women?
Hair loss can occur for many reasons, often due to internal changes or lifestyle factors. Common causes include hormonal shifts related to pregnancy, menopause, or conditions such as polycystic ovary syndrome, which can affect how hair grows over time. Periods of physical or emotional stress may also trigger increased shedding, sometimes months after the stressful event has passed. Certain medications and medical treatments can contribute to hair loss, as can underlying health conditions such as thyroid disorders or autoimmune disease. Nutrient deficiencies, especially low iron or vitamin levels, may also play a role. Hair styling practices that repeatedly apply tension to the scalp can also lead to thinning in specific areas. Because hair loss often has multiple contributing factors, identifying patterns and timing can help clarify what may be involved.
How to stop hair loss in women?
A common question in Dr. Green’s boutique dermatology office is, “What helps with women’s hair loss?” Female pattern hair loss is a medical condition without a cure, meaning it cannot be completely prevented for many women. However, Dr. Green offers a variety of treatments that can help reduce hair loss and encourage new hair growth. In addition to medications and in-office procedures, lifestyle adjustments can help maintain healthy hair. Stress is one of the underlying causes of hair loss, so finding effective ways to manage it can help regulate systemic cortisol levels. Cortisol, the stress hormone, can cause hair loss when elevated. Nutrient deficiencies can also lead to hair loss. Lowering stress levels and maintaining a healthy diet can help prevent this issue. The best way to halt hair loss is to consult with a board-certified dermatologist like Dr. Michele Green. In her private dermatology office, Dr. Green provides patients access to simple, non-invasive treatments such as PRP, topical and oral medications, and Keravive scalp treatment, among other cosmetic and medical options.
Why am I losing my hair as a woman?
When patients ask, “What causes women’s hair to fall out?” the answer lies in the specific causes of each type of hair loss. In androgenetic alopecia, a genetic predisposition contributes to an imbalance of androgen hormones in the body. As a result, hair follicles weaken, leading to hair loss and thinning. For those affected by alopecia areata, risk factors for developing symptoms may include stress, thyroid issues, diabetes, and anemia. A traumatic event, such as surgery, injury, chronic stress, or even labor after pregnancy, can trigger temporary widespread shedding known as telogen effluvium. Some patients may notice hair loss as a side effect of certain medications, including cancer treatments. During your consultation with Dr. Green, she will identify the root cause of your hair loss and determine the most effective treatment.
How to reduce hair loss in women
Reducing hair loss in women often means slowing excessive shedding and protecting the hair that is already there. Simple changes, such as avoiding tight hairstyles, limiting frequent heat styling, and being gentle when brushing or washing the hair, can help reduce unnecessary breakage and stress on the follicles. Taking care of your scalp also matters, as irritation or buildup can contribute to increased shedding. Daily habits like getting enough sleep, managing stress, and maintaining a balanced diet can help stabilize the hair growth cycle. For women who continue to notice ongoing hair loss, medical treatments may be used to slow shedding and preserve hair density. Over time, focusing on consistency and reducing factors that worsen hair loss can make a noticeable difference in the amount of hair shed each day.
Can stress cause hair loss for women?
Stress can lead to sudden hair loss in both men and women. In women, extreme or sudden hair loss, known as telogen effluvium, can be triggered by major illnesses or surgeries, certain medications, pregnancy and childbirth, underlying health conditions (such as thyroid disorders, psoriasis, lupus, PCOS, or anemia), radiation therapy, extreme dieting or weight loss, and emotional distress, among others. Once the stressor is removed, hair shedding will decrease, and hair will return to its normal growth cycle. A wide variety of conditions may contribute to women’s hair loss, and the most effective way to identify the cause is to consult a hair loss specialist, such as board-certified dermatologist Dr. Michele Green. During your initial hair loss consultation with Dr. Green, she will evaluate your scalp and hair condition and discuss your medical and family history in detail to create a personalized hair loss treatment plan that best meets your specific needs.
Do DHT blockers work for women’s hair loss?
Dihydrotestosterone (DHT) blockers can help some women with hair loss when hormones contribute to thinning. DHT can weaken hair follicles over time, leading to thinner hair and slower growth. Treatments that reduce DHT’s effects may slow this process and help keep hair fuller for longer. These treatments tend to be more helpful for women with pattern-related thinning and are not appropriate in every situation. Whether DHT blockers are appropriate depends on factors such as age, overall health, and future pregnancy plans. A board-certified dermatologist can review your medical history, hair loss pattern, and overall health to determine whether this type of treatment is appropriate.
What does hair loss in women look like?
Many of Dr. Green’s patients ask, “Where does female pattern baldness start?” Female pattern hair loss, also known as androgenic alopecia, is among the most common types of hair loss. It is characterized by a widening center part, often resembling an upside-down Christmas tree. Androgenic alopecia begins at the center of the scalp near the part. A dermatologist, such as Dr. Michele Green in New York City, can diagnose female pattern hair loss by examining the scalp and hair condition and recognizing the existing pattern of hair loss.
Will hair loss during menopause grow back?
Hair loss that begins during menopause can regrow for some women, but it depends on what is driving the thinning and how long it has been occurring. During perimenopause and menopause, hormonal shifts can disrupt the normal hair growth cycle, leading to increased shedding or a gradual decrease in overall volume. For many women, shedding improves once hormone levels stabilize, and new hair begins to grow over time. The change is usually gradual, so it may first appear as less hair in the shower, less shedding when brushing, or a slightly fuller look along the part. Some women also notice that the hair that returns is finer or grows more slowly, which can make regrowth feel less obvious even when it is happening. Genetics, iron and vitamin levels, thyroid health, stress, and certain medications can all influence whether hair grows back. A proper evaluation helps determine whether the hair loss is likely to improve and what can be done to support regrowth.
Will hair loss stop after menopause?
Hair loss does not always stop after menopause, but for many women, it slows down once the menopausal transition is over. During menopause, rapid hormonal changes can trigger increased shedding, which often feels sudden and distressing. After hormone levels stabilize, excessive shedding may decrease, and hair loss can become less noticeable day to day. However, some women continue to experience gradual thinning over time, especially if they have female pattern hair loss. This thinning usually affects the part line or crown and tends to progress slowly rather than causing large amounts of hair to fall out at once. Age-related changes in the hair growth cycle can also play a role, as hair may spend less time in the growth phase and take longer to reach its previous length. While post-menopause does not guarantee that hair loss will stop completely, many women find that hair loss becomes more manageable, particularly when thinning is addressed early and appropriate treatment is started.
How to treat female hair loss
Unfortunately, there is no cure for androgenic alopecia. However, many treatment options can help women dealing with thinning hair. The first step in addressing hair thinning is to consult a board-certified dermatologist, such as Dr. Michele Green in NYC. During your initial consultation regarding hair loss, Dr. Green will identify the root cause of your thinning hair or hair loss and recommend the most suitable treatment or treatments to meet your needs. When addressing thinning hair, Dr. Green may suggest prescription options such as topical and oral minoxidil, topical and oral Propecia, or oral spironolactone, which promote hair regrowth and slow hair loss. She might also recommend platelet-rich plasma (PRP) injections to strengthen hair follicles. It is essential to collaborate with a hair loss expert to develop a treatment plan tailored to your specific needs and to include the best options for you.
When do women experience postpartum hair loss?
Postpartum hair loss most often begins a few months after childbirth. Increased shedding is commonly noticed around three to four months postpartum, though timing varies from woman to woman. Hair may shed in greater amounts during washing, brushing, or styling, and thinning may become more noticeable along the hairline, temples, or part line. This period of increased shedding occurs as the hair growth cycle shifts after pregnancy and may continue for several months. Shedding can fluctuate during this time, with some weeks having more hair loss than others. As the hair cycle gradually adjusts, shedding typically slows, and new hair growth begins to appear. For many women, improvement becomes noticeable within the first year after delivery, though the timeline depends on factors such as overall health, stress levels, nutrition, and individual hair growth patterns.
Do all women get postpartum hair loss?
No. Not all women experience postpartum hair loss, and the amount of shedding can vary widely. Some notice obvious hair thinning, while others have only mild shedding or no change at all. Genetics, overall health, nutrition, stress levels, and sleep quality can influence how noticeable postpartum hair loss is. During pregnancy, hormonal changes can make hair appear fuller by prolonging the growth phase. For those experiencing this, shedding after delivery can feel more noticeable as that hair begins to fall out. The presence or absence of postpartum hair loss does not indicate a problem with recovery or predict long-term hair health. Each woman’s experience is different, and a wide range of postpartum hair changes can be considered normal.
What are the best vitamins for women’s hair loss?
Deficiencies in vitamins and other nutrients can lead to hair loss, and supplementing these elements may support scalp health and reduce hair loss. Certain supplements containing vitamins such as biotin, vitamin C, and vitamin B have been clinically shown to improve the appearance of thinning hair by promoting hair growth. One of the most popular vitamin supplements is Nutrafol, which is rich in biotin and vitamins B and C to support new hair growth. Additionally, Nutrafol addresses hormone imbalances, alleviates stress, and enhances nutrient levels, tackling the root causes of hair loss. While research is ongoing, the positive effects of vitamin supplements in promoting hair growth are already being observed.
Do statins cause hair loss in women?
Hair loss has been reported as a possible side effect of statin medications, but it is considered uncommon. Statins are commonly prescribed to help manage cholesterol levels and lower the risk of heart disease. Most women who take these medications do not notice changes in their hair. When hair shedding does occur, it is often temporary and may develop gradually after starting the medication. In some cases, shedding improves on its own as the body adjusts to the medication. Hair loss can also be influenced by many other factors that often occur at the same stage of life when statins are prescribed, including hormonal changes, stress, medical conditions, and dietary changes. Because hair loss in women is often multifactorial, it is important to consider the full picture rather than assume a single cause. Women who notice increased shedding after beginning statins should speak with a healthcare provider to review medications, timing, and possible contributing factors and to decide whether any changes are needed.
Does creatine cause hair loss in women?
There is no strong evidence that creatine directly causes hair loss in women. Creatine is a commonly used supplement that supports muscle performance and energy production, and most women who take it do not experience changes in hair growth. Some concern stems from limited research suggesting creatine may increase dihydrotestosterone levels in certain individuals, a hormone linked to hair thinning. Even so, this effect has not been clearly shown in women, and hair loss has not been consistently reported as a side effect of creatine use. Hair shedding while taking creatine is often related to other factors, such as stress, dietary changes, hormonal shifts, or underlying hair loss conditions. If a woman notices increased shedding after starting creatine, reviewing supplement use alongside overall health and lifestyle factors can help determine whether creatine may be contributing.
How much hair should a woman lose a day?
It is normal for women to lose hair each day as part of the hair growth cycle. Most women lose about 50 to 100 hairs daily, though the amount can vary. Shedding is often more noticeable on days when hair is washed or brushed, because hairs that were already ready to fall out come out then. The amount of daily shedding can change due to factors such as hair length, styling habits, stress, and hormonal changes. Women with longer hair may feel like they are losing more hair simply because the strands are easier to see. Hair loss may be a concern if shedding remains elevated for weeks, hair density decreases, or the scalp becomes more visible. In those situations, a dermatologist can help determine whether the shedding is normal or related to another cause.
What causes hair loss in women over 50, 60, and 70?
Hormonal changes, genetics, and age-related shifts in the hair growth cycle often contribute to hair loss in women over 50. As women move through menopause, declining estrogen levels can shorten the growth phase, leading to gradual thinning, especially along the part or crown. Female pattern hair loss becomes more common with age and usually progresses slowly. In women in their 60s and 70s, hair follicles may produce finer strands, and overall hair growth may slow, making hair appear less dense. Medical conditions such as thyroid disorders, autoimmune diseases, and chronic illnesses can also contribute to hair loss at these ages, as can medications more frequently prescribed later in life. Nutrient deficiencies, including low iron or vitamin levels, may also play a role. While hair changes are common as women age, identifying contributing factors can help guide appropriate evaluation and management.
How to hide hair loss in women?
There are many ways for women to conceal hair loss while working toward improving hair growth and density over time. Simple styling changes can create the appearance of fuller hair, such as adjusting the part, adding layers, or choosing a haircut that adds volume where thinning is most noticeable. Volumizing products and lightweight styling techniques can lift the hair and reduce flatness. Cosmetic products such as hair fibers or scalp concealers may also help reduce contrast between the hair and scalp, making thinning areas less noticeable. Accessories like headbands, scarves, or hats can provide additional coverage when shedding is more noticeable.
Should I cut my hair if it’s thinning?
Cutting your hair when it is thinning can help in some cases, but it depends on what feels right for you. Shorter styles or haircuts with added volume can make hair look fuller by creating lift and movement, especially around the crown or part. Longer hair can sometimes lie flatter, making thinning areas more noticeable, particularly if the hair is very fine. Adding soft layers or slightly adjusting the shape of a haircut can also improve volume without going much shorter. That said, you do not have to cut your hair just because it is thinning. A stylist experienced with fine or thinning hair can suggest small changes that make the hair look fuller while keeping the length you are comfortable with.
What shampoo is good for female hair loss?
Shampoo alone cannot stop hair loss, but the right one can help keep the scalp healthy and make thinning less noticeable. Women experiencing hair loss are generally advised to use gentle, sulfate-free shampoos that cleanse the scalp without causing irritation or excessive dryness. Shampoos formulated for thinning hair often contain ingredients such as biotin, niacinamide, caffeine, ketoconazole, or botanical extracts that help reduce scalp inflammation and improve overall scalp health. It is also helpful to avoid shampoos with oils or heavy conditioning ingredients, as these can weigh hair down and make thinning more noticeable. If hair loss continues or the scalp feels itchy or irritated, a board-certified dermatologist can recommend a shampoo tailored to your specific situation.
How to deal with hair loss in women?
Dealing with hair loss in women begins with noticing changes in shedding, hair density, or overall volume. Seeking professional medical evaluation as soon as hair loss is noticed is important because early assessment can help identify the cause before thinning becomes more advanced. A dermatologist can evaluate the scalp and hair pattern, review medical history, and determine whether factors such as hormones, health conditions, medications, or stress are contributing to the issue. Early medical guidance enables timely treatment options that can help slow hair loss and protect existing hair. In daily life, gentle hair care practices, minimizing heat styling, and avoiding tight hairstyles can help reduce unnecessary strain on the hair. Managing stress, maintaining a balanced diet, and paying attention to overall well-being can also create more stable conditions for hair growth. Hair loss can be emotionally challenging, so seeking support when needed is part of the process. Taking a proactive, informed approach with medical guidance helps women better manage hair loss and maintain healthier hair over time.
Before and after 2 sessions of PRP
How do I get started with treating female hair loss today?
Hair loss in women is a common and often distressing concern that can stem from hormonal changes, genetics, stress, medical conditions, medications, and lifestyle factors. Thinning hair or increased shedding can affect confidence and overall appearance, making it important to identify the underlying cause before choosing treatment. With a proper diagnosis and a personalized approach, many women can slow hair loss, improve hair density, and support healthier regrowth over time. Treatment options may include in-office procedures, topical products, oral medications, and laser therapy, selected based on the specific pattern and cause of hair loss. When addressed properly, hair loss treatments can help preserve existing hair, improve scalp health, and restore a fuller, healthier appearance.
Dr. Michele Green is an internationally acclaimed, board-certified dermatologist with over 25 years of experience treating female hair loss with advanced non-surgical and medical treatments. She takes a comprehensive, personalized approach, carefully evaluating each patient’s hair pattern, scalp condition, medical history, and goals before creating a customized treatment plan. Frequently recognized as one of New York City’s leading dermatologists by Super Doctors, Castle Connolly, and New York Magazine, Dr. Green is known for her expertise and dedication to patient care. When you schedule a consultation at her private boutique dermatology office on Manhattan’s Upper East Side, she will work with you to develop a tailored plan to restore healthier, fuller-looking hair. To schedule a consultation, please call Dr. Michele Green’s NYC office at (212) 535-3088 or contact us online today.