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Female Pattern Hair Loss

Female Pattern Hair Loss

Female pattern hair loss (FPHL), also known as androgenetic alopecia, is a common form of hair loss in women characterized by a gradual thinning of hair on the scalp preserving the forehead hairline.  It is a progressive condition that often starts with increased hair shedding, followed by a reduction in hair density, primarily affecting the crown and top of the head. Unlike male pattern baldness, it rarely leads to complete baldness.

Causes of Female Pattern Hair Loss:

  • Genetics: A family history of hair loss can increase the risk, indicating a genetic predisposition to FPHL.  However, these genes are different from the jeans, responsible for male and genetic alopecia. (M-AGA).
  • Hormonal Changes: Androgens (male hormones) play a role in FPHL, particularly during menopause when estrogen levels decline, leading to a relative increase in androgens.
  • Aging: Hair loss can become more noticeable with age, especially after menopause, due to hormonal changes and decreased hair growth cycles.
  • Underlying Medical Conditions: Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, and other hormonal imbalances can contribute to hair thinning.
  • Nutritional Deficiencies: Lack of essential nutrients like iron, vitamin D, and protein can exacerbate hair loss.

Symptoms:

  • Thinning Hair: Gradual thinning on the top of the head and crown, often widening the part line.
  • Diffuse Hair Loss: Hair thinning is usually diffuse, with more hair loss seen around the crown but maintaining the frontal hairline.
  • Increased Hair Shedding: More hair may fall out when brushing, washing, or styling.

Stages of Female Pattern Hair Loss:

  • Stage 1: Minimal thinning; mild hair loss is noticeable near the part line.
  • Stage 2: Widening of the part line with more significant thinning on the top of the scalp.
  • Stage 3: Diffuse thinning on the top with visible scalp, often resembling a Christmas tree pattern when viewed from above.

Treatment Options:

1. Topical Minoxidil : The only FDA-approved treatment for FPHL; it stimulates hair growth and slows hair loss. It is available in 2% and 5% formulations. We generally do not start minoxidil in the beginning of treatment if there is a considerable hair shedding going on. Procapil, redensil, anagain, capixyl are good alternatives to stabilize the hair fall initially.

2. Oral Medications:

  • Spironolactone: An anti-androgen that reduces androgen levels, which may help slow hair loss and promote regrowth. It is necessary to monitor blood pressure and electrolytes when this medication needs to be given.
  • Finasteride or Dutasteride: Usually used for male hair loss but can be prescribed off-label for women, particularly postmenopausal.

3. Low-Level Laser Therapy (LLLT): Devices such as laser caps or combs that use light therapy to stimulate hair follicles and promote hair growth.

4. Platelet-Rich Plasma (PRP) Therapy: Involves injecting concentrated platelets from the patient's blood into the scalp to stimulate hair regrowth.It is a non-surgical treatment designed to stimulate hair growth and improve hair density.  The process includes the following steps: 

  • Blood Collection: A small sample of 8 ml to 16 ml of  your blood is drawn. 
  • Processing: The blood is spun in a centrifuge to separate the platelet-rich plasma from other components. 
  • Injection: The PRP is injected into areas of the scalp experiencing hair thinning or hair loss.

How Does It Work?

Platelets are rich in growth factors, which can stimulate dormant hair follicles, increase blood supply to the hair follicles and thereby enhance the thickness of the hair shaft.

Who Can Benefit from PRP Therapy?

PRP therapy is typically recommended for early stages of hair thinning specifically, Androgenic alopecia (male or female pattern baldness). Also for individuals looking to improve hair density and scalp health. Your platelet count needs to be good to get expected results.

Treatment Schedule: Initial sessions are usually done once a month for 3–4 months, followed by maintenance treatments every 3–6 months.

Benefits: It is non-surgical and minimally invasive. As it uses your own blood, there is no risk of allergic reactions.It can be combined with other hair treatments like medications (e.g., minoxidil, finasteride).

Side Effects: PRP therapy is generally safe but may cause mild scalp tenderness or swelling at the injection site, temporary redness or bruising.

Results are visible typically after 3–6 months, with progressive improvement over time.If you’re considering PRP therapy for hair, consult a dermatologist or trichologist to determine if it’s the right solution for your hair concerns.

Exosome therapy:

 It is a new, cutting-edge treatment that uses cell-derived vesicles to stimulate hair regrowth. Exosomes are tiny particles secreted by stem cells that contain growth factors, proteins, and genetic material capable of enhancing tissue repair and regeneration.

Exosomes are harvested from stem cells (usually derived from bone marrow or amniotic sources).The exosomes are concentrated into a serum for treatment. The exosome serum is injected into the scalp, targeting areas with hair thinning or hair loss.

Mechanism of Action:

The messengers  activate dormant hair follicles and encourage their growth cycle.It also improves scalp health and elasticity, creating an environment conducive to hair growth.New blood vessels increase the oxygen and nutrient delivery to hair follicles. It reduces inflammation in the scalp, which may contribute to hair loss.

Who can do this treatment ?

People with androgenetic alopecia (male or female pattern baldness), Individuals with hair thinning due to aging, stress, or non-scarring alopecia, people seeking advanced treatments beyond PRP or traditional options.

Advantages of Exosome Therapy:  Exosomes contain concentrated growth factors, often making them more effective than PRP.It is non-Surgical and minimally invasive. No downtime required. Results may last longer compared to PRP. Typically requires fewer sessions than PRP.

Expected Results : Early results are often seen within 3–6 months.Continued improvement occurs over the next 6–12 months as hair follicles grow stronger.

Side Effects:

Mild redness, swelling, or tenderness at the injection site, temporary itching or discomfort in the treated area. Rarely, minor allergic reactions to the exosome product.

Exosome therapy tends to be more expensive than PRP due to its advanced formulation and sourcing methods, with prices starting from INR 10000 onwards. Exosome therapy offers a promising solution for hair loss, particularly for individuals who have not seen results with other treatments. Consult our dermatologist or hair specialist to evaluate your candidacy for this advanced therapy.

5. Hair Transplant Surgery: For advanced cases, hair transplantation can be an option, moving hair follicles from denser areas to thinning regions.

6. Nutritional Supplements: Biotin, iron, zinc, and vitamin D supplements can support hair health, especially if deficiencies are present.

7. Scalp Micropigmentation: A non-surgical option to create the illusion of thicker hair by tattooing tiny dots on the scalp.

Lifestyle and Hair Care Tips:

  • Use gentle, volumizing shampoos and avoid tight hairstyles that pull on the hair.
  • Avoid excessive heat styling and chemical treatments that can further damage hair.
  • Maintain a balanced diet rich in proteins, healthy fats, and vitamins to support hair health.

Early diagnosis and intervention are crucial for managing FPHL effectively. Consulting with our expert dermatologist and trichologists can help determine the most appropriate treatment plan based on the severity of hair loss and individual needs. We at Subodha skin and cosmetic clinic, believe in a holistic approach towards each case of hair loss, addressing the underlying cause and treatment with medications and procedures as needed.

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