Female pattern hair loss

Diagnosis and treatment for female hair loss in Melbourne

Hair is one way that we express our personality, so when women start to lose hair, it can be a distressing experience. Though rarely discussed, female pattern hair loss is common. At Sinclair Dermatology, we understand hair loss and its impact and offer evidence-based care to help you through it.

Female pattern hair loss
hair falling out
golden ball

Understanding female pattern hair loss

Unlike male pattern baldness, women rarely go completely bald, but the loss of volume and density can affect you in various ways.

Female pattern hair loss (FPHL) – also known as androgenic alopecia in women is the most common type of hair loss in women. This type of hair loss occurs on the top of your head. You might notice:

  • More hair falling out onto your pillow or in the shower
  • Your parting is becoming wider
  • Less hair at your front hairline above your forehead.

How common is female hair loss?

Female hair loss is more common than many realise – 49% of women will experience it at some point.

Hair loss becomes even more common after menopause. Yet despite how widespread it is, it often goes undiagnosed or untreated.

What causes hair loss in women?

Hair loss in women can be complex and is rarely due to a single cause. It’s influenced by your genetics, underlying medical conditions, hormones, diet and medications.

Androgenic alopecia

Androgenic alopecia (female pattern hair loss)

This genetic condition is influenced by hormones called androgens. It can begin as early as your 20s or 30s and tends to progress over time. Your genes start to shorten the growing phase of hair (anagen phase) and extend the time between shedding one hair and growing another, leading to fewer hairs on your head. You may notice your ponytail feels thinner or that more scalp is showing when you part your hair.

PCOS and hormonal imbalance

PCOS and hormonal imbalance

Hair loss in women with PCOS (polycystic ovary syndrome) is due to elevated androgen (male hormone) levels. This hormonal imbalance can lead to thinning on the scalp while simultaneously causing excess hair growth on other parts of the body – a frustrating and distressing combination for many women.

Menopause and oestrogen decline

Menopause and oestrogen decline

Hair loss due to menopause occurs because oestrogen and progesterone levels decline during this life stage. These hormones help hair grow faster and stay in its growth phase longer – so when levels drop during menopause, your hair may become finer, thinner, or fall out more easily.

A temporary shedding

Other causes of female hair loss

  • Telogen effluvium: A temporary shedding that may follow illness, stress, childbirth or significant weight loss.
  • Nutritional deficiencies: Low iron, B12 or protein levels can affect hair health.
  • Thyroid disorders: An overactive or underactive thyroid can disrupt your hair growth cycle.
  • Autoimmune conditions: Such as alopecia areata, where your immune system attacks hair follicles.
  • Medication side effects: Some drugs, including antidepressants and blood pressure medications, may contribute to hair thinning.

Diagnosing female hair loss

Treatment for female hair loss often depends on the underlying cause. 

Dermatologists are medical practitioners whose expertise covers hair, skin and nails. At Sinclair Dermatology, we begin with a comprehensive consultation that may include:

  • A full medical and family history
  • Scalp examination and trichoscopy (a magnified view of your hair and scalp)
  • Blood tests to check for hormonal, nutritional, or thyroid issues
  • Scalp biopsies (in selected cases).
Hair Salon

Female hair loss treatment options

The good news? Most types of female hair loss can be managed (and often improved) with the right care. At Sinclair Dermatology, we tailor treatments based on your type of hair loss, lifestyle, and overall health.

Treatment options may include:

  • Prescription and over-the-counter medications to regulate hormones or promote hair growth
  • Laser treatments to help stimulate hair follicles and improve density over time
  • Regenerative treatments using platelets
  • Salon treatments such as camouflage and styling support, including custom-made hair pieces, toppers and wigs.
  • Hair transplants.

Access to our on-site salon

The Sinclair Hair Salon offers specially trained hairdressers who support women with hair loss.
They can advise on products, styling, cutting and hair pieces to help camouflage your hair loss.

Why choose Sinclair Dermatology?

Evidence-based
Over 50 years of dermatology experience
hair dresser
On-site salon for evidence-informed styling
Research
Access to world-class clinical trials
Doctor
Multilingual doctors to support Melbourne’s diverse communities
Melbourne Location
Convenient East Melbourne location
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