Conventional Treatment Options for Female Pattern Hair Loss

Careful diagnosis and follow-up are essential to the many conventional treatment options for female androgenetic hair loss.

It is unlikely for most women with female pattern hair loss (FPHL) to experience serious balding. However, given the psychological impact of thinning hair many will choose to try and alleviate or reverse hair loss. 30

Diagnosis Is Critical to Treatment

A complete clinical history and exam are critical to correctly diagnosing and successfully treating FPHL. possibly Blood tests and scalp biopsymay be needed to determine if excessive androgens or androgen-to-estrogen ratios are involved. Since female hair thinning is typically diffuse it may be even more difficult to accurately assess progress during treatment. For this reason, experts recommend taking baseline photographs for comparison. 30

Treatment Options

Decisions on which treatments to try depend on the patient's diagnosis and other clinical factors. The good news is that there are a number of different medical, herbal, and nutritional treatment options available to help treat FPHL, with varying degrees of success. 30333361362

These include:

Effectiveness of Treatment

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A review of nonsurgical treatment options suggests the following levels of effectiveness: 337

Experts caution that more and better clinical trials should be conducted to corroborate these early findings. Results from three recent clinical studies also highlight the difficulty in achieving statistically significant, repeatable results in all patients with hair loss:

Combination & Natural Treatments

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Clinical research suggests combination treatments may be more effective than some single treatments. For example:

Some herbs and nutrients may also help counteract the effects of excess androgen hormones. Nutritional supplements (such as vitamin B12, biotin, and iron) and herbal remedies (e.g., stinging nettle root and ginkgo) support healthy hair and may help reduce stress and anxiety.


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Researchers caution that the combination of minoxidil and finasteride should only be given to postmenopausal women. That's because blood tests revealed the treatment caused a significant change in systemic DHT hormone levels. 366

Although a pilot clinical trial showed that botulinum injections helped regrow hair in men suffering from androgenetic hair loss, women may want to avoid this treatment. According to case reports involving 5 female patients, botulinum could actually cause hair loss. The women were receiving botulinum A injections to reduce wrinkles on the forehead. Each woman reported frontal hair loss and a receding hair line. There was no inflammation or scarring observed, but there was evidence of miniaturization of hair follicles (similar to female pattern hair loss). Although there were no pictures of the hairline before the injections, all of the women associated the hair loss with the antiwrinkle treatment. 369

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Double-blinded, multicenter, and placebo-controlled. 363
Randomized, placebo-controlled, double-blind half-head study. 364