
Causes of Women Hair Loss/Hair Fall
Telogen effluvium:
is the most common cause of a diffuse loss of hair with thinning.
Nutritional factors:
play a major role in hair loss. Ferritin deficiency is one of the main cause of hair fall in Indian women.
Female pattern baldness (FPHL):
similar to male pattern baldness, there is more loss of hair at the top of scalp. If the DHT is increased in the female body that will cause
Female androgenetic alopecia.(FAGA):
For women, androgenetic alopecia may be undetectable for quite some time.
Hormonal disorders:
like thyroid dysfunction, PCOD etc.
Traction alopecia:
It is a condition in which constant force is applied to hair. Eg. hair loss along the hairline due to prolonged wearing of tight ponytails.
Alopecia areata:
There are several patches of hair loss in the scalp.


Cicatricial alopecia:
hair loss occurring after any injury, like burns, cuts and bruises or scars from physical or chemical traumas, any scar or incision site after a cosmetic or corrective surgery. Use of certain medicines like anticancer drugs.
Stress:
Stress plays a major role in hair fall. When our stress level is increased our body release negative hormones and they affect our body and also hairs.
Trichotillomania:
It is a psychiatric obsessive-compulsive disorder in which women start pulling her hair leading to patchy hair loss in front and top of the head. It needs psychiatric treatment.
Female Pattern Hair Loss (FPHL)
FPHL is very different from men. Hair loss is mostly restricted to front and top with thinning but the hairline is maintained. The typical pattern of hair loss is an area of diffuse central thinning, classically presenting with increasing part width. There is no temporal recession but sometimes thinning may be present. Ludwig classifies female pattern hair loss in 3 grades.
Diagnostic Tests for Hair Loss
In women, however, hair loss can be triggered by many factors; following diagnostic tests should be performed when attempting to pinpoint the hair loss trigger.
Hormone levels (DHEAs, testosterone, androstenedione, prolactin, follicular stimulating hormone, and luteinizing hormone)
Serum iron, Serum Ferritin, Total iron binding capacity (TIBC), Thyroid stimulating hormone (T3, T4, TSH), VDRL (a screening test for syphilis), Complete blood count (CBC).
1.Scalp Biopsy
A small section of the scalp usually 4mm in diameter is removed and examined under a microscope to help determine the cause of hair loss.
2.Hair Pull
The hair pull test is a simple diagnostic test in which the physician lightly pulls a small amount of hair (approx 100 simultaneously) in order to determine if there is an excessive loss. Normal range is one to three hairs per pull
3.Densitometryor Triclosan
The densitometer is a handheld magnification device which is used check for miniaturization of the hair shaft.
Treatment for Female Hair Loss
Specialized Treatment for Women:
First of all use USFDA approved medical treatment for hair loss – Minoxidil 2% or 5% and LLLT
This treatment controls hair fall and increases the thickness of hairs. Also, it helps the growth of villous hairs.
PRP Treatment – Platelet Rich Plasma (PRP) is concentrated blood plasma which contains approximately three to five time the number of platelets found in normal circulating blood. In addition, it contains Platelet Derived Growth Factor (PDGF), Vascular Endothelial Growth Factor (VEGF), Transforming Growth Factor (TGF) and other bioactive proteins that aid in wound healing and possible hair growth. In the medical treatment of male and female pattern baldness (androgenetic alopecia), PRP can be injected into the balding scalp to potentially stimulate thin (miniaturized) hair to grow into thicker(terminal) hairs. Patients with thin, but not totally bald areas, would be the best candidates.
Laser for Hair Growth
Low light laser therapy has been proven effective in clinical studies. At the Rejuvenate hair transplant centre, we offer two options for this new approach to hair loss prevention. In the office, patients may experience laser therapy with laser cap and use laser combat your home. Both products are cleared by the FDA for the treatment of androgenetic alopecia in women.
Correction of Nutritional Deficiency
[Vitamin B12, Vitamin D, S. Ferritin & others]