Hair and scalp · Women

Hair Loss in Women: Thinning, Hormones and the Postpartum Period

Hair loss in women can arise from genetic predisposition, hormonal change, iron deficiency, thyroid disease, the postpartum period and stress. Female pattern thinning usually appears as diffuse thinning around the parting. The choice of treatment depends on the cause and on any pregnancy plans, so a doctor’s assessment should come first.

Appearance
Diffuse thinning around the parting; the frontal hairline is usually preserved
Common causes
Genetic, hormonal, iron and thyroid, postpartum period
Caution
Some treatments cannot be used in pregnancy and breastfeeding
Further workup
Hormonal evaluation if there are irregular periods or excess hair growth

What does hair loss look like in women?

In women, thinning usually appears as diffuse thinning around the crown and parting. A markedly receding hairline is less common than in men.

A person may notice the parting widening or a ponytail becoming thinner. It may also come with an increase in daily shedding.

Telling diffuse shedding apart from regional thinning is important for diagnosis.

What role do hormones and other causes play?

Hormonal imbalance, thyroid disease, iron deficiency, menopause and some hormonal medicines can contribute to hair loss.

If irregular periods, acne or unwanted hair growth are present, a hormonal condition may be investigated. If considered necessary, referral to a gynaecologist or endocrinologist is made.

The doctor therefore decides on tests after examination.

Is postpartum hair loss normal?

Diffuse shedding about two to three months after childbirth is common and usually temporary. The hair cycle generally rebalances within months.

In pregnancy hair enters the resting phase late, and after birth the accumulated shedding appears at once. This may continue while breastfeeding.

See a doctor if shedding goes beyond a year, there are patchy losses or marked thinning.

What should be considered in treatment?

Treatment is planned according to the cause. If you are pregnant, breastfeeding or planning pregnancy, the usable options are limited and the doctor must take this into account.

The use of some medicines is not suitable in pregnancy, so always mention your pregnancy plans at the consultation. Correcting the cause, scalp treatments if needed and supportive methods may be considered together.

Results are assessed over months and the same response is not expected in everyone.

Are PRP and mesotherapy suitable for women?

These methods may be considered as supportive options. They are generally not recommended in pregnancy and breastfeeding, and the evidence is limited.

Suitability is decided according to scalp condition, blood disorders and the medicines used. They are not performed with an active scalp infection.

The PRP page describes the method in detail.

Frequently asked questions

Why does hair fall out at menopause?

Changes in hormone levels can affect hair structure. Thinning is commonly reported at this stage; see a doctor for assessment.

Is hair loss treated during pregnancy?

Some treatments cannot be used in pregnancy. Investigating the cause first and following the doctor’s advice is essential.

How long does postpartum shedding last?

It usually eases within a few months. It varies from person to person.

Can iron deficiency cause hair loss?

Marked deficiency can contribute to shedding. The doctor decides based on test results.

Sources (4)
  1. British Association of Dermatologists: Patient Information Leaflet: Hair Loss - Female Pattern (Androgenetic Alopecia) (2024)
  2. American Academy of Dermatology: Thinning hair and hair loss: Could it be female pattern hair loss?
  3. European Dermatology Forum: S3 - European Dermatology Forum Guideline for the Treatment of Androgenetic Alopecia in Women and in Men (2018)
  4. International Society of Hair Restoration Surgery: Androgenetic Alopecia

This content is for general information and does not replace a personal medical assessment.

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