Conditions › Female Pattern Hair Loss
Female Pattern Hair Loss – Diagnosis & Treatment by Consultant Dermatologist in London
Female pattern hair loss (FPHL) is the most common cause of thinning in women, typically widening of the parting and decreased density over the crown. It’s driven by genetics and hormone sensitivity. At Skinhorizon, we provide consultant‑led diagnosis and an evidence‑based plan to slow shedding and improve hair density.
Call Us Book ConsultationWhat is female pattern hair loss?
Female pattern hair loss (FPHL), also called androgenetic alopecia in women, is a genetically influenced condition where scalp hairs progressively miniaturise. Density gradually reduces, most often over the central scalp and crown, while the frontal hairline is usually preserved.
Causes and how it develops
FPHL arises from genetic susceptibility and hormone sensitivity at the follicle. Oestrogen changes (post‑partum, perimenopause/menopause), stress, illness, and nutritional factors may unmask or accelerate thinning. The growth phase (anagen) shortens and hairs become finer.
Symptoms and patterns
Typical signs include a widening parting, see‑through crown under bright light, reduced ponytail volume, and more hair in the brush or shower. FPHL is usually gradual rather than sudden.
Diagnosis and tests
Diagnosis is clinical with a careful history, scalp examination, and dermoscopy. Blood tests (e.g., ferritin, thyroid) may be checked to exclude contributors. We exclude other causes such as telogen effluvium, traction alopecia, alopecia areata, and scarring alopecias.
Personalised Treatment for Female Hair Loss in Central London
Book a consultation in Maida Vale for expert diagnosis of female pattern hair loss. We offer advanced treatments including minoxidil, exosomes, and scalp laser therapy.
Call Us Book ConsultationTreatment options and management
Medical treatments
Topical minoxidil is first‑line to stimulate growth and thicken hair shafts. In selected patients, oral options (e.g., low‑dose minoxidil; carefully chosen anti‑androgens) may be considered after risk–benefit counselling and monitoring.
Devices and supportive therapies
Low‑level light therapy (home or clinic devices) can complement medical treatment. Styling strategies, hair fibres, and part repositioning help cosmetic appearance during regrowth.
Nutrition and lifestyle
Address iron deficiency, low protein intake, crash dieting, and stress where relevant. Gentle hair care and avoiding tight styles reduce breakage/traction.
When urgent review is needed
Seek prompt review for sudden patchy loss, scalp inflammation, scarring, pain, or eyebrow/eyelash shedding—these suggest conditions other than FPHL.
Why choose Skinhorizon for female pattern hair loss?
- Consultant dermatologist‑led diagnosis to exclude reversible/scarring causes.
- Evidence‑based, stepwise plans: topical/oral medicines, devices, and supportive care.
- Care under CQC standards with clear follow‑up and safety monitoring.
Your first visit — what to expect
- History: Shedding timeline, triggers, menstrual/menopause history, family history, diet, stress, and hair practices.
- Examination: Scalp and hair‑pull tests; dermoscopy to assess miniaturisation.
- Discussion: Education about FPHL, realistic timelines (3–6 months for visible change), and daily routine planning.
- Treatment plan: Personalised combination of topical/oral therapies and supportive options.
- Follow‑up: Reviews to optimise dosing, monitor tolerability, and track density changes.
Reviewed by: Dr Mohammad Ghazavi, Consultant Dermatologist
Skinhorizon Clinic, 4 Clarendon Terrace, Maida Vale, London W9 1BZ
Last reviewed: 21 August 2025
Get expert help to slow shedding, thicken density, and plan long‑term FPHL management.
Call Us Book ConsultationFemale Pattern Hair Loss FAQs
What is female pattern hair loss?
A hereditary thinning where hairs miniaturise over the crown/mid‑scalp, leading to a widening parting and reduced density over time.
What causes female pattern hair loss?
Genetic susceptibility and hormone sensitivity at the follicle. Triggers such as post‑partum/menopause changes, illness, stress, or nutrition can accelerate thinning.
How is female pattern hair loss diagnosed?
By clinical assessment and dermoscopy. Blood tests may check iron, thyroid, or other factors. Other hair loss causes are excluded before treatment.
What are the treatment options for FPHL?
Topical/oral medicines (e.g., minoxidil; selected anti‑androgens), low‑level light therapy, nutrition optimisation, and cosmetic camouflage strategies.
How long before I see results?
Expect shedding to stabilise within 8–12 weeks; visible thickening typically takes 3–6 months, with continued gains up to 12 months.
Is female pattern hair loss curable?
There is no permanent cure, but early, consistent treatment can slow loss and improve density long‑term.
