Baldness
in women
Androgenetic alopecia or significant thinning is an
even worse aesthetic and psychological problem in
women than in men. Yet about 35% of women of childbearing
age and around 50% of menopausal women suffer from
thinning. Unfortunately, the vast majority of these
women prefer to suffer in silence and take no action
to resolve the situation.
In women, baldness generally starts later and proceeds
more slowly than in men, so that the thinning is
usually less evident though it may be more widespread
on the scalp.
Increased production of male hormones is the cause
of 40% of female androgenetic alopecia. In the remaining
cases, even though the body may not produce an increased
amount of male hormones, the hair follicles become
more sensitive to the level of male hormones already
present. Typical consequences are atrophisation
of the hair, reduced growth, and an increase in
seborrhoea.
Hair loss may be the result of a variety of causes,
including the menopause, cysts on the ovaries, hereditary
factors and sudden hormonal changes (like those
induced by the contraceptive pill).
Baldness and thinning in women is measured on the
Ludwig scale, which concentrates on the top and
front of the head.

Female hair loss cannot always be treated by hormone
therapy, because it is often impossible to determine
what form of baldness
is involved.
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