Female hair loss explained — causes, timelines & sensible next steps
Female hair loss is common and multifactorial. This guide explains typical patterns, likely triggers, what tests are worth discussing, and practical options to support scalp and hair health.
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1) Common types & patterns 2) Frequent triggers 3) Tests to discuss with your GP 4) Care options (home & clinic) 5) Timelines & expectations 6) FAQ1) Common types & patterns
Female pattern hair loss (FPHL)
Gradual thinning over the crown and widening of the parting, with preserved frontal hairline in many cases. Often runs in families and progresses slowly.
Telogen effluvium (shedding)
Diffuse shedding across the scalp, usually noticed 2–3 months after a trigger (illness, stress, medication changes, low iron, thyroid issues). Typically self-limiting once the trigger resolves.
Postpartum shedding
Common after birth due to hormonal shift; peak shedding often 2–4 months postpartum, with recovery over subsequent months.
Traction & cosmetic damage
Tight styles, repeated bleaching or heat can damage hair shafts and follicles. Prevention and gentler routines help most.
2) Frequent triggers in women
Iron & ferritin
Low iron stores can drive shedding; ferritin is the storage marker GPs check.
Thyroid function
Both hypo- and hyperthyroidism can affect hair cycles and quality.
Hormones
Postpartum changes, perimenopause, PCOS and contraceptive shifts can influence density and shedding.
Illness & stress
Major illness, surgery, high fever or significant stressors can trigger telogen effluvium.
Nutritional gaps
Inadequate protein, vitamin D or B12 can contribute to poor hair quality.
Scalp inflammation
Seborrhoeic dermatitis/psoriasis can worsen shedding and comfort.
3) Tests to discuss with your GP
- Ferritin (iron stores) ± full blood count
- Thyroid panel (TSH ± T3/T4)
- Vitamin D and B12 (when indicated)
- Metabolic/hormonal testing where history suggests (e.g., PCOS)
4) Care options — home & clinic
At home
- Optimise diet (protein targets), correct deficiencies (iron/vitamin D/B12) if present.
- Scalp care: gentle cleansing; anti-dandruff/ketoconazole shampoo 2–3× weekly if inflamed.
- Topicals/devices: off-the-shelf minoxidil 5% and low-level light therapy may support density for some users over months.
- Hair handling: reduce traction/heat; adopt protective styling.
5) Timelines & expectations
- Shedding settles once the trigger is addressed — expect lag of 2–3 months.
- Density changes are gradual; track progress with like-for-like photos every 8–12 weeks.
- Combined approach (trigger + routine + clinic options) usually yields the best chance of visible improvement.
6) Frequently asked questions
Is postpartum hair loss permanent?
It’s usually temporary; most women notice improvement over the year following birth, though baseline pattern loss can coexist.
Does stress really cause hair loss?
Yes — significant stressors can push more hairs into the shedding phase (telogen). The good news: it’s often reversible once the trigger calms.
When should I see a specialist?
If shedding is sudden, there are bald patches, scalp pain, or you’re worried about an underlying condition, seek clinical review. We can coordinate with your GP/dermatologist where appropriate.
How soon can I expect results?
Plan on months, not weeks. Meaningful change often appears after 3–6 months of consistent care, with ongoing improvement beyond.