Male and Female Hair Loss

Male and Female Hair Loss Condirions

On average there are 100,000 – 150,000 follicles/hairs on the scalp. If there are fewer than 90,000 hairs on the scalp, the hair density is considered low. Individuals with blonde hair have the highest number of follicles. Those with red hair have the fewest, although their hair is coarser. Dr Fotis – Hair Restoration Specialist

Male Pattern Baldness

Male Pattern Baldness Stages

Hair loss is passed down genetically from family members.  There is a predestined potential this gene will be inherited. It can be inherited from maternal or paternal family members. Male baldness affects 25% of men in their 20’s.  Two-thirds of men will suffer some degree of hair loss at the age of 60. The predilection for hair loss can occur at any time through our adult life. Signs of hair loss can be seen as early as in our late teenage years. Genetic hair loss is progressive and slow. It can follow a pattern of loss akin to other male family members. From either side of the family.  Male Pattern Baldness can progress to advanced hair loss. This results in only a thin band of hair around the sides and back. This is commonly known as a “horseshoe”. Genetic hair loss is a result of an enzyme in the body that converts large quantities of testosterone.

The male hormone is converted into DHT or dihydrotestosterone. Hair loss occurs to some extent in 60-70% of all men.  This balding process is caused by hereditary factors. You inherit the tendency to lose hair from either of your parents. You may even have this tendency despite the fact that your parents have full heads of hair.  This is due to a process known as a spontaneous mutation. Whereby the genetic information changes at conception.


Hair loss stages are categorised in a useful guide to help diagnose the extent of the hair loss.  The Norwood Scale is a classification of MPB for men. The scale covers from remedial thinning to progressive hair loss. As a result, this makes it easier to understand the grouping and determine the potential future loss. The Scale starts at 1 at its most minor up to 7 as the most aggressive form of hair loss. With the staging of loss between hairline and crown. This is a useful guide even if not totally depicting your hair loss stage. As there are so many causes of hair loss, some systemic, traumatic, chemical it is important before any treatment is administered a proper assessment is required.

Female Pattern Baldness

female hair loss patterns
Ludwig Scale

Hair loss in women can be due to genetic factors, this is called female pattern baldness – FPB. It can start as early as puberty. Up to 50% of women having some degree of hair loss due to genetic factors over their lifetime. Besides genetics, there are many reasons why hair loss can occur in a woman. Hair loss can be a result of post-pregnancy, stress, diet, hormonal imbalances, illness, and medical operations such as chemotherapy and anticancer drugs. Other reasons can be traction, chemical damage and sometimes even self-induced hair loss. Female hair loss can have many more complexities than hair loss in men. In most circumstances before any diagnosis, a blood test should be undertaken. This can help to rule out any systemic deficiencies possibly related to blood.

It will be important for the doctor assessing the hair loss to be in full possession of the person´s medical history. Any possible factors including pregnancies and onset of menopause and a set of recent blood tests. Doctors´ may vary the blood test requirement. In general, the test will include a full spectrum blood count. This will include iron (Se Ferritin), thyroid stimulating hormone (TSH), blood sugar level (BSL), estradiol (E2) and erythrocyte sedimentation rate (ESR) which is a non-specific screening for various diseases.


Female pattern loss generally manifests itself in a diffused loss over the top of the head. Occasionally the thinning can affect the entire scalp. The loss can also be isolated to relatively small areas. This can be seen along the central parting on the top of the head. The Ludwig classification depicts the thinning patterns of female hair loss. This classifies from minor to major thinning patterns. Stage I is described as thinning hair over the central scalp. Secondly, Stage II is thinning hair and greater patches of scalp hair loss. Stage III shows male-pattern hair loss at the front scalp to mid-scalp. With female thinning it is common that the frontal hairline remains intact. Often the hair density is slightly lower but the hairline does not move. Behind, the hair density decreases and the hair can miniaturise. It is very rare though to see advanced hair loss in women.

Alternative Male and Female Hair Loss Conditions

Some medical treatments, prescribed or not can have hair loss as a side-effect. For this reason, always consult your specialist if you have any concerns. Treatments that may affect your hair growth can include, acne medications, antibiotics, anti-coagulation, chemotherapy and antidepressants to name a few.


A common form of hair loss and thinning in woman probably more than men is traction alopecia. The hair is open to excessive tension against the base of the scalp. This result from hairstyles such as tight braids or a ponytail. Over time the hair becomes weaker and finer in calibre. Eventually, this can stop hair growth.  If acted upon early enough the process can be reversed to a degree but it can lead to permanent damage.

A similar hair loss condition, medically classified as trichotillomania. This is when the person systematically pulls out their hair. It can occur without consciously realising. Malnutrition, crash diets, and generally poor eating habits, protein deficiencies can lead to hair loss.

Cicatricial Alopecia is also called as Scarring Alopecia. This condition is caused by a collection of skin disorders. They can gradually reduce the healthy hair growth over the scalp, resulting in being left with scar tissue.

Telogen effluvium is a common hair loss condition. Thought to be when stress causes the hair follicle to be pushed out prematurely. Putting the hair follicle into the resting state. Telogen effluvium can be acute or chronic. If there is some “shock to the system”, as many as 70% of the scalp hairs are then shed. This can occur in large numbers about 2 months after the “shock”. It normally only lasts for a period of a few months.


Alopecia areata, and more aggressive forms such as alopecia totalis are also hair loss conditions.  Hair is lost from some or all areas of the body. This can initially begin in the form of small round patches. Over time it can spread as the spots overlap to form larger areas. As well as affecting the scalp it can spread around the body. Alopecia areata is believed to be an autoimmune disease. Resulting from a breach in the immune system turning on the hair follicles and shutting down the growth phase.

Diffuse Unpatterned Alopecia or “DUPA“. This hair loss condition affects around 2-6 % of men.  Individuals with DUPA develop hair thinning throughout their entire head of hair. The top, back, and sides are all affected.  In men with DUPA, the majority of hairs on the scalp are undergoing miniaturisation. As a result, the hairs reduce in calibre or diameter. This often coincides with the hairs becoming stunted or shorter in length.

Treating hair loss for men or women first requires the hair loss condition to be identified. Only then can suitable treatment or surgical technique be advised. Results will vary from person to person. It is important a plan is made to ensure your long-term happiness with your hair.


The next step is having answers to your questions. With an online consultation, we want to make that as easy as possible for you. Not to mention, free and without obligation.

Your personal assessment is designed to answer your questions. Are you a good hair transplant candidate. What is your hair loss stage? Are your goals and expectations realistic? How many grafts, which technique and the cost.

For an online consultation and request a quote use the consultation form and complete the details. Alternatively, request more information on a hair restoration treatment by sending your contact details to us.

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