Hair fall in females

Hair  problems have become pretty much common these days. Alopecia or hair fall can have a lot causes and the treatment and prognosis varies according to the cause of hair fall. So before we embark upon hair regrwoing lotions and potions or hit the nearest salon for attractive spas and offers, lets read below and find out what is troubling your mane.

Alopecia is broadly divided into two categories

(A)   Non cicatricial/ non scarring type of alopecia- the more common type

(B)   Cicatricial/ scarring type of alopecia – the less common type


I  Non scarring alopecia- It includes the following conditions

  1. Telogen effluvium- this is the most common type of hair fall seen in young women. It usually follows periods of unhealthy dieting, sickness, thyroid disorders, seborrheic dermatitis, and certain medications. In this type of hair loss, there is loss of hair from all over the scalp with decrease in hair density especially over the temporal (lateral scalp).u

telogen effluvium

  1. Anagen effluvium– This type of hair loss usually follows cancer chemotherapy and is characterized by loss of hair from all over scalp and eyebrows resulting in baldness.

anagen effluvium

  1. Female pattern hair loss– This type of hair fall is usually seen in the menopausal age group and is characterized by widening of the central partition or loss of hair only from the crown area with an intact anterior hair line. It is also seen in younger women with PCOD and other hormonal problems.


  1. SAHA Syndrome– This type of hair fall is accompanied by oily skin, acne, and hirsuitism (increased hair growth on face and other sites) and irregular periods. It is usually seen in women with hyperandrogenemic states like PCOD, adrenal disorders and other hormonal problems.
  1. Alopecia areata- It is characterized by presence of bald patches in an otherwise normal scalp. Sometimes in extensive cases it can involve the whole scalp or even the whole body.

alopecia areata

  1.     Hair shaft disorders-In this type of hair fall, the hair don’t fall from the roots but shed due to breakage of the hair shaft which is usually rendered weak due to chemical procedures on the scalp, or excessive use of heat appliances on the hair.

II   Cicatricial alopecia

In this type of alopecia there is scarring of scalp, that is, the roots of the hair get destroyed  by the disease process, resulting in bald patches with scarred scalp. Diseases most commonly causing cicatricial alopecia include Lichen plano pilaris, discoid lupus erythematosus , trauma/ accident and peudopelade of brocq. 

cicatricial/scarring alopecia


A dermatologist  after thorough evaluation of your scalp, bedside tests, dermoscopic examination and blood tests, if required, will find out the cause of your hair fall and treat your hair as required.

–          A Home care regimen usually includes nutrition and hormone supplements and hair regrowth boosting lotions as per requirement.

–          Certain office based procedures can also be done to boost hair regrwoth depending upon the severity of the problem as follows

–          PRP therapy– In this procedure, your own blood is collected and growth factors are extracted from the blood. These growth factors are then re-injected into the scalp. It helps to boost blood circulation in the scalp and provides growth factors to the hair root.

–          Mesotherapy- Essential nutrients, oils and stem cells are infused into your scalp using microneedling or meso gun to provide hair with all the nutrition they require.

–          Scalp micropigmentation- In this procedure natural pigments are applied to the epidermis of the scalp to replicate the natural appearance of real hair follicles

–          Hair transplant- This is suitable for women with great widening of central partition or post traumatic cases who have a good density of donor hair in the posterior scalp.

–          For cicatricial hair loss patients, the first aim is to stop the spread of the disease with medications. As the scalp is scarred, hair regrowth usually doesn’t occur with medications or hair treatments. However, a hair transplant can be done on the scarred patches with moderate success.

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