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Understanding Female Pattern Hair Loss, and How to Treat It

Female-pattern hair loss (FPHL), also known as female androgenetic alopecia, is a common condition affecting many women. This condition can significantly impact self-esteem and quality of life. In this blog, we'll explore the latest updates on FPHL treatments and how you can begin your hair loss treatment journey with me, Sunil Kochhar, an expert trichology prescriber.

What is Female-Pattern Hair Loss?

FPHL is characterised by a gradual thinning of hair, primarily on the crown and frontal areas of the scalp. Unlike male-pattern baldness, which often leads to complete baldness in certain areas, FPHL usually results in a diffuse thinning, making the scalp more visible.

Causes of Female-Pattern Hair Loss

The primary cause of FPHL is a genetic predisposition, often influenced by hormonal changes. Androgens, a group of hormones that includes testosterone, play a crucial role in hair loss. Women with higher levels of androgens or increased sensitivity to these hormones are more prone to developing FPHL.

Impact on Quality of Life

Hair loss can be distressing, affecting mental health and self-confidence. Many women feel self-conscious about their appearance and may experience anxiety or depression. Understanding that you are not alone and that effective treatments are available can be a significant relief.

If you're ready to take the first step towards managing your hair loss, I invite you to register as a patient. Together, we can develop a comprehensive treatment plan to help you achieve the best possible outcomes. You don't have to face hair loss alone – expert help is available, and I am here to guide you every step of the way.

Treatment Options

Several treatment options are available for managing FPHL, each with varying degrees of effectiveness. The key is to find a treatment plan tailored to your specific needs, which I can help you with through personalised consultations.


Minoxidil is one of the most well-known treatments for FPHL. It is a topical solution applied directly to the scalp to stimulate hair growth. Studies have shown that a 5% minoxidil solution, applied once daily, is more effective than a 2% solution applied twice daily. However, it's essential to note that while minoxidil can promote hair growth, it requires continuous use to maintain results.

The most common side effects of minoxidil include scalp irritation and unwanted facial hair growth. Switching to a non-alchoholic formulation or using a personalised concentrations can help mitigate these side effects.

Finasteride and Other Anti-Androgens

Finasteride, a medication initially used to treat male-pattern baldness, can also be effective for women, particularly those with elevated androgen levels. It works by reducing the conversion of testosterone to dihydrotestosterone (DHT), a hormone linked to hair loss.

Other anti-androgens, such as spironolactone and cyproterone acetate, can also be prescribed to women with FPHL. These medications help to block the effects of androgens on hair follicles.


Spironolactone is a diuretic that also has anti-androgen properties. It is commonly prescribed for women with FPHL as it helps to block the effects of androgens on hair follicles. This medication can be particularly effective for women who have not responded well to other treatments. Common side effects include electrolyte imbalances and menstrual irregularities.


Bicalutamide is another anti-androgen medication that can be used off-label for treating FPHL. It works by blocking androgen receptors, thereby reducing the impact of androgens on hair follicles. It is usually prescribed when other treatments have not been effective. Monitoring for liver function is necessary when using this medication. We are the first clinic to offer this as a topical formulation, making it an effective treatment and limiting side effects as it acts directly at the hair follicle.

Alpha Estradiol

Alpha estradiol is a topical treatment that can help reduce hair loss by modulating the effect of androgens on the scalp. It is less commonly used but can be an effective option for some women.

Prostaglandin Analogues

Prostaglandin analogues, such as latanoprost and bimatoprost, are used primarily for their eyelash growth properties but have also shown promise in promoting scalp hair growth. These treatments are applied topically and work by extending the growth phase of hair follicles.


Nutraceuticals are dietary supplements that support hair health. Ingredients such as biotin, zinc, and iron can improve hair strength and growth. While these supplements alone may not be sufficient to treat FPHL, they can be a valuable addition to a comprehensive treatment plan.

Low-Level Laser Therapy (LLLT)

LLLT is a non-invasive treatment that uses red light to stimulate hair growth. It is believed to work by increasing blood flow to hair follicles and encouraging cell metabolism. Many women find LLLT to be a convenient and painless option for managing hair loss.

In-Clinic Treatments that I offer in our clinic based in Kent.

Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves injecting your plasma, rich in growth factors, into the scalp to promote hair growth. This treatment harnesses the body's healing capabilities to rejuvenate hair follicles and encourage thicker, healthier hair.


Mesotherapy involves injecting vitamins, minerals, and other essential nutrients directly into the scalp to nourish and revitalise hair follicles. This treatment can improve hair density and quality by providing the scalp with the nutrients needed for optimal hair growth.

Botulinum Toxin

Botulinum toxin, commonly known as Botox, can be used off-label to treat FPHL. It is believed to work by improving blood flow to hair follicles and reducing the activity of androgens. This treatment can be particularly useful for women who have not responded well to other therapies.

Why Consult with an Expert Trichology Prescriber?

As an expert trichology prescriber, I, Sunil Kochhar, can provide you with a comprehensive evaluation of your hair loss condition and recommend the most appropriate treatments. My goal is to offer personalised care and support throughout your hair loss treatment journey.

Initial Consultation

Your initial consultation with me can be done remotely, providing you with the convenience of discussing your condition from the comfort of your home. During this consultation, I will assess your hair loss, review your medical history, and discuss your treatment goals. This information will help me develop a tailored treatment plan to address your specific needs.

Ongoing Support

Hair loss treatment requires ongoing monitoring and adjustments to ensure optimal results. I will provide continuous support and follow-up consultations to track your progress and make any necessary changes to your treatment plan.


Female-pattern hair loss can be a challenging condition to navigate, but with the right treatment and support, it is manageable. By consulting with an expert trichology prescriber like myself, Sunil Kochhar, you can access the latest treatments and receive personalised care tailored to your needs. Take control of your hair loss journey today and start your path to healthier, fuller hair.

To book your initial consultation and begin your treatment journey, REGISTER AS A PATIENT. Let's work together to restore your confidence and improve your quality of life.


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