Understanding Female Pattern Hair Loss

Hair changes can affect confidence and well-being, and thinning is sometimes a clue to an underlying issue such as iron deficiency, thyroid disease, or a hormonal condition like PCOS. Evaluating the cause lets us treat what's reversible and choose therapies that protect and improve the hair you have.

We start with your history, hair-care pattern, and a scalp exam to look at where and how the hair is thinning. Lab work often includes iron studies (ferritin), thyroid testing, and, when appropriate, hormone levels — especially if there are signs of androgen excess. Distinguishing pattern hair loss from temporary shedding (telogen effluvium) guides the right treatment.

Care is individualized and often combines approaches. We first address reversible contributors such as low iron, thyroid imbalance, or androgen excess. Topical or low-dose oral minoxidil is a mainstay and works best with consistent, long-term use. For appropriate candidates, anti-androgen therapy such as spironolactone can help, particularly when PCOS is involved. Additional options include low-level laser therapy and platelet-rich plasma (PRP). Because hair grows slowly, we set realistic expectations and track progress over several months.