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Female alopeciaAndrogenic Alopecia in Young Women

Androgenic Alopecia in Young Women

Androgenic alopecia, also known as hair loss, is brought on by the prevalence of the androgen dihydrotestosterone. It is a more frequent type of alopecia, affecting both men and women. Androgenic alopecia affects nearly every person to a greater or lesser degree. In this article we will talk about Androgenic Alopecia in Young Women.

The problem of hair loss is one that has plagued humanity for centuries. Ancient Egyptian hieroglyphics depict men and women suffering from thinning hair and bald spots. Over the millennia, various remedies and solutions have been tried, most with limited success. The first signs of hair loss typically appear between 12 and 40 years. Though they are generally too subtle to detect. However, by the time a person reaches the age of 50. Noticeable hair loss has already begun to affect nearly half of all people.

What’s more, the emotional toll of premature hair loss can be quite significant. Losing one’s hair at a young age often negatively impacts one’s self-esteem and body image. The inability to stop or slow this natural process leaves many young women feeling frustrated and powerless.

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Clinical Manifestations of Androgenic Alopecia in Women

Androgenic Alopecia

Women typically observe thinning hair on the crown region of their head first. Over time, the scalp becomes more noticeable. The thinning that occurs over time, even though it is frequently diffuse and could involve the majority of the scalp. Is typically patterned, with the most noticeable thinning occurring over the parietal and frontal scalp. With higher density occurring around the occipital scalp.

There are several key factors that differentiate female pattern baldness from male pattern baldness. While men tend to lose hair in a more defined “M” shape with a receding hairline, women experience diffuse overall thinning that especially impacts the crown and frontal scalp areas.

Regardless of whether the scalp is evident behind the hairline. Women often keep a border of hair around the frontal hairline. The characteristic of AGA is miniaturized hair, which consists of more delicate and shorter hairs of varying diameters and lengths. Miniaturized follicles result from a decrease in the anagen stage and a decrease in the matrix. The increased distance between individual strands gives the impression that the center section of the head is wider on the frontal scalp than on the occipital scalp.

Loss of hair density

Alopecia in Young Women

This gradual miniaturization of hair follicles leads to wispier, finer hairs that provide less scalp coverage overall. While genetics play a key role, factors like hormonal changes, nutrition, medications, illness and stress may hasten this miniaturization process or exacerbate diffuse shedding.

Less frequently, the hair density seems normal proximally; however, the hair’s length no more grows to its original length, leading to wispy distal ends; in this scenario, the reduction of anagen develops more rapidly than the decrease of the matrix.

The patient may see that the circumference of her “ponytail” has decreased and that the length of her hair has been cut shorter to give the impression that she has more hair. Very rarely can progressive thinning occur with the decline of the frontal hair, but if it does, it is invariably linked to significantly increased levels of circulating androgens.

Psychologically, the inability to grow one’s hair to its former length or density can be very disheartening. A thinning ponytail circumference or the need to wear hair shorter to disguise sparse patches leaves many struggling with negative emotions like shame, anxiety and lowered self-confidence.

Evaluations And Check-ups to diagnose and stop Androgenic Alopecia

Androgenic Alopecia in Young Women

The following criteria are typically used to identify female pattern baldness:

  • Excluding the possibility of hair loss caused by other factors, like thyroid disease or an iron shortage.
  • The outward manifestations and recurring style of hair loss.
  • The details of your medical history
  • Your doctor will also inquire about any recent emotional stresses, illnesses, dietary changes or switches in medications.
  • Your primary care physician will conduct an exam to look for additional indications that you have an excessive amount of male hormone (androgen), including the following:
  • New hair growth that isn’t supposed to be there, for instance, on your face or in the area around the navel and the pubic area
  • Alterations in menstrual cycles and an expansion of the clitoris have been seen.
  • New acne

A scalp skin sample or blood testing may be employed as diagnostic tools when diagnosing skin conditions that lead to hair loss.  It is possible to examine the hair follicles using a dermoscope or a microscope to determine whether there are any issues with the formation of the shaft itself.

Trichoscopy allows your dermatologist to examine hair density and shaft formation at 20-200x magnification. Blood tests help rule out issues like vitamin/mineral deficiencies, thyroid disorders and other medical conditions that may be impacting hair growth.

How To Prevent and Stop Hair Loss due to androgenic Alopecia

androgenic alopecia in women

The most frequent treatment for hair thinning in women is various medications. The following are some examples of them:


This medication was initially developed as a therapy for high blood pressure; nevertheless, patients who used it observed that new hair grew in areas of their bodies where they had previously experienced hair loss. Studies conducted to demonstrate minoxidil’s ability to stimulate hair growth when administered straight to the scalp found positive results.

Though not fully understood, it is believed that minoxidil works by improving blood flow and nutrient delivery to hair follicles which revives shrunken follicles to stimulate new growth. Minoxidil comes as a topical solution that is applied directly to the scalp twice daily.

Following the completion of the research, the Food and Drug Administration granted first approval for the sale of minoxidil topical solution 2 % as an over-the-counter treatment for female pattern baldness. Since then, a solution with 5 percent minoxidil is also available in cases where a more potent treatment for a female’s hair loss is required.

Minoxidil isn’t a wonder medicine in any way. Even though it may result in the growth of some new, more delicate hair in some women, it cannot fully restore the thickness of the hair that has been lost. It is not a quick answer to the problem of women losing their hair.

While minoxidil can help stimulate new growth, it cannot prevent future hair loss or restore miniaturized follicles to their original size. So continued use is required to maintain benefits. Results vary considerably from person to person.

After taking the medication consistently for at least one and a half months, you will start to see benefits. It takes six months to a year for the impact to reach its height, so you should plan for a test lasting that long.


Manifestations of Androgenic Alopecia in Women

Androgens, which contain testosterone and several hormones traditionally associated with men, have been shown to hasten hair thinning in women. When treating androgenic alopecia, including the anti-androgen medication spironolactone (Aldactone) to the treatment regimen of minoxidil may be helpful for certain women who do not experience a response to minoxidil.

Since women with the polycystic ovarian syndrome (PCOS) tend to produce excessive androgens, this is particularly true for them. Spironolactone blocks androgens receptors helping minimize their impact on hair follicles which can help slow shedding or encourage regrowth in many women with AGA.

Women of childbearing age typically receive a prescription for spironolactone in conjunction with oral contraceptives from their doctor. (Because these medications can cause genital anomalies in a male fetus, a woman taking any of these medications should avoid becoming pregnant while taking it.) Some potential adverse effects include increased weight, decreased libido, feelings of despair, and weariness.

Iron supplements

Some women’s hair loss may be due to a lack of iron in their bodies. If you have an iron deficiency, your doctor will recommend that you take a supplement. In doing so could perhaps stop the loss of your hair. If, on the other hand, the iron level is adequate. Taking additional iron won’t do anything but create side effects like stomach aches and constipation.

If you are a vegan, have a family background of anemia, or experience excessive monthly bleeding. The doctor may recommend that you have your blood iron balance tested.

Conclusion about Androgenic Alopecia

Many therapies are available to women experiencing hair loss, including over-the-counter (OTC) hair loss solutions, which are typically helpful. Individuals with hair loss should make an appointment with their primary care physician, who can identify any underlying problems. While treating hair loss can be challenging, new medical advancements provide more options offering hope to the millions affected by premature hair thinning and shedding.


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