Female Pattern Baldness In The 20s- Causes And Treatments

Here’s everything you need to know about female pattern baldness in the 20s.

Causes of hair loss in females

Hair loss (alopecia) in women can happen due to a variety of reasons from genetics to medical conditions. They are as follows:

Androgenetic alopecia

It’s female-pattern hair loss or baldness caused due to family history or heredity or genetics. It’s the major cause of female hair loss and usually starts between 12-40 years of age. Unlike male-pattern baldness marked by certain bald spots and a receding hairline, female-pattern baldness looks more like an overall hair thinning.

Alopecia areata

It’s an autoimmune skin disorder that causes sudden patchy hair loss on a woman’s body or head. It typically starts with one or more overlapping or not overlapping round bald patches.

Traction alopecia

Also called traumatic alopecia, it happens when an injury occurs to the scalp causing hair loss due to hairstyling practices that pull on hair roots like cornrows, tight braids, or ponytails. The hair shaft might also break due to using straighteners, blow dryers, specific chemicals, or hot combs for styling the hair. The hair loss becomes permanent if the follicles are damaged.

Telogen effluvium

Severe stress or shock to women’s body causes temporary loss of hair in its resting stage. Its sources include witnessing stressful events like family deaths, losing a lot of weight, having a baby, undergoing critical ailments or major surgeries. 

Anagen effluvium

Toxic substances like certain medications, radiation treatment, and chemotherapy can result in sudden female hair loss anywhere on her body. This happens to the hair in its growth stage. Sometimes, this loss turns permanent if the follicles get destroyed. 

Cicatricial alopecia

It’s a group of conditions leading to irreversible female hair loss through scarring. Here, the hair sheds and scar tissues replace the hair follicles. 

Medical conditions

Certain medical issues directly cause hair loss by disrupting hormonal functioning (as in thyroid problems) or scarring (as from ringworm), etc. Such medical conditions include:

• Hypo- and hyperthyroidism
• Hodgkin’s disease
• Hypopituitarism
• Hashimoto disease
• Systemic lupus erythematosus
• Addison’s disease
• Celiac disease
• Lichen planus
• Ringworm
• Scleroderma
• Trichorrhexis invaginata

Menopause and hormonal imbalances

Female hair loss may happen during menopause because of less production of the hormones progesterone and estrogen. The same reason works when some women experience hair thinning after taking hormonal birth control pills.

Causes Of Female Hair Loss At Temples

There are numerous behaviors and conditions which may result in female hair loss at temples.

Men lose hair above their temples when they suffer from male pattern baldness. However, female pattern baldness may reduce hair density, sometimes making their scalp visible but doesn’t involve receding of the hairline.

The common causes of female hair loss at temples are:

• Traction alopecia
• Stress
• Side effects of specific medications
• Hormonal fluctuations during pregnancy
• Deficiency of vitamins like vitamins B and D
• Smoking

Causes Of Female Hair Loss In Front Of The Head

Hair thinning at the front of a woman’s head behind the hairline is usually caused by female pattern baldness. But the hair remains thick at the back. Below are the causes of female frontal hair loss:

• Genetics is the primary cause of androgenetic alopecia. If even one of your parents had pattern baldness, you may inherit the concerned gene.
• An enzyme converts testosterone (male sex hormone) to another hormone, dihydrotestosterone (DHT). It further causes women’s hair follicles to produce thinner hair until they cease to produce at all.
• A hormone that secretes tumor or an underlying endocrine disorder can cause female pattern baldness.

Is Female Pattern Hair Loss Reversible?

Female pattern baldness is not reversible.

The right treatment may control hair loss and significantly help regrow some of that hair which you have already lost. Treatments may take up to 1 year to begin working. You must stay on them long-term to avoid losing your hair again.

Treatment And Scope Of Hair Transplant In Females

Hair transplantation is a permanent solution to female pattern baldness. Follicular units are extracted from the donor site (usually rear of the scalp) which are genetically resistant to hair loss. These are transplanted in bald areas on the scalp. This minimally invasive hair transplant method (Follicular Unit Extraction or FUE) shows successful results in permanent female hair loss if there’s sufficient donor supply.

Scope of hair transplant, i.e., its candidature extends to 2-5% women only who would benefit from this treatment. Such women are:

• Those suffering hair loss because of traction or mechanical alopecia (non-hormonal).
• Those with a history of plastic or cosmetic surgery and are worried about hair loss around their incision areas.
• Those suffering androgenetic alopecia but also having a donor area not affected by the same.
• Those suffering hair loss due to chemical burns, scarring, trauma, etc.
• Those suffering from alopecia marginalis (looking much like traction alopecia).

Frequently Asked Question

1. Is hair transplantation an option for young women with pattern baldness?

For young women suffering from pattern baldness, particularly female pattern baldness (androgenetic alopecia), hair transplantation is a viable alternative. Nonetheless, there are a few things to consider while thinking about hair transplantation for young women:

A comprehensive examination by a licensed dermatologist or hair restoration professional is necessary prior to thinking about hair transplantation. To decide whether you are a good candidate, the specialist will evaluate the degree of hair loss, the possible donor location for grafts, and the underlying cause of hair loss. Prior to or in addition to hair transplantation, additional treatments may be explored, depending on the underlying reason and severity of hair loss. Topical minoxidil, low-level laser therapy, medication, and lifestyle adjustments are a few examples of these.

2. Can female pattern baldness in one’s 20s be prevented or slowed down?

Since it is essentially a genetic issue, female pattern baldness, also known as androgenetic alopecia, cannot be prevented in one’s 20s. That can, nevertheless, frequently be controlled or slowed down using a variety of therapy choices and lifestyle adjustments. See a dermatologist for an accurate diagnosis, evaluation of the degree of hair loss, and recommendation of appropriate treatment choices. This is the first step.

Female pattern baldness can be slowed down in its progression and hair growth can be encouraged with FDA-approved drugs. Topical minoxidil and oral drugs like finasteride and spironolactone are a few examples of these. 

Using the patient’s own blood components, PRP therapy promotes hair growth. In certain instances of female pattern baldness, it may be beneficial.

Overall hair health can be supported by leading a healthy lifestyle that includes regular exercise, stress management, a well-balanced diet rich in key nutrients, and enough sleep.

To avoid breaking or damaging your hair, avoid using too much heat when styling.  Hair health can be enhanced by giving the scalp regular attention, which includes washing and soft massaging.

Young ladies who suffer from female pattern baldness may occasionally think about hair transplantation as a long-term remedy. Not every patient will respond to a treatment the same way, and individual reactions can differ. Under the guidance of a dermatologist or healthcare professional, the optimal course of action for managing female pattern baldness in your 20s may include a mix of lifestyle modifications and therapies. The best way to slow down the loss of hair is to act early. 

3. Are there other factors that can lead to hair loss in young women?

Yes, a number of factors other than female pattern baldness can cause young women to lose their hair. Determining the best course of action for treating hair loss requires identifying its underlying cause. Some of the common causes of hair loss in young women include a transitory form of hair loss called telogen effusion which  is frequently brought on by severe stress, disease, surgery, or childbirth. An autoimmune disease called alopecia areata results in small, circular patches of hair loss on the scalp and other areas of the body. Variations in hormone levels brought on by diseases like PCOS (polycystic ovarian syndrome), thyroid issues, or hormonal birth control.

Inadequate consumption of protein, iron, zinc, and biotin, among other important nutrients. Hair loss is a negative effect of some drugs, including those used to treat depression, acne, and high blood pressure. Medical diseases such as diabetes, lupus, or anaemia can cause hair loss in young women. As a side effect of cancer treatment, such as chemotherapy, young women may have severe hair loss.Prolonged stress can interfere with the cycle of hair growth and cause hair loss. Regular use of chemical treatments such as perms and hair colours can cause harm to the hair, thinning and breaking it off.

4. What is the treatment for female pattern baldness in the twenties?

Depending on the severity of the problem and personal variables, there are many treatment options for female pattern baldness, also known as androgenetic alopecia, in their twenties. 

Minoxidil is a topical drug that is available without a prescription that can be administered straight to the scalp. It is frequently used to treat female pattern baldness and is FDA-approved for stimulating hair growth.

Some adolescent females discover that LLLT products, including laser combs or helmets, work well to reduce hair loss and increase hair thickness.

For some young women with female pattern baldness, PRP therapy—which uses the patient’s own blood components to stimulate hair growth—is an effective treatment.  Maintaining healthy hair requires a diet rich in vital nutrients, like iron, zinc, and biotin, and balanced. In some cases female pattern baldness can be treated with Hair Transplantation. 

A comprehensive assessment by a dermatologist or other healthcare professional should be the basis for the treatment decision. Since every patient is different in what they need and want from their treatment, a customised strategy is required to meet their unique demands and objectives. Effective management of female pattern baldness in the twenties can be achieved with early intervention and a thorough treatment strategy.