Hair loss or baldness is a genetic trait—but unlike what you may have been told, it’s not necessarily passed down from your maternal grandfather. Medical science has come to learn that baldness genes are actually passed down from both sides of the family—and they affect hair loss in women as well as men. Baldness genes may also skip generations and are utterly random in terms of which siblings (male or female) they will affect. They may even have very different effects on siblings in the same family.
Hair loss in women
In women, hair loss usually begins at menopause. Before this time, DHT is counteracted by estrogen, but when estrogen levels drop, women’s hair follicles may also become prone to the effects of DHT. Unlike men, hair loss patterns in women are marked by thinning throughout the scalp; fully bald spots at the crown are rare.
Thinning hair and balding are common occurrences, but they don’t appear the same way for everyone. Recognizing the type of hair loss you have is a first step to determining the right treatment plan
Female Baldness: The Ludwig Scale
Type 1 female baldness is the least severe with thinning on the top of the head.
Type 2 hair loss in women is more significant with areas of the scalp showing through thinning hair.
Type 3 patients may completely lose hair on the crown of the head. In this case, more donor hair will be required to obtain full coverage.