WOMEN PATTERN HAIR LOSS
The difference between Female Pattern Alopecia (Hairloss) (FPA) and Male Pattern Alopecia (Hairloss) (MPA) is that in FPA hairline is usually not affected; instead, we have diffuse thinning in the central scalp starting behind the hairline row. There are two established pioneers in the field of FPA – Ludwig, and Olsen. The first designed a scale for FPA, and hair loss classified into Ludwig Type 1, 2, 3 with severity gradually worsening as we move in a range from 1 to 3. The latter – Olsen, described a “Christmas tree” pattern of female hair loss.
“Ludwig and Olsen chart”
Compared to males, females have some critical aspects that we need to take into consideration before deciding if they are suitable for surgery. Number one is that females are prone to other etiologies of hair loss; it may be secondary to some other diseases. For example, if you suspect/see any signs or symptoms of an endocrine, metabolic, or dermatological cause, we should investigate, diagnose, and treat it first. We should also not forget temporary hair loss that may be compromised by emotional or physical stress, which causes telogen effluvium. But most of the time, females looking for hair transplantation have no apparent cause of female pattern baldness (androgenetic alopecia).