Differences in Demographic and Clinical Characteristics Among Subtypes of Female Pattern Hair Loss

August 2023 in “ Clinical, Cosmetic and Investigational Dermatology ”

Nawara Sakpuwadol, Kasama Tejapira, Chaninan Kositkuljorn, Cherrin Pomsoong, Poonkiat Suchonwanit

Female Pattern Hair Loss FPHL Ludwig pattern Olsen pattern Hamilton-Norwood pattern Type 2 Diabetes Mellitus Polycystic Ovary Syndrome PCOS Androgenetic Alopecia AGA female hair loss diabetes genetic hair loss

TLDR Different types of female pattern hair loss have unique characteristics and are associated with various health conditions.

The study "Differences in Demographic and Clinical Characteristics Among Subtypes of Female Pattern Hair Loss" analyzed 519 patients with Female Pattern Hair Loss (FPHL). The most common subtype was the Ludwig pattern (51.1%), followed by the Olsen (32.9%) and Hamilton-Norwood (16%) patterns. The Hamilton-Norwood subtype had the earliest average age of onset (41.5 years) and the highest prevalence in the early onset group (61.4%). The Ludwig pattern had the longest median disease duration (7 years) and the highest proportion of grade III severity (25.3%). Overweight was predominant in the Olsen (39.8%) and Ludwig (37.8%) patterns, while the Hamilton-Norwood subtype showed a lower proportion (24.1%). Type 2 Diabetes Mellitus (DM) showed a significant difference among the categories, and the Hamilton-Norwood group had the highest proportion of patients with Polycystic Ovary Syndrome (PCOS) (18.1%). The study also found that 74.5% of the participants had a family history of Androgenetic Alopecia (AGA) or FPHL, indicating a genetic role in FPHL. The study recommends thorough examinations for comorbidities in patients with FPHL, particularly those with specific subtypes.

View this study on dovepress.com →

Discuss this study in the Community →

Cited in this study

31 / 31 results

research Sleep Quality in Men with Androgenetic Alopecia

2 citations , April 2022 in “Sleep and Breathing”

research The Comparison of Demographics and Comorbidities of Female Pattern Hair Loss According to the Clinical Subtype and Stage

November 2021 in “Journal of The American Academy of Dermatology”

Different stages and types of female hair loss are linked with age, menopause, high blood pressure, and skin conditions like acne and hirsutism.

research Histopathological Evidence of Occipital Involvement in Male Androgenetic Alopecia

3 citations , November 2021 in “Frontiers in Medicine”

research Scalp Biophysical Characteristics in Males with Androgenetic Alopecia: A Comparative Study with Healthy Controls

12 citations , May 2021 in “Clinical Interventions in Aging”

research Topical Finasteride for the Treatment of Male Androgenetic Alopecia and Female Pattern Hair Loss: A Review of the Current Literature

13 citations , June 2020 in “Journal of Dermatological Treatment”

Topical finasteride helps regrow hair and reduce hair loss in men and women.

research Asian Hair: A Review of Structures, Properties, and Distinctive Disorders

39 citations , April 2020 in “Clinical, Cosmetic and Investigational Dermatology”

Asian hair is generally straight and thick, with unique disorders and properties, and more research is needed to understand it fully.

research Finasteride and Its Potential for the Treatment of Female Pattern Hair Loss: Evidence to Date

32 citations , March 2020 in “Drug Design Development and Therapy”

Finasteride shows promise for female hair loss, but more research needed.

research Evaluation of Hair Density and Hair Diameter in the Adult Thai Population Using Quantitative Trichoscopic Analysis

31 citations , February 2020 in “BioMed Research International”

Thai people's hair density decreases with age and varies by scalp area, but hair thickness stays the same regardless of age or scalp area.

research Female Androgenetic Alopecia: An Update on Diagnosis and Management

43 citations , February 2020 in “American Journal of Clinical Dermatology”

FAGA diagnosis uses blood tests and trichoscopy, with treatments like topical minoxidil, oral anti-androgens, and hormone-modulating drugs.

research Female Pattern Hair Loss and Androgen Excess: A Report From the Multidisciplinary Androgen Excess and PCOS Committee

49 citations , July 2019 in “The Journal of Clinical Endocrinology and Metabolism”

Use "female pattern hair loss" term, assess androgen excess, treat with minoxidil and other medications if needed.

research The Diagnosis of Androgenetic Alopecia in Children: Considerations of Pathophysiological Plausibility

7 citations , June 2019 in “Australasian Journal of Dermatology”

AGA in children needs careful diagnosis due to low androgen levels and possible other causes.

research Correlation Between Clinical Features, Biochemical Parameters, and Histopathological Findings in Women with Patterned Baldness: A Study from North India

4 citations , May 2019 in “PubMed”

Patterned hair loss in women is linked to hormonal imbalances and biochemical changes, and should be evaluated for underlying health issues.

research Efficacy of Topical Combination of 0.25% Finasteride and 3% Minoxidil Versus 3% Minoxidil Solution in Female Pattern Hair Loss: A Randomized, Double-Blind, Controlled Study

36 citations , February 2019 in “American Journal of Clinical Dermatology”

Combination of 0.25% finasteride and 3% minoxidil works better than just 3% minoxidil for increasing hair thickness in women.

research Frequency of the Types of Alopecia at Twenty-Two Specialist Hair Clinics: A Multicenter Study

56 citations , January 2019 in “Skin appendage disorders”

The most common hair loss type at specialist clinics is androgenetic alopecia, especially in younger men, followed by alopecia areata and telogen effluvium, with differences seen across regions.

research Alopecia in Association with Malignancy: A Review

26 citations , August 2018 in “American Journal of Clinical Dermatology”

Hair loss in cancer patients can be related to the cancer itself, treatment, or other conditions, and understanding it is important for diagnosis and patient care.

research Parietal Scalp Is Another Affected Area in Female Pattern Hair Loss: An Analysis of Hair Density and Hair Diameter

30 citations , December 2017 in “Clinical, Cosmetic and Investigational Dermatology”

Parietal scalp area has lower hair density and smaller hair diameter in women with hair loss.

research Prevalence of Dermatologic Manifestations and Metabolic Biomarkers in Women with Polycystic Ovary Syndrome in North China

17 citations , September 2017 in “Journal of Cosmetic Dermatology”

Women with PCOS in North China often have hirsutism and acne, with hirsutism linked to metabolic issues.

research Genetics and Other Factors in the Etiology of Female Pattern Hair Loss

43 citations , June 2017 in “Experimental Dermatology”

Female pattern hair loss has unclear causes, possibly involving genetics, hormones, and environment, and needs better treatments.

research Frequency, Severity, and Related Factors of Androgenetic Alopecia in Dermatology Outpatient Clinic: Hospital-Based Cross-Sectional Study in Turkey

37 citations , January 2017 in “Anais Brasileiros De Dermatologia”

AGA more common in men, increases with age, linked to family history, hypertension, dyslipidemia, and smoking.

research Female Pattern Hair Loss: A Clinical and Pathophysiological Review

91 citations , July 2015 in “Anais Brasileiros De Dermatologia”

Female Pattern Hair Loss affects women's self-esteem and needs more research for better treatment.

research Female Pattern Hair Loss: A Review Article

57 citations , October 2013 in “international journal of endocrinology and metabolism”

Female pattern hair loss is common, linked to polycystic ovarian syndrome, and treated with topical Minoxidil.

research Factors Associated With Female Pattern Hair Loss And Its Prevalence In Taiwanese Women: A Community-Based Survey

33 citations , August 2013 in “Journal of The American Academy of Dermatology”

FPHL common in Taiwanese women; risk factors include BMI, high glucose, early puberty, fewer childbirths, oral contraceptives, and UV exposure.

research Female Pattern Hair Loss

226 citations , September 2001 in “Journal of The American Academy of Dermatology”

Hair loss in women is genetic, diagnosed by examination and biopsy, and treated with minoxidil, finasteride, or transplantation.

research The Prevalence and Types of Androgenetic Alopecia in Korean Men and Women

157 citations , July 2001 in “British Journal of Dermatology”

AGA more common in men, Koreans have lower rates and unique patterns.