Trichoscopic Features, Clinical Correlates, And Risk Prediction In Female Pattern Hair Loss: A Retrospective Case-Control Study

    February 2026 in “ Clinical Cosmetic and Investigational Dermatology ”
    Boquan Long, Qi Long, Pan Wang, Siqi Chen, Zhiming Ye, Hongwei Guo
    Image of study
    TLDR Female pattern hair loss is linked to genetics, family history, and lifestyle factors.
    The study examined 151 female pattern hair loss (FPHL) patients and 151 chronic telogen effluvium (CTE) patients, identifying trichoscopic features like brown or white peripilar signs and scalp pigmentation as more prevalent in FPHL. It found a genetic basis for FPHL, with a family history of androgenetic alopecia (AGA) and earlier onset of hair loss being common. A predictive model was developed, highlighting risk factors such as AGA family history, acne, seborrheic dermatitis, menstrual disorders, diet, sleep quality, and stress. The model aims to improve FPHL management by assessing risk, though the study notes limitations like recall bias and a small sample size, suggesting further research with larger cohorts.
    Discuss this study in the Community →

    Research cited in this study

    21 / 21 results

    Related Community Posts Join

    6 / 1000+ results
      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  830 upvotes 1 year ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community How essential is scalp biopsy when dealing with hair loss?

      in Treatment  6 upvotes 1 year ago
      The user experienced hair loss despite using Fin and Min for 12 years and switched to Dutasteride, RU58841, and Keto scalp serum, but shedding and itch persist. They are considering increasing Dutasteride to 2.5mg and questioning the necessity of a scalp biopsy, with mixed opinions on its usefulness.

      community C’est terrible - at my wits end

      in Female  450 upvotes 2 years ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

      community 9 years of hair loss process and 27 months of treatment. What's going on?

      in Finasteride/Dutasteride  39 upvotes 8 months ago
      The user experienced hair loss diagnosed as chronic Telogen Effluvium and male pattern baldness, treated with finasteride and minoxidil, later switching to dutasteride due to side effects but with limited success. The user plans to return to finasteride due to side effects from dutasteride, while others suggest maintaining consistent treatment and considering additional options like oral minoxidil and lifestyle changes.

      community 2Y 5M on dut, ask me anything

      in Finasteride/Dutasteride  130 upvotes 1 year ago
      A user experienced significant hair regrowth using dutasteride without side effects, starting with finasteride and not using minoxidil or dermarolling. They attributed success to a unique genetic response to DHT blockers but did not share their full regimen, frustrating others.

    Similar Research

    5 / 1000+ results