Difference between men and women hair loss

6Hair loss and balding isn’t something that is confined to men alone. Women also tend to face these problems. Dr. Rajesh Rajput tells us how and why hair loss in men and women are different and talks about the causes for both.

In men, the hair follicles become miniaturized, thin and weak resulting in slow growth and this eventually leads to no growth. In men the hair roots on the top and front are sensitive to hormonal and other changes, while the hair on the sides and the back are not sensitive. Hair roots from the affected areas fall off and then the hair is not replaced with new hair and hence the growth cycle stop.

Hair thus completely stops growing and there is a need for hair transplant. In men, the hair line starts receding first which leads to hair loss, whereas in women the hair line is always preserved. In women hair loss is seen all over the scalp. It is not restricted to defined areas. In women natural hair roots having 2, 3 or 4 hair each get gradually converted to single hair units causing loss of volume and loss of thickness of the hair. Women get full length hair falling out with a small white dot denoting the root.

Sr.no. Clinical Observation Men Women
1 Hair line Receding, first to be affected and lost Hair line is usually preserved
2 Areas affected in a pattern Affects frontal area, crown then mid scalp More visible over top and corners but affects entire scalp
3 Areas spared or non sensitive Sides and back of the head are spared Sides and back are also affected
4 Baldness developed ultimately complete loss of hair Does not lead to complete loss of hair
5 Miniaturization Hair roots become thin weak slow growing and are lost Hair roots with 2, 3, 4 hair gradually reduce to single hair but not lost
6 Hair mass Hair completely lost leaving bald area Loss of volume, flatness and loss of thickness
7 Hair growth Hair growth Cycle Stops Hair growth has slowed down
8 Hair fall Initially noticed but baldness due to failure of replacement of lost hair not from excess hair fall Fall of quantifiable full length hair with white end denoting the hair root
9 Main cause Androgens, testosterone, DHT, siborrhoeic scalp Poor Nutrition, hormonal changes, hair structure damage from straightening, blow drying, perm, color etc.
10 Seasonal Hair loss uncommon Common to have seasonal hair loss at least once a year
11 Treatment Minoxidil, optional use of enzyme blockers Minoxidil not compulsory, Bio mimetic peptides are effective, enzyme blocker not used
12 Adjunct treatments vitamins, minerals, zinc, Vit. C, Laser Stimulation, Antioxidants, iron, calcium, amio acids, omega 3, Laser Stimulation
13 External factors causing hair loss Smoking, Whey Protein, body building supplements, regular alcohol , spicy food, Overuse of Vitamins, Calcium, Fish oil, Vit. E, Vit. A, Smoking, alcohol, sugar foods

Hair transplant in Women

Hair transplant for women is different from routine procedures for men. Women are sensitive to adrenaline used in local anesthesia. Women tend to face shock loss very easily. Women do not have frank bald areas. Hair needs to be placed carefully between existing natural hair without damage to the present hair roots.

Men commonly require reconstruction of new hair line whereas women require advancing of the hair line. Grafts harvested from the occipital donor area in men are of good quality. In women usually limited transplants are planned as the occipital donor area may also be affected yielding poor quality grafts.


Dr. Rajesh Rajput
Hair Restore, M.S., M.Ch.,
Aesthetic & Hair Transplant Surgeon

Dr. Rajesh Rajput, a Trichologist & Hair Transplant Surgeon, has an experience of 25 years in providing focused solutions for hair transplant surgery for women and men. He has performed over 3,500 transplant procedures for patients from all over the world. He has also pioneered Cyclical Hair Treatment which controls hair loss & induces over 30% new hair growth in 2-4 months without side effects.

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