Hair growth and miniaturization mimic male pattern hair loss. However, unlike men, the frontal line is usually preserved, with a sheer loss of hair density near the midline of the scalp. It is classified according to the Ludwin scale I-III.
As in male pattern hair transplantation, the primary treatment option in female pattern is hair transplantation surgery. The surgical option should be combined with medical treatment. Topical minoxidil for women is the only FDA-approved medical option. However, other drugs such as spironolactone, oral contraceptives, finasteride and dutasteride have been used with great success. Low-dose light therapy (LLLT) is also included in the treatment protocols recommended by the FDA. Hair transplantation surgery is a safe option with more permanent and striking results, especially with the spread of surgical centers where long hair transplantation is performed without cutting the hair.