[Hinews] [Physician's Column] By Sol Lee, MD, Balmus Oriental Medicine Clinic, Gwangju Branch

Female pattern hair loss, marked by thinning at the crown or parting and reduced overall hair density, often escapes early detection compared to the distinct M-shaped recession seen in male hair loss. Key triggers include hormonal shifts specific to women, such as those during pregnancy, menopause, extreme dieting, and chronic stress. Without timely intervention, female pattern hair loss may gradually worsen and become more resistant to treatment.

Postpartum women experience a sharp decline in estrogen levels after pregnancy, disrupting the hair growth cycle and pushing hair into the resting phase, leading to shedding. This is often worsened by sleep deprivation, fatigue, and emotional stress from childcare, amplifying hair loss. In menopausal women, diminished estrogen production reduces scalp blood flow and weakens hair follicle function, exacerbating the condition.

Photo: Sol Lee, MD, Balmus Oriental Medicine Clinic, Gwangju Branch
Photo: Sol Lee, MD, Balmus Oriental Medicine Clinic, Gwangju Branch

In traditional Korean medicine, female pattern hair loss is associated with weakened uterine function, blood deficiency, and imbalances in qi and blood circulation. According to this view, reduced energy flow in the lower abdomen allows excess heat to rise toward the scalp, which may impair follicle health. Beyond aesthetic concerns, this condition impacts quality of life and emotional well-being, highlighting the importance of early care.

At oriental medicine clinics, treatment starts with evaluating a patient’s constitution and hair loss patterns. Herbal remedies are prescribed to support uterine and liver function, aiming to stabilize internal balance. Acupuncture and pharmacopuncture reduce scalp inflammation and heat, while topical treatments cool the scalp, minimize irritation, and shield damaged hair roots to foster healthy regrowth. This integrative approach, which combines internal organ health with external scalp care, has shown effectiveness in managing female pattern hair loss.

Recent treatment approaches increasingly incorporate holistic mind-body therapies to address stress, a major contributor to hair loss. Practices such as qigong or meditation can help relieve tension, improve sleep quality, and support autonomic nervous system balance. Effective management relies on sustained treatment and lifestyle adjustments rather than short-term fixes.

Because female pattern hair loss progresses gradually and often begins subtly, early diagnosis and prevention are crucial. Individuals noticing unusual or persistent hair shedding should consult a specialist to receive a personalized, integrative treatment plan tailored to their health condition and constitution.
In traditional Korean medicine, hormonal imbalances are believed to cause heat buildup in the scalp, considered a hallmark of female pattern hair loss. Restoring hair health requires not just cooling the scalp but also balancing the body’s energy flow and organ function through thorough systemic treatment.

Lifestyle management plays a critical role. Extreme dieting can deplete essential nutrients for hair growth, while excessive intake of processed foods or caffeine may worsen hair loss. A balanced diet rich in protein, iron, zinc, and B vitamins supports follicle health. Additionally, caution should be taken with harsh hair styling, frequent chemical dyes, or perms, as these can weaken and damage hair roots.

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