[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, this condition can persist and intensify.

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 tied to weakened uterine function, blood deficiency, and disrupted qi and blood circulation. When energy in the lower abdomen falters, heat rises to the upper body, particularly the scalp, impairing 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 bolster uterine and liver function, stabilizing internal systems. 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 comprehensive approach, addressing both internal organ health and external scalp care, proves effective in managing female pattern hair loss.

Recent treatment advancements incorporate holistic mind-body therapies to tackle stress, a major contributor to hair loss. Practices like qigong or meditation ease tension and enhance sleep quality, supporting autonomic nervous system balance. Effective management hinges on sustained treatment and lifestyle changes rather than quick fixes.

Given its gradual progression and subtle onset, female pattern hair loss demands proactive diagnosis and prevention. If unusual hair loss is noticed, consulting a specialist for a personalized, integrative treatment plan tailored to one’s constitution and condition is strongly advised.
Hormonal imbalances often cause heat buildup in the scalp, 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 changes are critical. Extreme diets can deplete nutrients essential for hair growth, while overconsumption of processed foods and caffeine may aggravate hair loss. A balanced diet rich in protein, iron, zinc, and B vitamins is crucial for hair health. Caution is also needed with harsh styling, chemical dyes, and perms, which can damage hair roots.

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