Hair transplantation may help IF the woman has enough donor hair. So far the only way we do hair transplant is to take hair from one area of the scalp – usually at the back, near the nape of the neck, and move some of that hair to the thinning areas. Women however, don’t lose in the pattern as men do and have thick hair still in the back. While we may lose in a pattern--widening part--we also thin diffusely, over all our scalp. So hair transplant might not be right for everyone. Again, this is a discussion with a dermatologist and a hair transplant surgeon. But have realistic expectations of what it can and cannot accomplish. I go into this at length in my book.
Another sneaky culprit of hair loss is alopecia areata, an autoimmune disease that confuses the hair for an attack on the immune system. According to Marc Glashofer, MD, a dermatologist in New York City, if your hair loss is occurring in round circles on your scalp, then you most likely are a victim of alopecia. Alopecia can be treated with steroids and even over-the-counter products like Rogaine.
Trichotillomania, classified as an “impulse control disorder,” causes people to compulsively pull their hair out. “It’s sort of like a tic, the person is constantly playing and pulling their hair,” says Dr. Glashofer says. Unfortunately, this constant playing and pulling can actually strip your head of its natural protection: hair. Trichotillomania often begins before the age of 17 and is four times as common in women as in men.
Traumas such as childbirth, major surgery, poisoning, and severe stress may cause a hair loss condition known as telogen effluvium, in which a large number of hairs enter the resting phase at the same time, causing shedding and subsequent thinning. The condition also presents as a side effect of chemotherapy – while targeting dividing cancer cells, this treatment also affects hair’s growth phase with the result that almost 90% of hairs fall out soon after chemotherapy starts.
While women accept that menopause is a natural and unavoidable stage of womanhood, coming to grips with its effects, especially with female hair loss due to menopause, can be very difficult. Often, hair loss is one of the first and more depressing symptoms of menopause that a woman notices and it can have a profound effect on her sense of femininity, sexuality and self-confidence.
your situation is very common and I assume you have had a thorough investigation ruling out any medical condition for your hair thinning. Minoxidil may restore some vellus hair but unlikely to result in significant terminal hair. As long as it is not getting worse, then a hair transplant procedure may be the answer for you to restore the feminine shape to your hairline
Finasteride (Propecia) is used in male-pattern hair loss in a pill form, taken 1 milligram per day. It is not indicated for women and is not recommended in pregnant women. Treatment is effective starting within 6 weeks of treatment. Finasteride causes an increase in hair retention, the weight of hair, and some increase in regrowth. Side effects in about 2% of males, include decreased sex drive, erectile dysfunction, and ejaculatory dysfunction. Treatment should be continued as long as positive results occur. Once treatment is stopped, hair loss resumes.