Hair Loss in Women

Hair loss in women affects up to 40% of women by age 50 (American Academy of Dermatology, 2018).

While genetics and hormones are key contributors, lifestyle, nutrition, gut health, stress, and environmental exposures also play a major role.

Evidence-based interventions, combining conventional medicine with integrative approaches, provide the best chance for lasting hair restoration.

Causes of Hair Loss in Women

Hormonal Imbalances

Hormonal disruptions—including menopause, PCOS, thyroid disorders, and androgenic effects—can significantly alter the hair growth cycle.

Evidence: A 2017 review in the Journal of Clinical Endocrinology & Metabolism shows subtle hormonal imbalances often underlie female hair thinning, even without overt endocrine disease.

Stress and Cortisol

Chronic stress elevates cortisol, triggering telogen effluvium, a common form of temporary hair shedding.

Evidence: Clinical, Cosmetic and Investigational Dermatology (2017) confirms the strong link between psychosocial stress and diffuse hair loss.

Nutritional Deficiencies and Collagen

Protein, iron, zinc, vitamin D, biotin, and collagen are essential for healthy hair follicles. Collagen supplementation provides amino acids for keratin production, supporting thicker, stronger hair.

Evidence: Studies in Nutrients (2020) show collagen peptides improve hair density and reduce breakage in women with thinning hair.

Gut Health and Food Intolerances

Dysbiosis, poor nutrient absorption, and food sensitivities—including gluten intolerance—can contribute to hair thinning. A healthy gut supports nutrient uptake and reduces systemic inflammation.

Evidence: Research in Frontiers in Nutrition (2021) links gut microbiome imbalance to hair loss and inflammation.

Toxic Hair Products

Sulphates, parabens, and synthetic fragrances in shampoos and styling products can damage follicles and weaken hair shafts.

Evidence: International Journal of Trichology highlights chemical irritants as contributors to hair fragility and breakage.

Emerging Topical Interventions: Scalp Probiotics and Castor Oil

  • Scalp probiotics: May balance the scalp microbiome, reduce inflammation, and support follicle health.

  • Castor oil with heat: Anecdotal and small-scale evidence suggests it can improve scalp circulation and hair thickness.

Conventional Treatments

  • Minoxidil: This is a topical solution for female pattern hair loss, but only works as long as you take it. It may also be prescribed orally.

  • Hormonal therapies: Oral contraceptives or anti-androgens for androgen-driven thinning.

Discuss any pharmaceuticals with your own doctor.

Integrative and Holistic Approaches

  1. Nutrition and Collagen: Protein-rich, nutrient-dense diets and collagen peptides support follicle strength.

  2. Gut Health Optimisation: Prebiotics, probiotics, anti-inflammatory foods, and management of food sensitivities improve nutrient absorption.

  3. Stress Management: Mindfulness, yoga, and meditation reduce cortisol and protect follicles.

    Tight muscles around the forehead and scalp can reduce the blood flow and contribute to hair loss.

  4. Avoid Toxic Hair Products: Choose sulphate-free, paraben-free shampoos and gentle styling products.

  5. Castor Oil & Heat Applications: Enhance blood flow to follicles and support hair strength.

  6. Scalp Probiotics: Emerging evidence supports their role in reducing inflammation and promoting healthy hair growth.

Deep, Lasting Changes Are Key

Temporary fixes alone are rarely sufficient. 

Addressing root causes—hormonal balance, nutrition, gut health, stress, and scalp health—produces stronger, more lasting results.

Personalised Approach with a Naturopathic Doctor

naturopathic doctor can assess your hormones, nutrient status, gut function, and lifestyle factors, creating a tailored plan that combines conventional treatments and holistic strategies for long-term hair health.

If you experience thinning, shedding, or brittle hair, book a consultation today with Dr Ayiesha Malik to uncover underlying causes and start a personalised, evidence-based hair restoration plan.

https://www.drayieshamalik.com/store

Disclaimer:

The information provided in this article is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Always consult a qualified healthcare provider, such as a doctor or naturopathic doctor, before starting any new treatment, supplement, or lifestyle intervention.

Individual results may vary, and some therapies—including oral or topical minoxidil, hormonal treatments, or supplements—may not be suitable for everyone and can have side effects.

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