Hair Loss London

01/08/2026

“I’m going through menopause… so why do I need a DHT blocker?”

Many women assume that because oestrogen falls during menopause, replacing oestrogen alone will stop hair loss. Unfortunately, it is not that simple.

As oestrogen declines, its protective effect on the hair follicle is reduced. Even if your testosterone level stays the same—or also decreases—the relative effect of DHT (dihydrotestosterone) on genetically susceptible hair follicles becomes greater.

DHT gradually causes:
• Hair follicles to shrink (miniaturisation)
• Thinner, shorter hairs
• Reduced hair density
• Progressive female pattern hair loss (androgenetic alopecia)

This is why many menopausal women benefit from a treatment plan that addresses both hormonal changes and DHT.

Depending on your individual assessment, treatment may include:
✔️ DHT blockers (topical, oral or intradermal)
✔️ Oral or topical minoxidil
✔️ HRT if clinically appropriate (for menopausal symptoms—not as a hair loss treatment alone)
✔️ Correction of nutritional deficiencies
✔️ Treatment of scalp inflammation where present

Hair loss during menopause is rarely caused by one factor alone. A proper diagnosis with trichoscopy and blood tests helps identify what is driving your hair loss and allows treatment to be tailored to you.

The earlier treatment begins, the more hair follicles can often be preserved.

25/07/2026

Can the contraceptive pill help with hair loss in women with PCOS? 🤍

If you have PCOS (polycystic o***y syndrome) and androgenetic alopecia (female pattern hair loss), the right contraceptive pill may be an important part of your treatment plan.

Here’s why:

✨ It reduces ovarian androgen production
Many women with PCOS produce higher levels of testosterone and other androgens, which can contribute to progressive hair follicle miniaturisation.

✨ It increases SHBG (s*x hormone-binding globulin)
Combined contraceptive pills increase SHBG, which binds testosterone in the bloodstream. This reduces free testosterone—the biologically active form that can affect the hair follicles.

✨ It can help regulate hormone fluctuations
By suppressing ovulation, combined pills provide more stable hormone levels, which may improve symptoms related to PCOS.

✨ It may reduce acne and excess facial/body hair
Lower androgen activity often improves other PCOS symptoms alongside hair loss.

⚠️ Not all contraceptive pills are the same.

Some pills contain progestogens with higher androgenic activity, which may worsen hair loss in susceptible women. Others contain anti-androgenic or low-androgenic progestogens, making them a more suitable option for women with PCOS-related hair loss.

22/07/2026

“I started HRT… so why is my hair shedding even more?”

Many women expect their hair to improve as soon as they start HRT. Sometimes it does—but sometimes the opposite happens, at least initially.

Here’s why:

✨ 1. Starting or changing HRT can trigger temporary shedding (telogen effluvium).

Any significant hormonal change can shift more hairs into the resting (telogen) phase. This typically becomes noticeable 2–3 months after starting, stopping or changing HRT and is usually temporary.

✨ 2. HRT doesn’t treat every cause of hair loss.

Menopause-related hair loss is often influenced by genetics (female pattern hair loss), nutritional deficiencies, thyroid disease, scalp disorders and other medical conditions.

✨ 3. Testosterone therapy may worsen hair loss in susceptible women.

Some testosterone is converted into dihydrotestosterone (DHT), a hormone that can shrink genetically sensitive hair follicles. This doesn’t happen to everyone, but women with a predisposition to female pattern hair loss may notice increased thinning.

✨ 4. HRT may improve menopausal symptoms without fully stopping hair loss.

Better sleep, fewer hot flushes and improved wellbeing are important benefits, but they don’t necessarily mean the underlying cause of hair loss has been addressed.

If your hair shedding started after beginning or changing HRT, don’t panic—but don’t ignore it either.

A proper assessment should include:
✔️ Medical history
✔️ Trichoscopy
✔️ Blood tests where appropriate
✔️ Assessment for female pattern hair loss and other scalp disorders

The right treatment depends on why your hair is shedding. Sometimes reassurance is all that’s needed. In other cases, additional evidence-based hair loss treatment may be appropriate.

FemalePatternHairLoss Women’sHealth HairLossLondon Trichoscopy

20/07/2026

Advanced androgenetic alopecia (AGA) in young women: think beyond minoxidil. 🔬

Advanced hair loss in a young woman should prompt a comprehensive medical assessment to identify contributing factors and optimise treatment.

Recommended investigations may include:

🩸 Blood tests
• Full blood count (FBC)
• Ferritin
• Vitamin B12 & Folate
• Vitamin D
• Thyroid function (TSH ± Free T4)
• CRP (where clinically indicated)

🧬 Hormonal assessment (particularly if there are features of hyperandrogenism or suspected PCOS)
• Total testosterone
• SHBG & Free Androgen Index (FAI)
• DHEAS
• Prolactin
• LH & FSH
• Oestradiol (ideally on days 2–5 of the menstrual cycle if not taking hormonal contraception)

🍬 Metabolic assessment
• HbA1c
• Fasting glucose
• Assessment for insulin resistance where clinically indicated
• Lipid profile

🔍 Clinical assessment
• Detailed medical history
• Family history
• Medication review
• Scalp examination
• Trichoscopy to confirm the diagnosis and exclude other causes of hair loss

Treatment should be individualised and based on the underlying diagnosis. Depending on the patient, this may include:

✓ Topical or oral minoxidil
✓ Anti-androgen therapy where appropriate
✓ Management of PCOS or insulin resistance
✓ Correction of nutritional deficiencies
✓ Treatment of scalp inflammation or seborrhoeic dermatitis
✓ Procedural treatments such as platelet-rich plasma (PRP) in selected patients

Early diagnosis and appropriate treatment improve the likelihood of slowing progression and preserving existing hair.

Hair loss is not simply a cosmetic concern—it may be the first sign of an underlying medical condition.

Trichology ScalpHealth HairRestoration EvidenceBasedMedicine

16/07/2026

The journey always starts from investigation and complete diagnosis, only then treatment plan. This is how you get the results and understanding what you are dealing with.

16/07/2026

13/07/2026

Advanced Androgenic Alopecia

Investigaiton: Blood tests, Trichoscopy and Biopsy

Treatment:
Oral Minoxidil + DHT blocker

Procedures:
PRF/PRP + intradermal injections of DHT blockers

07/07/2026

This video for Males that experience hair loss

04/07/2026

This video is for men with Androgenic Alopecia

22/06/2026

WHY ARE WOMEN LOSING THEIR HAIR?

The most common cause of progressive hair thinning in women is Androgenetic Alopecia (Female Pattern Hair Loss).

Common triggers and contributing factors include:

▪️ Genetics
▪️ PCOS and hormonal imbalance
▪️ Perimenopause and menopause
▪️ Insulin resistance
▪️ Low iron, vitamin D or B12
▪️ Stress, illness or rapid weight loss
▪️ Age-related hormonal changes

Early signs include a widening parting, reduced ponytail volume, and increased scalp visibility.

The sooner hair loss is diagnosed, the more hair can usually be preserved and regrown.

Hair loss is common, but it is not something you should simply accept.