Hormonal Hair Loss: A Guide for Manchester Patients

Androgens and male pattern baldness

In men, pattern baldness is driven mainly by androgens: testosterone and its more potent form, dihydrotestosterone (DHT). These hormones bind to androgen receptors in scalp hair follicles, causing the follicles to shrink and the hair to thin. The enzyme 5-alpha reductase converts testosterone into DHT, intensifying the process. This androgen effect is central to male pattern hair loss.

Female pattern hair loss and hormones

Women also experience hair loss, often linked to hormonal changes. Female pattern hair loss usually shows as diffuse thinning over the top of the scalp, without the hairline receding much. Oestrogen and progesterone both play a part in regulating hair growth. Oestrogen may support growth through its effect on growth factors, while progesterone appears to reduce the conversion of testosterone to DHT. The exact mechanisms are complex and not fully understood.

Menopause and hair changes

During the menopause, oestrogen levels fall, which can affect the hair follicles. Lower oestrogen may lead to reduced hair density, thinner hair and changes in texture. After the menopause, many women notice more scalp hair loss, often from the combined effects of hormonal change and ageing.

Polycystic ovary syndrome (PCOS)

PCOS is a common hormonal condition in women, marked by raised androgen levels. This can cause excess facial and body hair alongside thinning of the scalp hair, as the hair growth cycle is pushed towards shedding. Managing PCOS-related hair loss means treating the underlying hormonal imbalance, usually through lifestyle changes and medical treatment.

Thyroid disorders

Thyroid hormones directly affect how hair follicles grow and cycle. An underactive thyroid can cause thinning and increased shedding, while an overactive thyroid can make hair fine and brittle. Both disrupt the normal growth cycle, so thyroid function should be checked and treated.

Adrenal disorders

Conditions affecting the adrenal glands, such as Cushing's syndrome or adrenal tumours, can cause the body to produce too much cortisol and androgens. Raised cortisol can disrupt the hair growth cycle, and higher androgen levels can make pattern hair loss worse, particularly in women. Diagnosing and treating the adrenal problem is an essential step.

Hormonal treatments for hair loss

Hormonal treatments can help with hormone-related hair loss. In men, 5-alpha reductase inhibitors such as finasteride lower DHT levels, slowing hair loss and in some cases promoting regrowth. Women may benefit from anti-androgens such as spironolactone, or contraceptive pills containing cyproterone acetate, which reduce the effect of androgens on the follicles. These treatments need careful monitoring because of possible side effects.

See your GP before a hair restoration consultation

Before any hair restoration treatment, see your GP for a health check. Hormonal imbalances, thyroid disorders and other health problems can all contribute to hair loss, and treating them first gives any procedure the best chance of success. In Manchester, NHS GP practices include:

Market Street Medical Practice, 76 Market St, Droylsden, Manchester M43 6DE
The Arch Medical Practice, 175 Royce Road, Hulme, Manchester M15 5TJ
St George's Medical Centre, St George's Dr, Manchester M40 5HP

These practices can carry out an initial assessment and refer you to a specialist if needed.

Hair transplant costs in Manchester

For Manchester patients, My Hair UK arranges FUE hair transplants at the Manchester clinic on Deansgate, with GMC-registered surgeons Dr Munir and Dr Gillani. Hair transplant costs in Manchester are fixed by graft band, from £2,499 for up to 500 grafts to £4,899 for up to 3,500 grafts, and include the surgeon consultation, post-transplant medication and aftercare. Feedback on reviews.io gives My Hair UK an average of 4.95 out of 5.

Understanding the hormonal side of hair loss is key to planning effective treatment. By treating any underlying imbalance and talking to the right professionals, you can make an informed decision about your hair restoration options.

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