What It Looks Like
Female pattern hair loss shows as a wider part and less volume on top, with the front hairline usually intact. Shedding after childbirth, surgery or illness is diffuse and temporary. Patches point to an autoimmune cause.
Labs First
Iron (ferritin), vitamin D, thyroid, and in some women testosterone and other hormones. Low ferritin is one of the most common fixable causes we find. A nurse draws the panel at your home.
Treatments
Oral minoxidil is the best-studied medication for women and works regardless of the cause. Spironolactone blocks the effect of male hormones on follicles and helps when hormones are part of the picture. We combine them in the women's program, $149 a month. Finasteride is not used in women who could become pregnant.
Life Stages
Postpartum shedding peaks around month three and recovers by a year; no treatment needed unless it does not. Perimenopause and menopause thin hair as estrogen drops; minoxidil and sometimes hormone therapy help. PCOS thins hair through androgens; spironolactone is the usual answer.
How to Start
A free video consultation, labs at home, and the women's program shipped to your door. Every prescription at Zen IV Spa is written by a licensed provider under our medical director after a free video consultation. Medication ships to your door anywhere in New York or New Jersey, and a nurse can come to your home for labs or a first dose.
Common Questions
Can women take finasteride?+
Only after menopause or with reliable contraception, by a provider's decision. We default to minoxidil and spironolactone.
Will minoxidil make facial hair grow?+
Some women notice fine extra hair. Lowering the dose usually fixes it.
Is my hair loss from stress?+
If it started two to three months after a shock and is all over, probably. It recovers on its own.
All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.
