Dermatology

Hair Loss

Female hair loss (alopecia) can result from hormonal changes, medical conditions, medications, or stress, significantly impacting self-esteem and quality of life. Dr. Rashmi Bastakoti, Nepal's leading gynecologist and hormonal disorder specialist with 25+ years of experience, provides comprehensive hair loss treatment at GyneNepal, Kathmandu. Affecting 40% of women by age 50, hair loss often indicates underlying hormonal imbalances like PCOS, thyroid disorders, or iron deficiency. Dr. Rashmi's systematic approach identifies root causes through detailed hormonal and nutritional assessment. She has successfully treated over 1,800 hair loss cases, restoring hair growth and confidence. Treatment combines hormonal therapy, nutritional supplementation, and topical treatments. Early intervention prevents permanent hair loss. Serving Kathmandu, Lalitpur, Bhaktapur with evidence-based hair restoration.

Warning Signs & Symptoms

⚠️Gradual thinning on top of head
⚠️Widening part line
⚠️Excessive daily hair shedding (>100 hairs)
⚠️Circular or patchy bald spots
⚠️Sudden loosening of hair
⚠️Full-body hair loss (rare)
⚠️Patches of scaling on scalp
⚠️Loss of eyebrow or eyelash hair
⚠️Receding hairline (frontal fibrosing alopecia)
⚠️Visible scalp through hair
⚠️Decreased hair volume and density

Common Causes

🔍Androgenetic alopecia (female pattern hair loss)
🔍Hormonal imbalances (PCOS, thyroid disorders)
🔍Telogen effluvium (stress, illness, childbirth)
🔍Iron deficiency anemia
🔍Nutritional deficiencies (protein, biotin, zinc)
🔍Autoimmune conditions (alopecia areata)
🔍Medications (chemotherapy, blood thinners)
🔍Traction alopecia (tight hairstyles)
🔍Aging and menopause
🔍Chronic stress and cortisol elevation

Diagnostic Tests

Detailed medical and family history
Physical examination of scalp and hair
Pull test (gentle hair tug)
Dermoscopy (trichoscopy)
Blood tests: Complete blood count (anemia)
Ferritin levels (iron stores)
Thyroid function tests (TSH, Free T4)
Hormonal profile (testosterone, DHEA-S)
Vitamin D, B12, zinc levels
Scalp biopsy if diagnosis unclear

Treatment Options

💊Minoxidil 2-5% topical solution (FDA-approved)
💊Spironolactone 50-200mg for androgenetic alopecia
💊Finasteride 1mg (off-label in women)
💊Iron supplementation (if deficient)
💊Biotin, zinc, and multivitamin supplements
💊Platelet-rich plasma (PRP) injections
💊Low-level laser therapy (LLLT)
💊Hair transplantation for permanent loss
💊Treat underlying conditions (thyroid, PCOS)
💊Stress management and lifestyle modifications

Recommended Specialist

Dr Rashmi Bastakoti

Dr Rashmi Bastakoti

MBBS, MD (Obs & Gyne), Fellowship in Reproductive Medicine (Nepal)

25 years
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Contact Information

📞
Phone
+977 9700682797
📧
Email
info@gynenepal.com
📍
Location
Dillibazar Pipalbot, Kathmandu
Hours
Mon-Sat: 8 AM - 6 PM