oMeds
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Answer · hormone optimization

Which pathway addresses thinning hair in women?

Short answer

Thinning hair in women is routed by pattern. Diffuse perimenopausal shedding with matching biomarkers → BHRT. Androgenic patterns → topical minoxidil and, select cases, oral therapy. Ferritin and thyroid are corrected first.

Reviewed by Dr. Laura PurdyMay 29, 2026

Full answer

Thinning hair in women is screened against ferritin, TSH, vitamin D, and recent stressors first. Diffuse shedding around the perimenopausal window with matching biomarkers is evaluated for BHRT. Androgenic patterns are evaluated for topical minoxidil and, in select cases, oral therapy after provider review. Every route requires the standardized biomarker panel and synchronous video review.

Educational. Not a substitute for individualized provider review.

References & sources
  • Hair Restoration pathway — Primary source · oMeds
  • Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-05-29