Reference · Free tool

Ludwig Scale Chart and Calculator: female hair loss stages.

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Use this Ludwig scale chart and calculator to compare part width, top-of-scalp density, and scalp visibility against the classic 3-stage Ludwig hair loss scale. It is descriptive, not diagnostic. Sudden shedding, postpartum loss, pain, scaling, or patchy loss deserve medical context.

Three-observation self-check

What Ludwig stage am I?

Use the part width, scalp visibility, and top-of-scalp density observations below to find the closest visual range. The result is deliberately approximate: the Ludwig scale describes a visible pattern and cannot identify the cause of hair loss.

Observation 1

How wide does your center part look now?

Make the part you actually wear, in soft daylight. Compare the overall width, not one flyaway or an old scar.

Observation 2

In bright, overhead light, how visible is the scalp on top?

A top-down photo helps. Even full hair shows a little scalp at the part — look at the whole top of the head.

Observation 3

How does the hair on top feel in terms of volume?

Think about ponytail thickness and how the top hair behaves — not the back and sides, which the Ludwig pattern usually spares.

Stage I

Mild diffuse thinning

Early female pattern hair loss. Hair on the top of the scalp becomes slightly thinner, but the frontal hairline is preserved. The widening is subtle and often only visible to the person whose hair it is.

  • Part begins to look slightly wider on the top of the head
  • Frontal hairline still intact
  • Density visibly preserved at the back and sides

Stage II

Moderate central thinning

The central part widens further and the scalp becomes visibly more exposed in good lighting. Total hair volume is reduced enough to change how a ponytail feels and how the hair falls. The frontal hairline remains preserved in classic Ludwig pattern.

  • Part is clearly wider; scalp visible through the hair in bright light
  • Ponytail feels thinner; fewer wraps for the same elastic
  • Crown looks less dense from above

Stage III

Advanced diffuse thinning

Pronounced thinning across the entire top of the scalp. The scalp is clearly visible. Hair on the top is fine and miniaturized. The frontal hairline is usually still preserved, but a Christmas-tree pattern of recession at the very front may appear in some women.

  • Top of scalp visibly bald-looking when hair is parted
  • Hair on top is fine, short, and miniaturized
  • Christmas-tree pattern possible at the frontal hairline

How to interpret a Ludwig stage.

The Ludwig scale is best for diffuse thinning on the top of the scalp with a preserved frontal hairline. It is less useful when the main issue is temple recession, patchy loss, scarring, traction at the edges, or sudden shedding after a clear trigger.

The most useful comparison is not one stage label. It is whether your part width, scalp visibility, and density look different across the same photo setup over time. A Ludwig I photo under harsh light can look more frightening than a Ludwig II photo in soft light, which is why aligned photos matter.

Female hair loss can have overlapping causes: androgenetic pattern, postpartum shedding, low iron or ferritin, thyroid issues, restriction, medication changes, scalp inflammation, traction, and stress-related telogen effluvium. The stage chart cannot separate those causes for you.

Use Ludwig as a vocabulary tool, then use a cleaner record. Folicle helps you repeat the same part-line and top-down photos, add notes, and export a timeline for a clinician if the pattern is unclear.

The emotional side deserves respect too. Part-width changes can feel intensely personal even when other people do not notice them. If the scale helps you name what you are seeing, use it. If it becomes another way to check compulsively, move back to scheduled photos and monthly reviews.

A good Ludwig note should include the stage guess, part location, hair condition, lighting, postpartum or hormonal context if relevant, shedding changes, and any scalp symptoms. That turns a vague worry into a record a clinician can actually read.

If you are tracking with photos, avoid changing the part line every session to find the worst view. Choose the part you actually wear, then repeat it. You can add a second reference part if needed, but keep each zone consistent enough that the comparison is fair.

For diffuse thinning, consistency matters more than drama: a stable part-line photo every month is more useful than ten fear-driven photos from ten different angles. That is especially true when postpartum timing, stress, or hair length changes the way the scalp looks.

Hair photo alignmentWhy mirror checking failsPostpartum shedding story

Things that mimic Ludwig pattern.

Diffuse shedding in women is not always androgenetic. Before assuming Ludwig pattern, rule out these reversible causes with a primary care visit.

Postpartum telogen effluvium

Three to six months after delivery, a large fraction of hair enters the resting phase and sheds together. It is dramatic, frightening, and almost always reversible. Track the timeline rather than panicking at the peak.

Iron, ferritin, and thyroid

Low ferritin (below ~40 ng/mL for many women) and untreated hypothyroidism are two of the most overlooked drivers of diffuse shedding. A simple panel from your GP is worth more than any shampoo.

Sudden weight loss or restriction

Rapid caloric deficit, post-bariatric recovery, and undereating during illness can all push hair into the telogen phase. Hair tells you, six months later, what your last spring looked like.

Stopping hormonal contraception

Some women experience increased shedding three to six months after discontinuing certain combined pills. The pattern usually stabilizes within a year, with or without intervention.

How to use Ludwig honestly.

  1. Take a part-line photo in even light
    Make a clean center part, hold the phone directly above the scalp, and take a photo in soft daylight. This is your baseline.
  2. Match to the closest stage
    Ludwig is descriptive, not diagnostic. Look at the width of your part and the visibility of the scalp on the top of the head. Pick the stage closest to your image.
  3. Rule out the reversible causes first
    Iron, ferritin, thyroid, B12, vitamin D, and a postpartum or restrictive eating timeline matter more than any shampoo in the world. Ask your GP for the basic panel.
  4. Lock the angle and repeat weekly
    Use Folicle to take aligned weekly photos and watch the trend at 90 and 180 days. Hair changes are slow. Eyes lie. Photos do not.

When to skip the calculator and ask for care.

Seek medical context sooner if shedding is sudden, patchy, painful, inflamed, scaly, or linked to pregnancy, medication changes, heavy dieting, illness, or new systemic symptoms. The Ludwig scale can describe visible thinning, but it cannot tell you why it is happening.

References

  1. Female pattern alopecia: current perspectives - PubMed
  2. Female Pattern Hair Loss: clinical and pathophysiological review - PMC
  3. Health-related quality of life in androgenetic alopecia - PMC

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