Excessive Hair Loss (more than 100 hairs a day) can be caused by
inherited factors, disease, stress, medications, injury, aging, or hair care.
Inherited hair loss
The most common cause of hair loss is genetics - you inherit the tendency to lose hair from
either or both of your parents. This is called male-pattern hair loss or
female-pattern hair loss. The medical term for this type of hair loss is
androgenetic alopecia. In this type of hair loss, your
genes affect how your hair grows. They trigger a
sensitivity to a class of hormones called
androgens, including testosterone, which causes
hair follicles to shrink. Shrinking follicles produce
thinner hair and eventually none at all. Men generally develop bald spots on
the forehead area or on the top of the head, while women have an overall
thinning of the hair throughout the scalp. About half of all people have
inherited hair loss by about 50 years of age.
Other causes of hair loss
Common causes of hair loss include:
- Ringworm of the scalp (tinea capitis),
which is common in children.
- Mental stress or physical stress, such
as recent surgery, illness, or high fever. You may have a lot of hair loss 4
weeks to 3 months after severe physical or emotional stress. Your hair usually
will grow back within a few months.
-
Hair care. Pulling
your hair back too tightly or wearing tight braids or ponytails can cause hair
loss. You may lose hair around the edge of the hairline, especially around the
face and forehead. Using curling irons or dyes continually can also result in
hair loss. Hair usually grows back when these activities are stopped.
- Age. As you age, your hairs tend to break more easily, and hair
follicles do not grow as much hair.
- Poor nutrition, especially lack of
in the diet. Hair returns after you change your
diet to get enough of these nutrients.
- Thyroid
diseases.
Some more causes include:
-
Alopecia areata is an
autoimmune disease in which your immune system attacks
hair follicles which can result in obvious round hairless patches on any area of the
scalp or body. Severe cases involve many bald patches of hair or complete loss
of hair on the scalp or body, although in some cases there is hair thinning
without distinct patches of baldness. Hair usually grows back within 1 year
without treatment; however 10% of people with the condition may never regrow
their hair.
- Side effects of
medications or medical treatments such as blood
thinners or chemotherapy. Hair usually grows back after you stop
using the medication or when the treatment is over.
-
Trichotillomania, a compulsive behavior in which a
person pulls hair out of the scalp, eyelashes, or eyebrows. There is usually
mounting tension before pulling and a feeling of relief afterward.
Trichotillomania often results in noticeable hair loss.
- Injury to
the scalp including scarring. Injuries can damage hair
follicles and cause hair loss.
- Changes in hormone levels.
Childbirth, taking birth control pills or changes in a woman's
menstrual cycle can affect the hair growth cycle and
cause hair loss. Hair usually will grow back.
Hair loss can be categorized by
types. Different types of hair loss may have
different causes. For example, one type of hair loss known as telogen effluvium
is caused by stress and side effects of medication. Another hair loss type,
traction alopecia is caused by chemical treatment of hair with
dyes, bleaches, or straighteners.