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Excessive Hair Loss

Excessive Hair Loss
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Written by Andrew Le, MD.
Medically reviewed by
Last updated May 14, 2024

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Are you noticing more strands in your brush than usual? If you're grappling with excessive hair loss, you're not alone. It's a common issue that affects many people, both men and women.

Excessive hair loss can be triggered by a variety of factors. It could be due to hormonal changes, stress, poor nutrition, or underlying health conditions. In this article, we'll explore the causes and symptoms of excessive hair loss. We'll also provide you with practical tips and treatments to combat this issue.

Key Takeaways

  • Excessive hair loss, also known as alopecia, isn't about losing a few strands from your head; it's hair loss that causes noticeable thinning or bald spots.
  • Various factors can trigger excessive hair loss, including genetic influences, hormonal imbalances, certain medications and medical treatments, nutritional deficiencies, stress and emotional wellbeing, and environmental factors.
  • Genetics play a significant role in hair loss, especially if you have a family history of hair thinning or baldness. This condition, called androgenetic alopecia, can lead to thinning, shorter hairs, and eventually bald spots.
  • Getting an accurate diagnosis of hair loss can help you get the appropriate treatment.

Defining Excessive Hair Loss

Excessive hair loss, or alopecia, is when you lose significantly more hair than the usual 50-100 strands a day, leading to visible thinning or bald spots.

Hair loss can happen in various patterns. You may notice a bald patch, or a more diffuse thinning across your entire scalp. This hair loss may be gradual over a number of years, or it could occur suddenly.

Hair loss can be temporary or permanent, and it can affect not just the hair on your head, but also on other parts of your body, a condition known as alopecia areata.

While male pattern hair loss and female pattern hair loss tend to be permanent hair loss if not treated, temporary hair loss can be triggered by intense stress or medical treatments such as radiation therapy.

Let's now look at some of the prevalent myths surrounding hair loss and the facts that debunk them.

Common Myths vs. Facts

  • Frequent washing and brushing causes hair loss. Not true. In fact, keeping your scalp and hair clean can maintain a healthy hair environment, preventing conditions like seborrheic dermatitis that can contribute to hair loss.
  • Only men get pattern baldness. In reality, female pattern baldness is a condition affecting women, often noticeable as a widening part or overall thinning.
  • Wearing a hat or maintaining specific hairstyles causes hair loss. Partly true if the hairstyle is very tight. Factors such as tight braids or ponytails that cause tension on the scalp can lead to traction alopecia or cicatricial alopecia, a type of permanent hair loss.

Causes Behind Excessive Hair Loss

There are several factors that can contribute to hair loss, some that are genetic and some that you may be able to help prevent.

Genetic Influences on Hair Health

If you have a family history of hair thinning or baldness, there's a higher chance you might experience it too. This condition, known as androgenetic alopecia, is also known as male pattern baldness and female pattern baldness. What happens is that your hair follicles shrink over time, resulting in thinner, shorter hairs, and eventually, bald spots or patches.

Hormonal Imbalances and Hair Loss

Another major cause of excessive hair loss is hormonal imbalances. Conditions like polycystic ovary syndrome (PCOS), thyroid issues, and menopause can cause fluctuating hormone levels that disrupt your hair growth cycle. Hormone changes can also cause hair thinning during pregnancy. These hormonal shifts can trigger a type of hair loss called telogen effluvium, leading to temporary hair shedding.

Impact of Medications and Medical Treatments

Certain medications and medical treatments, like cancer treatments, can lead to hair loss. Medications, like those used for blood pressure or depression, are known to cause hair loss. It's important to note that these are usually temporary effects and hair regrowth typically occurs after the treatment ends. If you suddenly start to notice hair loss after starting a new medication, talk to your doctor.

Nutritional Deficiencies Leading to Hair Loss

Diet can have a direct impact on your hair health. Nutritional deficiencies, especially in vitamin A or iron, can trigger hair loss. Maintaining a balanced diet and ensuring adequate intake of essential nutrients is key for healthy hair growth. So, include nutrient-dense foods in your daily routine for healthy hair.

The Role of Stress and Emotional Well-being

Severe stress can disrupt the normal hair growth cycle, leading to hair shedding or worsening existing hair loss. Alopecia areata, which causes patchy hair loss, has been linked to stress.

Environmental Factors Affecting Hair Health

Environmental factors can affect your hair health and potentially lead to hair loss. Overexposure to the sun, air pollution, and harsh styling products can damage hair follicles and disrupt the hair growth cycle. Being mindful of the potential impact of environmental factors on your hair can help promote healthy hair.

Identifying and Diagnosing Excessive Hair Loss

Understanding the underlying causes and patterns of hair loss can help you get the appropriate treatment.

When to Worry About Hair Loss

Hair shedding is a natural part of the hair growth cycle. You naturally lose about 50 to 100 hairs a day. But signs of excessive hair loss include:

  • If your hair thinning is noticeable
  • If you see bald spots or patches
  • If there's a drastic change in your hair's volume or overall appearance.

Remember that sudden hair loss could also be a sign of a health issue unrelated to your hair, such as stress, nutritional deficiencies, or hormonal imbalances like PCOS or menopause.

Professional Diagnosis: Steps and Expectations

Hair loss doesn't always mean permanent balding. There's a variety of reasons why your hair might be falling out, including temporary hair loss due to medication side effects or cancer treatments. It can sometimes be reversible.

To get an accurate diagnosis:

  1. Your doctor may visually inspect your scalp to assess the pattern of hair loss.
  2. You may have a pull test where a doctor gently pulls several dozen hairs to see how many come out.
  3. Your doctor will possibly perform a scalp biopsy to determine if an infection is causing your hair loss.

Understanding Hair Loss Patterns

Male pattern baldness and female pattern hair loss generally follow a predictable pattern (hairline recession for men, thinning at the crown for women).

Alopecia areata causes patchy hair loss, while cicatricial alopecia leads to scarring and permanent hair loss.

Apart from the pattern on your scalp, you can also look for signs in the areas where you are not expecting to lose hair, such as your eyebrows or eyelashes.

Modern Treatments and Solutions for Hair Loss

Today's medical advancements offer a range of solutions from topical treatments to surgical procedures. The goals of hair treatment are to both stop hair loss and promote regrowth. By having an informed discussion with your healthcare provider, you'll be able to explore the best treatment options for you.

What are some signs of excessive hair loss?

Signs of excessive hair loss include noticeable thinning of hair, bald spots, changes in hair volume, or sudden loss. This could suggest underlying health issues like stress or hormonal imbalances.

How do professionals diagnose hair loss?

Professionals diagnose hair loss through visual scalp inspections, pull tests, and scalp biopsies. These tests can help identify the underlying causes of hair loss.

Is hair loss always permanent?

No, hair loss isn't always permanent. Depending on the underlying cause and pattern of loss, hair loss can be either temporary or permanent.

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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