Alopecia (Hair Loss)

Types, Causes & Management Options

The medical term for hair loss is alopecia. A study identified that almost 58% of men between 30 and 50 years suffer from some form of alopecia. 12% of women between 20 and 29 years of age experience hair loss. Hereditary or genetic factors are the primary reasons for hair loss. With the recent advancements in trichology, doctors can now prevent balding.

Highlights
  • The medical term for hair loss is alopecia.
  • A study identified that almost 58% of men between 30 and 50 years suffer from some form of alopecia.
  • 12% of women between 20 and 29 years of age experience hair loss.
  • Hereditary or genetic factors are the primary reasons for hair loss.
  • Fortunately, with the recent advancements in trichology, doctors can treat even severe cases of hair loss.

What Is Hair Loss?

Alopecia refers to hair loss that may be partial or complete, localised or generalised due to external or internal factors. Typically, we lose roughly 100 hairs a day, but if you lose more than that (around 120-150 or more) or if you see specific areas of the scalp being affected, you must consult a trichologist immediately.

Hair loss can affect any part of the body, including the scalp. The most common form of hair loss is androgenetic alopecia or patterned hair loss, and it develops gradually with time. Hair loss can affect anyone, but androgenetic alopecia is affecting people as early as in their 20s to 30s.

Types Of Hair Loss

Qualified trichologists categorise hair loss into the following types:

Androgenetic Alopecia

It is a common form of hair loss that can affect both men and women as early as during teenage with the risk increasing with age.

Telogen Effluvium

It is the most common form of diffuse hair loss that affects the scalp coverage adversely. It occurs around three months after a triggering event and is self-limiting, usually lasting for about six months.

Trichotillomania

It is a type of alopecia caused by the repeated pulling of hair. Doctors associate this type of alopecia with an impulse control disorder.

Involutional Alopecia

It is a form of hair loss that occurs because of the natural ageing process. The primary cause of this form of hair loss is the shortening of the anagen (growth) phase of the hair growth cycle. In this case, hair does not grow as fast as it sheds.

Scarring Alopecia

Also known as cicatricial alopecia, is a rare condition caused when inflammation or scarring due to various diseases hampers the scalp’s natural ability to grow hair.

Causes of Hair Loss

Several factors can trigger hair loss, including the following:

  • Poor lifestyle

    Stress, improper diet, nutritional deficiencies, and poor lifestyle habits can cause hair loss.

  • Medication

    Use of chemotherapy to treat cancer leads to hair loss as a side effect.

  • Tight hairstyles and chemical treatments

    High-tension hairstyles such as tight ponytails may cause traction of hair follicles and lead to hair loss. Chemical treatments with the use of bleach, colour, and dye may lead to temporary hair loss.

  • Other Causes

    Crash diets, nervous hair pulling, scalp infections, and allergies to hair dyes can cause hair loss.

  • Hormonal disorders

    Hormonal imbalance during pregnancy or menopause trigger hair loss in women. Also, hormonal shifts due to the use of birth control pills, childbirth and hysterectomy can induce hair loss due to the shortening of the anagen phase. Insulin resistance can also result in hair loss. Men also suffer from hair loss due to hormonal imbalance.

  • Heredity

    A family history of androgenetic alopecia can lead to bald patches or receding hairlines in men and thinning hair at the parting in women.

  • Health Conditions

    Chronic illnesses (thyroid disorders, lupus, PCOD) and conditions like seborrheic dermatitis or psoriasis can trigger acute hair loss.

Symptoms and Types

Qualified trichologists categories hair loss into the following types:

Acute Hair Loss

Excessive and consistent hair loss exceeding 50-100 hair strands per day.

Volume Loss

Thinning of hair from the crown area.

Increased Scalp Visibility

The appearance of bald patches that are usually circular.

Chronic Scalp Conditions

Sudden loss of hair due to fungal scalp infection accompanied by pain or itching.

Reduced Hair Growth

It is a form of hair loss that occurs because of the natural ageing process. The primary cause of this form of hair loss is the shortening of the anagen (growth) phase of the hair growth cycle. In this case, hair does not grow as fast as it sheds.

Change In Hairline

A receding hairline in the form of the letter M.

Diagnosis

Untreated acne may become severe, cause permanent collagen damage and leave behind visible scars on the skin.

Step
Consultation

A dermatologist will perform a detailed analysis of your medical history, the chronicity and severity of hair loss, health status, dietary and lifestyle habits, recent illnesses, and stressful events.

Step
Trichoscopy

Our qualified trichologists perform trichoscopy using a specialised tool to assess scalp condition, hair quality, and hair loss severity.

Step
Medical Investigation

Doctors may recommend blood tests to check for nutritional deficiencies and hormonal changes.

Are you at Risk?

  • Usually, men with a family history of baldness are likely to suffer from the same.

  • Women who are experiencing hormonal imbalances due to pregnancy, menopause, use of birth control pills or PCOD are also susceptible to having acute hair loss.

Prevention and Management

Avoid Harsh Chemicals and Heat

Steer clear of chemical hair products and heat styling tools like straighteners and perming irons.

Healthy Hair Care Routine

Use a mild shampoo twice or thrice a week based on your hair type and exposure to dust and pollution.

Balanced Diet

Consume a diet rich in iron, vitamin B12, Vitamin D, protein, and Vitamin E.

Healthy Lifestyle

Exercise regularly or practice yoga or meditation to reduce stress.

Gentle Hairstyles

Avoid styles that put excessive traction on your hair.

Treatment Options

Platelet-rich Plasma Therapy

Minimally invasive, pain-free procedure for natural hair regrowth, effective in reversing early stages of hereditary hair loss.

Specialised Injections

Experts administer them to treat conditions like alopecia areata.

Customised Haircare Regimen

Tailored to your hair loss type and scalp condition for optimal results.

Dietary Advice

Corrects nutritional deficiencies to support hair health.

Topical Applications

Dermatologist-recommended sprays or solutions to treat hair loss.

Oral Medications

Vitamin supplements and anti-androgens are part of the treatment plan.

Treatments Explained

PRP Hair Treatment

Prognosis

One may reverse hair loss when caused by an underlying medical condition.

  • Early treatment can improve outcomes.
  • Management depends on the underlying cause.
  • Chronic conditions require ongoing treatment.
Reviewed by Dr. Debatri Datta
MBBS: RG Kar Medical College Kolkata, West Bengal University of Health Sciences
Written by : Dr. Debatri Datta
Updated on: August 24, 2024