Hair Loss & Alopecia

Also known as: Alopecia, Hair shedding, Baldness

Hair loss or alopecia ranges from temporary shedding to permanent conditions and can significantly impact self-esteem.

Signs & Symptoms

  • Gradual hair thinning
  • Patches of baldness
  • Receding hairline
  • Increased daily hair loss
  • Scalp tenderness

Causes

  • Androgens (DHT)
  • Nutritional deficiency
  • Thyroid dysfunction
  • Stress
  • Autoimmune conditions
  • Medications
  • Infections

Risk Factors

  • Male gender (androgenetic)
  • Family history
  • Age
  • Certain medications
  • Nutritional deficiencies
  • Chronic stress

When to See a Doctor

See a dermatologist if noticing significant hair loss, sudden hair loss, or if it's affecting emotional wellbeing.

Treatment Options

Treatment options vary by individual. Consult a dermatologist for a personalised plan.

  • Minoxidil (topical)
  • Finasteride (oral)
  • Low-level laser therapy
  • Hair transplant
  • Nutritional supplementation

Understanding Hair Loss

Hair loss affects millions of people, impacting self-confidence and quality of life. Understanding the type is crucial for appropriate treatment.

Hair Growth Cycle

Normal hair growth occurs in phases:

  • Anagen (Growth): 2-6 years, 85-90% of hairs
  • Catagen (Transition): 2-3 weeks
  • Telogen (Resting): 2-3 months, 10-15% of hairs
  • Exogen (Shedding): Natural hair release

Types of Hair Loss

Androgenetic Alopecia: Genetic/hormonal pattern hair loss; most common

Telogen Effluvium: Stress-triggered temporary shedding

Alopecia Areata: Autoimmune patchy hair loss

Trichotillomania: Compulsive hair pulling

Scarring Alopecia: Permanent loss due to inflammation

Anagen Effluvium: Rapid shedding from chemotherapy

Diagnostic Approach

  • Clinical Examination: Pattern and extent assessment
  • Trichoscopy: Microscopic examination of hair shaft
  • Pull Test: Evaluates hair fragility
  • Blood Work: If nutritional or systemic cause suspected

Risk Factors for Androgenetic Alopecia

  • Male gender (earlier onset, progression)
  • Family history (determines susceptibility)
  • Age (increases with advancing age)
  • DHT sensitivity (genetic)

Contributing Factors for Other Types

  • Severe stress
  • Nutritional deficiencies (iron, zinc, vitamin B12)
  • Thyroid dysfunction
  • Medications (beta-blockers, retinoids, blood thinners)
  • Medical conditions
  • Chemotherapy or radiation

Psychological Impact

When to see a doctor”: Significant hair loss affecting self-esteem or causing distress warrants professional evaluation and support.

Treatment Timing

Earlier intervention typically yields better outcomes. Dormant follicles may be stimulated with treatment, but permanently damaged follicles cannot regenerate.

Consultation with Dr. Dr. Sanjay Agrawal can identify your hair loss type and appropriate treatment options.

Medically reviewed by Dr. Sanjay Agrawal, MBBS, MD (Dermatology) —

Treated at Our Clinic

Have this condition?

Call the clinic or visit Dr. Sanjay Agrawal directly for a proper diagnosis and personalised treatment plan.

FAQs about Hair Loss & Alopecia

Is losing 100 hairs daily normal?
Yes, daily loss of 50-100 hairs is normal. Excessive daily loss (>100) or visible thinning warrants professional evaluation.
Can stress cause permanent hair loss?
Stress typically causes telogen effluvium (temporary shedding). Permanent alopecia requires genetic predisposition and DHT sensitivity.
What's the difference between normal shedding and hair loss?
Normal cycling includes hair shedding. Pathologic hair loss shows reduced total hair count, increased daily loss, or visible scalp exposure.
How long until I see results from treatment?
Hair growth takes time. Treatments typically require 3-6 months minimum to demonstrate effectiveness.
Are hair transplants permanent?
Hair transplants can provide long-lasting results. Transplanted hair often maintains characteristics from donor area including resistance to DHT.
Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice. Consult a qualified dermatologist for diagnosis and treatment. Individual results vary.
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