Hair Loss and Its Causes
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What is the normal cycle
of hair growth and loss?
At any one time, about 10 percent of the hair on your scalp is in
a resting phase. After 2 to 3 months, the resting hair falls out
and new hair starts to grow in its place. This growing phase lasts
for 2 to 6 years. Each hair grows approximately 1 centimeter per
month during this phase. About 90 percent of the hair on your scalp
is growing at any one time.
It is normal to shed some hair each day as part of this cycle. However,
some people may experience excessive (more than normal) hair loss.
What causes excessive
hair loss?
A number of things can cause excessive hair loss. For example,
about 3 or 4 months after an illness or a major surgery, you may
suddenly lose a large amount of hair. This hair loss is related
to the stress of the illness and is temporary.
Hormonal problems may cause hair loss. If your thyroid gland is
overactive or underactive, your hair may fall out. This hair loss
usually can be helped by treatment of the thyroid disease. Hair
loss may occur if male or female hormones, known as androgens and
estrogens, are out of balance. Correcting the hormone imbalance
may stop your hair loss.
Many women notice hair loss about 3 months after they've had a baby.
This loss is also related to hormones. During pregnancy, high levels
of certain hormones cause the body to keep hair that would normally
fall out. When the hormones return to pre-pregnancy levels, that
hair falls out and the normal cycle of growth and loss starts again.
Some medicines can cause hair loss. This type of hair loss improves
when you stop taking the medicine. Medicines that can cause hair
loss include blood thinners (also called anticoagulants), medicines
used for gout, medicines used in chemotherapy to treat cancer, vitamin
A (if too much is taken), birth control pills and antidepressants.
Certain infections can cause hair loss. Children may have hair loss
caused by a fungal infection of the scalp. The infection is easily
treated with antifungal medicines.
Finally, hair loss may occur as part of an underlying disease, such
as lupus or diabetes. Since hair loss may be an early sign of a
disease, it is important to find the cause so that it can be treated.
Can improper care of my hair cause hair loss?
Yes. If you wear pigtails or cornrows or use tight hair rollers,
the pull on your hair can cause a type of hair loss called traction
alopecia (say: "al-oh-pee-sha"). If the pulling is stopped
before scarring of the scalp develops, your hair will grow back
normally. However, scarring can cause permanent hair loss. Hot oil
hair treatments or chemicals used in permanents may cause inflammation
(swelling) of the hair follicle, which can result in scarring and
hair loss.
What is common baldness?
The term "common baldness" usually means male-pattern
baldness. Male-pattern baldness is the most common cause of hair
loss in men. Men who have this type of hair loss usually have inherited
the trait. Men who start losing their hair at an early age tend
to develop more extensive baldness. In male-pattern baldness, hair
loss typically results in a receding hair line and baldness on the
top of the head.
Women may develop female-pattern baldness. In this form of hair
loss, the hair becomes thin over the entire scalp.
Can
my doctor do something to stop hair loss?
Perhaps. Your doctor will probably ask you some questions about
your diet, any medicines you're taking, whether you've had a recent
illness and how you take care of your hair. If you're a woman, your
doctor may ask questions about your menstrual cycle, pregnancies
and menopause. Your doctor may want to do a physical exam to look
for other causes of hair loss. Finally, blood tests or a biopsy
(taking a small sample of cells to examine under a microscope) of
your scalp may be needed.
Is there any treatment for hair loss?
Depending on your type of hair loss, treatments are
available. If a medicine is causing your hair loss, your doctor
may be able to prescribe a different medicine. Recognizing and treating
an infection may help stop the hair loss. Correcting a hormone imbalance
may prevent further hair loss.
Medicines may help slow or prevent the development of common baldness.
One medicine, minoxidil (brand name: Rogaine), is available without
a prescription. It is applied to the scalp. Both men and women can
use it. Another medicine, finasteride (brand name: Propecia) is
available with a prescription. It comes in pills and is only for
men. It may take up to 6 months before you can tell if one of these
medicines is working.
If adequate treatment is not available for your type of hair loss,
you may consider trying different hairstyles or wigs, hairpieces,
hair weaves or artificial hair replacement.
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