Find a Doctor - Search by last name or narrow your search by gender or languages spoken
Find a Location - Search by specialty, city, or state
Everyone loses some hair every day. Losing up to 100 hairs a day is normal.
But if hair loss runs in your family, you could lose a lot more hair. With this kind of hair loss, you may end up with bald spots if you are a man. If you are a woman, you may find that the hair on the top of your head is slowly thinning. About half of all people have this type of hair loss by around age 50.
Other factors, such as diseases and medicines, also can cause you to lose more hair than normal.
Although hair loss is fairly common, it can be a tough thing to live with, especially when it changes how you look. But there are ways you can treat your hair loss.
Common causes of hair loss include:
Your symptoms will depend on what kind of hair loss you have.
If your hair is thinning, it happens slowly over time, so you may not notice the hairs falling out. If your hair is shedding, then clumps of hair fall out. You may lose hair all over your scalp, which is called general hair loss. Or you may lose hair only in one area, which is called focal hair loss.
With inherited hair loss, men usually get bald spots around the forehead or on the top of the head, while women have some thinning all over the scalp, but mostly on the top of the head.
Since your hair has a lot to do with your appearance, losing it may cause you to have lower self-esteem if you don't like how you look. This is especially true in women and teens.
Your doctor will ask you some questions, like how much hair you're losing, when it started, and whether your parents have hair loss. He or she will look closely at your scalp and hair loss pattern and may gently pull out a few hairs for tests.
If it’s not clear what’s causing you to lose your hair, your doctor may do a blood test or look at a sample of your hair or scalp with a microscope.
How you choose to treat your hair loss depends on the cause. It also depends on your feelings. You may decide that you need treatment, or you may not be worried about thinning hair or baldness. The choice is up to you.
Hair loss that runs in the family can be treated with medicines or with surgery, such as hair transplant surgery. Some people choose to wear hairpieces, like wigs or toupees (say "too-PAYZ"). Finding different ways of styling your hair, like dyeing or combing, also can help. If hair loss is caused by something you can control, like stress or medicines, you can treat it by getting rid of the cause.
When you are deciding about treatment, think about these questions:
When your hair loss is inherited, your hair won't grow back naturally. Treatment can help some hair grow back and prevent more from falling out, but you probably won't get all your hair back. And treatment doesn't work for everyone.
When medicines, stress, or hair damage cause you to lose your hair, it often will grow back after you take away the cause. If this doesn't help, you may need other treatment.
If you're unhappy with how hair loss makes you look, treatment may help you feel better. It’s natural to want to like the way you look.
But keep in mind that treatment, especially medicines and surgery, can have some side effects and risks. Be sure to discuss your decision with your doctor.
Frequently Asked Questions
|
Learning about hair loss: |
|
|
Being diagnosed: |
|
|
Getting treatment: |
|
|
Living with hair loss: |

Health Tools help you make wise health decisions or take action to improve your health.
| Decision Points focus on key medical care decisions that are important to many health problems. | |
| Hair Loss: Should I Take Medicine to Regrow Hair? | |
Excessive hair loss (more than 100 hairs a day) can be caused by inherited factors, disease, stress, medicines, injury, aging, or hair care.
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 (which hair grows from) 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 often have thinning of the hair on the top of the head. About half of all people have inherited hair loss by about 50 years of age.
Common causes of hair loss include:
Other causes of hair loss include:
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 medicines. Another hair loss type, traction alopecia, is caused by hair care.
Hair loss can occur as thinning, in which you may not notice hair falling out, or as shedding, in which clumps of hair fall out.
In the most common type of hair loss, inherited hair loss (androgenetic alopecia), men tend to lose hair on the front hairline and forehead and on top of the head. Eventually, only hair around the ears, the sides, and the back of the head remains. Women with this condition typically have gradual thinning throughout the scalp, but mostly on the top of the head.
Other causes of hair loss may also show distinct patterns. For example, conditions such as trichotillomania (compulsively pulling at the hair) or alopecia areata (in which the immune system attacks hair follicles) result in obvious patches of hair loss, while stress and some medicines result in clumps of hair falling out.
Because hair is an important part of appearance, hair loss can also result in loss of self-esteem and feeling unattractive, especially in women and teens.
What happens in hair loss depends on its cause.
Inherited hair loss (androgenetic alopecia) is also called male-pattern hair loss or female-pattern hair loss. About half the population have some hair loss by about 50 years of age. Men may start losing hair between the ages of 15 and 25, and women are more likely to start losing hair between the ages of 25 and 30, or in some cases, after menopause.1
Men tend to lose hair on the front hairline and temples and on top of the head. Eventually, they may go completely bald.
Women generally lose less hair than men, but they have a similar pattern of hair loss. Women may have slight, moderate, or even severe hair loss, but they don't usually lose all their hair.
For both men and women, inherited hair loss must be treated early for hair to regrow.
Alopecia areata is hair loss caused when the immune system attacks hair follicles, where hair growth begins. It usually starts with one or more small, round, smooth bald patches on the scalp and can progress to total scalp hair loss or complete body hair loss. It often begins in childhood. The hair usually grows back within 1 year. But hair loss in alopecia areata often comes and goes—the hair will grow back over several months in one area but will fall out in another area.
Hair loss also may be caused by stress, disease, medicines or medical treatments. In these cases, clumps of hair may fall out. But after the cause is stopped, the hair usually grows back, although sometimes treatment may be needed.
Treatment to regrow hair does not work for everyone. If your hair loss is inherited, treatment may not permanently restore your hair. If your hair loss is caused by medicine, stress, or damage, hair often grows back after the cause is removed, although sometimes you will need treatment.
For both men and women, hair thinning and baldness increase the risk of sunburn and skin cancer on the scalp. When in the sun, it is important to wear a hat or use a sunscreen with an SPF of 30 or more to prevent sun damage to the scalp.
Factors that increase the risk of hair loss include:
Although most people with hair loss caused by alopecia areata regrow their hair, certain people are at greater risk for their hair not growing back. If you have a family history of the condition, have the condition at a young age, have an autoimmune disease, are prone to allergies (atopy), have extensive hair loss, or have abnormal color, shape, texture, or thickness of the fingernails or toenails, you are more likely to have permanent hair loss.
Call your doctor if:
Watchful waiting is a period of time during which you and your doctor observe your symptoms or condition without using medical treatment. Watchful waiting may be appropriate if your hair loss is gradual and is similar to the pattern of hair loss seen in your parents or brothers or sisters. But if your gradual hair loss bothers you, your doctor may be able to slow or reverse it. If clumps of hair fall out, your hair loss may be caused by a disease, and it is important to contact your doctor.
Hair loss caused by alopecia areata often reverses on its own. Watchful waiting is an option after you have been diagnosed with this condition.
Health professionals who can give you advice and treatment on hair loss include:
Hair transplant surgery is usually done by:
To prepare for your appointment, see the topic Making the Most of Your Appointment.
Hair loss is diagnosed through a medical history and physical examination. Your doctor will ask you questions about your hair loss, look at the pattern of your hair loss, and examine your scalp. He or she may also tug gently on a few hairs or pull some out.
The most common cause of hair loss, inherited hair loss is easily recognized. Men tend to lose hair from the forehead area and top of the head with normal amounts of hair on other areas of the scalp. Women tend to keep their front hairline, but have thinning of the hair on the top of the head.
To determine the cause of your hair loss, your doctor may ask you about:
If the reason for your hair loss is not clear, your doctor may do tests to check for a disease that may be causing your hair loss. Tests include:
Hair loss in women is more difficult to diagnose than it is in men because the pattern of hair loss is not as noticeable as it is in men. In women with mild to moderate hair thinning who are otherwise healthy (with normal menstrual and fertility history), testing to diagnose hair loss usually is not done. But in women who have irregular menstrual cycles, continued episodes of acne, or too much body hair (hirsutism), testing for a class of hormones called androgens, including testosterone, is sometimes done.
Some people choose to treat hair loss with medicines or surgery, such as hair transplant surgery. Others choose to wear hairpieces (wigs or toupees) or use different methods of hair styling (dyeing or combing). The approach you use depends on the cause of your hair loss. Some people feel they need treatment, while others are not as concerned about thinning hair or baldness.
If a disease, medicine, or stress is the cause, then treating the disease, changing medicines, or eliminating or learning to manage the stress may stop the hair loss.
Treatment for hair loss may help you feel better about how you look, although the trade-off might be that it affects your health. Some medicines may have harmful side effects, and surgery may carry certain risks.
Treatment for inherited hair loss aims to prevent hair loss, promote hair growth, and cover bald areas of the scalp. But treatment is not successful for everyone, and you should not expect to regrow a full head of hair.
Medicines include:
Surgery includes:
Cosmetic approaches to hair loss include:
Hair loss can be caused by diseases, medicines or medical treatments, recent surgery, high fevers, emotional stress, lack of protein or iron, and hair care, such as using dyes. Often, treating the cause stops the hair loss, and hair grows back. In some cases, other treatment is needed.
Hair loss caused by cancer treatment requires special care: use mild shampoos and do not use a hair dryer.
Alopecia areata occurs when the immune system attacks hair follicles, where hair growth begins. Because hair usually grows back within a year, you may decide not to have treatment. Understanding the come-and-go nature of hair loss with this condition can help you make the best treatment decision. Children and teens may need counseling to help them adjust to the hair loss.
Medicine used for alopecia areata includes:
How successful your treatment is depends on your expectations and the cause of hair loss. Treatment for hair loss caused by an illness, medicine, or damage to the hair usually is more successful than treatment for inherited hair loss.
Considerations about inherited hair loss include:
Women with inherited hair loss who wish to take birth control pills should use a pill type that does not add to hair loss, such as a norgestimate or ethynodiol diacetate.4
Hair loss that is caused by medicines, stress, lack of protein or iron, or hair care may be prevented. Avoiding certain medicines, reducing stress, getting adequate protein and iron in your diet, and using hairstyles that don't damage your hair may reduce or prevent hair loss.
Inherited hair loss (androgenetic alopecia) cannot be prevented.
Home treatment for hair loss includes hair care and hairstyling techniques that may help you cover thinning or bald spots on the scalp. This may be easier for women because inherited hair loss (androgenetic alopecia) causes a general thinning that is usually not as severe as it is in men. Hair sprays, dyes, and perms can help make the hair appear fuller.
In women with inherited hair loss, hair care and the occasional use of grooming products, hair sprays, hair color, teasing, permanents, or frequent washing won't increase hair loss. But if your hair loss is caused by hair care, then perms and dyes may contribute to more hair loss.
For both men and women, hair thinning and baldness increase the risk of sunburn and skin cancer on the scalp. When in the sun, wear a hat or use a sunscreen with an SPF of 30 or more to prevent sun damage to the scalp.
Medicines for hair loss can slow thinning of hair and increase coverage of the scalp by growing new hair and enlarging existing hairs. But they need to be taken continuously. If the medicines are stopped, any hair that has grown in will gradually be lost, and within 6 to 12 months your scalp will most likely appear the same as before treatment.
Medicines often used to treat inherited hair loss (androgenetic alopecia) include:
Medicines used to treat alopecia areata, which is caused when the immune system attacks hair follicles, include:
If you are taking medicine for inherited hair loss, do not expect to regrow a full head of hair. Hair coverage is improved on the top of the head, but not on the forehead area. But when you stop taking these medicines, hair loss begins again.
Finasteride has not been proved effective in women and is not approved for women by the FDA.2 Women who are or may become pregnant should not take or handle crushed or broken tablets, because finasteride can cause birth defects.
Surgery to cover bald areas of the scalp may be used to treat hair loss. If successful, surgery may be a permanent treatment for hair loss.
The most common types of surgery to treat hair loss include:
Surgery may be a more permanent solution than medicines to treat hair loss, but it is expensive, it involves surgical risks, and there is a chance that not all hair follicles will remain healthy.
Other treatment for hair loss includes:
The U.S. Food and Drug Administration (FDA) warns consumers that other than FDA-approved minoxidil (Rogaine), there are no over-the-counter creams, lotions, or other products that can help new hair to grow or cause hair to become thicker. Also, shampoos that claim to promote hair growth by unclogging follicles have not been proved to work. But there are some products that may make hair appear thicker and others that may cover bald spots.
Limited research on the dietary supplements saw palmetto and beta-sitosterol shows they may help men with inherited hair loss (androgenetic alopecia) regrow hair.
| American Academy of Dermatology | |
| P.O. Box 4014 | |
| Schaumburg, IL 60168 | |
| Phone: | 1-866-503-SKIN (1-866-503-7546) toll-free (847) 240-1280 |
| Fax: | (847) 240-1859 |
| Web Address: | www.aad.org |
|
The American Academy of Dermatology provides information about the care of skin, hair, and nails. You can locate a dermatologist in your area by using their "Find a Dermatologist" tool at www.aad.org/find-a-derm. |
|
| KidsHealth for Parents, Children, and Teens | |
| 10140 Centurion Parkway North | |
| Jacksonville, FL 32256 | |
| Phone: | (904) 697-4100 |
| Fax: | (904) 697-4220 |
| Web Address: | www.kidshealth.org |
|
This website is sponsored by the Nemours Foundation. It has a wide range of information about children's health, from allergies and diseases to normal growth and development (birth to adolescence). This website offers separate areas for kids, teens, and parents, each providing age-appropriate information that the child or parent can understand. You can sign up to get weekly emails about your area of interest. |
|
| National Alopecia Areata Foundation | |
| 14 Mitchell Boulevard | |
| San Rafael, CA 94903 | |
| Phone: | (415) 472-3780 |
| Fax: | (415) 472-5343 |
| Email: | info@naaf.org |
| Web Address: | www.naaf.org |
|
The National Alopecia Areata Foundation (NAAF) funds research and research workshops that promote knowledge about alopecia areata, its causes, and treatments. The NAAF provides local support and education for people who have alopecia areata and for their families and also acts as an advocate for people who have alopecia areata. |
|
| National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health | |
| NIAID Office of Communications and Government Relations | |
| 6610 Rockledge Drive, MSC 6612 | |
| Bethesda, MD 20892-6612 | |
| Phone: | 1-866-284-4107 toll-free |
| Phone: | (301) 496-5717 |
| Fax: | (301) 402-3573 |
| TDD: | 1-800-877-8339 |
| Web Address: | www.niaid.nih.gov |
|
The National Institute of Allergy and Infectious Diseases conducts research and provides consumer information on infectious and immune-system-related diseases. |
|
Citations
- Whiting DA (2006). Disorders of hair. In DC Dale, DD Federman, eds., ACP Medicine, section 2, chap. 13. New York: WebMD.
- Springer K, et al. (2003). Common hair loss disorder. American Family Physician, 68(1): 93–102.
- MacDonald Hull SP, et al. (2003). Guidelines for the management of alopecia areata. British Journal of Dermatology, 149: 692–699.
- Habif TB, et al. (2005). Hair and nail diseases. In Skin Disease: Diagnosis and Treatment, 2nd ed., pp. 516–541. Philadelphia: Elsevier Mosby.
Other Works Consulted
- Hague J, Berth-Jones J (2010). Alopecia areata. In MG Lebwohl et al., eds., Treatment of Skin Disease: Comprehensive Therapeutic Strategies, 3rd ed., pp. 31–35. Edinburgh: Saunders Elsevier.
- Unger WP, et al. (2010). Androgenetic alopecia. In MG Lebwohl et al., eds., Treatment of Skin Disease: Comprehensive Therapeutic Strategies, 3rd ed., pp. 36–38. Edinburgh: Saunders Elsevier.
- Wolff K, Johnson RA (2009). Disorders of hair follicles and related disorders. In Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology, 6th ed., pp. 962–986. New York: McGraw-Hill.
| By | Healthwise Staff |
|---|---|
| Primary Medical Reviewer | Kathleen Romito, MD - Family Medicine |
| Specialist Medical Reviewer | Alexander H. Murray, MD, FRCPC - Dermatology |
| Last Revised | June 4, 2010 |
Next Section:
Health ToolsPrevious Section:
Topic OverviewNext Section:
CausePrevious Section:
Health ToolsNext Section:
SymptomsPrevious Section:
CauseNext Section:
What HappensPrevious Section:
SymptomsNext Section:
What Increases Your RiskPrevious Section:
What HappensNext Section:
When To Call a DoctorPrevious Section:
What Increases Your RiskNext Section:
Exams and TestsPrevious Section:
When To Call a DoctorNext Section:
Treatment OverviewPrevious Section:
Exams and TestsNext Section:
PreventionPrevious Section:
Treatment OverviewNext Section:
Home TreatmentPrevious Section:
PreventionNext Section:
MedicationsPrevious Section:
Home TreatmentNext Section:
SurgeryPrevious Section:
MedicationsNext Section:
Other TreatmentPrevious Section:
SurgeryNext Section:
Other Places To Get HelpPrevious Section:
Other TreatmentNext Section:
ReferencesPrevious Section:
Other Places To Get HelpNext Section:
CreditsPrevious Section:
ReferencesLast Revised: June 4, 2010
Author: Healthwise Staff
Medical Review: Kathleen Romito, MD - Family Medicine & Alexander H. Murray, MD, FRCPC - Dermatology
This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
To learn more visit Healthwise.org
© 1995-2012 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.