Launching September 2027

Hair Loss (Alopecia)

Hair Loss At A Glance

  • Hair loss, or alopecia, means losing more hair than the body replaces or developing noticeable thinning, and it can affect the scalp, eyebrows, eyelashes, beard, or other body areas.
  • Alopecia is not one single condition; common types include hereditary pattern hair loss, alopecia areata, temporary shedding after stress or illness, traction alopecia, and scarring forms.
  • Hair loss may be gradual or sudden, temporary or permanent, and can appear as thinning, a widening part, a receding hairline, bald patches, or increased shedding.
  • Causes can include genetics and hormones, autoimmune disease, illness or stress, tight hairstyles, scalp inflammation, medications, nutritional problems, and hair-shaft damage.
  • Treatment depends on the exact type and may include addressing an underlying condition, reducing hair damage, medications, anti-inflammatory treatment, injections, light-based therapy, or cosmetic options.
  • Early evaluation is especially important when hair loss is sudden, patchy, painful, inflamed, or possibly scarring because some permanent loss may be preventable.

Table of Contents

Table of Contents

What Is Hair Loss?

Hair loss, also called alopecia, means losing more hair than your body replaces or having hair that becomes noticeably thinner. It can affect the scalp, eyebrows, eyelashes, beard, or other body areas. Hair loss may be gradual or sudden, temporary or permanent, and limited to one area or spread across a larger area.

Alopecia is not one single disease. Common types include hereditary pattern hair loss, alopecia areata, temporary shedding after stress or illness, hair loss from tight hairstyles, and scarring conditions that damage hair follicles. Finding the type and cause matters because treatments and chances of regrowth are different.

Learn More

Hair Loss – NIH MedlinePlus
https://medlineplus.gov/hairloss.html

Provides patient-friendly information about common causes, evaluation, treatment, and related health topics.

Alopecia Areata – National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/alopecia-areata

Explains alopecia areata symptoms, causes, diagnosis, treatment, and living with the condition.

How Common Is Hair Loss?

Hair loss is very common. Hereditary pattern hair loss becomes more likely with age and can affect people of any sex. Alopecia areata is less common, but it can begin at any age and occurs in people of all racial and ethnic backgrounds.

Some shedding is normal; many people lose up to about 100 scalp hairs per day. A widening part, receding hairline, bald patches, or much more hair than usual in the brush or shower should be discussed with a healthcare provider.

Learn More

Hair Loss – NIH MedlinePlus
https://medlineplus.gov/hairloss.html

Provides patient-friendly information about common causes, evaluation, treatment, and related health topics.

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

What Symptoms Might You Notice?

Hair loss can look different depending on the cause. You may notice:

  • Gradual thinning on the top or crown of the scalp
  • A widening part or more visible scalp
  • A receding hairline
  • Round or oval smooth bald patches
  • Sudden shedding from across the scalp
  • Broken hairs or hairs of different lengths
  • Loss of eyebrows, eyelashes, beard hair, or body hair
  • An itchy, painful, burning, red, scaly, or tender scalp
  • Shiny or scar-like areas where follicle openings are no longer visible
  • Nail dents, ridges, or roughness with alopecia areata

Contact a provider when hair loss is sudden, patchy, painful, associated with scalp inflammation, or causing distress. Early evaluation is especially important when a scarring type is possible because permanent loss may be preventable.

How Is Hair Loss Diagnosed?

Your provider will ask when the hair loss began, how quickly it changed, where it occurs, and whether you have itching, pain, scaling, illness, weight change, pregnancy, stress, new medicines, or a family history. They will examine the scalp and other hair-bearing areas and may inspect your nails and skin.

The pattern often gives important clues. Your provider may gently pull a small group of hairs, look closely with a magnifying device, check for broken hairs or scarring, and review your hair-care practices. A dermatologist may be needed when the diagnosis is unclear, the scalp is inflamed, or loss is progressing.

Learn More

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

Alopecia Areata – National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/alopecia-areata

Explains alopecia areata symptoms, causes, diagnosis, treatment, and living with the condition.

Hair Loss (Alopecia) infographic – click to enlarge

What Causes Hair Loss?

Hair growth follows a cycle. Hair loss can occur when follicles shrink, the immune system attacks follicles, many hairs enter the shedding phase at once, or follicles are injured or scarred.

Common causes include:

  • Androgenetic alopecia: Inherited pattern hair loss influenced by age and hormones.
  • Alopecia areata: An autoimmune disease that often causes smooth, round patches.
  • Telogen effluvium: Temporary shedding after illness, surgery, childbirth, major stress, rapid weight loss, or another body stressor.
  • Traction alopecia: Repeated pulling from tight braids, ponytails, extensions, locs, or headwear.
  • Scarring alopecia: Inflammation destroys follicles and may cause permanent loss.
  • Hair-shaft damage: Heat, bleach, relaxers, chemicals, or friction cause breakage.
  • Medical conditions: Thyroid disease, anemia, lupus, scalp infection, or other illnesses may contribute.
  • Medicines or treatments: Certain medicines, radiation, and cancer treatments can cause hair loss.
  • Nutrition problems: Low iron, inadequate protein, or other deficiencies may contribute in selected people.
  • Compulsive hair pulling: Trichotillomania can cause broken hairs and irregular patches.

Learn More

Hair Loss – NIH MedlinePlus
https://medlineplus.gov/hairloss.html

Provides patient-friendly information about common causes, evaluation, treatment, and related health topics.

Alopecia Areata – National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/alopecia-areata

Explains alopecia areata symptoms, causes, diagnosis, treatment, and living with the condition.

What Can Make Hair Loss Worse?

The factors that worsen hair loss depend on the type. Ongoing inflammation, delayed diagnosis, or continued pulling can increase damage, while harsh hair practices can add breakage to another form of hair loss.

  • Tight hairstyles or heavy extensions
  • Repeated bleaching, relaxing, perming, or high heat
  • Brushing or handling fragile hair roughly
  • Poorly controlled thyroid disease or another underlying condition
  • Crash diets, rapid weight loss, or inadequate protein and iron
  • Stopping an effective treatment without medical guidance
  • Smoking, which may contribute to poorer skin and hair health
  • Unproven supplements or products that delay proper evaluation
  • Stress, illness, surgery, or childbirth, which can trigger temporary shedding

Stress does not cause every type of alopecia, and hair loss is not your fault. A clinician can help separate a true trigger from common myths.

Learn More

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

Prevention

Not every type of hair loss can be prevented because genes, aging, autoimmune disease, and necessary medical treatments may be involved. You may reduce avoidable hair damage and traction by:

  • Choosing styles that do not pull, hurt, or cause bumps
  • Taking breaks from extensions, tight braids, weaves, or heavy accessories
  • Limiting heat, bleach, relaxers, and harsh chemical processing
  • Handling fragile hair gently
  • Eating a balanced diet with enough protein and calories
  • Treating scalp infections and inflammatory conditions promptly
  • Reviewing medicine-related shedding with the prescriber instead of stopping medicine on your own
  • Seeking early evaluation for patchy loss, scalp pain, scaling, or signs of scarring
  • Protecting exposed scalp from sunburn

Early action can sometimes prevent traction alopecia and inflammatory scarring alopecia from becoming permanent.

Learn More

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

Learn More About Hair Loss

The following video content is provided to help you better understand this condition. These resources are intended for educational purposes and should not replace personalized medical advice from your healthcare provider.

Labs

Laboratory tests are not needed for every person. They are chosen based on your history, examination, diet, symptoms, and the suspected cause—not as a standard large panel for everyone.

Possible tests include:

  • Complete Blood Count (CBC): May help identify anemia or signs of illness.
  • Ferritin and Iron Studies: Evaluate iron stores when iron deficiency is possible.
  • Thyroid-Stimulating Hormone (TSH): Checks for an underactive or overactive thyroid.
  • Vitamin or Mineral Tests: May be ordered when diet, symptoms, or risk factors suggest a deficiency.
  • Hormone Testing: May be considered with irregular periods, acne, excess facial hair, or other signs of excess androgens.
  • Autoimmune or Infection Testing: Used only when symptoms or examination findings suggest a specific condition.
  • Medication-Safety Tests: Blood counts, liver tests, infection screening, or other tests may be required before and during certain systemic treatments.

Do not start high-dose iron, biotin, or other supplements only because of hair loss. Too much can be harmful, and biotin can interfere with certain laboratory results.

Learn More

Medical Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Explains common blood tests and other medical tests in clear language.

Diagnostics

Laboratory tests are not needed for every person. They are chosen based on your history, examination, diet, symptoms, and the suspected cause—not as a standard large panel for everyone.

Possible tests include:

  • Complete Blood Count (CBC): May help identify anemia or signs of illness.
  • Ferritin and Iron Studies: Evaluate iron stores when iron deficiency is possible.
  • Thyroid-Stimulating Hormone (TSH): Checks for an underactive or overactive thyroid.
  • Vitamin or Mineral Tests: May be ordered when diet, symptoms, or risk factors suggest a deficiency.
  • Hormone Testing: May be considered with irregular periods, acne, excess facial hair, or other signs of excess androgens.
  • Autoimmune or Infection Testing: Used only when symptoms or examination findings suggest a specific condition.
  • Medication-Safety Tests: Blood counts, liver tests, infection screening, or other tests may be required before and during certain systemic treatments.

Do not start high-dose iron, biotin, or other supplements only because of hair loss. Too much can be harmful, and biotin can interfere with certain laboratory results.

Learn More

Medical Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Explains common blood tests and other medical tests in clear language.

Treatment & Management

Treatment Options

Treatment depends on the exact type, how much hair is affected, whether follicles are scarred, your health, and your goals. Some people choose treatment to support regrowth, while others focus on stopping progression, scalp comfort, or cosmetic options.

A treatment plan may include:

  • Treating an underlying illness, infection, or confirmed deficiency
  • Reducing traction, heat, chemical damage, and breakage
  • Topical or oral medicines that support growth or reduce hair loss
  • Anti-inflammatory treatment for autoimmune or scarring alopecia
  • Injections into selected patches
  • Light-based treatment in selected cases
  • Camouflage fibers, hairpieces, wigs, scarves, or scalp micropigmentation
  • Hair transplantation for carefully selected stable conditions
  • Mental-health support when hair loss affects mood, confidence, or daily life

Hair grows slowly, so many treatments need several months before change is visible. Results vary, and some treatments must continue to maintain benefit.

Learn More

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

Alopecia Areata – National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/alopecia-areata

Explains alopecia areata symptoms, causes, diagnosis, treatment, and living with the condition.

Lifestyle Changes

Lifestyle care cannot reverse every kind of alopecia, but it can reduce avoidable damage and support overall health.

  • Eat enough calories and protein and choose a varied, balanced diet.
  • Avoid crash diets and rapid weight-loss plans.
  • Use loose hairstyles and change the location of clips, bands, or braids.
  • Reduce high heat, bleaching, relaxing, and repeated chemical processing.
  • Handle wet or fragile hair gently and use a wide-tooth comb when appropriate.
  • Protect exposed scalp with a hat or broad-spectrum sunscreen.
  • Manage stress with sleep, activity, counseling, or other healthy supports.
  • Avoid smoking and discuss help quitting with your provider.
  • Take photos in the same lighting and angle if you want to track change.

Choose hair practices that fit your hair texture and culture without causing pain, bumps, or continuous pulling. Pain from a hairstyle is a warning sign that it may be too tight.

Learn More

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

Medications

Medication choice depends on the diagnosis. Ask what the medicine is expected to do, how long it may take, whether benefit requires ongoing use, and what monitoring is needed.

  • Topical Minoxidil: An over-the-counter medicine used for some forms of pattern or diffuse hair loss; early temporary shedding and scalp irritation can occur.
  • Oral Minoxidil: Sometimes prescribed off-label at low doses; it may affect blood pressure, heart rate, fluid balance, and body-hair growth.
  • Finasteride or Dutasteride: Prescription medicines that reduce hormone effects in selected patients with pattern hair loss; pregnancy-related precautions and sexual or mood side effects require discussion.
  • Corticosteroids: Topical, injected, or short-term oral forms may reduce inflammation in alopecia areata or other inflammatory conditions.
  • JAK Inhibitors: Oral prescription medicines are available for severe alopecia areata in selected patients; they require infection-risk review, laboratory monitoring, and careful discussion of serious warnings.
  • Other Immune-Modifying Medicines: A dermatologist may use medicines such as methotrexate or others for selected inflammatory or scarring conditions.
  • Antiandrogen Treatment: Spironolactone or other medicines may be considered for some patients with pattern hair loss and hormonal features.
  • Antifungal or Antibiotic Treatment: Used when a confirmed or strongly suspected infection contributes to scalp disease.

Pregnancy, plans for pregnancy, breastfeeding, heart or liver disease, infection history, and other medicines can change which options are safe. Never share prescriptions or combine hair-loss medicines without professional guidance.

Learn More

Alopecia Areata – National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/alopecia-areata

Explains alopecia areata symptoms, causes, diagnosis, treatment, and living with the condition.

Drug Safety Information – U.S. Food and Drug Administration
https://www.fda.gov/drugs/drug-safety-and-availability

Provides current safety communications and patient information about prescription medicines

Procedures

Procedures are not needed for everyone. Depending on the cause and stability of hair loss, a dermatologist may discuss:

  • Corticosteroid Injections: Small amounts are placed into affected skin, often for limited alopecia areata; temporary thinning or color change can occur at injection sites.
  • Platelet-Rich Plasma (PRP): Your blood is processed and platelets are injected into the scalp; evidence and insurance coverage vary, and maintenance may be needed.
  • Hair Transplantation: Follicles are moved from a donor area to thinning areas; it is usually considered for stable non-scarring pattern loss.
  • Scalp Micropigmentation: Cosmetic pigment creates the appearance of closely cut hair or greater density; it does not regrow hair.
  • Light or Laser-Based Therapy: Certain devices may provide modest benefit for selected pattern hair loss, but product quality and evidence vary.
  • Scalp Biopsy: A diagnostic procedure rather than a treatment; it may be essential when scarring alopecia is suspected.

Ask about expected benefit, number of sessions, discomfort, risks, recovery, total cost, maintenance, and the clinician’s training. Hair transplantation is usually not appropriate while active scarring inflammation is destroying follicles.

Learn More

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

Skin Biopsy – NIH MedlinePlus
https://medlineplus.gov/lab-tests/skin-biopsy/

Explains why a skin biopsy may be performed, what to expect, and what results may show.

What Should You Expect Long-Term?

The outlook depends on the cause. Temporary shedding often improves after the trigger resolves, although visible recovery may take months. Hereditary pattern loss usually progresses slowly without treatment, and many treatments work only while they are continued.

Alopecia areata can regrow, recur, or become more extensive. Scarring alopecia can permanently destroy follicles, so the main goal may be to stop further loss. Follow-up photographs and examinations can help determine whether a plan is working.

Learn More

Alopecia Areata – National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/alopecia-areata

Explains alopecia areata symptoms, causes, diagnosis, treatment, and living with the condition.

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

What Can You Do At Home?

Helpful home care includes:

  • Use a gentle shampoo and conditioner suited to your scalp and hair texture.
  • Avoid hairstyles that hurt, pull, or cause bumps along the hairline.
  • Limit heat and chemical processing while hair is fragile.
  • Do not scratch, pick, or apply caustic home remedies to the scalp.
  • Protect bare areas from sun and cold.
  • Follow medicine directions and keep follow-up appointments.
  • Record new medicines, illnesses, surgeries, diet changes, and the timing of shedding.
  • Use wigs, fibers, scarves, hats, eyebrow products, or other camouflage if they help you feel comfortable.
  • Seek support from trusted people or a counselor if hair loss affects your mood or relationships.

Be cautious with products promising guaranteed or instant regrowth. Look for evidence, review ingredients, and ask a dermatologist before spending heavily or using products that may irritate the scalp.

Learn More

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

Frequently Asked Questions

Is all hair loss permanent?

No. Temporary shedding and some patchy conditions may regrow, while hereditary or scarring loss may persist. The diagnosis helps predict recovery.

Does wearing a hat cause baldness?

A normally fitting hat does not cause common pattern hair loss. Constant tight pressure or pulling could irritate hair or contribute to traction in some situations.

Can stress make my hair fall out?

Major physical or emotional stress can trigger temporary shedding several weeks to months later. Stress is not the cause of every type of alopecia.

Will biotin make my hair grow back?

Biotin helps only when a true deficiency is present, which is uncommon. High doses may interfere with lab tests, so discuss supplements with your provider.

Why am I shedding more after starting minoxidil?

Temporary early shedding can occur as hairs shift into a new growth cycle. Contact your provider if shedding is severe, prolonged, or accompanied by other symptoms.

Can tight braids or extensions cause permanent loss?

Yes. Ongoing traction can first cause reversible loss and later scar follicles. Stop or loosen styles that cause pain, bumps, or thinning at the edges.

Is hair loss contagious?

Most alopecia is not contagious. Some fungal scalp infections can spread and require medical treatment.

Questions To Ask Your Provider

Consider asking:

  • What type of hair loss do you think I have?
  • Do you see signs of scarring or active inflammation?
  • Could an illness, medicine, hairstyle, or nutrition problem be contributing?
  • Do I need blood tests, fungal testing, or a scalp biopsy?
  • What treatment is most likely to help my type of hair loss?
  • How long should I try treatment before judging the result?
  • What side effects or warning signs should I watch for?
  • Will hair loss return if I stop treatment?
  • Are supplements needed based on my actual test results?
  • When should I see a dermatologist or hair-disorders specialist?
  • What cosmetic or support options are safe for me?

Specialist Referrals

You may be referred to:

  • Dermatologist: Diagnoses and treats hair, scalp, skin, and nail disorders; early referral is important when scarring is suspected.
  • Primary Care Provider: Reviews general health, medicines, nutrition, and common underlying causes.
  • Endocrinologist: Evaluates thyroid disease or another hormone condition when indicated.
  • Registered Dietitian Nutritionist: Helps with restrictive diets, inadequate intake, or confirmed nutrient problems.
  • Rheumatologist: May help when lupus or another systemic autoimmune disease is suspected.
  • Mental Health Professional: Supports coping with anxiety, depression, body-image concerns, or compulsive hair pulling.
  • Oncology Team: Helps prevent or manage treatment-related hair loss and discusses expected regrowth.

Learn More

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

Is Hair Loss Curable?

Whether hair loss is curable depends on the cause. Hair may fully regrow after temporary shedding, treatment of some infections, removal of traction, or correction of a confirmed medical or nutrition problem—especially when follicles remain healthy.

Hereditary pattern hair loss and alopecia areata do not currently have a guaranteed permanent cure, but treatment may slow loss or promote regrowth. Once follicles are destroyed by scarring, they usually cannot regrow hair, making early treatment important.

Learn More

Alopecia Areata – National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/alopecia-areata

Explains alopecia areata symptoms, causes, diagnosis, treatment, and living with the condition.

Hair Loss – NIH MedlinePlus
https://medlineplus.gov/hairloss.html

Provides patient-friendly information about common causes, evaluation, treatment, and related health topics.

Emergency Symptoms / When To Seek Immediate Help

Hair loss by itself is rarely an emergency. Call 911 or seek emergency care for trouble breathing, swelling of the lips or throat, fainting, severe chest pain, or another sign of a serious allergic reaction—especially after starting a medicine.

Seek prompt medical evaluation if you notice:

  • Rapid hair loss with a painful, burning, red, swollen, draining, or blistered scalp
  • Fever or feeling very ill with a spreading scalp rash
  • Sudden hair loss with weakness, shortness of breath, major weight change, or other new body symptoms
  • Signs of medicine complications such as severe infection, unusual bruising, chest pain, or a swollen painful leg
  • New loss of eyebrows or eyelashes with eye irritation
  • Thoughts of self-harm or feeling unable to cope with the emotional effects of hair loss

In the United States, call or text 988 for immediate mental-health crisis support. If there is immediate danger, call 911.

Learn More

Hair Loss – NIH MedlinePlus
https://medlineplus.gov/hairloss.html

Provides patient-friendly information about common causes, evaluation, treatment, and related health topics.

988 Suicide & Crisis Lifeline
https://988lifeline.org/

Provides free, confidential crisis support by call, text, or chat in the United States.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Hair Loss – NIH MedlinePlus
https://medlineplus.gov/hairloss.html

Provides patient-friendly information about common causes, evaluation, treatment, and related health topics.

Alopecia Areata – National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/alopecia-areata

Explains alopecia areata symptoms, causes, diagnosis, treatment, and living with the condition.

Hair Loss – American Academy of Dermatology
https://www.aad.org/public/diseases/hair-loss

Dermatologist-reviewed information about types of hair loss, diagnosis, treatment, and self-care.

Drug Safety Information – U.S. Food and Drug Administration
https://www.fda.gov/drugs/drug-safety-and-availability

Provides current safety communications and patient information about prescription medicines.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider or dermatologist. Hair loss has many possible causes, and treatments that are appropriate for one type may be unsafe or ineffective for another. Seek prompt medical care for sudden or painful hair loss, signs of infection or scarring, severe or worsening symptoms, serious medication reactions, or concerns about your emotional safety.

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