Hair
Loss and Its Causes Books
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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