Localized or diffuse hair loss may also occur in cicatricial alopecia (lupus erythematosus, lichen plano pilaris, folliculitis decalvans, central centrifugal cicatricial alopecia, postmenopausal frontal fibrosing alopecia, etc.). Tumours and skin outgrowths also induce localized baldness (sebaceous nevus, basal cell carcinoma, squamous cell carcinoma).


Less common causes of hair loss without inflammation or scarring include the pulling out of hair, certain medications including chemotherapy, HIV/AIDS, hypothyroidism, and malnutrition including iron deficiency.[2][3] Causes of hair loss that occurs with scarring or inflammation include fungal infection, lupus erythematosus, radiation therapy, and sarcoidosis.[2][3] Diagnosis of hair loss is partly based on the areas affected.[3]
I am a 20 year old male, and I suffered severe hair loss for the past eighteen months. The hair loss was not specific to any area of my scalp, but i noticed a marked decrease in my hair density. Any of my immediate family members never showed signs of balding before 55 years of age. My hair loss has stopped now, and it is under control with me losing not more than 5-8 hair strands a day. I... READ MORE
A medical event or condition, such as a thyroid imbalance, childbirth, surgery, or a fever, typically triggers this type of hair loss. Telogen effluvium may also occur as a result of a vitamin or mineral deficiency—iron deficiency is a common cause of hair loss in women—or the use of certain medications, such as isotretinoin, prescribed for acne, or warfarin, a blood thinner. Starting or stopping oral contraceptives (birth control pills) may also cause this type of hair loss. 

Before you start hormone replacement therapy, it's important to talk to your doctor about the possible risks and negative effects versus the benefits of HRT. If you're already at an increased risk for health conditions like heart disease, cancer, and blood clots, HRT may not be the best hair loss treatment for you. If you are prescribed HRT, it important to take the lowest doses that are effective, and to only take the drugs for the shortest amount of time needed to control symptoms.
For female hair loss in mid 20s, the findings are much the same; that if pattern hair loss runs in the family, the daughters are most certainly at risk too.  The other reason for hair loss in younger women is usually attributed to hormonal fluctuations, the trichological effects of which however could just be temporary. Speaking to your doctor if you feel that hormones, or hormone treatment is a concern, is advised. Hair loss in the 20s female tends to be diffuse, with an overall thinning of the hair occurring before wider areas of hair loss on the crown, if it progresses that far. 

Women's hair loss is still so taboo because the socio-economic system we exist under puts unwarranted and unnecessary 'value' on physical appearance and social status, regardless of gender. Until we can liberate ourselves from this patriarchal and repressive system profiting from our insecurity, it will always be a taboo to stand out from 'the normal', which contributes to a lot of mental health problems across the board.

This is a hereditary condition that affects about 30 million American women, according to the America Academy of Dermatology, and is the most common kind of hair loss Rogers sees in her practice. She tells WebMD that it happens to about 50% of women. Although it mostly occurs in the late 50s or 60s, it can happen at any time, even during teenage years, Rogers says.

When your hair thins at an early age it can lead to anxiety, self-esteem issues, and lowered satisfaction when it come to your personal appearance. Initially, many guys try to overcome this by wearing a baseball cap or looking for over-the-counter hair thickening shampoos. Some brave souls will accept their genetic fate and go completely bald – but that look doesn’t always work for everyone.

A few years back, your hair was so thick that we could barely see your scalp. But these days, parting your hair leaves a noticeable gap that everyone can see. This is because you’ve lost some of the hair in your crown area, effectively losing some of your hair’s volume. The problem is that you never really know how much thinning is going to happen. For some men, it could just be a little bit of shedding. For others, their hair could continue thinning until there are large bald patches.
I'm a 19-year-old male. Six months ago, I noticed that my hair was falling out much quicker than it ever had before. I have always had pretty thin hair, but now it is thinner than ever, and my hairline has been receding very quickly. I have a feeling that i could have a case of telogen effluvium, considering the fact that I have been extremely stressed the last year and a half. When I pull a... READ MORE

Yes, we’re all for the quick wash and rinse routine in the shower, but how much damage is this brevity doing to your hair? As it turns out, quite a bit. Aside from the leftover product residue, there are some of us who produce more Sebum, which naturally lubricates our skin. It’s what makes your shiny and greasy after a few days without a shampoo. If you’re a healthy adult experiencing hair loss, you can probably blame this occurrence on clogged hair follicles. The solution? Start using a clarifying shampoo two to three times a week. Be sure that the shampoo does not contain any conditioner, as this is the stuff that created the problem in the first place. And for more great hair care tips, check out the one haircut that will shave 10 years off your age.
This is probably the most common sign that your hair is starting to thin out. The receding hairline usually starts out as something small – maybe the hair around your temples gets a little bit thinner than the rest of your hair, or your forehead is a centimeter taller. At first, it’s not that big of a deal. But when you leave the receding hairline unchecked, it usually continues to grow until it creates a large M-shape pattern in the hair.
Some hair loss is associated with stress although male pattern baldness is a genetic condition found in many men. If you find your hair is falling out in clumps or at unpredictable times, it is most likely to be the symptom of something else. This could be stress related but is unlikely to be caused by sexual frustration. The best thing to do is to see your GP for a check up.
2) I’m 32 and my hairline has receded from the temples on back, which started when I was 15. Since then my hair has thinned out a bit on top. The hairless at 15 started abruptly… Strands upon strands fell over over a period of a few months… Which was mortifying to me! However, since then my hair loss has slowed dramatically… Since I have these small peach fuzz like hairs on my temples, and although it’s been 17 years since the hair size shrunk drastically…. Do you think it’s possible to revive these hairs into thicker, terminal hairs? 

Just because hair loss is a visible condition doesn’t mean that you’ll see it right away. In fact, people often don’t notice that they are experience hair loss until half of the process has occurred. It’s important to keep an eye on the following symptoms so that you can treat the condition as early as possible. The earlier you treat hair loss, the better your results will be. Here are a few common female hair loss symptoms: 

About half of all women find their hair thinning by age 50. Although some websites promote estrogen as a way to prevent hair loss, the hormone’s effects on hair growth are not well known, and long-term hormone therapy is linked to serious health risks, “so unless you need to take it for other reasons, it’s not something I would recommend,” said Dr. Paradi Mirmirani, the regional director for hair disorders at Kaiser Permanente-Northern California.
Most women, who notice hair loss around the time of the menopause, do not have anything medically wrong. Your doctor may ask you if there were any triggers for the hair loss, such as dietary deficiencies, stressful events or illness. You will be asked about your medical history to rule out other causes and might be tested for conditions such as anaemia, low ferritin, thyroid dysfunction, raised testosterone levels or skin disorders. If you show signs of hormonal imbalance, such as irregular periods, facial hair growth or new episodes of acne, this might be tested too.
Finasteride is taken once daily in pill form. It works by preventing testosterone from being converted into DHT in the oil glands, hair follicles, and prostate. DHT is the form of testosterone responsible for hair loss. There can be some side effects with this medication and your doctor will be able to explain those in greater detail during your consultation.
I'm 21 yr old boy suffering from hairloss..... since 18 i was suffering from excessive hairfall.Even my family are bald(but they suffored after 45 yrs) nearly 100-200 hair will fall daily, i am using minoxidil 10% from 1.5yrs but results was not good. i have tried all vitamine,biotine medicine for years but still condition is not good. while comb also 5 to 10 hair will fall off. Sir pls help... READ MORE

Hi David, I understand where you are coming from. Losing hair at a young age is not a nice experience. Luckily, there is a lot more you could be doing besides the shampoo. Honestly I don’t know how much this will help in the long term. To get you started, you’ll probably have to adjust a few things in your diet and lifestyle to stop further loss/ regrow lost areas. A simple thing to get started would be to use a dermaroller (or even better a dermastamp) along the hairline. Remember though, pattern baldness starts from the inside out. It’s basically a sign that your body is out of balance. So try to sort that out as well.
Although it’s generally only prescribed as a last resort for menopausal symptoms, hormone replacement therapy is a common and very effective hair loss treatment for some women — as long as they are menopausal or post-menopausal and are not at higher risk for adverse effects from HRT. It's most often prescribed for women who have androgenetic alopecia, also called pattern baldness. Hormone replacement therapy has a number of benefits for both general health and symptom management, but also a number of side effects — which range from unpleasant to dangerous.
While hair loss isn’t the most common symptom of anemia caused by an iron deficiency, there are still a number of people suffering from this predicament. According to a study in the Journal of Korean Medical Science, those affected by this specific type of hair loss can experience symptoms for a number of years. Since iron plays a crucial role in producing hemoglobin, a compound that carries oxygen to cells, this can mess with your body’s ability to carry out essential processes like hair and nail growth. You can make up for this deficiency by upping your protein intake, or by taking iron supplements—though you should talk to a doctor before doing this. And for more on the essential nutrients you may need, check out these 50 Best Supplements on the Planet.
Too Much “Hair Care”: Believe it or not, hair loss can be caused by “over caring” for your hair or by certain cosmetic procedures. Shampooing too often, applying heat or braiding your hair tightly can cause damage to the hair follicles. Another cause of hair loss includes chemical processes like dying, bleaching, or perms. Typically, this is not a reason for baldness, though, and the hair will grow back.

Senescent thinning was indistinguishable from androgenetic alopecia in older males. Inflammatory changes were not a significant feature. Biochemical analysis for androgen receptors, 5 -reductase type 1 and 2, and aromatase, in scalp biopsies from older males showed nearly a two fold decrease in levels compared to levels in young males with Androgenetic Alopecia.
Just as pregnancy hormone changes can cause hair loss, so can switching or going off birth-control pills. This can also cause telogen effluvium, and it may be more likely if you have a family history of hair loss. The change in the hormonal balance that occurs at menopause may also have the same result. “The androgen (male hormone) receptors on the scalp becoming activated,” explains Mark Hammonds, MD, a dermatologist with Scott & White Clinic in Round Rock, Texas. “The hair follicles will miniaturize and then you start to lose more hair.”
The important distinction between male pattern baldness and female pattern hair loss is that, whilst men may develop absolute baldness – when the damaged follicles can no longer function so hair growth stops, and the skin takes on a smooth, shiny appearance – this is rare in women. Women’s hair loss may become advanced, but true baldness – as men experience it – is highly unlikely.
Oral Medication: “In cases of androgenetic alopecia, finasteride is still the gold standard,” says Fusco. (Finasteride is the generic version of Propecia, which can be prescribed by your dermatologist and is also available via mail subscriptions.) Fusco says that even younger men can slow or delay hair loss by starting a daily finasteride prescription. “This medication works by inhibiting an enzyme that leads to hair loss,” she notes. “In clinical trials, 90 percent of the patients either gained hair or maintained their hair over a five-year period.”
Topical chemical treatments are used by many to help stimulate regrowth, although some believe that blood flow and circulation to old or weak hair follicles can be stimulated with only the fingertips and some common vitamin-rich items. Popular remedies for encouraging new hair follicle growth include combining a rich carrier oil like jojoba, coconut or olive oil with agents like vitamin-dense or mineral-dense aloe vera gel, potato juice, cinnamon, neem leaves or certain essential oils.

Tightly pulling back your hair in ponytails, cornrows or braids can lead to traction alopecia, characterized by hair breakage along the hairline and temples. Women athletes who often wear their hair pulled back are particularly at risk. A change in hairstyle usually helps; however, hair loss may be permanent if the tight styling techniques have been used too long.
decrease in your blood Prostate Specific Antigen (PSA) levels. Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you have a PSA test done you should tell your healthcare provider that you are taking Finasteride because Finasteride decreases PSA levels. Changes in PSA levels will need to be evaluated by your healthcare provider. Any increase in follow-up PSA levels from their lowest point may signal the presence of prostate cancer and should be evaluated, even if the test results are still within the normal range for men not taking Finasteride. You should also tell your healthcare provider if you have not been taking Finasteride as prescribed because this may affect the PSA test results. For more information, talk to your healthcare provider.
Hormones are often not the only things to blame when it comes to female hair loss. Several factors can be at play. If female hair loss runs in your family, you may be more likely to experience hair loss during menopause. Other hormonal imbalances, nutritional or iron deficiencies, medication, illness, conditions (like thyroid disease and anemia), diets, and surgeries can also contribute to hair loss.
Health.com is part of the Meredith Health Group. All rights reserved. The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments. All products and services featured are selected by our editors. Health.com may receive compensation for some links to products and services on this website. Offers may be subject to change without notice. See the Terms of Service and Privacy Policy (Your California Rights)for more information. Ad Choices | EU Data Subject Requests
Last summer, I started visiting the Philip Kingsley hair clinic in New York City every week to strengthen the fragile wisps that were sprouting up along my hairline as a result of my prescription treatments. There, I learned that physical as well as emotional stress can cause temporary thinning and make genetic hair loss worse. Consider it something like a domino effect. When 44-year-old fitness instructor Maria Santoro was hospitalized for a severe allergic reaction to her pneumonia medication, she lost 20 pounds in 10 days, and her chestnut waves started falling out in clumps. "People assumed I was anorexic," she says. "My body was in shock, and I felt really insecure because of my weight loss and thin hair. It was devastating."
For women going through menopause, the cause of hair loss is almost always related to hormonal changes. However, there are many other factors that can contribute to hair loss during menopause. These include extremely high levels of stress, illness, or a lack of certain nutrients. Diagnostic blood tests that can help rule out other causes of hair loss include thyroid tests, and/or a complete blood count.

Be consistent. Dr. Robert Bernstein, a respected hair restoration surgeon suggests staying on Propecia and minoxidil for 12 months because hair growth may take a long time to become visible. Bernstein also notes that although Propecia and minoxidil were only proven to regrow hair on the top of the scalp, they "definitely can" work for the temple region so long as there is still hair remaining in that area.


When one researches hair loss, or asks perimenopausal or menopausal women how they treat their thinning hair, a couple of vitamins and supplements come up again and again: Biotin and Viviscal. Biotin is a B-vitamin that’s part of the B family. Deficiencies are rare, but many women take supplements because it seems to improve the condition of their hair and nails. And by “seems to improve,” I mean that if you go on Amazon.com and look up “Biotin” or “vitamins for hair, skin, and nails,” you will find a plethora of products with five-star reviews and phrases such as “life-changing” and “bald no more” and “Works!!!”
After I had my first baby, I started getting post-partum hair shedding, which is totally normal. When you're pregnant you retain all your hair and it's shiny and thick and lovely, and then once you give birth it starts to shed. It can seem quite extreme because you haven't been shedding your hair naturally over time like you would when you're not pregnant, but it's totally normal.
Here's what I gleaned from my blood tests and research into hair loss at-large. Many various symptoms can causes hair shedding—as any cursory WebMD search can tell you, from stress to chemotherapy–but 90 percent of hair loss is genetic and needs to be treated with medication. It can also be a sign of a thyroid disorder, says endocrinologist, Dr. Emilia Liao, who diagnosed me with mild hypothyroidism.
During this procedure, surgeons remove a narrow strip of scalp and divide it into hundreds of tiny grafts, each containing just a few hairs. Each graft is planted in a slit in the scalp created by a blade or needle in the area of missing hair. Hair grows naturally this way, in small clusters of one to four follicles, called follicular units. As a result, the graft looks better than the larger "plugs" associated with hair transplants of yesteryear.
When your hair thins at an early age it can lead to anxiety, self-esteem issues, and lowered satisfaction when it come to your personal appearance. Initially, many guys try to overcome this by wearing a baseball cap or looking for over-the-counter hair thickening shampoos. Some brave souls will accept their genetic fate and go completely bald – but that look doesn’t always work for everyone. 

My hair has become slightly thicker in recent years due to trying out some other medications, and I have recently started using Regaine foam for women. I've had to come to terms with the fact I will never have thick hair, but it still gets me down now and then, especially when I go through periods of stress and it thins again. I found that about 6 months after I was hospitalised whilst travelling in Africa, and after the 2015 earthquake in Nepal (I was a volunteer there at the time) my hair suddenly thinned again, which is apparently common after traumatic events. 

Since it directs your overall metabolism, your thyroid gland produces the hormones that stimulate hair growth. When your thyroid is out of balance, your hair can become dry, brittle, and more prone to falling out. This is why looking into your thyroid health is one of the first things to do when you notice hair loss. However, many women discover that conventional lab tests may show normal hormone ranges even while thyroid-related hair loss is happening.

For female hair loss in mid 20s, the findings are much the same; that if pattern hair loss runs in the family, the daughters are most certainly at risk too.  The other reason for hair loss in younger women is usually attributed to hormonal fluctuations, the trichological effects of which however could just be temporary. Speaking to your doctor if you feel that hormones, or hormone treatment is a concern, is advised. Hair loss in the 20s female tends to be diffuse, with an overall thinning of the hair occurring before wider areas of hair loss on the crown, if it progresses that far.


Androgenic Alopecia: This affects both men and women, but is more common in men. This is also referred to as “male pattern baldness” and can affect men as early as their late teenage years or early twenties. Typically, this type of alopecia will produce a gradually receding hairline, which eventually results in loss or thinning of most of the hair on the scalp. This is the most common type of alopecia that causes early hair loss.
Though not as common as the loss of hair on the head, chemotherapy, hormone imbalance, forms of hair loss, and other factors can also cause loss of hair in the eyebrows. Loss of growth in the outer one third of the eyebrow is often associated with hypothyroidism. Artificial eyebrows are available to replace missing eyebrows or to cover patchy eyebrows. Eyebrow embroidery is another option which involves the use of a blade to add pigment to the eyebrows. This gives a natural 3D look for those who are worried about an artificial look and it lasts for two years. Micropigmentation (permanent makeup tattooing) is also available for those who want the look to be permanent.
Topical chemical treatments are used by many to help stimulate regrowth, although some believe that blood flow and circulation to old or weak hair follicles can be stimulated with only the fingertips and some common vitamin-rich items. Popular remedies for encouraging new hair follicle growth include combining a rich carrier oil like jojoba, coconut or olive oil with agents like vitamin-dense or mineral-dense aloe vera gel, potato juice, cinnamon, neem leaves or certain essential oils.
This is probably the most common sign that your hair is starting to thin out. The receding hairline usually starts out as something small – maybe the hair around your temples gets a little bit thinner than the rest of your hair, or your forehead is a centimeter taller. At first, it’s not that big of a deal. But when you leave the receding hairline unchecked, it usually continues to grow until it creates a large M-shape pattern in the hair.
In addition to behavioral changes, Bauman says you can slow hair loss by taking routine nutritional supplements. He recommends a professional-grade Biotin, called Viviscal Professional or Nutrafol Men. “Nutrafol targets several possible triggers for hair loss and hair thinning, including inflammation, the effects of cortisol (stress hormones), free radical damage, and more.”   He also suggests using grooming products that contain caffeine (like Davines’ Energizing lineup), saw palmetto (Serenoa Repens) such as MiN New York daily shampoo, and green tea extracts (ECGC) like Paul Mitchell’s scalp care assortment. “These can help strengthen the follicles and help prevent shedding,” he says.
Laser therapy is another option available to young men and women who are experiencing hair loss. A state-of-the-art helmet is worn on top of the head. Inside the helmet are 80 low-level lasers, which help stimulate hair growth. While this may seem like something straight out of a science-fiction novel, laser therapy is showing promising results for many hair loss patients.

Finally, while it’s hard, it’s just as important to keep things in perspective with hair loss at 20. Yes, it’s creepy when you first see it, but you’re not alone. Many guys lose hair in their twenties, and a whopping one in every two will have it by 50. So you’ve got hair loss at 20. That’s a good thing. You’ve got a 30 year head start to learn how to rock that look over the guy who loses hair later in life.
×