Chris Deoudes has been a fitness writer since 2006, with articles published at Bodybuilding.com and Avant Labs. He is certified as a personal trainer by the American Council on Exercise and as a performance sport nutrition specialist by the International Sports Sciences Association. He has a Bachelor of Arts in criminal justice and business management from the University of Florida.
While hair loss can happen for a wide variety of reasons, the most likely culprit is something called androgenic alopecia, better known as male pattern baldness. Contrary to the locker room tall tales you’ve probably heard, your hair won’t thin because you’ve worn a baseball cap everyday for a year straight, or because you use hair gel to style your hair. Male pattern baldness is solely due to genetics and male sex hormones.
How to use minoxidil: Be sure that your hair and scalp are dry. Using the dropper or spray pump that's provided with the over-the-counter solution, apply it twice daily to every area where your hair is thinning. Gently massage it into the scalp with your fingers so it can reach the hair follicles. Then air-dry your hair, wash your hands thoroughly, and wash off any solution that has dripped onto your forehead or face. Don't shampoo for at least four hours afterwards.
Yes. Doctors use the Savin scale. It ranges from normal hair density to a bald crown, which is rare. The scale helps document female pattern baldness, a condition your doctor might call androgenic alopecia. You probably know it as male pattern baldness, but it affects about 30 million American women. Experts think genes and aging play a role, along with the hormonal changes of menopause. Your hair could thin all over, with the greatest loss along the center of the scalp. 
Another sneaky culprit of hair loss is alopecia areata, an autoimmune disease that confuses the hair for an attack on the immune system. According to Marc Glashofer, MD, a dermatologist in New York City, if your hair loss is occurring in round circles on your scalp, then you most likely are a victim of alopecia. Alopecia can be treated with steroids and even over-the-counter products like Rogaine.
There are two types of identification tests for female pattern baldness: the Ludwig Scale and the Savin Scale. Both track the progress of diffused thinning, which typically begins on the crown of the head behind the hairline, and becomes gradually more pronounced. For male pattern baldness, the Hamilton–Norwood scale tracks the progress of a receding hairline and/or a thinning crown, through to a horseshoe-shaped ring of hair around the head and on to total baldness.
Daily hair counts are normally done when the pull test is negative. It is done by counting the number of hairs lost. The hair from the first morning combing or during washing should be counted. The hair is collected in a clear plastic bag for 14 days. The strands are recorded. If the hair count is >100/day, it is considered abnormal except after shampooing, where hair counts will be up to 250 and be normal.[citation needed]
While it's normal to lose between 50 and 100 strands of hair a day, serious hair loss — medically termed alopecia — is a sign that something is wrong with our body, says trichologist Dr Apoorva Shah. "As a reaction to an incident of extreme mental or physical stress, the body typically sheds hair after a gap of three months. For instance, if you are down with food poisoning, the mal-absorption of nutrients during this period can lead to hair loss in the next few months. So, it's important to jog your memory to pinpoint the cause."
Plasma Injections: Here’s one we hadn’t heard of before: “Platelet-rich plasma injections (PRP) have been used in other fields of medicine for over a decade but have only reached dermatology within the last five years,” Fusco says. Put simply: “Blood is extracted from the person with hair loss and ‘growth factors’ are extracted from the blood, then injected back into the scalp where the hair loss is occurring.” She says that a lot is still being studied and learned about the process, but that it looks promising for the treatment of hair loss and potential for regrowth.
I am 37 years old and for a long time I was slowly noticing a bald spot around the center of my far head. I think one reason may be because i do wear my hair up in ponytails all the time but recently it has gotten worse very quickly. I saw an article about the different medical reasons that cause hair loss but have been nervous to call and make a dr apt to talk to my dr. about all the bloodwork that was suggested to me. I am really starting to freak out because at 37 years old i am trying everything to try and cover the spots but I would love to correct it if there is a problem instead of just trying to hide it 🙁 I am starting to feel extremely self conscience and feel like I am gonna have to wear wigs or something before I am 40 🙁
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.

Similar to hitting the gym too often, restricting your diet in unhealthy ways can have severe consequences for your luscious locks. If you’re majorly restricting your daily calorie intake, this will slow down your metabolism and your bodily functions, including the growing cycle of your hair. Aside from that, your hair will be thirsty for those essential nutrients that it is no longer receiving. If you really must diet, start taking biotin supplements to maintain hair growth.
Hair transplantation is usually carried out under local anaesthetic. A surgeon will move healthy hair from the back and sides of the head to areas of thinning. The procedure can take between four and eight hours, and additional sessions can be carried out to make hair even thicker. Transplanted hair falls out within a few weeks, but regrows permanently within months. Hair transplants, takes tiny plugs of skin, each which contains a few hairs, and implants the plugs into bald sections. The plugs are generally taken from the back or sides of the scalp. Several transplant sessions may be necessary.[33]
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.
If you're going through or about to enter the menopause, changes in your body may also have an effect on your hair. "Hair loss becomes more prevalent leading up to and after the menopause" reveals Anabel. That being said, "it's important to realise that our hair ages, and as we get older, hair naturally gets finer. It's a totally normal part of the ageing process."
Another way to diagnose what the problem is just by looking and listening, Rogers says. She asks what a patient’s mother, aunts, or grandmothers look like - if they have similar, or greater amounts, of hair loss. Using magnification on the scalp can show if a woman’s follicles vary in size - with some thick and others thin. These are two telltale signs of female pattern hair loss, also called androgenetic alopecia.
Also new is the HairMax Laser Comb. It's a red light therapy hairbrush-like device that increases circulation and the biological march that makes hair. It's only approved in men (though some women are using it) and in my experience, is not as good as minoxidil. But in one study, 45% of users reported improvement after eight weeks, and 90% saw improvement after 16 weeks.

Before you venture into the confusing world of Internet hair loss advice, you should first pay a visit to a hair loss specialist. The doctor will sit down with you and discuss your family and medical history, then take a look at your hair loss and make a recommendation. The doctor might recommend one of the following treatment options for young males who are experiencing hair loss:


Like anything else, genes from mom can play a role. But she’s only half the pie. You can also inherit these genes from your father, says Dr. Alan J. Bauman, Hair Restoration Physician and founder of Bauman Medical. “Hair-loss genes can be inherited from either your mother's or father's side of the family, or a combination of the two,” he says. He adds that there are roughly 200 different genes that regulate your hair growth, so the combination of these genes—from both parents—can be unique and won’t always pattern itself from one sibling to the next.
It's a massive self-esteem destroyer, I know I'm guilty of isolating myself from friends when I'm feeling especially vulnerable, turning down nights out and otherwise enjoyable social events. It's a vicious cycle, you feel depressed, you lose your hair. You've lost your hair, so you feel depressed. I've been suicidal over it before, no doubt about that.
The warning signs for men and women with genetic hair loss are slightly different. For men, the two “danger zones” are the crown and the hairline, which are usually where evidence of thinning hair can signal the start of male pattern hairloss – although less eagle-eyed or image-conscious individuals may take many months or even years to notice the gradual changes.
Symptoms of gradual hair loss are sometimes hard to notice until nearly half the hair is gone. The most obvious signs are a thinning of the temples and hairline recession. Otherwise, the hair loss can be more widespread and balanced. This steady shedding is called “invisible baldness”, since the hair becomes gradually less dense until suddenly it is perceptible to the naked eye. “In general, hair loss is a chronic, progressive condition that gets worse over time without treatment,” Bauman says.
Turns out I may be on to something. Research shows that if scalp massages are done with essential oils, including lavender, cedarwood, thyme, and rosemary (the latter being especially effective), they do indeed stimulate hair growth. Of course, the nice thing is, we don’t need to embarrass ourselves by making crazy requests to fancy hair salons (although, if the salon is fancy enough, of course, no request will be seen as crazy); we can give scalp massages to ourselves. And if your sleeping partner doesn’t care, or if you sleep by yourself, then for an additional benefit, you can do what I sometimes do, which is rub rosemary oil with coconut oil into my scalp before bed, and then sleep with it in my hair/head all night.
It's no myth that excess stress can literally make your hair fall out. How does this happen? Well, it can raise androgen (male hormone) levels, which in turn can causes hair loss. "Stress may also trigger scalp problems, such as dandruff, disrupt eating habits and mess with the digestive system – all of which can have a negative impact on hair" says Anabel.
Hair has deep psychological and sexual meaning. Both menopause and loss of hair are often associated with loss of femininity and sexuality. These thoughts and changes can all feed into each other, and it becomes a vicious and demoralising cycle. Rest assured, though, it is very rare for a woman to go bald. And things can be done to get the best out of your hair during this stressful time. 

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).

I started loosing of my hair at age of 16 only. I was loosing 30–70 hairs. I was worried about it. After my 12th exam I moved to Panipat, there also same thing was happening with my hair(college days). I was 22 when I came to Bangalore in 2015 for job search I realized that loosing 30–70 hair is normal. In two months of struggling period I lost 30% my hair (rate was higher this time). My hairline was receding but It was not noticeable to others. I went back to my home town for 1 months and my hair fall was stopped. I got my posting in Chennai. I was worried because I thought now i will loose more hair. After 5 months I came to bangalore again and I noticed hair fall rate in bangalore is more than chennai. I was very worried, after lot of research I finally thought to consult to dermatologist for PRP treatment. I consulted Dr, parth sarathi (MG road). I read about PRP treatment and it was impressive. Before that i tried livon hair gain also. OK.. Now coming to dermatologist part. He took my 40k (aprx) but nothing happened to my hair. I had gone through 3 PRP session also, applied topical solution of serums (suggested by doc). I lost more hair. Now I have very less hair on scalp. I can see my my bald scalp.
There’s no single cause. Triggers range from medical conditions -- as many as 30 -- to stress and lifestyle factors, like what you eat. Your genes play a role, too. Sometimes doctors can’t find a specific reason. As a starting point, hair loss experts suggest you get tested for thyroid problems and hormone imbalances. Hair often grows back once the cause is addressed.

Losing hair at such an early age is disastrous. 20 years old is a very young age for hair loss! The reasons, like you mentioned, might be hereditary, improper diet, not washing properly, etc. I’ve found that remedies like applying coconut oil, almond oil, and onion oil do help fight hair loss, along with Minixodil products, like Toppik Hair Regrowth Treatment.


Reacting strongly to menopause hair loss can be seen as vanity – but it most definitely is not. Menopause hair loss can lead to depression, anxiety and low self esteem, but don’t worry you are not alone! If you can take the time to think about what you eat and whether you are getting enough vitamins and minerals into your diet along with a few housekeeping rules, you can help to alleviate this symptom.
If follicles receive the necessary stimulus and nutrients from the body, it can stabilize hair loss during menopause and strengthen existing hair growth. This is why it’s important to nourish thinning hair follicles with the right nutrients, including marine extracts, vitamins (including B vitamins such as Biotin and Niacin) and minerals (such as Zinc), to promote hair growth during menopause. A good diet, as well as a nourishing shampoo and conditioner that is gentle on dry, aging hair, are top tips for how to treat menopause-related hair loss.
I posted some pictures because I am not sure if I am loosing my hair. I have recently noticed some thining in the front and back but I am not sure if I am really loosing my hair or if it recently has just been looking different. I also notice when I stroke my hand through it a lot of strands are easy to pull out. What can I do? Progaine? Rogaine? I am 22. Thanks! READ MORE
After struggling with her own severe menopause symptoms and doing years of research, Ellen resolved to share what she learned from experts and her own trial and error. Her goal was to replace the confusion, embarrassment, and symptoms millions of women go through–before, during, and after menopause–with the medically sound solutions she discovered. Her passion to become a “sister” and confidant to all women fueled Ellen’s first book, Shmirshky: the pursuit of hormone happiness. As a result of the overwhelming response from her burgeoning audiences and followers’ requests for empowering information they could trust, Ellen’s weekly blog, Menopause MondaysTM, was born.

Your body needs to be hydrated in order to function properly. Load up on H2O all day long and pass on juices, sodas, and other flavored drinks that contain more sugar than your body needs. The amount of water needed varies from person to person and depends on various factors, including overall health and exercise intensity. As a general rule, however, you should aim to have eight 8-ounce glasses of water per day.
It’s important to keep your stress levels in check to prevent a hormonal imbalance. Reduced estrogen production can affect your brain chemistry and cause mood swings, anxiety, and depression. However, doing yoga and other breathing relaxation methods are especially effective in fighting menopausal symptoms. Exercising regularly can also help reduce stress.

If you’re starting to experience premature hair loss at an early age, make an appointment with the Limmer Hair Transplant Center. Dr. Krejci, a board certified Dermatologist and hair expert, will sit down with you and go over the options available to you at this point in time. If you are out-of-town and would like a consultation, give us a call and we’ll help arrange a phone consultation at your convenience.
I too have spent 25 year researching what causes balding. I have found other reasons that cause balding that I believe to be true. The common link for all humans balding on the vertex of the head is the mandible is in a class 2 skeletal position. This causes the condyle to occlude the superficial temporal artery where it passes between the base of the skull and the condyle. In a normal healthy temporalmandibular joint, there is sufficient clearance for the superficial temporal artery. The skeletal class 2 position places the teeth, the mandible, the Ramos and the condyle in a retrognathic position. In conclusion, the dislocated class 2 skeletal jaw is functioning outside the glenoid fossa in a distalized position, towards the back of your head occluding on the superficial temporal artery. This causes the only connection the vertex follicle pad has to the body to be cut off ending the growth cycle of the hair follicle pad of the vertex.
When you think of hair loss, men usually come to mind. You don’t see a lot of women walking around with receding hairlines or shaved heads as a result of hair loss. However, nearly 40% of women experience some form of hair loss by age 60. This hair loss is usually triggered by every woman’s favorite period of life: menopause. Since it’s a lot less socially acceptable for women to show signs of hair loss, balding can be emotionally devastating for many women.
Is this a bigger issue for the current generation? (I'm 27, and it feels like so many of my friends suffer from this.) Is it a nutritional thing? That’s an excellent question and I don’t know the answer. 30 million women suffer from hair loss. That’s 1 in 4 before age 50 and 2 in 4 after age 50. We might be more hyper aware of hair loss at an earlier age now just as we are more hyper aware of a need for a facelift at earlier ages. Thing that we used to take for granted, we do not. Genetic hair loss will manifest itself in the 20s, if not sooner. The good news is that there are more things available to help than before. Will they work for everyone, no. However, topical minoxidil (Rogaine) is good for helping maintain what you have. So at the first sign of thinning hair, it’s not bad to use even if the hair loss is temporary.
Also my energy levels are high. I remember that at the beginning i did heavy cardio and interval training which helped me lose weight fast but i did not realize how biotin played a part in my weight loss until AFTER i stopped working out. I continue to take biotin every day and now that I am no longer on my diet i eat whatever i want and i don’t gain weight. It appears the biotin may be keeping my metabolism to the level it was at during my training. So i highly recommend it to you.
The psychology of hair thinning is a complex issue. Hair is considered an essential part of overall identity: especially for women, for whom it often represents femininity and attractiveness. Men typically associate a full head of hair with youth and vigor. Although they may be aware of pattern baldness in their family, many are uncomfortable talking about the issue. Hair thinning is therefore a sensitive issue for both sexes. For sufferers, it can represent a loss of control and feelings of isolation. People experiencing hair thinning often find themselves in a situation where their physical appearance is at odds with their own self-image and commonly worry that they appear older than they are or less attractive to others. Psychological problems due to baldness, if present, are typically most severe at the onset of symptoms.[11]
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.
If you're going through or about to enter the menopause, changes in your body may also have an effect on your hair. "Hair loss becomes more prevalent leading up to and after the menopause" reveals Anabel. That being said, "it's important to realise that our hair ages, and as we get older, hair naturally gets finer. It's a totally normal part of the ageing process."
Interestingly, although we blame this loss on androgens, if you measure a woman’s circulating level of testosterone in the blood after menopause, it is generally not elevated. So how can low androgens cause androgentic alopecia? It’s partly still a mystery, but we do have some clues. Compared to the dramatic decrease in circulating estrogen, testosterone is relatively high. After menopause, the ratio of the hormones becomes reversed.

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Hair loss induced by cancer chemotherapy has been reported to cause changes in self-concept and body image. Body image does not return to the previous state after regrowth of hair for a majority of patients. In such cases, patients have difficulties expressing their feelings (alexithymia) and may be more prone to avoiding family conflicts. Family therapy can help families to cope with these psychological problems if they arise.[12]
Hypothyroidism (an under-active thyroid) and the side effects of its related medications can cause hair loss, typically frontal, which is particularly associated with thinning of the outer third of the eyebrows (also seen with syphilis). Hyperthyroidism (an over-active thyroid) can also cause hair loss, which is parietal rather than frontal.[23][unreliable medical source?]
Turns out I may be on to something. Research shows that if scalp massages are done with essential oils, including lavender, cedarwood, thyme, and rosemary (the latter being especially effective), they do indeed stimulate hair growth. Of course, the nice thing is, we don’t need to embarrass ourselves by making crazy requests to fancy hair salons (although, if the salon is fancy enough, of course, no request will be seen as crazy); we can give scalp massages to ourselves. And if your sleeping partner doesn’t care, or if you sleep by yourself, then for an additional benefit, you can do what I sometimes do, which is rub rosemary oil with coconut oil into my scalp before bed, and then sleep with it in my hair/head all night.
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.
Fusco says that there’s something called miniaturization happening at the follicular level when a hair falls out. “Miniaturization refers to the slow shrinking of the hair follicle and the diminution of the hair within, until eventually the follicle no longer exists,” she says. “The remaining tiny hair falls out and nothing grows back.” She says that this is often genetic and caused by a hormone called dihydrotestosterone (DHT), which is a byproduct of testosterone. DHT clings to the follicle and then slowly shrinks it. This most commonly happens at the temples, the crown, and the front of the head. (This is also why you don’t see guys losing their hair around the sides and back.)

If you're going through or about to enter the menopause, changes in your body may also have an effect on your hair. "Hair loss becomes more prevalent leading up to and after the menopause" reveals Anabel. That being said, "it's important to realise that our hair ages, and as we get older, hair naturally gets finer. It's a totally normal part of the ageing process."

True. Hair loss can be hereditary. Hereditary hair loss is called androgenetic alopecia, or for males, male pattern baldness, and for females, female pattern baldness. Androgenetic alopecia occurs when a hair follicle sheds, and the hair that replaces it is thinner and finer than what was there previously. The hair follicles continue to shrink and eventually hair stops growing altogether. However, contrary to popular belief, hereditary hair loss is not only inherited from the maternal side – it can be passed down from either the mother’s or father’s genes – but is more likely to occur if both parents have this issue.
Fashionista: What causes female hair to thin? Candace Hoffmann: There can be a number of reasons women lose hair. Female pattern hair loss (androgenetic alopecia) is the most common. How do you know if this might be the reason for your hair loss? Look around at your family. If you have parents, relatives with thinning hair or who are frankly bald --male or female--there is a good chance you could have the propensity as well. That being said, for women, it’s not so cut and dry. Men can easily discern such a connection, women can have multiple reasons for hair loss--sometimes, it's temporary hair loss (telogen effluvium). Here are some common reasons for hair loss in women that are not genetic: 
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