Understanding Hair Loss!

Understanding Hair Loss!

by WebMD Editorial Contributors

Hair grows everywhere on the human skin except on places like the palms of our hands and the soles of our feet, our eyelids and belly buttons, but many hairs are so fine they’re virtually invisible.

Hair is made up of a protein called keratin that is produced in hair follicles in the outer layer of skin. As follicles produce new hair cells, old cells are being pushed out through the surface of the skin at the rate of about six inches a year.

The hair you can see is a string of dead keratin cells. The average adult head has about 100,000 to 150,000 hairs and loses up to 100 of them a day; finding a few stray hairs on your hairbrush is not necessarily cause for alarm.

At any one time, about 90% of the hair on a person’s scalp is growing. Each follicle has its own life cycle that can be influenced by age, disease, and a wide variety of other factors. This life cycle is divided into three phases:

  • Anagen — active hair growth that generally lasts between two to eight years
  • Catagen — transitional hair growth that lasts two to three weeks
  • Telogen — resting phase that lasts about two to three months; at the end of the resting phase the hair is shed, and a new hair replaces it, and the growing cycle starts again.

What Causes Hair Loss?

Doctors don’t know why certain hair follicles are programmed to have a shorter growth period than others. However, several factors may influence hair loss:

  • Hormones, such as abnormal levels of androgens (male hormones normally produced by both men and women)
  • Genes, from both male and female parents, may influence a person’s predisposition to male or female pattern baldness.
  • Stress, illness, and childbirth can cause temporary hair loss. Ringworm caused by a fungal infection can also cause hair loss. Learn what you can do to help reverse hair loss caused by stress.
  • Drugs, including chemotherapy drugs used in cancer treatment, blood thinners, beta-adrenergic blockers used to control blood pressure, and birth control pills, can cause temporary hair loss.
  • Burns, injuries, and X-rays can cause temporary hair loss. In such cases, normal hair growth usually returns once the injury heals unless a scar is produced. Then, hair will never regrow.
  • Autoimmune disease may cause alopecia areata. In alopecia areata, the immune system revs up for unknown reasons and affects the hair follicles. In most people with alopecia areata, the hair grows back, although it may temporarily be very fine and possibly a lighter colour before normal coloration and thickness return.
  • Cosmetic procedures, such as shampooing too often, perms, bleaching, and dyeing hair can contribute to overall hair thinning by making hair weak and brittle. Tight braiding, using rollers or hot curlers, and running hair picks through tight curls can also damage and break hair. However, these procedures don’t cause baldness. In most instances hair grows back normally if the source of the problem is removed. Still, severe damage to the hair or scalp sometimes causes permanent bald patches.
  • Medical conditions. Thyroid disease, lupus, diabetes, iron deficiency anaemia, eating disorders, and anaemia can cause hair loss. Most times, when the underlying condition is treated, the hair will return unless there is scarring as in some forms of lupus, lichen planus or follicular disorders.
  • A low-protein diet or severely calorie-restricted diet can also cause temporary hair loss. Get information about foods that can help prevent hair loss.

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