Hair falling out can feel shocking. You want clear answers and next steps, not vague promises. This page explains the main kinds of alopecia, how doctors figure out the cause, and realistic treatments that actually work for most people.
Androgenic alopecia (pattern hair loss) is the most common. On men it shows as a receding hairline or crown thinning. On women it looks like general thinning across the top. Alopecia areata causes round, sudden patches of hair loss. Telogen effluvium is heavy, diffuse shedding often after stress, illness, or a medication change. If you’re losing more than 100 hairs a day, notice sudden patches, or have scalp pain or redness, the next step is a checkup.
Family history matters. If close relatives had early thinning, genetics likely play a role. But medical causes like low thyroid, iron deficiency, or certain autoimmune issues can mimic these patterns. A short set of blood tests can catch those treatable problems fast.
Start with a photo diary. Take clear pictures every month so you can see real progress. Then get a basic workup: your GP or dermatologist will usually order thyroid tests, ferritin (iron stores), and sometimes hormonal checks. If tests are normal and the pattern fits, treatment choices are clearer.
Topical minoxidil is the first-line option for many. Apply as directed; expect at least 3–6 months before you notice thicker hair. It can cause scalp irritation for some people. For men with pattern hair loss, finasteride 1 mg daily often helps slow or reverse thinning over 6–12 months, but it has possible sexual side effects and is not for women who are pregnant or may become pregnant.
Alopecia areata usually needs treatments like topical or injected steroids, topical immunotherapy, or newer JAK inhibitors in severe cases — those options come from a dermatologist. Platelet-rich plasma (PRP) and low-level laser therapy can help some patients, especially when combined with medical treatments. Hair transplant surgery (FUE or FUT) is an option once hair loss stabilizes.
Simple daily habits add value: eat enough protein, check your iron, avoid tight hairstyles and harsh chemical treatments, and reduce smoking. Stress management helps too; telogen effluvium often improves once the trigger is removed.
When to see a specialist? Book a dermatologist visit if you have sudden patches, heavy daily shedding, scalp pain, or if over-the-counter steps don’t help after 6 months. A specialist can do a scalp exam, trichoscopy, and biopsy if needed to nail down the diagnosis.
Hair loss is usually treatable or manageable. With the right tests and timely action, many people slow loss and regain noticeable hair. If you want, bring your photos and a list of medications to your appointment — it speeds up finding the cause and starting the right plan.
In my latest blog post, I delve into the various types of alopecia, a condition that causes hair loss. I discuss the three main types: Alopecia Areata, which causes patches of baldness; Androgenetic Alopecia, also known as male or female pattern baldness; and Cicatricial (Scarring) Alopecia, where hair follicles are destroyed and replaced by scar tissue. I provide valuable insights into the causes, symptoms, and potential treatments for each type. This information is crucial for anyone experiencing hair loss or those who want to understand more about this condition. Armed with this knowledge, you can better navigate a path towards dealing with alopecia.
Health and Wellness