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why-am-i-losing-hair-common-causes-and-smart-solutions-explained-dermatouch

Why Am I Losing Hair? Common Causes and Smart Solutions Explained

Hair loss is more than a cosmetic issue, it's a deeply personal concern that affects confidence, mental health, and quality of life. Whether you’re noticing hair on your pillow, in the shower drain, or simply feeling your ponytail thinning, you're not alone. Millions struggle with hair fall, and understanding the causes is the first step to regaining control. In this blog, we explore the most common types and causes of hair loss, how doctors assess it, and the best ways to manage and potentially reverse it. 

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Introduction: The Growing Concern of Hair Loss 

Hair fall may not be life-threatening, but for many, it’s emotionally distressing. It can stem from a range of issues some temporary, some chronic, and can affect men and women alike. In this post, we answer key questions like: 

  • Why am I losing hair? 

  • What are the different types of hair loss? 

  • How do dermatologists diagnose and treat hair loss? 

Let’s decode what your hair might be trying to tell you. 

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Understanding the Types of Hair Loss 

Patterned, Diffuse, and Focal Hair Loss: What’s the Difference? 

Hair loss is typically categorized into three major types: 

1. Patterned Hair Loss (Androgenetic Alopecia): 

This is the most common type globally and occurs due to genetic and hormonal factors. In men, it often presents as receding hairlines and bald spots, while in women, it manifests as thinning around the crown. It is primarily caused by sensitivity to dihydrotestosterone (DHT). 

2. Diffuse Hair Loss (Telogen Effluvium): 

This form leads to widespread shedding and is usually triggered by stress, illness, poor diet, thyroid imbalances, or medications. Hair loss typically starts 2-4 months after the inciting event and can last up to 6-9 months. 

3. Focal Hair Loss (Alopecia Areata): 

Seen as patchy bald spots, this autoimmune condition can affect the scalp, beard, or eyebrows. It is often associated with other autoimmune conditions like type 1 diabetes and asthma. 

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Diagnosing Hair Loss : What Doctors Look For 

From Patient History to Hair Pull Tests 

1. Medical History & Lifestyle Factors 

Physicians begin with a detailed history to identify triggers such as recent illnesses, medications, dietary changes, stressors, or hormonal imbalances. Women may also be asked about menstrual history or use of contraceptives. 

2. Physical Scalp & Hair Examination 

A thorough scalp check helps identify inflammation, scaling, redness, or hair shaft abnormalities. Dermatologists may use scalp dermoscopy for magnified assessment. 

Key signs include: 

  • Diffuse thinning (suggesting telogen effluvium) 

  • Bald patches (pointing to alopecia areata) 

  • Scalp redness or scarring (indicative of infections or autoimmune issues) 

3. Hair Pull/Pluck Test 

In this test, about 20-30 hairs are gently pulled from the scalp. If more than 6-10 hairs come out, it may confirm active shedding (like in telogen effluvium). Trichograms may be performed to evaluate hair growth phases. 

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Underlying Causes Backed by Lab Tests 

Blood Work and Biopsy Can Reveal the Truth 

While many cases can be diagnosed clinically, lab tests help rule out internal health issues: 

  • Complete Blood Count (CBC): Detects anemia or infection 

  • Iron Studies: Low ferritin levels can indicate iron-deficiency hair loss 

  • Thyroid Function Tests: Both hypo- and hyperthyroidism can cause hair shedding 

  • Hormone Levels: Especially in women, hormonal imbalance (like PCOS) is a common factor 

  • Biopsy (Rare): Used to diagnose scarring alopecia or suspected autoimmune conditions 

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Management, Treatments & Hair Care Practices 

From Prescription to Prevention: What Works? 

1. Treatment Based on Type 

  • Androgenetic alopecia: Often managed with Minoxidil or Finasteride (men only) 

  • Telogen effluvium: Resolves once the underlying trigger is addressed 

  • Alopecia areata: Steroid injections or immunotherapy may help 

2. Best Practices for Hair Care 

  • Use sulfate-free shampoos with pH <5.5 

  • Apply conditioners to reduce friction and frizz 

  • Avoid hair gels, oils, or sprays that attract dust or cause buildup 

  • Keep hair tied up or covered if in dusty or clinical environments 

  • Do not share combs or accessories 

3. What to Avoid 

  • Frequent use of heat styling or chemical treatments 

  • Minoxidil use just before activities like hospital duty (can cause scalp itching) 

  • Sharing combs or touching your hair frequently 

  • Use of hair extensions or wigs that strain the scalp 

4. Role of Supplements 

Biotin, zinc, iron, and vitamin D can support regrowth, but should be taken after confirming deficiencies. 

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Conclusion: Your Hair Loss Has a Root Cause: Find It and Treat It 

Hair loss is complex, but with a structured approach from identifying the type to diagnosing the cause, you can find a path toward treatment and recovery. Consult your doctor or dermatologist if you're unsure, and avoid self-diagnosing based on internet trends alone. 

Early intervention is key, because your hair is more than just strands. It’s part of your identity, and you deserve to feel confident wearing it, however you choose. 

 

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