What Are the Causes of Hair Loss?

Hair loss of any kind can incite feelings of distress, but knowing what causes hair loss may help minimise some of its psychological impacts and illuminate remedy pathways.

If you are experiencing hair loss or more hair fall than normal, you might find some comfort to learn that this is a common hair concern that affects all genders and at least half the population at some point in their life.1 Reasons for hair loss can vary between individuals but is most often dictated by factors like age, genetics, medical conditions, hormonal imbalances, lifestyle changes or hair care habits. Continue reading as we uncover the common causes of hair fall.

 

Androgenetic alopecia

 

While some hair loss causes can be attributed to an event that places stress on the hair follicles or triggers hormonal irregularities, androgenetic alopecia or ‘pattern baldness’ is progressive hair loss that is genetically pre-determined.1 Androgenetic alopecia is triggered by the body’s response to androgens which leads to shrinking and thinning of the hair follicles over time.1

 

This progressive hair loss in women and men can look a little different. For men, this is the most common cause of hair loss2 and tends to affect the crown, temples and the mid-frontal area of the scalp first.2 In women, this diffuse hair thinning causes the central part to widen, though thinning may also be noticeable at the crown of the head.

Telogen effluvium

 

This occurs when hairs prematurely enter the telogen or ‘resting’ phase: a three-month period before the hair sheds. Telogen effluvium is a type of hair loss, rather than a hair loss cause – and it can be triggered by a number of factors.7 Hair fall typically happens 3 months after the triggering event, and it can be either acute (under 6 months) or chronic (over 6 months). The good news is that excess hair shedding often stops as the trigger has been identified and managed.

 

 

Alopecia areata

 

Although rarer than androgenetic alopecia, alopecia areata still affects approximately 2% of the population worldwide4. This is an autoimmune condition that occurs when the immune system attacks healthy hair follicles4 and results in varying degrees of hair loss. For most who experience alopecia areata, hair loss can look like coin-shaped patches on the scalp, for others, it may be total scalp hair loss.4 A lot is still unknown about this condition, though 80% of affected individuals first exhibit signs before 40 years old.4 Hair regrowth is unpredictable and complete hair loss can be permanent. If you notice signs of alopecia areata, we recommend that you consult a qualified medical professional to discuss your options. 

 

 

Traction alopecia

 

Traction alopecia is a type of hair loss caused by continuous pulling or tension of the hair at the root. This can happen from years of tight hairstyles like ponytails, braids, cornrows and weaves, as well as hair extensions. If ignored, this condition may lead to some permanent hair loss. However, if noticed in its early stages, this can be reversed or managed with soft, loose hairstyles.

 

 

Anagen effluvium

 

Sometimes the reasons for hair loss are triggered by medical treatments like chemotherapy or radiation therapy that impair the health of the hair follicle. These treatments are toxic to hair follicles and cause sudden, rapid hair loss in the anagen phase (the normal growth phase).6 In this instance, hair typically starts to grow back in a couple of months once treatment has ceased.

 

 

Telogen effluvium

 

This occurs when hairs prematurely enter the telogen or ‘resting’ phase: a three-month period before the hair sheds. Telogen effluvium is a type of hair loss, rather than a hair loss cause – and it can be triggered by a number of factors.7 Hair fall typically happens 3 months after the triggering event, and it can be either acute (under 6 months) or chronic (over 6 months). The good news is that excess hair shedding often stops as the trigger has been identified and managed.

 

Common triggers of telogen effluvium hair loss

When it comes to sudden hair loss, it’s normal to feel out of control. If you have ruled out other progressive hair loss causes like androgenetic alopecia or medical conditions such as alopecia areata, you might be dealing with a singular or ongoing trigger. Discovering your hair loss trigger may help you regain a sense of control. Below, we have outlined some of the common telogen effluvium triggers so you can understand what causes your hair loss.

 

Emotional stress

 

The body’s physiological response to psychological stress can look different for everybody, but there seems to be a tangible link between stress and skin conditions. Increased stress levels can aggravate conditions such as dermatitis, eczema, acne-prone skin and psoriasis8stress may even cause dandruff. And, in the context of telogen effluvium, extreme stress may be one of the causes of your hair fall.

 

This trigger is a tough one to manage since it can be caused by a myriad of external pressures or other emotional traumas. It’s only natural that hair falling out causes even more anguish, so pinpointing the source of your stress and a timeline of your hair fall may help identify it as one of your triggers. Once addressed, you can help stimulate hair regrowth with Dercos Energising Shampoo and Dercos Energising Fortifying Conditioner to reinforce hair fibres and reduce the risk of continual hair fall.

 

Postpartum hair loss

 

Increased oestrogen during pregnancy changes the hair growth cycle, keeping the majority of hair follicles in the growth phase. After giving birth, these ‘extra’ anagen hairs transition to the catagen stage before eventually shedding 2-4 months post-delivery.9 This particular cause of hair fall is extremely common in postpartum women and often temporary, lasting between 6 months to a year. While your hair is regrowing, we suggest using a gentle, nourishing shampoo like Dercos Mineral Soft - Soft And Fortifying Shampoo in addition to anti-hair fall products to help strengthen your strands.

 

Vitamin deficiencies

 

Nutritional deficiencies in your diet may also contribute to hair fall or thinning. Extreme calorie restriction and starvation can also trigger acute telogen effluvium.10 So, which vitamin deficiency causes hair loss? These notable nutrition deficiencies may be the culprit:

 

  • Fatty acids
  • Iron
  • Protein
  • Selenium
  • Zinc10

 

If you believe you may be experiencing vitamin deficiency-related hair fall, we suggest that you reach out to a doctor or qualified dietitian to establish a nutrition plan moving forward.

 

Medication

 

Lastly, it’s possible that certain medications could be one of the reasons for hair loss. Although it is admittedly rare side effect, telogen effluvium can be triggered by these drugs:

 

  • Androgens
  • Anti-depressants
  • Beta-blockers
  • Blood thinners
  • Oral contraceptive pill
  • Oral retinoids11

 

If you are concerned that your medication may be causing hair loss, consult a doctor for advice about alternative options.

 

 

Now that you have a better idea of what causes hair loss, discover how ceramides are good for hair growth.

 

 

1https://www.ncbi.nlm.nih.gov/books/NBK430924/

2https://www.ncbi.nlm.nih.gov/books/NBK278957/

3https://www1.racgp.org.au/ajgp/2018/july/female-pattern-hair-loss

4https://www.naaf.org/alopecia-areata/

5https://www.dermcoll.edu.au/atoz/traction-alopecia/

6https://pubmed.ncbi.nlm.nih.gov/23974578/

7https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320655/

8https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4082169/

9https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846762/

10https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315033/

11https://www.ccjm.org/content/ccjom/76/6/361.full.pdf