What is hair loss?

Most people routinely lose between 70 and 150 hairs from their scalp each day, mainly through washing, brushing, and combing.

Scalp hair starts to thin when more hairs are lost through normal shedding than the scalp is able to renew. About 40% of the density of scalp hair has to be lost before thinning of the hair becomes noticeable.

Hair may be lost in two ways:

• In patchy hair loss, well-defined areas of hair are lost while the remaining scalp retains a good covering of hair.
  
• In generalized hair loss, there is a uniform thinning over the entire scalp with no areas of normal hair growth.
  

Causes of hair loss

Heredity

Most balding is caused by a genetic predisposition - in other words, it's part of a person's genetic makeup. This is called male pattern baldness, or hereditary balding or thinning. It is the most common cause of thinning hair.

Illness

C ertain physical conditions, or their treatments. This can include high fever, thyroid disease, childbirth, inadequate protein in the diet, iron deficiency, cancer treatments, the use of certain medications, and other causes.

Improper Hair Cosmetic Use/Improper Hair Care

Many men and women use chemical treatments on their hair, including dyes, tints, bleaches, straighteners, and permanent waves. These treatments rarely damage hair if they are done correctly. However, the hair can become weak and break if any of these chemicals are used too often. Hair can also break if the solution is left on too long, if two procedures are done on the same day, or if bleach is applied to previously bleached hair. If hair becomes brittle from chemical treatments, it's best to stop until the hair has grown out.

Treatment for hair loss

-- Medications --

Some prescription drugs may cause temporary hair shedding. Examples include some of the medicines used for the following: gout, arthritis, depression, heart problems, high blood pressure, or blood thinner. High doses of vitamin A may also cause hair shedding.

-- Cancer Treatments --

Some cancer treatments will cause hair cells to stop dividing. Hairs become thin and break off as they exit the scalp. This occurs one to three weeks after the treatment. Patients can lose up to 90 percent of their scalp hair. The hair will regrow after treatment ends. Patients may want to get wigs before treatment.

-- Birth Control Pills --

Women who lose hair while taking birth control pills usually have an inherited tendency for hair thinning. If hair thinning occurs, a woman can consult her gynecologist about switching to another birth control pill. When a woman stops using oral contraceptives, she may notice that her hair begins shedding two or three months later. This may continue for six months when it usually stops. This is similar to hair loss after the birth of a child.

-- Low Serum Iron --

Iron deficiency occasionally produces hair loss. Some people don't have enough iron in their diets or may not fully absorb iron. Women who have heavy menstrual periods may develop iron deficiency. Low iron can be detected by laboratory tests and can be corrected by taking iron pills.
Major Surgery/Chronic Illness - Anyone who has a major operation may notice increased hair shedding within one to three months afterwards. The condition reverses itself within a few months but people who have a severe chronic illness may shed hair indefinitely.
Fungus Infection (Ringworm) of the Scalp - Caused by a fungus infection, ringworm (which has nothing to do with worms) begins with small patches of scaling that can spread and result in broken hair, redness, swelling, and even oozing. This contagious disease is most common in children, and oral medication will cure it.

--Hair Pulling (Trichotillomania) --

Children and sometimes adults will twist or pull their hair, brows, or lashes until they come out. In children especially, this is often just a bad habit that gets better when the harmful effects of that habit are explained. Sometimes hair pulling can be a coping response to unpleasant stresses and occasionally is a sign of a serious problem needing the help of a mental health professional.