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Health A-Z

What Is Hair Loss?

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 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 6 inches a year. The hair you can see is actually 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 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 2 to 8 years
  • Catagen: transitional hair growth that lasts 2 to 3 weeks
  • Telogen: resting phase that lasts about 2 to 3 months; at the end of the resting phase the hair is shed and a new hair replaces it, and the growing cycle starts again.
  • Involutional alopecia is a natural condition in which the hair gradually thins with age. More hair follicles go into the resting phase, and the remaining hairs become shorter and fewer in number.
  • Androgenic alopecia is a genetic condition that can affect both men and women. Men with this condition, called male pattern baldness, can begin having hair loss as early as their teens or early 20s. It's characterized by a receding hairline and gradual disappearance of hair from the crown and frontal scalp. Women with this condition, called female pattern baldness, don't have noticeable thinning until their 40s or later. Women experience a general thinning over the entire scalp, with the most extensive hair loss at the crown.
  • Alopecia areata often starts suddenly and causes patchy hair loss in children and young adults. This condition may result in complete baldness (alopecia totalis). But in about 90% of people with the condition, the hair returns within a few years.
  • Alopecia universalis causes all body hair to fall out, including the eyebrows, eyelashes, and pubic hair.
  • Trichotillomania, seen most frequently in children, is a psychological disorder in which a person pulls out their own hair.
  • Telogen effluvium is temporary hair thinning over the scalp that occurs because of changes in the growth cycle of hair. A large number of hairs enter the resting phase at the same time, causing hair shedding and subsequent thinning. Learn more about what causes telogen effluvium.
  • Scarring alopecias result in permanent loss of hair. Inflammatory skin conditions  (cellulitis, folliculitis, acne), and other skin disorders (such as some forms of lupus and lichen planus) often result in scars that destroy the ability of the hair to regenerate. 
  • Traction alopecia. Hot combs and hair too tightly woven and pulled can also result in permanent hair loss.
  • Central centrifugal cicatricial alopecia. This is the most common type among Black women. This often manifests as a small bald patch in the center of the scalp that grows over time.
  • Involutional alopecia is a natural condition in which the hair gradually thins with age. More hair follicles go into the resting phase, and the remaining hairs become shorter and fewer in number.
  • Androgenic alopecia is a genetic condition that can affect both men and women. Men with this condition, called male pattern baldness, can begin having hair loss as early as their teens or early 20s. It's characterized by a receding hairline and gradual disappearance of hair from the crown and frontal scalp. Women with this condition, called female pattern baldness, don't have noticeable thinning until their 40s or later. Women experience a general thinning over the entire scalp, with the most extensive hair loss at the crown.
  • Alopecia areata often starts suddenly and causes patchy hair loss in children and young adults. This condition may result in complete baldness (alopecia totalis). But in about 90% of people with the condition, the hair returns within a few years.
  • Alopecia universalis causes all body hair to fall out, including the eyebrows, eyelashes, and pubic hair.
  • Trichotillomania, seen most frequently in children, is a psychological disorder in which a person pulls out their own hair.
  • Telogen effluvium is temporary hair thinning over the scalp that occurs because of changes in the growth cycle of hair. A large number of hairs enter the resting phase at the same time, causing hair shedding and subsequent thinning. Learn more about what causes telogen effluvium.
  • Scarring alopecias result in permanent loss of hair. Inflammatory skin conditions  (cellulitis, folliculitis, acne), and other skin disorders (such as some forms of lupus and lichen planus) often result in scars that destroy the ability of the hair to regenerate. 
  • Traction alopecia. Hot combs and hair too tightly woven and pulled can also result in permanent hair loss.
  • Central centrifugal cicatricial alopecia. This is the most common type among Black women. This often manifests as a small bald patch in the center of the scalp that grows over time.
  • Involutional alopecia is a natural condition in which the hair gradually thins with age. More hair follicles go into the resting phase, and the remaining hairs become shorter and fewer in number.
  • Androgenic alopecia is a genetic condition that can affect both men and women. Men with this condition, called male pattern baldness, can begin having hair loss as early as their teens or early 20s. It's characterized by a receding hairline and gradual disappearance of hair from the crown and frontal scalp. Women with this condition, called female pattern baldness, don't have noticeable thinning until their 40s or later. Women experience a general thinning over the entire scalp, with the most extensive hair loss at the crown.
  • Alopecia areata often starts suddenly and causes patchy hair loss in children and young adults. This condition may result in complete baldness (alopecia totalis). But in about 90% of people with the condition, the hair returns within a few years.
  • Alopecia universalis causes all body hair to fall out, including the eyebrows, eyelashes, and pubic hair.
  • Trichotillomania, seen most frequently in children, is a psychological disorder in which a person pulls out their own hair.
  • Telogen effluvium is temporary hair thinning over the scalp that occurs because of changes in the growth cycle of hair. A large number of hairs enter the resting phase at the same time, causing hair shedding and subsequent thinning. Learn more about what causes telogen effluvium.
  • Scarring alopecias result in permanent loss of hair. Inflammatory skin conditions  (cellulitis, folliculitis, acne), and other skin disorders (such as some forms of lupus and lichen planus) often result in scars that destroy the ability of the hair to regenerate. 
  • Traction alopecia. Hot combs and hair too tightly woven and pulled can also result in permanent hair loss.
  • Central centrifugal cicatricial alopecia. This is the most common type among Black women. This often manifests as a small bald patch in the center of the scalp that grows over time.