Understanding the Different Types of Hair Loss: Causes and Symptoms

Hair loss is a common concern that affects people of all ages and genders. Understanding the different types of hair loss, along with their causes and symptoms, is essential for identifying the most effective treatments. In this article, we will explore the various forms of hair loss and provide insights into their underlying mechanisms.

1. Androgenetic Alopecia (Pattern Baldness)

Causes: Androgenetic alopecia, commonly known as male-pattern baldness in men and female-pattern baldness in women, is the most prevalent form of hair loss. It is primarily genetic and is influenced by androgens, particularly dihydrotestosterone (DHT). DHT binds to hair follicles, causing them to shrink and produce thinner hair until growth ceases.

Symptoms:

  • Men: Receding hairline at the temples, thinning at the crown, progressing to potential baldness.
  • Women: Diffuse thinning across the scalp, widening of the part line, rarely leading to complete baldness.

2. Telogen Effluvium

Causes: Telogen effluvium is a temporary form of hair loss that occurs when a significant number of hair follicles enter the resting (telogen) phase simultaneously. This can be triggered by physical or emotional stress, illness, surgery, drastic weight loss, or hormonal changes such as childbirth.

Symptoms:

  • Sudden, diffuse thinning across the scalp.
  • Increased hair shedding, often noticeable in the shower or on a hairbrush.

3. Alopecia Areata

Causes: Alopecia areata is an autoimmune disorder where the immune system mistakenly attacks hair follicles, causing hair loss. The exact cause is unknown, but genetic predisposition and environmental factors may play a role.

Symptoms:

  • Sudden, round patches of hair loss on the scalp or other body parts.
  • In severe cases, complete loss of scalp hair (alopecia totalis) or body hair (alopecia universalis).

4. Traction Alopecia

Causes: Traction alopecia results from continuous tension or pulling on the hair, often due to tight hairstyles such as ponytails, braids, or hair extensions. Over time, this can damage hair follicles and inhibit hair growth.

Symptoms:

  • Receding hairline, particularly around the forehead and temples.
  • Broken hair strands and thinning in areas under tension.

5. Anagen Effluvium

Causes: Anagen effluvium occurs when hair follicles are damaged during the active growth (anagen) phase, commonly due to chemotherapy, radiation therapy, or exposure to toxic chemicals.

Symptoms:

  • Rapid hair loss, often within days to weeks of exposure to the causative agent.
  • Loss of hair on the scalp and other body parts, including eyebrows and eyelashes.

6. Scarring Alopecia (Cicatricial Alopecia)

Causes: Scarring alopecia is a group of disorders that destroy hair follicles and replace them with scar tissue, leading to permanent hair loss. Causes include inflammatory conditions, infections, and trauma.

Symptoms:

  • Patchy hair loss with redness, scaling, or pustules on the scalp.
  • Affected areas may feel itchy or painful.

7. Trichotillomania

Causes: Trichotillomania is a psychological disorder characterised by the compulsive urge to pull out one’s hair. This behaviour can be a response to stress, anxiety, or other emotional issues.

Symptoms:

  • Irregular patches of missing hair, often with broken hair shafts of varying lengths.
  • Scalp irritation or damage from repeated pulling.

Conclusion

Hair loss can manifest in various forms, each with distinct causes and symptoms. Understanding these differences is crucial for diagnosing the underlying issue and selecting the appropriate treatment. If you are experiencing hair loss, consulting a healthcare professional or dermatologist can help determine the cause and develop a personalised treatment plan. Whether due to genetic factors, medical conditions, or lifestyle choices, there are options available to manage and mitigate hair loss.

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