We lose up to 100 hairs daily. People who suffer from hair loss lose significantly more than 100 hairs a day. In children, experts consider a loss of 50 to 80 hairs per day as hair loss.
Hair loss is a psychological burden, especially for young women and men. Affected individuals fear impending alopecia, or baldness, and feel ashamed.
According to the German Association of Wig Specialists, 40 percent of men and 20 percent of women suffer from hair loss. Therefore, the issue affects many people.
But what causes lead to hair loss, what hair growth phases can be identified, and what successes can be achieved through therapy measures?
Reasons for hair loss
Those who suffer from hair loss first search for possible causes. The bad news: the reasons for hair loss can be varied. Additionally, it is often difficult to determine the cause.
On one hand, genetic factors can cause hair to appear thinner and bald spots to emerge. Infections, stress, or hormonal changes can also promote hair loss.
Furthermore, there is a possibility that medications can affect hair health. For some drugs, hair loss is a typical side effect.
Moreover, diseases such as autoimmune disorders can lead to hair loss. In this case, the immune system attacks the hair follicles, resulting in round, hairless patches.
Moreover, hair can fall out due to seasonal factors. Many people report increased hair loss in the fall, caused by cold weather.
An unfavorable diet can also lead to hair loss. If too few nutrients are consumed, it hinders hair growth. Crash diets, in particular, should therefore be avoided.
To identify the reasons for hair loss, we must first understand the development of hair. Our hair goes through three stages before falling out. Increased or pathological hair loss only occurs when less than 80 percent of the hair is in an active growth phase.
Normally, no more than 20 percent of the hair remains in the resting phase, while 80 percent is growing. The number of hairs adorning the head and how quickly they shift to the resting phase can vary from person to person.
The following forms of hair loss can be differentiated:
- Hereditary hair loss: Many men and some women suffer from androgenetic alopecia, hereditary hair loss. The hair reacts sensitively to an androgen called dihydrotestosterone. As a result, the hair follicles shrink. There is usually no excess of testosterone.
Since this form of hair loss is not classified as a disease, health insurance does not cover the costs of therapy. Nevertheless, this type of alopecia poses challenges for those affected and can be psychologically distressing.
- Circular hair loss: Alopecia areata leaves circular bald spots on the head. The condition often affects children and young adults, as well as more women than men. In addition to scalp hair, eyebrows, eyelashes, facial hair, or body hair may also fall out.
This special form of hair loss can lead to "female pattern hair loss," or FPHL for short. The reason: the immune system targets components of the hair. Defense cells are presumably incorrectly forwarded.
Inflammations, such as dental inflammations, can also lead to circular hair loss. So far, there are no conclusive studies defining possible causes.
- Diffuse hair loss: When we lose numerous hairs all over the head, experts refer to it as telogen effluvium, or diffuse hair loss. This hair loss is usually noticeable by many hairs in the brush or comb.
Hormonal changes, for example during pregnancy or menopause, as well as taking birth control pills, can promote this form of hair loss.
But styling mistakes such as tight braids or frequent heat treatments can trigger diffuse hair loss. Furthermore, diffuse hair loss often occurs as a result of a thyroid disorder, an infection, chemotherapy, medication intake, or a nutrient deficiency such as iron deficiency. Stress as a cause of telogen effluvium is still being studied.
- Scarring hair loss: Alopecia cicatricial manifests as a side effect of numerous diseases. These include fungal infections and inflammations that affect the scalp. Bald spots develop here.
The pathogens attack the hair follicles until they are damaged or irreversibly destroyed. Scars form. Affected individuals often initially report an itchy, dry, or painful scalp.
Book your appointment for a PRP treatment now!
Disruptions in the natural hair cycle
Hair loss can be attributed to many different reasons. In many cases, hair loss can be successfully treated. But what helps against hair loss?
First of all: When hair loss is diagnosed, it is based on a disrupted cycle of hair growth phases. Too many hairs transition from the growth phase to the transitional and shedding phase. Our hair appears increasingly thinner.
The phase of hair growth
In the first phase, the Anagen phase, a hair fiber is formed. It develops in the hair follicle. The hair becomes increasingly longer and thicker. The majority of the hair on the head is in this phase.
The transitional phase of the hair
In the Catagen phase, hair growth is stopped. The size of the hair follicles is reduced. Subsequently, they become keratinized. Up to 5 percent of the hair on the head is in the transitional phase and is being remodeled.
The phase of hair loss
In the final step, the Telogen phase, the hair falls out. It has gone through all the phases and is now found in the brush or the drain. A loss of up to 100 hairs per day is considered normal.
Therapy options for hair loss
The good news first: Many types of hair loss can be treated. To do this, the form of hair loss should first be determined and the cause investigated.
For example, scarring hair loss can only be remedied if the cause of the hair loss is identified. Because an infection with a fungus, for instance, must be treated before successes in hair loss therapy can be expected.
The motto here is: The earlier, the better. Permanent damage to the hair roots can be avoided if diseases and complaints are treated early.
The use of vitamins and minerals
You are what you eat: This saying may sound outdated. But in medical cases, the basics are often crucial. A varied diet with good carbohydrates, plenty of protein, and high-quality fats can also support lush hair.
It is important to provide the body with as many vitamins and minerals as possible. This should primarily be ensured through diet. On the one hand, we absorb sufficient nutrients, and on the other hand, we avoid overdoses. Deficiencies can be treated with supplements on medical advice.
Affected individuals usually have an iron deficiency. Iron ensures oxygen supply in the blood and promotes blood formation. If we chronically consume too little iron – for example, as vegetarians or vegans – an iron deficiency can occur. This can also affect menstruating women.
Symptoms include pale skin, pale mucous membranes, hair loss, brittle nails, cracked corners of the mouth, a burning tongue, dizziness, headaches, fatigue, and shortness of breath.
Additionally, sufficient zinc should be consumed. This substance leads to shiny, healthy hair. People with an unbalanced diet, diabetics, and seniors generally have a deficiency of this trace element.
In this case, wounds heal more poorly. Affected individuals may have cracked corners of the mouth and a painful scalp. Zinc affects our immune system and promotes the formation of skin cells and hair. The trace element can be found in pumpkin seeds, for example.
We promote scalp circulation by consuming vitamin C. Those who frequently eat foods like red bell peppers or broccoli provide their body with enough vitamin C. Since the substance can be easily absorbed through food, supplementation is generally not necessary.
Furthermore, we should more often reach for kale, carrots, and sweet potatoes. These contain vitamin A, which supports hair growth and can influence the thickness of the hair.
The B vitamins also play a significant role in hair health. A precursor of vitamin B5 is panthenol. This substance is often used in hair care products to optimize hair structure.
Vitamin B3 (niacin), vitamin B5, and vitamin B6 (pyridoxine) strengthen the roots of the hair. Skin irritations and oily hair can also be reduced. B vitamins are found in dairy products, eggs, and fish, for example.
Vitamin B7 or vitamin H, also known as biotin, protects the hair and scalp. At the same time, the vitamin promotes scalp circulation, allowing nutrients to better reach the hair roots. Biotin is found in foods like liver and nuts.
Folic acid is also one of the B vitamins. Folic acid promotes cell division. A deficiency can be recognized by hair breakage or hair loss. Peas, wheat bran, and tomatoes, among others, contain folic acid.
Brittle hair can also be attributed to a vitamin E deficiency. The vitamin is found in tomatoes, raspberries, and wheat germ oil, for example.
The active ingredient thiocyanate is currently being discussed in research. It contains anion, forms a protective layer around human cells, and is supposed to accelerate metabolic processes. Clear evidence of the effect of thiocyanate does not exist as of yet.
In the case of an acute deficiency, it may be necessary to resort to dietary supplements. However, dietary supplements are not a substitute for a healthy diet.
Whether there is a nutrient deficiency can be examined by a dermatologist or general practitioner. A blood test provides information about blood values.
Supplements for prevention
No question: Every man and woman desires full, shiny hair. But in the hectic everyday life, it proves challenging to eat a balanced diet and avoid foods that can negatively affect our health.
In everyday life, we often choose the wrong foods. Additionally, 80 percent of our processed items in the supermarket contain too much sugar and salt. The solution: cook for yourself.
In exceptional cases, it may be sensible to supplement vitamins and minerals. But be careful: dietary supplements should only be taken in consultation with a doctor. This person can determine if there is a deficiency and provide treatment tips. They can also prescribe high-quality dietary supplements.
Since supplements do not have to undergo costly controls and the budget flows directly into advertising, consumers cannot tell if it is a high-quality product. The high advertising budgets also lead to inferior products achieving high sales figures and creating a good impression.
Book your appointment for a PRP treatment now!
Causes of genetically determined hair loss
Androgenetic alopecia can occur in both women and men. The hair follicles react sensitively to a conversion product of testosterone, the hormone dihydrotestosterone, or DHT for short.
The predisposition can be passed on by both women and men. According to studies, the maternal influence is stronger than the paternal one. Which genes are responsible has not yet been determined.
However, it is certain that the blood vessels of the hair follicles recede due to the influence of DHT. These supply the follicles with nutrients.
As a result, the hair follicles receive fewer vitamins and minerals, shortening the growth phase and causing the hair to wither. Over the years, the hair becomes shorter and thinner until eventually no more hair is produced.
In men, hereditary hair loss begins at the age of 20. They usually first develop a receding hairline before their hair starts to thin. In women, androgenetic alopecia is most commonly diagnosed from the age of 40. Their parting area usually widens.
But can genetically induced hair loss be treated? There are products on the market that are said to be able to stop androgenetic alopecia.
A note: For genetically induced hair loss, remedies are often recommended that should be discussed with a doctor. This is because products like Finasteride or Minoxidil can cause side effects.
The use of Finasteride
Finasteride is not used for genetically induced hair loss but for hormonally induced hair loss. In this process, the hormone testosterone and the enzyme 5-alpha-reductase react. The enzyme attaches to docking sites. Dihydrotestosterone, or DHT for short, is formed, to which certain people are sensitive. As a result, a signal is transmitted that can cause hair loss as well as tissue growths in the prostate.
Taking Finasteride inhibits the formation of the enzyme 5-alpha-reductase. As a result, the body produces less DHT.
Finasteride from the class of 5-alpha-reductase inhibitors can therefore also be referred to as a DHT blocker. It is important that the drug is administered in a low dose.
Taking Finasteride can lead to numerous side effects, including sexual dysfunction and low libido. Lumps or tension in the breast or discharge from the mammary gland can also occur as a result of Finasteride consumption.
Since the drug can affect fetal development, pregnant women should avoid any contact with the medication. This applies to both ingestion and handling of the drug. Crushing or splitting the tablets can also harm the unborn child.
Introduction to Minoxidil
Minoxidil, an antihypertensive, is usually administered orally to treat high blood pressure. The substance is largely broken down in the liver. The metabolites are excreted via the kidneys and urine. The half-life is 4 hours. The effect lasts up to 72 hours.
Minoxidil relaxes the muscles. As a result, the vessel walls and potassium channels in the cell membranes expand. This can lower blood pressure.
Since 1988, Minoxidil has also been used to treat hereditary hair loss. The solution or foam is applied topically to the scalp. This enlarges the local blood vessels. In this way, it can succeed in supplying the hair with more nutrients so that it grows back stronger.
However, lost hair cannot be reproduced by the topical agent. Nevertheless, for many affected individuals, it is already a relief to stop hair loss.
Women are often given a two percent solution, while men use a five percent solution. The solution is gently massaged in.
Possible side effects: Skin irritations and inflammations, headaches, and increased hair growth. Additionally, the application may cause heart palpitations, edema, and hypertrichosis.
Nursing mothers should refrain from using the product, as the substance could pass into breast milk. Studies on its use during pregnancy and breastfeeding are still pending.
Minoxidil is a prescription medication. Therefore, affected individuals should first consult a doctor, such as a dermatologist, who can prescribe the product containing minoxidil based on the diagnosis and as part of the treatment plan.
The effectiveness of over-the-counter products
Powders, serums, and oils: The market offers numerous products that promise quick results for hair loss. Manufacturers typically advertise with their own studies to prove the effectiveness of their products. But how effective are these items really?
First of all, studies conducted by the manufacturer themselves are, according to experts, not very meaningful. After all, they usually take place over too short a period and with small groups of participants. This approach cannot be compared with large scientific studies.
When purchasing over-the-counter products from the drugstore or supermarket, consumers should consider that ingredients like basil, bamboo, or caffeine may not achieve the desired effect.
The same applies to dietary supplements. According to the general food law of the EU (Regulation (EC) No 178/2002), these are considered food and therefore do not have to undergo any controls. As a result, products can be freely marketed without prior safety or efficacy testing.
The issue: Due to the multitude of products from different manufacturers, the market is confusing.
Furthermore, distributors use the budget saved from missing controls for advertising purposes. The result: Even unsafe products are extensively promoted by influencers and others.
The advertising suggests to consumers that it is a trustworthy product. Moreover, while dietary supplements are aimed at health-conscious people, they rarely question the products.
Many over-the-counter dietary supplements are also too highly dosed. With water-soluble vitamins, the excess is simply excreted again. Thus, the customer pays for a product that often isn't utilized. This applies, for example, to Vitamin C.
In contrast, with fat-soluble nutrients, there is a risk that the excess accumulates in the organs and causes serious secondary diseases. For example, Vitamin A accumulates in the body. An overdose of Vitamin A can promote hair loss. In pregnant women, too high a dosage can cause malformations in the unborn child.
Buyers should therefore inform themselves thoroughly about the products and consult their doctor. As a guideline: The effectiveness of products from the market is rarely proven.
Special shampoos
Inferior shampoos and conditioners contain ingredients like silicones. These harm our hair in the long term. Hair sprays or hair lacquers hinder hair growth.
People who already suffer from hair loss should opt for silicone-, paraben-, and sulfate-free shampoos that clean the scalp. Affected individuals should avoid hair spray and hair lacquer.
Additionally, affected individuals can use shampoos against hair loss. Cosmetic products against hair loss often contain caffeine or rosemary oil. These are intended to stimulate blood circulation in the scalp so that the hair can be supplied with sufficient nutrients.
Serums for Hair Care
Hair serums for hair loss are designed to stimulate the hair roots and extend the growth phase. The products are applied daily. A few spritzes are enough.
Tip: Serums can only be effective if a silicone-free shampoo was used beforehand.
Professional Hair Care at the Salon
We all know it: During our visit to the hairdresser, our trusted stylist raves about a new hair care line they sell in the salon. The advantage: Products for professional hair care are often higher quality than items from the drugstore. However, this is also reflected in the price.
Can Hair Loss Really Be Prevented?
The good news first: Hair loss due to malnutrition can be prevented. It's important to eat plenty of vegetables and frequently choose fish and fruit.
At least 2 servings of vegetables and 3 servings of fruit should be consumed daily. Additionally, it's important to keep meals varied and enjoy as many different colored vegetables as possible throughout the week.
Moreover, we should consume enough proteins and amino acids. Amino acids are considered the building blocks of proteins and materials for our tissues and cells. The antibodies of our immune system also consist of amino acids.
Complete amino acids are found in fish, poultry, beef, and eggs, among other sources. Pregnancy, stress, or a chronic illness can lead to an amino acid deficiency.
Furthermore, healthy carbohydrates, including those from potatoes, whole grain bread, oatmeal, and oat bran, should be part of our diet.
Tip: Letting potatoes cool overnight and consuming them the next day provides a food rich in resistant starch, which benefits our microbiome.
Additionally, hair loss due to infections or diseases can be prevented by maintaining a healthy diet as a foundation and getting enough exercise. A strong immune system protects us from illnesses.
Moreover, we should take advantage of preventive check-ups at the family doctor, dentist, and other specialists. These check-ups ensure that we do not have a vitamin deficiency. Since dental diseases can also lead to hair loss, regular visits to the dentist are recommended.
Hair Transplantation
Permanently full hair: If hair loss has already led to a high hairline, beginning baldness, or bald spots on the head, a cosmetic surgical procedure can boost the confidence of those affected.
In a hair transplantation, the treating physician removes hair follicles from a donor area, such as the back of the head, and transplants them to the recipient area. The hair in the donor area continues to grow, creating a natural appearance.
On one hand, doctors use the Follicular Unit Transplantation, or FUT method. In this case, the surgeons remove a strip of hair from the donor area. The hair root units are stored in a special solution before the FUs are transplanted.
On the other hand, doctors use the Follicular Unit Extraction method, or FUE. Here, doctors remove individual follicular units from the donor area using a fine hollow needle. The hair follicles are then examined for damage and implanted in the recipient area.
Book your appointment for a PRP treatment now!
FAQ
What immediately stops hair loss?
Hair loss can be attributed to different causes. It's important to determine the reason in order to treat the hair loss.
How can I stop my hair loss?
Those suffering from diffuse hair loss or another type of hair loss should consult a family doctor or dermatologist. Based on the medical history, they will determine the cause of the hair loss and suggest possible treatments.
What is the body lacking when experiencing hair loss?
If hair loss is due to malnutrition, a long-term change in diet and a food diary can help reduce hair loss.
Can hair loss stop again?
Hair loss can be treated. First, the cause of the hair loss must be identified.
The conclusion – Treatment methods for alopecia areata and more.
They gather on the pillow, the top, in the brush, and in the shower drain: Lost hairs are no cause for concern, as we lose up to 100 hairs a day. These are in the last growth cycle.
However, if an unusually large number of hairs fall out, those affected may suffer from pathological hair loss. This can be genetic. But autoimmune diseases, hormonal fluctuations, a one-sided diet, crash diets, infections, and inflammations can also trigger hair loss.
Possible solutions: special care products and a healthy diet. And the best part? A comprehensive diet not only supports healthy hair but also beautiful skin.
If special shampoos, serums, and the like show no effect, those affected can consider a hair transplant. Here, specialists remove hair follicles from an area at the back of the head and then transplant them to the desired location. The hair can continue to grow here, and the result looks natural.
Book your appointment for a PRP treatment now!
