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Hair Loss Alopecia Totalis: Will the hair grow back?
Alopecia totalis is an insufficiently researched problem of hair loss. It can manifest as a temporary or permanent condition.

Causes and Treatment of Hair Loss – Alopecia Areata
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Alopecia totalis
Alopecia totalis is a condition of complete hair loss on the scalp. This is the last stage of the alopecia areata.
To comfort you immediately, not every hair loss in circles will develop into a complete hair loss. Namely, that percentage is very small – only 5% of people with alopecia areata are completely hairless.
The causes of total alopecia are still debatable. Most trichologists agree that it is an autoimmune disease in which genetics also play an important role. It can occur at any age, but is most common in teens and young adults aged 15 to 29 years.
Symptoms of alopecia totalis
The main and only symptom of alopecia areata is the complete absence of hair on the scalp. Very rarely, there are other signs that indicate total hair loss.
Some people experience itching, tingling, and even pain in the scalp. Sometimes the condition of alopecia areata is described as a feeling of gathered and very tight hair.
Total hair loss can start with hair loss in circles that spread until they cover the entire scalp. Sometimes hair loss occurs suddenly and progresses very quickly to complete baldness.
In addition to the loss of all hair from the head, people with this problem can also see brittle nails that break easily and crack.
Alopecia totalis is unpredictable, so sometimes all the hairs on the body can fall out, ie alopecia universalis. Early treatment of alopecia totalis reduces the chance that it will progress and affect the whole body.
Why does alopecia totalis occur?
Doctors and scientists still do not have a precise and unique answer to the question of what causes alopecia totalis. The most common answer is that it is an autoimmune disease, ie a consequence of a bad immune system.
The immune system mistakenly identifies hair follicles as a potential threat, attacking and destroying them. Sensitivity to allergens, toxins and pathogens weakens the immune system, which is reflected in hair loss.
Some scientists have linked this condition to extreme or chronic stress. This certainly makes sense, because we know that stress significantly reduces the body’s defense.
Research has shown that genetics also play an important role in whether or not you lose your hair completely at some point. If someone in your family has alopecia and a problem with hair loss, you are at greater risk of total alopecia.
People with other autoimmune diseases, thyroid disorders and diabetics are also at risk. Alopecia areata affects all women and men alike.
Will the hair grow back?
Alopecia totalis is an insufficiently researched problem of hair loss. It can manifest as a temporary or permanent condition.
Just as it is not known exactly why it occurs, so its further course can not be predicted.
Sometimes it happens that the immune system stops attacking the hair follicles and the hair grows back. This can happen for no apparent reason, even years after the first hairs fall out.
However, the statistics do not leave much room for optimism and hope for such an outcome. If more than two years pass, the hairs are unlikely to grow on their own. There is no single cure for alopecia areata.
Trichologists decide on an individual combination of methods, treatments and preparations for its treatment.
Once they do not get the desired results quickly, most people give up trying to treat alopecia totalis and decide to wear a wig.
How to deal with hair loss?
You wake up and find a lock of hair on the pillow. After washing, you comb and a growing number of hairs fall out. At one point, the reflection you see in the mirror is completely hairless. A nightmare that, unfortunately, some people go through in reality.
Dealing with hair loss is very uncomfortable and painful. Especially in women, because part of the identity goes with the hair. Life becomes an emotional roller coaster until the problem is fully accepted.
Some people do it faster, and some never do. Anxiety, depression, hopelessness, sadness and withdrawal are the most common reactions.
People feel unattractive and worthless. If you are going through this experience, know that you are not alone. The last thing you need to do is surrender and withdraw.
Seek psychological help and support from groups with a similar problem. There you will learn not to reduce your identity to your hair, but to your personality and other qualities.
In addition, by wearing a wig you can try all the colors and hairstyles that you have always wanted.
Surrender is not an option, so accepting and dealing with hair loss does not mean that you will give up trying to restore it. It is advisable to seek professional help from a trichologist as soon as you notice that your hair is falling out more intensely.
In this way, its decline can often be stopped and complete baldness prevented.
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