Hair loss: when do I need to see a doctor?

The most common is age-related hair loss, which often affects men in particular at a young age.

Which doctor should I see if I’m losing my hair?

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Hair loss: This amount of hair a day is normal

Hair on the pillow, in the brush or in the shower drain is by no means a cause for concern. Every hair has its own growth cycle, at the end of which it stops growing and falls out. The cycle then begins again and it grows back. In the case of hair on the scalp, this cycle can take several years, whereas eyelashes or eyebrows only grow in around 150 days. That’s why everyone loses hair every day. The rule of thumb is: 70 to 100 per day for a healthy adult is normal. And even if there should be more, one does not necessarily speak of pathological hair loss.

Thinning hair with age is also something normal and is often in the genes. After the growth phase, the hair follicles in the typical areas, such as the receding hairline in men, can no longer get out of the resting phase and no new hair forms after the hair has naturally fallen out.

Hair loss: when do I need to see a doctor?

The most common is age-related hair loss, which often affects men in particular at a young age. With this type of hair loss, there is no need to see a doctor as there is no effective treatment option.

You should see a doctor,

if the hair suddenly falls out in large numbers (“tufts”), especially if this is accompanied by itching of the scalp,
with clearly defined bald spots on the head, in the beard or the eyebrows.
There are also medicines that can cause hair loss, especially medicines for cancer, rheumatism, depression and heart problems, but birth control pills can also cause hair loss.

In addition, excessive hair styling can lead to hair loss when the hair is pulled or the scalp is subjected to hot oil or allergenic dyes.

Which remedy helps against hair loss

New products are regularly launched that promise to combat hair loss. However, doctors advise against such self-treatment. Firstly, there is no evidence that most of these hair restorers can actually reduce hair loss, and they can also have serious side effects. The active ingredient finasteride, for example, which many doctors have prescribed for hair loss, can cause severe depression and erectile dysfunction, including impotence, in patients. Often there is no need for medical treatment at all, because hair loss can only be temporary or is part of the natural aging process.

Whether therapy is necessary depends on the type and cause of the hair loss. There are three main forms between which medicine distinguishes.

Androgenetic Alopecia

Androgenetic alopecia, also known as hereditary or male pattern hair loss, is the most common form of hair loss. In about 95 percent of cases, it is due to this form. Dermatology assumes that the cause is a genetic hypersensitivity to a specific male hormone (5alpha-dihydrotestosterone). Since the hormone is also found in small amounts in women, they can also be affected by this form.

However, in a different form: while androgenetic alopecia leads to thinning hair in women, in men it is initially visible as a receding hairline and can lead to complete baldness. There is no effective therapy.

Diffuse hair loss

Sudden hair loss accompanied by an itchy scalp may be due to an infection with a non-contagious scalp fungus. This can be treated well, then the hair grows back. Waiting too long can cause scarring with permanent destruction of hair follicles.

Diffuse hair loss occurs when the hair becomes thinner and thinner over the head of hair. The causes can be very different:

• external factors, such as too much stress or lack of sleep
• Vitamin deficiency – but this is practically non-existent with a balanced diet
• taking medication
• X-rays
• infections
• thyroid disorders
• Hormone fluctuations, for example after stopping the pill and during and after pregnancy

Circular hair loss

Circular hair loss (alopezia arreata) usually begins with individual bald spots on the head that spread quickly. In severe cases, the entire body hair is affected and the hair falls out completely. A defective immune system is suspected to be the reason for a circular hair loss: In this case, the body’s own defense cells attack the cells of the hair roots. Whether this is really the case has not been proven.

Therapy is difficult. In 80 percent of cases, the hair grows back on its own within a year. There are various approaches to treatment, but so far there has been no evidence that these therapies actually work, which is also due to the high number of spontaneous healings. Whether and how to be treated should be discussed with your doctor.

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