Hair Loss (Alopecia)
Learn about Hair Loss (Alopecia), its symptoms, causes, diagnosis, and treatment options at Blume Health.
Causes
- Androgenetic alopecia (genetic predisposition and DHT sensitivity)
- Hormonal changes (pregnancy, childbirth, menopause, thyroid disorders)
- Nutritional deficiencies (iron, protein, vitamin D, zinc deficiency)
- Stress and psychological factors (physical and emotional stress)
- Medical conditions (PCOS, autoimmune diseases, scalp infections)
- Environmental factors (pollution, harsh hair treatments, chemical exposure)
- Medications and treatments (chemotherapy, blood thinners, antidepressants)
- Hairstyling practices (tight hairstyles, excessive heat, chemical processing)
Signs and Symptoms
- Gradual thinning on top of head, especially at crown and temples
- Receding hairline in men (M-shaped pattern)
- Widening of hair part in women
- Circular or patchy bald spots (alopecia areata)
- Excessive hair shedding during washing or combing
- Sudden loosening and falling out of hair
- Full-body hair loss in severe cases
- Scalp tenderness, itching, or irritation
Diagnosis
Trichoscopy (Dermoscopy)
Non-invasive examination using a dermatoscope to observe hair shafts, follicles, and scalp patterns. This advanced technique can identify hair diameter variations, yellow dots, and other specific features to differentiate between various types of alopecia.
Clinical Examination
Detailed physical examination of the scalp and hair pattern, including pull test to assess hair shedding and evaluation of hair distribution patterns. Healthcare providers examine family history and assess the pattern of hair loss.
Laboratory Tests
Blood tests to check for underlying conditions including thyroid function (TSH), iron levels, ferritin, vitamin D, hormonal assessments (testosterone, DHT), and nutritional deficiencies that may contribute to hair loss.
Scalp Biopsy
In complex cases, a small sample of scalp tissue is examined under microscope to determine the exact cause of hair loss, especially for cicatricial (scarring) alopecia or when diagnosis is unclear.
Treatment Options
Topical Medications
Minoxidil (2% or 5%) is the first-line FDA-approved topical treatment that stimulates hair growth and slows hair loss. Applied directly to the scalp, it increases blood flow to hair follicles and extends the growth phase of hair.
Oral Medications
Finasteride (1mg) for men blocks DHT production and prevents further hair loss. For women, anti-androgens like spironolactone may be prescribed. These medications require long-term use and regular monitoring.
PRP (Platelet-Rich Plasma) Therapy
Advanced treatment using patient's own blood platelets injected into the scalp to stimulate hair growth. PRP contains growth factors that promote hair follicle health and can be combined with other treatments for better results.
Hair Transplantation
Surgical procedure where healthy hair follicles are transplanted from donor areas to balding regions. Modern techniques like FUE (Follicular Unit Extraction) and FUT provide natural-looking, permanent results for advanced hair loss.
Low-Level Laser Therapy
Non-invasive treatment using specific wavelengths of light to stimulate hair follicles and improve blood circulation. Can be combined with other treatments and is suitable for both men and women.
Home Remedies
Onion Juice Treatment
Rich in sulfur compounds that improve blood circulation and stimulate hair follicles. Apply fresh onion juice to scalp, leave for 30 minutes, then wash with mild shampoo. Use 2-3 times weekly for best results.
Amla (Indian Gooseberry) Oil
High in vitamin C and antioxidants, amla strengthens hair follicles and prevents premature graying. Mix amla powder with coconut oil, heat gently, cool and massage into scalp. Leave overnight and wash next morning.
Fenugreek (Methi) Seed Paste
Contains proteins and nicotinic acid that strengthen hair and reduce hair fall. Soak fenugreek seeds overnight, grind into paste, apply to scalp for 30-45 minutes before washing with mild shampoo.
Coconut Oil Massage
Penetrates hair shaft to reduce protein loss and nourish follicles. Warm coconut oil and massage gently into scalp using circular motions. Leave for at least 30 minutes or overnight before washing.
Hibiscus and Curry Leaves
Traditional Ayurvedic remedy that strengthens hair roots and promotes growth. Grind fresh hibiscus leaves and flowers with curry leaves, apply as paste to scalp, leave for 45 minutes before rinsing.
Aloe Vera Gel
Soothes scalp inflammation and maintains pH balance. Apply fresh aloe vera gel directly to scalp, leave for 30 minutes, then rinse with lukewarm water. Helps reduce dandruff and scalp irritation.
Preventive Care
- Maintain a balanced diet rich in proteins, vitamins (especially biotin, vitamin D), and minerals
- Practice gentle hair care - avoid tight hairstyles, excessive heat styling, and harsh chemical treatments
- Manage stress through meditation, yoga, regular exercise, and adequate sleep
- Protect hair from environmental damage - use UV protection and minimize pollution exposure
- Stay hydrated and limit smoking and excessive alcohol consumption
- Regular scalp massage to improve blood circulation to hair follicles
- Use mild, sulfate-free shampoos and avoid over-washing hair
- Address underlying health conditions like thyroid disorders, PCOS, and nutritional deficiencies promptly
- Avoid crash diets and maintain stable weight to prevent nutritional hair loss
- Regular health check-ups to monitor hormone levels and overall health
Surgical Options
FUE Hair Transplant
Follicular Unit Extraction - minimally invasive technique where individual hair follicles are extracted and transplanted, leaving tiny dot scars
FUT Hair Transplant
Follicular Unit Transplantation - strip method where a section of scalp is removed and hair follicles are dissected for transplantation
Scalp Reduction
Surgical removal of bald scalp areas and stretching hair-bearing skin to cover the area, typically combined with hair transplantation
Schedule a Consultation
If you're experiencing symptoms of hair loss (alopecia), our expert team is here to help you find the right treatment approach for your specific needs.