The 12 Causes at a Glance
Androgenetic Alopecia (Genetics)
Responsible for 95%+ of male hair loss. DHT shrinks hair follicles progressively.
DHT Sensitivity
Even without strong family history, some follicles are genetically hypersensitive to DHT.
Chronic Stress (Telogen Effluvium)
Stress pushes follicles into resting phase; en-masse shedding 2–3 months later.
Iron & Ferritin Deficiency
Most common reversible cause in women. Ferritin below 40 ng/mL is a red flag.
Thyroid Dysfunction
Both hypothyroidism and hyperthyroidism disrupt the hair growth cycle.
Hormonal Changes
Post-partum, menopause, PCOS — androgens shift relative to oestrogen.
Protein & Zinc Deficiency
Hair is ~95% keratin (protein). Insufficient protein directly causes shedding.
Medication Side Effects
Chemotherapy, blood thinners, some antidepressants, high-dose retinoids.
Physical Hair Damage
Excessive heat, chemical processing, traction alopecia from tight hairstyles.
Autoimmune (Alopecia Areata)
Immune system attacks hair follicles causing patchy or complete loss.
Scalp Infections
Tinea capitis (ringworm) or folliculitis can block hair growth in affected areas.
Ageing
Follicle miniaturisation accelerates after 50; growth phase shortens naturally.
1. Androgenetic Alopecia — The #1 Cause
In men, 85–95% of hair loss is androgenetic alopecia (AGA). This is a genetic condition where follicles in certain scalp zones carry androgen receptors that, when bound by DHT (dihydrotestosterone), trigger progressive miniaturisation.
The process: DHT shortens the anagen (growth) phase from years to months, extends the telogen (resting) phase, and gradually converts terminal hairs into vellus (fine, colourless) ones until the follicle closes entirely.
AGA follows the Norwood-Hamilton scale — 12 stages from full hair to complete crown and frontal baldness.
2. Telogen Effluvium — Stress-Related Shedding
Physical or emotional stress, surgery, illness, childbirth, or crash dieting can push a large percentage of follicles into the telogen (resting) phase simultaneously. 2–3 months later, those follicles shed en masse.
Key point: The shedding happens after the stress, not during it. So if you're losing hair now, think back 2–3 months — what stressor occurred?
The good news: telogen effluvium is generally reversible. Once the trigger is removed, regrowth typically occurs within 6–12 months.
3. Nutritional Deficiencies
Hair growth demands substantial nutritional resources. Key deficiencies:
- Iron/Ferritin: The most common reversible cause in women. Target ferritin above 40 ng/mL for optimal hair growth. Get a blood test — don't supplement blindly.
- Protein: Hair is ~90% keratin. Low-protein diets or crash diets directly cause shedding within weeks.
- Zinc: Critical for follicle repair and cell division. Deficiency causes brittle, easily shed hair.
- Vitamin D: Vitamin D receptors regulate the hair cycle. Low levels correlate with increased shedding.
- Biotin: Widely marketed but only effective in genuine biotin deficiency (rare). Supplements are unlikely to help unless you're deficient.
Which cause applies to you?
Upload 3 photos — our AI measures your loss speed, Norwood stage, and narrows down the likely cause category.
🔬 Free AI Hair Analysis4. Hormonal Changes (Women)
- Post-partum hair loss: High oestrogen during pregnancy prevents normal shedding. After delivery, oestrogen drops sharply and months of "banked" hairs shed simultaneously. Typically resolves spontaneously in 6–12 months.
- Menopause: As oestrogen declines, androgens become relatively more dominant — follicles become DHT-sensitive.
- PCOS: Elevated androgens cause alopecia in the female pattern (vertex thinning) and often also hirsutism.