Hair loss is a common concern, affecting both men and women, and often carries a significant emotional weight. While often perceived as a cosmetic issue, understanding the underlying causes and available treatments is crucial for those experiencing it. Dermatologist Margaretha Skorupka emphasizes that hair loss isn’t necessarily a medical emergency, but can disrupt mental well-being, particularly for women, where it’s often linked to perceptions of femininity.
As we age, a degree of hair thinning is a natural part of the aging process. However, more dramatic hair loss, such as circular bald patches, often signals a different underlying issue. One such condition is alopecia areata, an autoimmune disease where the body mistakenly attacks hair follicles. “The body recognizes the hair roots as foreign and rejects them,” explains Skorupka. “Why this happens is still unclear, but stress can sometimes play a role.” Fortunately, treatments like cortisone, applied topically or through injections, and newer antibody therapies offer hope, with many experiencing hair regrowth within a few months.
Nutritional deficiencies can also contribute to hair loss, though it’s often more complex than simply lacking a single vitamin. While a balanced diet typically provides sufficient nutrients, certain conditions can hinder absorption. Iron deficiency is a common culprit, particularly in young women and those following vegetarian or vegan diets. Low vitamin D levels can also weaken hair roots. Before starting any supplements, a blood test to determine specific deficiencies is recommended, as excessive intake of certain nutrients can be detrimental.
Determining how much hair shedding is “normal” can be anxiety-provoking. Losing around 60 to 100 strands daily is generally considered within the normal range, as hair naturally cycles through growth, transition, and shedding phases. Approximately 80% of hair is actively growing at any given time, while the remaining 20% is either transitioning or falling out.
For those experiencing more significant hair loss, medical interventions are available. Minoxidil, originally developed as a blood pressure medication, was found to have the side effect of stimulating hair growth and is now available as a topical solution or foam. It can help slow down the progression of hair loss, but is most effective when started early, before hair follicles are permanently lost. Men may also have the option of using medications originally prescribed for benign prostate enlargement, though potential side effects should be carefully considered.
Unfortunately, treatments for hair loss are often not covered by health insurance. Cortisone solutions for alopecia areata or other scalp conditions causing hair loss are typically reimbursed, but hair loss itself is often considered a cosmetic concern. This can create a financial barrier to treatment for many. However, health insurance may subsidize the cost of wigs under certain circumstances.
Beyond medical treatments, lifestyle adjustments can play a supportive role in maintaining hair health. A balanced diet rich in vegetables, nuts, fruits, and whole grains provides essential vitamins and proteins. Individuals following vegetarian or vegan diets should pay particular attention to ensuring adequate iron intake. Managing stress through relaxation techniques is also beneficial, as is maximizing vitamin D levels through sun exposure.
, Dr. Margaretha Skorupka will be discussing hair loss in detail at a medical discussion in the Cologne Cathedral Forum. The lecture and conversation will cover maintaining healthy hair and proper care techniques. Tickets are available for 12 euros, with advance purchase options available.
