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Baldness is not usually caused by a disease, but is related to aging, heredity, and testosterone. In addition to the common male and female patterns from a combination of these factors, other possible causes of hair loss, especially if in an unusual pattern, include:
Hormonal changes (for example, thyroid disease, childbirth, or use of the birth control pill)
A serious illness (like a tumor of the ovary or adrenal glands) or fever
Medication such as cancer chemotherapy
Excessive shampooing and blow-drying
Emotional or physical stress
Nervous habits such as continual hair pulling or scalp rubbing
Burns or radiation therapy
Alopecia areata -- bald patches that develop on the scalp, beard, and, possibly, eyebrows. Eyelashes may fall out as well. This is thought to be an immune disorder.
Tinea capitis (ringworm of the scalp)
The right vitamins and minerals play a major role in keeping your hair healthy. Any nutritional deficiencies can lead to thinning hair or even total baldness. It is a well known fact that an under active thyroid can result in frizzy or brittle hair while an overactive thyroid turn hair greasy and limp.
For hair loss caused by illness (such as fever), radiation therapy, or medication use, no treatment is necessary. The hair will usually grow back when the illness has ended or the therapy is finished. A wig, hat, or other covering may be desired until the hair grows back.
Diagnostic tests that may be performed (but are rarely needed) include:
Microscopic examination of a plucked hair
Skin biopsy (if skin changes are present)
Hair loss usually develops gradually and may be patchy or diffuse (all over). Roughly 100 hairs are lost from your head every day. The average scalp contains about 100,000 hairs.
Some women also develop a particular pattern of hair loss due to genetics, age, and male hormones that tend to increase in women after menopause. The pattern is different from that of men. Female pattern baldness involves a thinning throughout the scalp while the frontal hairline generally remains intact.
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