Q. What is the role of hormones in hair health and hair loss?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Hormones play a significant role in hair health and hair loss. The balance of hormones in your body can influence the growth, thickness, and overall condition of your hair. Here are some key hormones and their roles in relation to hair:
1. Androgens (Testosterone and Dihydrotestosterone): Androgens, including testosterone and its derivative dihydrotestosterone (DHT), are important hormones for both males and females. However, when androgens are imbalanced or too high, they can contribute to hair loss. In individuals genetically predisposed to androgenetic alopecia (male and female pattern baldness), DHT can shrink hair follicles, leading to hair miniaturization and eventual hair loss.
2. Estrogens: Estrogens are female sex hormones, but they are also present in males at lower levels. These hormones can help maintain hair growth and keep hair in the anagen (growth) phase. When estrogen levels decrease, such as during menopause or as a result of certain medical conditions, it can lead to hair thinning.
3. Progesterone: Progesterone is another female sex hormone. Its fluctuations during the menstrual cycle, pregnancy, and menopause can affect hair health. Some women experience hair shedding or thinning during periods of hormonal changes related to pregnancy and postpartum.
4. Thyroid Hormones (T3 and T4): Thyroid hormones, including triiodothyronine (T3) and thyroxine (T4), regulate metabolism and have an impact on hair growth. Hypothyroidism (underactive thyroid) can lead to hair loss and changes in hair texture, while hyperthyroidism (overactive thyroid) can cause hair thinning.
5. Cortisol (Stress Hormone): Excessive or chronic stress can lead to high levels of cortisol in the body, which can disrupt the normal hair growth cycle and lead to hair loss, specifically in the form of telogen effluvium.
6. Insulin and Blood Sugar: Insulin and blood sugar levels can affect hair health. Fluctuations in blood sugar, often seen in conditions like diabetes, can lead to hair thinning.
7. Growth Hormone: Growth hormone influences the growth and development of tissues, including hair. Imbalances in growth hormone can affect hair growth.
8. Prolactin: High levels of prolactin, a hormone associated with breastfeeding, can lead to hair thinning.
9. Adrenal Hormones (Epinephrine and Norepinephrine): Stress hormones, such as epinephrine and norepinephrine, can affect the hair growth cycle when the body is under prolonged stress.
Understanding the role of hormones in hair health and hair loss is essential for diagnosing and managing various hair disorders. Imbalances in hormone levels can lead to conditions like androgenetic alopecia, telogen effluvium, or hormonal hair loss. If you suspect that hormonal imbalances are contributing to your hair issues, it's important to consult a healthcare professional, such as a dermatologist or endocrinologist, who can assess your hormone levels and recommend appropriate treatments or interventions.