You’re getting ready for the day, styling your hair like you always do, when you notice something unsettling. A widening part, more strands in the sink, or thinning spots you swear weren’t there before. It’s a quiet, personal moment that can send a wave of panic through you.
For many women, hair loss feels confusing, isolating, and even shameful. But here’s the truth: you’re not alone. Alopecia—hair loss on areas of the body where hair normally grows—is far more common than most people realize. In fact, studies show that nearly 50% of women will experience noticeable hair thinning by age 50.
If you’ve been noticing changes in your hair, let’s break down what might be happening, why it happens, and what you can do about it.
Understanding Alopecia: More Than Just Hair Loss
There are more than ten types of alopecia, but when it comes to women’s hair loss, some are more common than others. On an average day, shedding 50 to 100 hairs is normal. But, if you’re losing more than 125 strands per day, you might be dealing with something more than typical shedding.
The most common type of hair loss in women is female pattern hair loss (FPHL), also called androgenic alopecia. It affects up to 30 million women in the U.S. alone and is often linked to genetics.
For African American women, two other forms of alopecia are particularly common:
- Traction Alopecia – Caused by tight hairstyles (ponytails, braids, weaves, and extensions) that put stress on hair follicles. Over time, this tension can lead to permanent scarring and hair loss, especially around the hairline.
- Central Centrifugal Cicatricial Alopecia (CCCA) – A scarring type of hair loss that affects Black women disproportionately. While its exact cause is still debated, research suggests links to genetics, autoimmune conditions, environmental factors, and certain hair care practices. Some studies have also explored whether chemical relaxers contribute to inflammation that damages follicles.
What Causes Alopecia?
Hair loss isn’t only about genetics—it can be triggered by a range of factors, including:
- Stress – Chronic stress increases cortisol levels, which can disrupt hair growth cycles.
- Medical Conditions – Autoimmune diseases, thyroid disorders, and PCOS can contribute to hair thinning.
- Vitamin Deficiencies – Low iron, vitamin D, or B12 can weaken hair follicles.
- Hormonal Changes – Pregnancy, menopause, and hormonal imbalances affect hair growth.
- Chemical Treatments – Frequent use of relaxers, perms, and hair dye can weaken hair over time.
- Medications – Some prescriptions, including birth control and antidepressants, can contribute to shedding.
- Hairstyles – Constant tension on the scalp can cause breakage and follicle damage.
How to Reduce the Risk of Hair Loss
While some types of alopecia are genetic or autoimmune-related, there are steps you can take to help protect your hair and scalp health:
- Loosen Up – Avoid tight ponytails, braids, and weaves that pull on your scalp. Give your hair breaks between styles.
- Limit Chemical Exposure – Be mindful of hair products that contain harsh chemicals, which can weaken hair over time.
- Maintain Scalp Health – Wash your hair regularly to prevent product buildup and inflammation.
- Manage Stress – Engage in physical activity, meditation, or relaxation techniques to keep cortisol levels balanced.
- Support Hair Growth from Within – Eat a nutrient-dense diet rich in protein, iron, omega-3s, and biotin while minimizing processed foods and sugar.
When to Seek Help
If you’re experiencing persistent hair thinning or bald patches, it’s important to consult a dermatologist or healthcare provider. They can determine what type of hair loss you have and discuss treatment options. In some cases, a scalp biopsy (a small skin sample) may be needed to assess inflammation or scarring.
Why early intervention matters:
Hair follicles don’t regenerate once they’re scarred. The sooner you seek help, the better your chances of preserving and strengthening your existing hair.
For those with scarring alopecia, such as CCCA, working with a dermatologist who specializes in hair loss is especially important. With the right care plan, symptoms can be managed, and in some cases, further damage can be prevented.
The Emotional Toll of Hair Loss
Hair is more than just hair. It’s tied to identity, confidence, and cultural perceptions of beauty. Losing it can feel deeply personal, affecting self-esteem and mental well-being. It’s common to feel:
- Frustration or embarrassment
- Grief over changes in appearance
- Anxiety about the future of your hair
- Depression or withdrawal from social situations
If hair loss is impacting your mental health, know that you don’t have to go through it alone. Well Dawn Integrative Health, PLLC offers compassionate support to help you process the emotional side of alopecia awareness. A provider who listens and understands can make all the difference in navigating this journey.
It’s not just about treating hair loss—it’s about feeling supported, heard, and empowered every step of the way.
The Takeaway
If you’re noticing hair thinning, trust what you’re seeing. Hair loss isn’t just a cosmetic issue, it’s a medical condition that deserves the same attention as any other condition. The sooner you act, the more options you have. And most importantly, if you’re struggling emotionally, don’t suffer in silence.
If you’re experiencing hair loss and aren’t sure where to turn, you don’t have to navigate it alone. Whether you’re concerned about the physical changes or the emotional toll of alopecia, support is available. Let’s talk, explore your options, and find a path forward—together.
References
- Alexis, A. F., & Sergay, A. B. (2019). Central centrifugal cicatricial alopecia: What is new in epidemiology and pathogenesis? International Journal of Women’s Dermatology, 5(3), 152-156.
- Cranwell, W. C., & Sinclair, R. (2016). Female pattern hair loss: Pathogenesis and management. Journal of Dermatological Treatment, 27(6), 469-476.
- Dlova, N. C., Goh, C. L., & Tosti, A. (2017). Hair and scalp disorders in ethnic populations. Journal of the American Academy of Dermatology, 77(4), 673-682.
- Malkud, S. (2015). Telogen effluvium: A review. Journal of Clinical and Diagnostic Research, 9(9), WE01.
- Olsen, E. A., & Messenger, A. G. (2020). Female pattern hair loss. The Lancet, 395(10229), 1353-1364.
- Parks, M. B., & Shapiro, J. (2019). The role of stress in alopecia areata. Journal of Investigative Dermatology, 139(2), 292-293.
- Vañó-Galván, S., & Sinclair, R. (2018). Traction alopecia: Etiology, diagnosis, and management. International Journal of Trichology, 10(6), 251-257.
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