Hair loss: causes and treatment of alopecia in Tashkent

Other names: Облысение, гнёздная алопеция, андрогенная алопеция, телогеновое выпадение

Hair loss is a complaint that is associated with completely different conditions: from a temporary reaction to stress or illness to irreversible scarring baldness. This is why “anti-hair loss shampoo” helps so rarely: you need to treat the cause, not the symptom. The first thing you should know: losing 50–100 hairs per day is normal. A persistent increase in hair loss, thinning of the parting, and the appearance of bald patches or areas of complete baldness are considered alarming.

🧾 МКБ-10: L63–L64 🏥 Where it is treated: 6 50–100 hairs per day is normalFirst tests, then treatmentScar forms are irreversible

👨‍⚕️ Which doctor

Trichologist, dermatologist

🔬 Diagnostics

Ferritin, TSH, trichoscopy

💊 Treatment

Treatment of the cause, minoxidil, injections

📈 Prognosis

Depends on the shape

⚠️ At risk

Iron deficiency, stress, hormones, heredity

⏱ When to see a doctor

Planned; in case of scarring - do not delay

🚨 See a doctor urgently

With these signs do not wait for a scheduled appointment — the condition requires emergency care.

Покраснение, боль, гнойнички на коже головы с исчезновением устьев волос — рубцовая алопеция
Быстрое выпадение волос на всём теле, включая брови и ресницы
Выпадение волос с потерей веса, сердцебиением, нарушением цикла
Появление очагов облысения у ребёнка
Выпадение после начала нового лекарства
Волосы выпадают клочьями с зудом и шелушением — исключить грибковое поражение

Basic forms

Telogen loss: diffuse thinning 2–3 months after stress, illness, surgery, childbirth, or sudden weight loss. Reversible, hair is restored in 6–12 months
Androgenetic alopecia: in men - bald patches and thinning on the crown; for women - widening the parting while maintaining the growth line. Progresses slowly, requires constant treatment
Alopecia areata: round patches of complete baldness with smooth skin. Autoimmune nature, unpredictable course, both spontaneous recovery and progression are possible
Scarring alopecia: the openings of the hair follicles disappear, the skin is smooth and shiny. Hair in this area does not grow back - it is important to stop the process as early as possible
Traction: from tight hairstyles, extensions, constant tension

What to look for in tests

In women with diffuse prolapse, examination almost always provides an explanation. The minimum set is small and inexpensive.

Ферритин — показатель запасов железа. Для роста волос его уровень должен быть достаточно высоким, а не просто «в норме лаборатории».
Общий анализ крови — выявление анемии.
ТТГ и гормоны щитовидной железы — и гипо-, и гипертиреоз вызывают выпадение.
Витамин D, витамин B12, цинк.
У женщин при признаках избытка андрогенов — гормональное обследование и УЗИ малого таза.
Трихоскопия — оценка фолликулов и типа алопеции, ключевой метод у трихолога.

Приём биодобавок «для волос» без выявленного дефицита не работает. Более того, избыток некоторых микроэлементов, например селена, сам вызывает выпадение.

Treatment by form

Telogen: eliminate the cause, fill deficiencies, improve nutrition and sleep. Hair grows back on its own, often without drugs
Androgenic: minoxidil externally for a long time; in men, additionally, drugs that block the conversion of testosterone; in women - antiandrogens according to indications. The effect persists only during treatment
Nest: topical and intralesional glucocorticosteroids, for common forms - systemic and targeted therapy
Cicatricial: the main goal is to stop inflammation; anti-inflammatory therapy is prescribed urgently; lost hair can only be restored by transplantation
Traction: avoiding tight hairstyles and extensions
Hair transplant - with a stable process and sufficient donor area

An important expectation: hair grows by about 1 cm per month, and the first results of any treatment are visible no earlier than after 3-4 months, and full results - after 6-12. There is no point in assessing the effect earlier.

Care and lifestyle

Wash your hair as it becomes dirty - infrequent washing does not preserve hair
Avoid tight ponytails, braids, extensions and harsh chemical treatments
Limit heat styling, use heat protection
Complete protein in the diet: hair consists of protein, and strict diets are a common cause of hair loss
Getting enough sleep and dealing with stress
Protecting your scalp from the sun

Frequently asked questions: Alopecia (hair loss)

How much hair per day is normal?+

50–100 hairs per day. More hair is noticeable when washing because it accumulates over a few days. It is alarming if the hair loss has become persistently worse, the parting has widened, or areas of baldness have appeared.

Do vitamins help hair?+

Only with confirmed deficiency. Without it, supplements do not work, and an excess of some trace elements, such as selenium, itself causes hair loss. First, tests: ferritin, TSH, vitamin D.

When can I expect results from treatment?+

Hair grows approximately 1 cm per month. The first changes are visible after 3-4 months, full results - after 6-12. There is no point in assessing the effect earlier.

Why did my hair fall out after childbirth or illness?+

This is telogen effluvium: stress puts many follicles into a resting phase, and after 2-3 months they fall out at the same time. The condition is reversible, hair is restored in 6–12 months.

Is it possible to get hair back from scarring alopecia?+

No, in the scarring area the follicles are destroyed irrevocably. Therefore, treatment is aimed at urgently stopping inflammation, and volume can only be restored through hair transplantation.

The information on this page is for reference only and does not replace a doctor consultation. Only a qualified specialist can make a diagnosis and prescribe treatment after an in-person examination.