The article – I’m losing my hair – includes a series of events that can occur in the variuos cases of Alopecia, Effluvium etc.

First of all I would like to remind that this is a platform on which is possible to find information, but it does not absolutely substitute a doctor. The advice is always to:

  • Turn to an expert Dermatologist (Trichologist);
  • Ask for a precise diagnosis of the problem;
  • Constantly follow all the indications of the specilist;
  • Undergo periodic checks (Dermoscopy, Trichogram etc);
  • Take periodic pictures to objectively monitor the situation.


  1. A) My hair is getting thinner.

Androgenetic Alopecia affects around the 50% of the male population, with a different intensity, and shows as an hair thinning. The hair loses its strenght and vigour, so it grows always thinner and shorter.

Androgenetic Alopecia is a condition (it has not been classified as a pathology yet) characterised by a progressive miniaturisation of the hair follicle (a decrease of the quality and of the thickness of the hair) because of the action of Diidrotestosterone, an androgenic hormone, essential during the development phase, resulting from the transformation of the Testosterone carried out by the 5-alpha-reductasi enzyme.

Also females can be affected by Alopecia, that is this cases is called “feminine aloepcia”.


  1. B) I’m losing much long hair.

In the case of a Telogen Effluvium, the hair enters the rest phase and falls. It is a “normal turnover” if not too acute and chronic.

As we said, during the Telogem Effluvium the hair enters the rest phase and falls, so we will notice hair on the pillow, in the comb etc. The fallen hair will look full (long and thick) even if the sheath may be broken.

During this phase, the matrix will be keratinized (we will analyse this detail with some photos).


  1. C) I’m losing much hair, even short.

In the case of the Anagen Effluvium, differently from the Telogen Effluvium, the hair is attacked during the growth phase (Anagen). The hair will fall both during the growth and the rest phase. That’s why we will notice a large number of hair while washing the hair or rubbing it. Its lenght could vary, since hair falls both in the growth and rest phase.

In this phase the matrix is not characterized, the sheath are intact and the ketogenic area is well pigmented.

We will notice in the area of the bulb a specific hook shape (again, we will analyse this aspect deeper).


  1. D) I’m losing my hair patchy.

Alopecia Areata, better known as AA, is a pathology that brings to a sudden patchy hair loss. Then, it can extend all over the scalp and also to the whole head and the whole body. In this case it is called “Alopecia Totalis”.

Alopecia Areata is a very spread pathology. Several studies show that a little bit less than the 2% of the world population suffered from it, even if only temporarily.


In both cases (Alopecia Areata and Alopecia Totalis) we can talk about:

  • Rare diseases;
  • Relapsing chronicles.


Alopecia Areata = Autoimmune Pathology that shows as a sudden patchy hair loss. The scalp may result thinned or totally bald.

Alopecia Totalis = A fully evolved Alopecia Areata that can extend all over the head and/or to the whole body (body hair, eyebrows, beard, lashes etc).