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There’s far more to hair growth than many people realize. The hair growth process occurs in a cycle, with hair follicles going through four different stages as they grow, regress, rest and shed over the course of several years.
Understanding hair growth is an important part of learning more about why your hair thins and falls out. It’s also useful knowledge for regrowing your hair and helping you maintain as much hair as possible over time.
In this guide, we’ll explain the entire hair growth process, from the growing phase right through to shedding and regrowing hair. We’ll also explain how understanding the hair growth process can help you combat and reverse the effects of hair loss.
The Four Stages of Hair Growth
The hair growth process (or hair growth cycle, as it’s often referred to in medical literature) has four different stages:
- The anagen, or growing phase, during which your hair grows.
- The catagen, or regression phase, during which your hair follicles shrink and detach from your skin.
- The telogen, or resting phase, during which new hair begins to grow under the older, detached hairs.
- The exogen, or shedding phase, during which the older hair
fallsout from your scalp and is replaced by the new hair.
Each of these stages lasts for a different amount of time, meaning your hair can grow for years before it enters into the catagen,
The Anagen (Growing) Phase
During the anagen phase, your hair is actively and continuously growing. This phase of the hair growth process usually lasts for three to five years, although some people have anagen phases of up to seven years.
Because your hair is continuously growing during the anagen phase, the length of this phase of the hair growth cycle determines the maximum length of your hair. For most people, this is 18 to 30 inches.
The Catagen (Regression/Transition) Phase
After each hair follicle completes its anagen phase, it enters the
Although hair in this phase "detaches" from your skin, it usually doesn’t fall out until much later, usually when the new hair “pushes” it out from your scalp.
The Telogen (Resting) Phase
After a hair follicle enters the catagen phase and detaches from your scalp, it enters a resting period known as the telogen phase. This phase usually lasts for three to five months before a hair is "pushed" out by the growth of new hair.
Most people have about 10 to 20% of their hair in the telogen phase at any time. Sometimes, when a person is stressed or physically unwell, other health conditions can cause more hair follicles than normal to enter the telogen phase, resulting in temporary hair shedding.
The Exogen (Shedding) Phase
Once the new hair has grown, the old hair enters the exogen phase. During this phase, the old hair completely detaches from the scalp and falls out, usually while you’re using a comb, brush or washing your hair in the shower.
It’s normal for about 50 to 150 hairs to go into this phase and fall out on a daily basis, meaning there’s no need to panic if you notice a few hairs on your comb or brush after styling your hair.
As the new hair grows, it replaces the old hair and completes the hair growth cycle, giving you replacement hairs for all of the hairs lost during the catagen, telogen and exogen phases of the growth process.
Understanding the Hair Growth Process
Just like other important processes in your body, the hair growth process can be interrupted and affected by external factors like stress, malnutrition, and illness.
For example, a lack of protein can cause hair to enter the telogen phase prematurely, resulting in excessive thinning and hair loss. Animal studies also show that stress can inhibit hair growth by causing hair to enter into the catagen phase prematurely.
Because the process of shedding hair takes several months (remember, the telogen phase is a three to
This means that if you suddenly start feeling stressed or stop getting enough vitamins or minerals, it could take months to notice a difference in your hair.
As always, the best way to prevent this type of damage to your hair is to eat a healthy diet and consume the most important vitamins and minerals for healthy, thick and strong hair.
Male Pattern Baldness and the Hair Growth Process
Male pattern baldness affects the hair growth process by making the effects of the catagen, or regressive, phase more severe.
DHT, the androgenic hormone that causes male pattern baldness, stimulates TGF-β1, TGF-β2, DKK1 and Interleukin 6, all of which have an effect on the miniaturization of hair follicles. Over time, this results in hair follicles shrinking and eventually failing to produce hair growth.
Not all hair follicles are sensitive to the effects of DHT. Most of the time, the miniaturization part of the hair growth process affects hair follicles around the hairline or crown first, before starting to affect other hair follicles that are sensitive to DHT.
How to Regrow Hair
There are several ways to regrow hair. The most effective way to regrow your hair depends on how you lost it, whether the root cause is your diet, stress levels or androgens.
If your hair loss is caused by stress, the best way to reverse the effects and regrow your hair is to remove the source of stress from your life. For severe stress, it’s always a good idea to speak to a doctor and learn more about the best solutions.
If your hair loss is caused by a nutritional deficiency, the best way to regrow your hair is to make changes to your diet and supplementation regimen. Again, it’s always a good idea to speak to a doctor for an expert opinion.
If your hair loss is the result of male pattern baldness, the best way to start regrowing some of the hair you’ve lost is by blocking dihydrotestosterone (or DHT), which is the root cause of male pattern baldness.
You can also use topical sprays and gel products such as minoxidil, which shortens the telogen phase and causes old hairs to shed and be replaced by fresh, new hairs in the anagen phase.
It’s important to know that you can only regrow from areas where the hair follicles are still active, healthy and capable of producing new hairs. If you’ve lost hair in an area for several years, there isn’t much chance of it regrowing even with a full dose of finasteride and daily minoxidil usage.
There’s also no guarantee that any of the hair you’ve lost as a result of male pattern baldness will regrow, even in areas where it’s only recently started to thin. It’s best to think of regrowth as a bonus, not as a predictable effect of using finasteride and minoxidil.
Understanding Hair Growth
The better you understand the hair growth process, the easier it is to tell the difference between regular exogen shedding and hair loss.
This can help you take action sooner if you notice your hair starting to thin. It can also save you a lot of stress if you notice shedding but recognize that it’s just the natural result of your follicles entering into the final phase of the growth cycle.
For the most part, it’s best not to panic about your hair’s growth rate or male hair loss. Instead, take a reasoned approach to your hair and approach hair loss as a choice by taking action to limit your future hair loss and retain as much of your hair as possible.
This article was reviewed by Brendan Levy, MD.
Important Safety Information
IMPORTANT SAFETY INFORMATION
Finasteride is for use by MEN ONLY and should NOT be used by women or children.
Read this Patient Information before you start taking Finasteride and each time you get a refill. There may be new information. This information does not take the place of talking with your healthcare provider about your medical condition or treatment.
What is Finasteride?
Finasteride is a prescription medicine used for the treatment of male pattern hair loss (androgenetic alopecia).
It is not known if Finasteride works for a receding hairline on either side of and above your forehead (temporal area).
Finasteride is not for use by women and children.
Who should not take Finasteride?
Do not take Finasteride if you:
- are pregnant or may become pregnant. Finasteride may harm your unborn baby.
- Finasteride tablets are coated and will prevent contact with the medicine during handling, as long as the tablets are not broken or crushed. Females who are pregnant or who may become pregnant should not come in contact with broken or crushed Finasteride tablets.
- If a pregnant woman comes in contact with crushed or broken Finasteride tablets, wash the contact area right away with soap and water. If a woman who is pregnant comes into contact with the active ingredient in Finasteride, a healthcare provider should be consulted. If a woman who is pregnant with a male baby swallows or comes in contact with the medicine in Finasteride, the male baby may be born with sex organs that are not normal.
are allergic to any of the ingredients in Finasteride. See the end of this leaflet for a complete list of ingredients in Finasteride.
What should I tell my healthcare provider before taking Finasteride? Before taking Finasteride, tell your healthcare provider if you:
have any other medical conditions, including problems with your prostate or liver
Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine.
How should I take Finasteride?
- Take Finasteride exactly as your healthcare provider tells you to take it.
- You may take Finasteride with or without food.
If you forget to take Finasteride, do not take an extra tablet. Just take the next tablet as usual.
Finasteride will not work faster or better if you take it more than once a day.
What are the possible side effects of Finasteride?
decrease in your blood Prostate Specific Antigen (PSA) levels. Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you have a PSA test done you should tell your healthcare provider that you are taking Finasteride because Finasteride decreases PSA levels. Changes in PSA levels will need to be evaluated by your healthcare provider. Any increase in follow-up PSA levels from their lowest point may signal the presence of prostate cancer and should be evaluated, even if the test results are still within the normal range for men not taking Finasteride. You should also tell your healthcare provider if you have not been taking Finasteride as prescribed because this may affect the PSA test results. For more information, talk to your healthcare provider.
There may be an increased risk of a more serious form of prostate cancer in men taking finasteride at 5 times the dose of Finasteride.
The most common side effects of Finasteride include:
- decrease in sex drive
- trouble getting or keeping an erection
a decrease in the amount of semen
The following have been reported in general use with Finasteride:
- breast tenderness and enlargement. Tell your healthcare provider about any changes in your breasts such as lumps, pain or nipple discharge.
- decrease in sex drive that continued after stopping the medication;
- allergic reactions including rash, itching, hives and swelling of the lips, tongue, throat, and face;
- problems with ejaculation that continued after stopping medication;
- testicular pain;
- difficulty in achieving an erection that continued after stopping the medication;
- male infertility and/or poor quality of semen.
in rare cases, male breast cancer.
Tell your healthcare provider if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of Finasteride. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA1088.
How should I store Finasteride?
- Store Finasteride at room temperature between 59˚F to 86˚F (15˚C to 30˚C).
Keep Finasteride in a closed container and keep Finasteride tablets dry (protect from moisture).
Keep Finasteride and all medicines out of the reach of children.
General information about the safe and effective use of Finasteride.
Medicines are sometimes prescribed for purposes other than those listed in this Patient Information. Do not use Finasteride for a condition for which it was not prescribed. Do not give Finasteride to other people, even if they have the same symptoms you have. It may harm them.