How Is Alopecia Diagnosed?

How Do You Know If You Have It?

SCALP CAREHAIR LOSSGENERAL

2/10/20252 min read

woman standing under tree
woman standing under tree

Alright, let’s talk about hair loss—because if your edges are running away like they owe you money, you might be wondering: Is this just stress, or do I have alopecia? 🤔

Step 1: Recognizing the Signs 🚨

Before running to Google (and scaring yourself half to death), let’s look at the common signs:

  • Thinning or Bald Patches: Noticing a widening part? A smooth, round bald spot? These could be red flags.

  • Excessive Shedding: If you’re pulling out clumps of hair in the shower or your pillow looks like it grew a fur coat overnight, something’s up.

  • Itchy or Burning Scalp: Some types of alopecia come with inflammation that makes your scalp feel irritated.

  • Changes in Nails: Weak, ridged, or pitted nails sometimes tag along with certain types of alopecia.

Step 2: Visit a Pro 👩‍⚕️

If your hair loss is persistent or getting worse, it’s time to see a dermatologist or trichologist. Here’s what they might do:

  • Scalp Exam: They’ll take a good look at your scalp to check for inflammation, pattern thinning, or other clues.

  • Pull Test: They might lightly tug on a few hairs to see how many come out—don’t worry, they’re not snatching your edges on purpose! 😅

  • Blood Work: Sometimes, underlying issues like iron deficiency, thyroid problems, or autoimmune conditions play a role.

  • Scalp Biopsy: In rare cases, they may take a tiny sample of your scalp to look at under a microscope.

Step 3: Determining the Type 📋

Alopecia isn’t one-size-fits-all. Here are the most common types:

  • Alopecia Areata: Sudden, round bald spots from an autoimmune attack on your follicles.

  • Androgenetic Alopecia: A.K.A. male/female pattern baldness—gradual thinning over time.

  • Telogen Effluvium: Temporary shedding caused by stress, illness, or major life changes (yep, that breakup could be snatching your hairline too! 😩).

  • Traction Alopecia: From tight styles pulling too hard (listen, those snatched ponytails aren’t worth losing your edges!).

  • Scarring Alopecia: A more serious type where hair follicles are permanently damaged—early diagnosis is key!

Step 4: What’s Next? 🤷‍♀️

If you do have alopecia, don’t panic! Treatment depends on the type, but options include:

  • Topical Treatments: Minoxidil (Rogaine) is a go-to for some types of hair loss.

  • Steroid Injections: Helps with autoimmune-related alopecia.

  • Lifestyle Changes: Managing stress, nutrition, and scalp health can make a big difference.

  • Hair Growth Supplements: Some people see results with biotin, iron, or collagen.

The key? Early diagnosis is EVERYTHING. If you notice unusual hair loss, don’t ignore it—catching it early gives you the best shot at regrowth.