Does alopecia come and go?

Author: Mr. Danial Wilderman  |  Last update: Saturday, December 6, 2025

For some people, this hair loss is a one-time event. For others, alopecia areata comes and goes and can last a lifetime. Each person may have a different experience with alopecia areata. Some people may regrow hair, while others do not.

Can alopecia go away and come back?

Not all people with alopecia areata require treatment; many patients with limited disease will experience spontaneous hair regrowth. For patients who use treatments, there are several options. However, alopecia areata cannot be "cured." As noted above, most patients experience future episodes of hair loss.

How long do alopecia flare-ups last?

Instead, most people tend to have semi-regular flare ups that resolve themselves in a few months to a year. If your alopecia flare lasts for several years or you have extensive hair loss, your condition is more likely to spread.

How do I know if my alopecia is permanent?

Scarring alopecia is permanent hair loss due to hair follicle destruction. In nonscarring alopecia, hair may fall out or get thinner, but your hair follicle isn't destroyed. So nonscarring alopecia may be temporary, and your hair can sometimes grow back.

Why do I suddenly have alopecia?

Hair loss (alopecia) can affect just your scalp or your entire body, and it can be temporary or permanent. It can be the result of heredity, hormonal changes, medical conditions or a normal part of aging. Anyone can lose hair on their head, but it's more common in men.

Doctor explains Alopecia Areata (aka patchy or total hair loss) - Signs, Symptoms, Treatment & more

What can cause alopecia to flare up?

It is possible that emotional stress or an illness can bring on alopecia areata in people who are at risk, but in most cases, there is no obvious trigger.

What does thyroid hair loss look like?

Severe and prolonged hypothyroidism and hyperthyroidism can cause loss of hair. The loss is diffuse and involves the entire scalp rather than discrete areas. The hair appears uniformly sparse.

Can alopecia be caused by stress?

Emotional stress can also trigger a specific type of alopecia, called alopecia areata. This is characterised by sudden bald patches on the scalp, which can spread to cover the entire head. Again, hair loss caused by alopecia areata is not permanent and often grows back, although sometimes treatment is required.

What vitamins are good for scarring alopecia?

Testing for vitamin D deficiency should be considered in patients with alopecia due to its high prevalence. While supplementation is controversial, we recommend giving cholecalciferol 50,000 IU once weekly for 12 weeks followed by 2,000 IU daily.

How do you stop alopecia from progressing?

Can I Prevent Pattern Alopecia from Getting Worse?
  1. Avoid Unnecessary Hair or Scalp Trauma. This is one of the simplest ways to manage your alopecia and mitigate hair loss. ...
  2. Try to Reduce Stress. Unfortunately, stress can be a big factor in hair loss. ...
  3. Invest in Corticosteroid Treatment. ...
  4. Analyze Your Diet.

Can alopecia spread by touching?

Dr Dhananjay Chavan. Alopecia Areata is an autoimmune condition that causes hair loss and is not contagious. It occurs when the immune system attacks hair follicles, leading to patchy baldness. While it can affect anyone, the condition is not caused by infection or spread from person to person.

What does hair loss from stress look like?

No Visible Pattern. With stress-related shedding, hair falls out evenly all over your scalp instead of in a defined pattern. You'll likely notice more hairs than usual coming out while shampooing, combing, or on your pillow, clothing, and bathroom floor.

What can reverse alopecia?

There is no cure for alopecia areata—only treatment. In mild cases, hair usually grows back, sometimes on its own. However, if treatment is necessary, steroid injections and topical medications may be recommended. But there have been no reliably effective treatments for severe cases of alopecia areata until recently.

How quickly does hair fall out with alopecia?

If alopecia areata leads to total hair loss, it often occurs within 6 months after symptoms first start. This is called alopecia totalis when the entire scalp is involved, and alopecia universalis when the entire body is affected.

How did I cured my alopecia areata naturally?

Scalp massages with essential oils, application of onion or garlic juice, and the use of aloe vera gel are among the home remedies that individuals have explored. Additionally, maintaining a balanced diet contributes to overall health, which can positively impact hair growth.

Can biotin regrow hair?

Despite its popularity in the media and amongst consumers, biotin has no proven efficacy in hair and nail growth of healthy individuals. Only 1 study has shown decreased levels of biotin in healthy individuals, though this data was confounded by multiple factors, including patient history.

What is the diet for alopecia?

The following are some effective alopecia and hair loss management tips:
  • Eat more probiotic foods.
  • Include plenty of proteins into your diet.
  • Choose healthy fats.
  • Boost your intake of omega-3 fatty acids.
  • Increase your antioxidant intake.
  • Consume foods high in biotin.
  • Reduce your consumption of inflammatory foods.

Why is my hair so thin I can see my scalp?

A visible scalp through your hair can be a sign that it's thinning (but not always). The factors that contribute to thinning hair (and thus a visible scalp) include stress, diet, vitamin deficiency and ageing.

What speeds up alopecia?

Hairstyles that pull the hair tightly (such as braids, hair extensions or tight ponytails). Haircare that may cause damage due to processing (including perms and bleach). Hormonal changes (such as pregnancy, childbirth or menopause). Medical treatment (such as chemotherapy and certain medications).

Does the sun help alopecia?

In conclusion, Vitamin D plays a crucial role in promoting hair growth and overall health. Lack of sunlight can lead to Vitamin D deficiency, contributing to hair loss conditions like alopecia. To prevent this, ensure regular sun exposure, take Vitamin D supplements if needed, and maintain a nutrient-rich diet.

How often should you wash hair with alopecia?

The frequency of washing hair when experiencing hair loss varies, but it's generally advisable to maintain a clean scalp. Washing every 2-3 days is a good starting point, but consult with a hair specialist for personalised recommendations.

What is a thyroid belly?

A common symptom of an underactive thyroid is weight gain, often around the abdomen. However, the American Thyroid Association states that the weight gain may not necessarily be due to the build up of fat, but the accumulation of salt and water.

What is Hashimoto's hair loss?

In Hashimoto's disease this hair loss most commonly presents in the form of diffuse hair loss across the scalp and eyebrows. Additionally, the reduced functionality of the T3 and T4 hormone reduces overall sebum production, which can give a thin, brittle appearance to your hair.

What is a thyroid crash at 3pm?

The afternoon crash means your blood sugar has dropped too low for your brain and body to function normally, causing you to become drowsy, mentally foggy, tired, and unmotivated. Unstable blood sugar is notorious for making it difficult to manage an autoimmune disease such as Hashimoto's hypothyroidism.

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