Hormonal Insights: Hormones Behind Hair Growth

Medically reviewedby Edna Skopljak M.D.
WrittenbyLiza Schermann
Last updated

Hair growth is a complex process that involves many different hormones working together. Hormonal balance is crucial for maintaining a healthy hair cycle and preventing excessive shedding or thinning. Understanding which hormones influence hair follicle health can help identify potential causes of hair loss.

What hormones cause hair growth?

The main hormones that stimulate hair growth include:

Estrogens

Estrogens are predominantly female sex hormones, although men also produce small amounts. Estradiol is the primary estrogen that supports hair follicle health. It prolongs the active growth phase of hair cycles and helps hair stay in the anagen (growing) phase longer before shedding. Estrogen receptors are present in the scalp and help regulate the hair growth cycle.

Progesterone

Progesterone is another female hormone that works together with estrogen to influence hair growth. It increases hair follicle mitosis (cell division) to produce new hair cells. Progesterone also counters testosterone’s effects on follicles. Fluctuating progesterone after pregnancy or menopause can trigger hair thinning.

Androgens (DHT)

Androgens like testosterone and dihydrotestosterone (DHT) are considered "male" sex hormones. DHT, converted from testosterone, is the primary androgen involved in hair growth. It binds to receptors in hair follicles to encourage new growth during the anagen phase. Excess DHT also shrinks follicles, while low DHT slows growth.

Growth Hormone (GH)

Growth hormone (GH), produced by the pituitary gland, controls cell growth and regeneration. In the hair follicles, GH increases protein synthesis to stimulate hair production and follicle enlargement. This leads to thicker, longer hair strands. GH levels decline with age, contributing to thinning hair.

Insulin-Like Growth Factor 1 (IGF-1)

IGF-1 mediates the effects of growth hormone in the body. It prompts hair follicle cells to proliferate and differentiate to form new hair. IGF-1 also interacts with other hormones to modulate hair growth. Low IGF-1 is linked to hair loss diseases like androgenetic alopecia.

Thyroid Hormones

Thyroid hormones triiodothyronine (T3) and thyroxine (T4) regulate metabolism. They control the hair cycle by helping hair follicles switch between growth and rest phases. Both hypothyroidism and hyperthyroidism can disrupt this cycle, leading to excessive hair shedding.

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Conclusion

Many complex hormonal interactions affect the hair growth process. Estrogens, progesterone, androgens like DHT, growth hormone, IGF-1, and thyroid hormones all play important roles in maintaining healthy hair and stimulating growth. An imbalance in any of these hormones can push more follicles into the shedding phase, resulting in hair loss or thinning. Understanding which hormones influence hair growth can help identify underlying causes of hair loss and lead to more targeted, effective treatment options.

Treatment may include hormone therapy, medications, supplements, or hair growth products that help normalize hormonal levels and promote healthy follicle cycling. Working with an endocrinologist and dermatologist can provide better insight when hormone imbalances cause disturbance in normal hair growth patterns.

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