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HAARAUSFALL

Hair loss – causes, types, and solutions for a new quality of life

Hair loss can affect women and men of all ages and can have various causes. In this guide, you will learn about the different types of hair loss, which treatments are truly effective, and when high-quality hair replacement systems may be the best solution.
Thomas Herrmann
Thomas Herrmann Ratgeber-Autor · La Peruca Berlin
·🗓 2026-07-15 15:12:11 +0200 · 🕐 6 Min. Lesezeit
Haarausfall – Ursachen, Arten und Lösungen für neue Lebensqualität

Hair loss affects millions of people and is much more than just a cosmetic issue. When more and more hair is left in the brush each morning or thinning areas become visible, it marks the beginning of a period of uncertainty for many of those affected. The good news: hair loss is now better understood and treatable than ever before. In this guide, you will learn everything about the various causes, the different types, and, above all, what actually helps – from medical treatments to high-quality hair replacement solutions.

TL;DR – The most important points at a glance

  • Hair loss has many causes – genetic, hormonal, nutritional deficiencies, stress, or medical conditions.
  • Medical forms like alopecia areata or diffuse hair loss are often highly treatable.
  • Initial treatment results appear after three to six months at the earliest – patience is key.
  • High-quality hair replacement offers immediate quality of life while your own hair grows back.
  • If hair loss is medically diagnosed, health insurance often covers the costs for a wig by prescription.

An overview of the most common causes of hair loss

To effectively combat hair loss, the underlying cause must first be identified. The triggers can be varied and sometimes reinforce one another. A visit to the doctor is therefore always the first important step toward an accurate diagnosis.

The most common causes of hair loss are:

  • Genetic predisposition: Hereditary hair loss is the most common form and affects both men and women.
  • Hormonal changes: Hair loss occurs frequently, especially during menopause or after pregnancy.
  • Nutritional deficiencies: Hair loss due to vitamin deficiency – particularly iron, zinc, or biotin – is widespread [1].
  • Stress and psychological strain: Stress-related hair loss can occur even months after stressful events.
  • Medications and illnesses: Certain pharmaceuticals or autoimmune diseases can impair hair growth.
  • Chemotherapy: Cytostatics attack rapidly dividing cells – including hair follicles. Hair loss usually occurs quickly and extensively, and often recovers on its own after the therapy is completed [2].
  • Improper hair care: Over-frequent dyeing, heat treatments, or tight hairstyles cause long-term damage to the hair.

 

For women, hormonal factors play a particularly significant role. Hair loss in women often appears diffusely across the entire head, whereas men typically develop receding hairlines or a thinning area at the crown.

Recognizing the different types of hair loss

Not all hair loss is the same. Correct classification helps in finding the appropriate treatment. Medically, several main forms are distinguished, which differ significantly in terms of progression and cause.

Androgenetic alopecia (hereditary hair loss)

This form affects about 80 percent of men and nearly half of all women over the course of their lives [3]. In men, the pattern manifests through receding hairlines and vertex balding, while in women, it appears more as thinning in the parting area.

Diffuse hair loss

Hair falls out evenly across the entire head, usually triggered by stress, malnutrition, or hormonal changes. It is often reversible if the cause is resolved.

Alopecia areata (circular hair loss)

The sudden appearance of round, bald patches on the scalp. It is an autoimmune disease in which the body's own immune system attacks the hair follicles. The progression is difficult to predict.

Hair loss due to chemotherapy

With this form, hair loss usually begins a few weeks after therapy starts. Wigs for women from the La Peruca range are designed specifically for this situation – lightweight, breathable, and almost indistinguishable from real hair. We have dedicated guides for individual forms: diffuse hair loss, hormonal hair loss, hereditary hair loss, and androgenetic hair loss in women. Additionally, we cover hair loss with Hashimoto's, telogen effluvium, hair loss due to vitamin deficiency, anagen effluvium, and hair loss due to chemotherapy.

What helps against hair loss? Proven measures

The question "What can I do about hair loss?" often preoccupies those affected. Fortunately, there are many approaches today. Which method is the right one depends on the cause and the individual diagnosis.

Medical treatments

  • Minoxidil: Over-the-counter topical treatment that promotes blood circulation to the scalp.
  • Finasteride: Prescription medication for men that can stop hormonal hair loss.
  • PRP therapy: Platelet-rich plasma treatment where growth factors are injected into the scalp.
  • Hair transplant: A permanent solution where your own hair follicles are transplanted.

Natural approaches

For hair loss due to vitamin deficiency, targeted dietary supplements can help. Biotin, iron, and zinc are particularly important for healthy hair growth. Stress-related hair loss often improves with relaxation techniques like yoga or meditation.

Important to know: Many remedies require patience. Initial results appear after at least three to six months of regular use. In cases of severe hereditary hair loss, medical treatments can slow the process down but not fully reverse it.

Hair replacement as a solution for immediate quality of life

If medical treatments do not yield the desired success or if the hair loss is already advanced, high-quality hair replacement offers an immediate and effective solution. Modern wigs are no longer like the stiff models of the past – they are lightweight, breathable, and almost indistinguishable from natural hair.

The psychological effect should not be underestimated. Many individuals report how much their self-confidence suffered due to hair loss. A well-fitted wig can enormously increase quality of life and make everyday life carefree again.

In particular, human hair wigs offer a natural wearing sensation and can be styled, colored, and washed just like your own hair. For those with milder hair loss, turbans, scarves, and caps are also a comfortable alternative for everyday wear.

For long-lasting durability and a consistently well-groomed look, you can find valuable instructions for the proper care of your hair replacement in our care tips.

At La Peruca, you will find a large selection of high-quality wigs for every style and budget. Our experienced team is happy to advise you by phone at 030/89409449. And if you are unsure: with our 14-day return policy, you can try out your new wig in the comfort of your home.

Your path to renewed self-confidence

Hair loss is an issue that affects many people – you are not alone in this. Whether hereditary, hormonally triggered by menopause, or caused by cancer therapy: there are solutions for every situation that can help you today.

The first step is always the right diagnosis. Have the causes medically clarified to find the appropriate treatment. And if you decide on a hair replacement solution, we are here to support you with personal advice. Discover how quickly the path to a new quality of life can begin.

We are here for you

Our experienced team is happy to provide personal and non-binding advice.

  • Tel.: 030/89409449
  • Advantage: 14-day return policy

Sources

  • [1] German Nutrition Society (DGE): Iron, Zinc, and Biotin – Reference Values. Accessed April 2026: Link
  • [2] German Cancer Society: Hair loss due to chemotherapy. Accessed April 2026: Link
  • [3] Blumeyer A. et al. (2011): Evidence-based (S3) guideline for the treatment of androgenetic alopecia. JDDG. Accessed April 2026: Link
What is the difference between hair loss and normal hair shedding?

Täglich verlieren wir zwischen 50 und 100 Haare – das ist vollkommen normal. Von krankhaftem Haarverlust spricht man, wenn dauerhaft mehr Haare fallen als nachwachsen, sich lichte Stellen bilden oder das Haarvolumen merklich abnimmt. Hält dieser Zustand länger als drei Monate an, sollte ein Arzt aufgesucht werden.

Which doctor helps with hair loss?

Erster Ansprechpartner ist der Hausarzt, der eine Blutuntersuchung anordnen kann. Für die spezifische Diagnose und Behandlung ist ein Dermatologe (Hautarzt) die richtige Adresse. Bei hormonell bedingtem Haarverlust kann auch ein Endokrinologe oder Gynäkologe hinzugezogen werden.

Can hair loss stop on its own?

Ja – wenn die auslösende Ursache behoben wird, etwa ein Nährstoffmangel oder eine hormonelle Umstellung, stoppt der Haarverlust in der Regel von selbst. Erblich bedingter Haarverlust hingegen ist progressiv und erfordert eine dauerhaftere Behandlungsstrategie.

Does the health insurance cover the cost of a wig?

Bei ärztlich diagnostiziertem Haarverlust (z. B. infolge einer Chemotherapie oder Alopecia areata) haben gesetzlich Versicherte Anspruch auf einen Krankenkassenzuschuss für eine Perücke (§33 SGB V). La Peruca ist als präqualifizierter Anbieter berechtigt, Perücken auf Rezept abzurechnen. Mehr Informationen finden Sie auf unserer Seite Perücke auf Rezept.

How long does it take for hair to grow back after hair loss?

Das hängt stark von der Ursache ab. Bei diffusem Haarverlust durch Stress oder Mangelernährung beginnt das Nachwachsen oft drei bis sechs Monate nach Behebung der Ursache. Nach einer Chemotherapie setzen erste sichtbare Haarsprossen meist vier bis acht Wochen nach Therapieende ein. Vollständig erholt ist das Haar in der Regel nach sechs bis zwölf Monaten.

Which wigs are suitable for hair loss due to chemotherapy?

Für Chemo-Patientinnen empfehlen sich besonders leichte, gut belüftete Modelle mit weichem Innenfutter, die die sensible Kopfhaut nicht reizen. La Peruca führt präqualifizierte Damenperücken auf Rezept und berät Sie individuell – telefonisch oder nach Absprache persönlich.

Thomas Herrmann
Autor dieses Ratgebers

Thomas Herrmann

Hairstylist · Visagist · Zweithaar-Experte

Certified hairstylist & make-up artist30+ years of proffessional experienceContactskin & HairweavingStaatl. gepr. Friseur & Visagist30+ Jahre BerufserfahrungContactskin · Hairweaving · BondingAderans Hair Center Berlin (2015–2024)

Thomas Herrmann verfügt über mehr als 30 Jahre Erfahrung in der Friseur- und Visagistik. Nach Stationen bei Aderans Hair Center Berlin und Henkel & Schwarzkopf ist er seit September 2024 Zweithaar-Experte bei La Peruca GmbH – und teilt sein Wissen regelmäßig in diesen Ratgeber-Artikeln.

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