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Can Steroids Cause Hair Loss?

Writer's picture: Dr. Eric PeretzDr. Eric Peretz

Steroids can lead to hair loss by disrupting the hair growth cycle. Some steroids increase dihydrotestosterone (DHT) levels, which can shrink hair follicles and contribute to male pattern baldness. Others may trigger hormonal imbalance, leading to hair thinning or shedding. Prolonged steroid use can weaken the hair structure, making strands more fragile and susceptible to breakage.


Not all steroids cause hair loss, but the type of steroids, dosage, and genetic predisposition play key roles. Those sensitive to DHT are more likely to experience hair loss, especially with prolonged steroid use. In some cases, steroid-induced hair loss is reversible, but early intervention is crucial to preventing long-term damage.


How Steroids Affect Hair Health

Steroids impact hair in several ways:

  • DHT Conversion – Some anabolic steroids increase testosterone, which converts into DHT. High DHT levels shrink hair follicles, leading to hair thinning and eventual balding.

  • Growth Cycle Disruption – Steroids can push hair into the telogen (resting) phase, resulting in temporary shedding (Exogen Phase).

  • Nutrient Deficiency – Steroid use may reduce the body’s ability to absorb vital nutrients needed for healthy hair growth.

Hair Growth Cycle

The extent of hair loss depends on dosage, duration, and genetic factors. Identifying these early can help in preventing hair loss and exploring treatment options before significant damage occurs.

Do Steroids Make You Lose Hair?

Yes, steroids cause hair loss in some individuals by accelerating DHT-related balding. The severity depends on:

  • Steroid Type – Anabolic steroids pose the highest risk.

  • Genetics – If male pattern baldness runs in your family, you may experience hair loss more rapidly.

  • Usage Duration – Prolonged steroid use increases the likelihood of permanent hair thinning.

  • Hormonal Imbalance – Steroids alter natural hormone levels, leading to hair follicle stress.

Stopping steroids may slow hair loss, but hair regrowth depends on individual factors. A personalized hair loss treatment plan may be necessary to restore growth.



Do Steroids Make Your Hair Fall Out?

Steroids can trigger excessive shedding by forcing hair into the telogen phase. This condition, known as telogen effluvium, is often temporary. However, if steroids increase DHT levels, they can cause permanent baldness. Prescription medication like finasteride may help slow the progression.


Steroid Types & Hair Loss Risk

Different types of hair loss occur depending on the type of steroids used. Anabolic steroids affect hair the most, while corticosteroids may contribute to temporary thinning. Synthetic versions of certain steroids have more potent effects on hair health than others.

Can Prednisolone Cause Hair Loss?

Yes, prednisolone and other corticosteroids can contribute to hair thinning by disrupting the natural hair growth cycle.

Key Factors:

  • High doses and long-term use increase the risk.

  • Hormonal imbalance can weaken hair follicles.

  • Stress on the body can lead to telogen effluvium.

  • Types of hair loss associated with corticosteroids include both diffuse thinning and patchy shedding.

Hair typically regrows once steroid use is reduced or discontinued.

Do Topical Steroids Cause Hair Loss?

Topical steroids, often used for scalp conditions, may contribute to hair thinning if overused.

  • Follicle Suppression – Prolonged use weakens follicles.

  • Scalp Irritation – Some people develop inflammation that leads to shedding.

  • Growth Cycle Disruption – Excessive use can interfere with hair regrowth.

Lowering topical steroid use may help restore healthy hair growth. Consulting a specialist is advised if shedding persists.


Preventing Hair Loss from Steroids

While some steroid-related hair loss is unavoidable, preventing hair loss is possible with proactive measures. Taking steps to protect hair follicles can significantly slow hair thinning.

Preventing Hair Loss While Using Steroids

Although steroids can lead to hair loss, certain measures can help you maintain healthy hair while using them. Ensuring a balanced diet rich in vitamins and minerals, avoiding excessive heat styling, and using gentle hair care products can support scalp health.

Regular scalp massages and DHT-blocking shampoos may also improve circulation and minimize damage. Additionally, monitoring hair changes early can help implement corrective measures before significant thinning occurs.

Treating Steroid-Induced Hair Loss

There are multiple methods to encourage hair regrowth. Some potential treatment options include:

  • Finasteride: This prescription medication helps counteract steroid-related hair loss by regulating and controlling elevated DHT levels in men. However, research indicates that its effects on women are not significant enough to justify higher doses, which may increase side effects.

  • Minoxidil: Available in both topical and oral forms, minoxidil can promote hair regrowth following steroid-related hair loss.

  • Caffeine-Based Hair Growth Shampoos: Studies suggest caffeine-infused topical treatments are more effective when applied for extended periods.

  • Hair Transplantation (FUE or DHI): For individuals who do not experience sufficient hair regrowth with medication alone, a follicular unit extraction (FUE) or Direct Hair Implantation (DHI) procedure can help restore hair in affected areas.


In our recent post, feel free to read about the different types of Hair Transplants.


Final Thoughts

If you've experienced hair loss due to steroids, there are effective treatments available. At Trichogenics, we specialize in advanced hair restoration solutions, including FUE and DHI transplants. Don't wait—schedule a consultation today to explore the best options for restoring your hair.


Hair Loss and Steroids FAQs

Can Steroids Cause Baldness?

Yes, prolonged steroid use can lead to permanent baldness, especially in those predisposed to male pattern baldness. DHT buildup weakens follicles, accelerating hair thinning at the crown and hairline.



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