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Thyroid Problems & Hair Loss: Is There a Connection?

Hair + Me | Can thyroid problems cause hair loss? Learn how thyroid hormones affect hair growth, the signs to look out for and when testing may be appropriate.


Yes. Both an underactive thyroid (hypothyroidism) and an overactive thyroid (hyperthyroidism) are recognised causes of hair thinning and excessive shedding.

Thyroid hormones help regulate many of the body’s essential functions, including metabolism, energy levels, and the hair growth cycle. When thyroid hormone levels become too high or too low, normal hair growth can be disrupted.

Hair loss linked to thyroid disease is usually diffuse, meaning it affects the entire scalp rather than one specific area. Many people notice increased shedding, reduced hair density, or changes in hair texture before realising an underlying thyroid condition could be contributing.

The good news is that thyroid-related hair loss is often reversible once the underlying condition is identified and treated.

What is the Thyroid Gland?

The thyroid is a small butterfly-shaped gland located at the front of the neck.

It produces two key hormones:

  • Thyroxine (T4)

  • Triiodothyronine (T3)

These hormones influence how cells throughout the body function, including the cells within hair follicles.

When thyroid hormone levels fall outside their normal range, the hair growth cycle can become disrupted.

How Does the Thyroid Affect Hair Growth?

Hair follicles are highly active structures that rely on the right balance of hormones to grow normally.

Thyroid hormones help regulate:

  • Duration of the hair growth phase

  • Follicle development

  • Hair fibre production

  • Cell turnover within the scalp

When thyroid hormone levels become imbalanced, more hairs can enter the resting phase of the hair growth cycle. This can lead to increased shedding and slower regrowth.

Can Both Underactive and Overactive Thyroid Conditions Cause Hair Loss?

Yes.

Both hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) can disrupt the hair growth cycle.

Hypothyroidism

Hypothyroidism occurs when the thyroid gland does not produce enough thyroid hormone.

Common symptoms include:

  • Fatigue

  • Weight gain

  • Feeling cold

  • Dry skin

  • Constipation

  • Brain fog

Hair changes may include:

  • Diffuse thinning

  • Increased shedding

  • Dry, coarse hair

  • Hair becoming brittle

Hypothyroidism is one of the most common endocrine conditions associated with hair loss.

Hyperthyroidism

Hyperthyroidism occurs when the thyroid produces too much thyroid hormone.

Common symptoms include:

  • Weight loss

  • Increased heart rate

  • Anxiety

  • Heat intolerance

  • Difficulty sleeping

Hair changes may include:

  • Diffuse shedding

  • Finer hair texture

  • Reduced hair density

Although the underlying causes are different, both underactive and overactive thyroid conditions can disrupt the normal hair growth cycle.

What Does Thyroid-Related Hair Loss Look Like?

Unlike male or female pattern hair loss, thyroid-related hair loss typically presents as diffuse shedding across the scalp.

Common signs include:

  • More hair in the shower

  • Increased hair on brushes

  • A thinner ponytail

  • Reduced overall volume

  • Hair that feels dry or more fragile

Some people with hypothyroidism also notice thinning of the outer third of their eyebrows, which is a recognised feature of an underactive thyroid.

Because these symptoms overlap with other types of hair loss, thyroid disease can sometimes go unrecognised as an underlying cause.

How is Thyroid Hair Loss Different From Female Pattern Hair Loss?

This is one of the most common areas of confusion.

Thyroid Hair Loss

  • Usually causes diffuse shedding

  • Can develop relatively quickly

  • Often accompanied by other physical symptoms

  • May improve when thyroid hormone levels return to a healthy range

Female Pattern Hair Loss

  • Usually develops gradually

  • Often causes widening of the part

  • Primarily driven by genetics and hormones

  • Usually requires ongoing treatment

To learn more about the differences, read: What Is Female Pattern Hair Loss? A Simple Explanation.

Can Thyroid Problems Trigger Telogen Effluvium?

Yes, many people with thyroid disease develop a form of shedding called telogen effluvium.

Telogen effluvium occurs when more hairs than usual enter the resting (telogen) phase of the hair growth cycle before being shed several weeks or months later.

This is the reason thyroid-related hair loss often appears several months after hormone levels first become abnormal.

To learn more about different types of hair loss, read: What Are the Most Common Types of Hair Loss? A Simple Explanation.

How Are Thyroid Problems Diagnosed?

If a thyroid condition is suspected, a healthcare professional may recommend blood tests.

Common tests include:

  • Thyroid Stimulating Hormone (TSH)

  • Free T4

  • Free T3 (in some cases)

  • Thyroid antibodies

Because thyroid problems can sometimes present primarily as hair loss, testing may be appropriate even if symptoms seem mild.

When investigating persistent hair shedding, it’s important to look beyond the scalp. Hair loss can sometimes be a sign of an underlying health condition rather than a problem with the hair itself.

This is why understanding internal health factors is so important. Related reading: Can Low Iron Cause Hair Loss? A Simple Explanation.

Will Hair Grow Back After Thyroid Treatment?

In many cases, yes.

Once thyroid hormone levels return to a healthy range, many people notice:

  • Less hair shedding

  • Healthier hair growth

  • New hairs begin to emerge

However, regrowth takes time.

Hair follicles don't respond immediately to changes in hormone levels. It's common for improvement to take several months after thyroid function has stabilised.

Most people notice:

  • Reduced shedding

  • Improved hair quality

  • Gradual increases in density

Patience is important. Hair grows slowly, and recovery is usually gradual.

What About Hair Loss Treatment?

If a thyroid disorder is the main cause of hair shedding, addressing the thyroid condition itself is usually the first priority.

However, it’s possible to have more than one cause of hair loss at the same time.

For example:

  • Thyroid disease and iron deficiency

  • Thyroid disease and female pattern hair loss

  • Thyroid disease and menopause-related hair thinning

In these situations, treating the underlying thyroid condition may just be one part of your treatment plan.

If another type of hair loss is also contributing, prescription treatments remain the gold-standard option for male and female pattern hair loss because they work directly at the hair follicle.

When Should You Seek Help?

It may be worth speaking to a healthcare professional if:

  • Hair shedding has lasted for more than three months

  • Hair loss is accompanied by fatigue

  • Weight has changed unexpectedly

  • Hair texture has changed significantly

  • There is a personal or family history of thyroid disease

Simple blood tests can often provide valuable answers.

Final Thoughts

Thyroid disorders are a recognised cause of hair loss and thinning.

Both underactive and overactive thyroid conditions can disrupt the hair growth cycle, leading to increased shedding and reduced density.

The good news is that thyroid-related hair loss is often reversible once the underlying condition is identified and appropriately treated.

Understanding the connection between thyroid health and hair growth is an important part of investigating persistent hair loss. Sometimes the answer isn’t just on your scalp – it’s what’s happening inside your body.

Further Reading

References

  1. van Beek N, Bodó E, Kromminga A, et al. Thyroid hormones directly alter human hair follicle functions: anagen prolongation and stimulation of hair matrix keratinocyte proliferation and hair pigmentation. Journal of Clinical Endocrinology & Metabolism. 2008 Nov;93(11):4381-8.

  2. Hasan R, et al. Effects of Hormones and Endocrine Disorders on Hair Growth. 2022 Dec 20;14(12):e32726.

  3. Freinkel RK, Freinkel N. Hair growth and alopecia in hypothyroidism. Journal of Investigative Dermatology. 1972 Sep;106(3):349-52.

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