Topic
The hair growth cycle
Every scalp follicle cycles through growth, shutdown, rest and release on its own clock, which explains normal shedding, seasonal changes, maximum length and how pattern hair loss works.
Key takeaways
- Every scalp follicle runs its own clock. It cycles through anagen (growth, years), catagen (shutdown, about 2 weeks), telogen (rest, about 2-3 months), exogen (the club hair is actively released) and often kenogen (the follicle sits empty for months before regrowing). Because follicles are out of sync, you never shed everything at once Natarelli 2023, Rebora and Guarrera 2002.
- About 85-91% of scalp hairs are growing at any moment and roughly 9-15% are resting Natarelli 2023.
- Scalp hair grows roughly 0.26-0.41 mm a day depending on ancestry, which is about 0.8-1.2 cm a month. African-born adults grew slowest and East Asian hair fastest in multi-country industry studies Loussouarn 2001, Loussouarn 2016.
- How long your hair can get is set mainly by how long anagen lasts, which is largely inherited (the FGF5 gene is one proven switch), and then by how much the ends break off Seago and Ebling 1985, Higgins 2014, Khumalo 2000.
- "50-100 hairs a day" is a rule of thumb, not a measured cut-off. Published figures run from about 50 to 150 a day Sinclair 2015. In the only longitudinal daily count we found (14 UK men), shedding averaged about 60 a day at its late-summer peak, more than double the winter level Randall and Ebling 1991.
- Shedding is seasonal. Telogen counts peak in summer to early autumn in European men and women and in Chinese adults, so a late-summer rise is normal Kunz 2009, Courtois 1996, Liu 2014.
- A shedding surge 2-4 months after a fever, birth, crash diet, surgery or major stress is the classic telogen effluvium timeline Harrison and Sinclair 2002.
- Pattern hair loss is mainly hair getting finer and shorter-lived, not hair falling out faster. Anagen shortens, follicles miniaturize and the empty gap between hairs lengthens. In Japanese men aged 25 or older, those with pattern loss had similar hair counts to those without but far fewer thick hairs Courtois 1994, Ishino 2014.
- Women who report more shedding but no visible thinning are not automatically fine: in one dermatologist's biopsy series, about 60% of them turned out to have early pattern hair loss Sinclair 2015.
- Normal aging looks like a mild version of balding: anagen gets shorter, the thickest hairs get thinner and follicles stay empty longer Courtois 1995.
The phases
| Phase | What happens | Typical duration on the scalp | Share of follicles |
|---|---|---|---|
| Anagen | Matrix cells divide and build the shaft; melanin is added | About 2-8 years | About 85-91% Natarelli 2023, Oh 2016 |
| Catagen | Growth stops, the lower follicle regresses and a club-shaped root forms | About 2 weeks | Small |
| Telogen | The club hair rests in the follicle | About 2-3 months | About 9-15%; phototrichogram means of 14% in European and 18% in African young adults (range 2-46%) Loussouarn 2001 |
| Exogen | The club hair is actively released, a regulated step first shown in mice | Hours to days | Fewer than about 7 exogen hairs per cm2; 2.6% of hairs shed by healthy women had exogen roots Milner 2002, Higgins 2009, Van Neste 2007, Guarrera and Rebora 2017 |
| Kenogen | After shedding, the follicle stays empty until the next anagen | In 10 men followed 14 years, about 4 months rising to about 7, in about 80% of cycles; longer and more frequent in pattern loss Rebora and Guarrera 2002 | Varies |
- The empty-follicle gap is also called the hair eclipse or latency. Shedding and the start of the next anagen are controlled separately, so a shed hair is not always replaced at once Pierard-Franchimont 2001, Pierard-Franchimont 2003.
- Body sites differ hugely. Eyebrow anagen lasts only about 2-3 months Natarelli 2023. On the thigh, anagen averaged 54 days in men and 22 days in women Seago and Ebling 1985.
- A normally shed telogen hair has an even shaft and a pale, club-shaped bulb. That small white root is normal and does not mean the follicle was pulled out or has died Steck 1978.
How many hairs, and how fast they grow
| Measure | Value | Population and method |
|---|---|---|
| Scalp hairs | About 100,000 (textbook estimate) | Review statement Natarelli 2023 |
| Growth, European | 396 ± 55 µm/day (about 1.2 cm/month) | Young adults, phototrichogram Loussouarn 2001 |
| Growth, African-born | 256 ± 44 µm/day (about 0.8 cm/month); no difference by sex or scalp area | 38 young adults Loussouarn 2001 |
| Growth by group (tabulated) | Asian 411, African 280, Caucasian 367 µm/day | Review table Leerunyakul and Suchonwanit 2020 |
| Worldwide pattern | African: lower density, slower growth. Asian: thicker, faster growth. European: highest density | 2,249 adults, 24 ethnic groups Loussouarn 2016 |
| Thickness versus speed | Thicker fibers grow faster, have shorter gaps between cuticle scales and more often a medulla | Over 1,000 straight hairs Baque 2012 |
| Age | Anagen share and growth rate fall after the 40s | 159 Japanese women aged 14-68 Tajima 2007 |
The cm/month conversions are our arithmetic (µm/day x 30).
Maximum length
- Final length is roughly growth rate times anagen duration. On the thigh, men's hairs ended up three times longer than women's, mainly because anagen lasted 2.46 times longer and partly because they grew 1.22 times faster Seago and Ebling 1985.
- Anagen length is genetically controlled. Families with FGF5 mutations have extremely long eyelashes and longer forearm hair, with more follicles in anagen Higgins 2014.
- Illustrative arithmetic (ours): at 0.35-0.40 mm/day, a 2-year anagen gives about 25-29 cm (roughly shoulder length) and a 6-year anagen about 77-88 cm.
- Visible length also depends on breakage. In 12 African volunteers whose hair had not been cut for at least a year, 10-16% of shafts had knots (versus 0.15% in other groups) and electron microscopy showed repeated breaks Khumalo 2000. For tightly coiled hair, "my hair doesn't grow" often means the ends break as fast as the roots grow. See hair by ancestry.
Normal shedding: what the numbers are
- Women: 50-150 hairs over 24 hours, most of it unnoticed Sinclair 2015. A review gives 100-150 telogen hairs per day, citing older literature Natarelli 2023.
- Measured seasonal peak: about 60 per day in August-September, more than double the winter rate (14 healthy UK men aged 18-39, counted every 28 days for 18 months) Randall and Ebling 1991.
- 60-second comb count: a mean of about 10 hairs at ages 20-40 (range 0-78) and 41-60 (range 0-43), stable on consecutive days and 6 months later (60 healthy men, convenience sample) Wasko 2008.
- Modified wash test (a clinic tool): 100 or more hairs shed best matched a clinical diagnosis of telogen effluvium, and 10% or more short hairs (3 cm or less) pointed to pattern loss. Agreement with clinical diagnosis was only moderate (kappa 0.53, 100 patients) Rebora 2005. Test-retest reliability over 4 weekly tests was good to almost perfect except total counts in normal subjects (25 subjects) Guarrera 2011.
Why the numbers are fuzzy: shedding varies with season, time since the last wash or brush, and hair length. Longer hair, bathroom lighting, floor color and anxiety all change how much shedding people notice Sinclair 2015. Among people diagnosed with chronic telogen effluvium, 97.5% were women. A 2023 systematic review suggests some cases may reflect a preoccupation with normal shedding in anxious long-haired people, while others are early pattern loss or an unrecognized trigger Daunton 2023.
Seasonal shedding
- UK men: anagen peaked above 90% in March and fell to a trough in September, with the most shedding in August-September Randall and Ebling 1991.
- Ten French men followed 8-14 years: telogen peaked at the end of summer and start of autumn, and some had two peaks a year Courtois 1996.
- 823 Swiss women with hair-loss complaints: the most telogen hairs in summer, a smaller peak in spring, the fewest in late winter Kunz 2009.
- 41 Chinese adults followed monthly: telogen rose in August-September, a smaller effect than in Europeans and within normal limits Liu 2014.
When shedding is a problem: telogen effluvium in brief
A stress pushes many anagen follicles into rest early, and they shed together about 2-4 months later Harrison and Sinclair 2002. Common triggers include major weight loss, childbirth, high fever, surgery, illness, severe stress and stopping the pill. Fullness usually returns within 6-9 months unless the trigger persists. One expert groups the condition into three mechanisms: premature teloptosis, collective teloptosis and premature entry into telogen Rebora 2016. See telogen effluvium.
Miniaturization: how pattern hair loss works
- In male pattern hair loss, follicles in a pre-programmed pattern progressively shrink from terminal to vellus-like and their anagen shortens. How androgens trigger this is still not fully explained Altendorf 2026. In women, androgens are also thought to drive miniaturization by shortening anagen Kearney 2026. Both are recent reviews.
- Ten men tracked for about 15 years (nearly 10,000 hair cycles) showed a growing share of hairs with short anagen, a parallel fall in diameter and longer empty gaps before regrowth Courtois 1994.
- Men's biopsies: pattern-loss sections averaged 22 terminal and 13 vellus hairs. Among 44 men treated with minoxidil, fewer than 2 follicular structures per mm2 predicted no regrowth Whiting 1993.
- Women with female pattern hair loss (42 women, 3 biopsies each): terminal follicles fell from 263 to 96 per cm2 between the mildest and most severe grades, vellus follicles rose from 33 to 71, the terminal-to-vellus ratio dropped from 12.8 to 2.3 and telogen rose from 13.7% to 31.4%. Total follicles fell from 317 to 243, so miniaturization ends in follicles disappearing Messenger and Sinclair 2006.
- In 369 Japanese men aged 25 or older, those with pattern loss had about the same density as those without, but fewer thick hairs (over 80 µm) and more vellus hairs (under 40 µm) Ishino 2014.
Aging without pattern loss
In men followed 8-14 years, anagen shortened, shaft diameter fell (most in the thickest hairs) and the gap between losing a hair and regrowing one lengthened, resembling balding only milder Courtois 1995. In Japanese women, density, anagen ratio and growth rate all declined after the 40s Tajima 2007.
What it means for your hair
- Curl and ancestry: tightly coiled hair grows more slowly on average and breaks more readily, so length goals depend more on keeping the ends than on speeding up growth Loussouarn 2001, Khumalo 2000.
- Hair length: long hair makes the same number of shed hairs look like far more on the brush, pillow or drain Sinclair 2015, Daunton 2023.
- Washing frequency: the wash test relies on hairs released since the last wash coming out at the next one Rebora 2005. Our inference is that people who wash less often see bigger clumps per wash without losing more hair overall. See washing frequency.
- Thickness and density: pattern loss shows first as thinner and fewer thick hairs rather than missing hairs. See strand thickness and hair density.
Myths and facts
- "Losing 100 hairs a day means you're going bald." Published normal ranges run up to 100-150 a day; pattern loss is driven by miniaturization Sinclair 2015, Ishino 2014.
- "The white bulb on a shed hair means I pulled out the root and the follicle is dead." It is a normal club root and the follicle stays Steck 1978.
- "Everyone's hair could reach waist length if they stopped cutting it." Maximum length depends on each person's anagen duration and on breakage Higgins 2014, Khumalo 2000.
- "More hair in the brush in autumn means something is wrong." Late-summer and autumn telogen peaks are documented in healthy people Kunz 2009, Randall and Ebling 1991.
- "No visible thinning, so extra shedding can't be pattern loss." About 60% of women with more shedding but no visible thinning had pattern loss on biopsy, in one specialist's series Sinclair 2015.
- "Shed hairs are replaced immediately." Follicles can sit empty for months, and the gaps lengthen with age and in pattern loss Rebora and Guarrera 2002, Courtois 1995.
Practical points
- Judge shedding against your own baseline and the season, not a magic number. If you want a number, use one standardized method repeatedly, such as a 60-second comb count done the same way each time Wasko 2008, and compare across months.
- A sudden diffuse shed 2-4 months after a trigger is usually telogen effluvium and usually recovers in 6-9 months. See a doctor if it lasts longer than about 6 months, comes in patches, comes with an itchy, painful or scaly scalp, comes with loss of eyebrows or body hair, or if your part widens, your hairline recedes or you see more short fine hairs.
- For length goals, protect the ends from heat, chemicals and rough detangling. Growth rate itself mostly reflects genetics, age and ancestry.
- If you are worried about pattern loss, track part width, crown and temple photos and the share of short fine hairs rather than shed counts. See hair loss scales, hair density and taking a good hair photo.
Bottom line
Hair cycles asynchronously, so some shedding every day is normal and the exact number varies by season, length and how you count. Pattern hair loss is mostly a shrinking of hairs, not an increase in shedding, so look at part width and thickness over time rather than counting hairs in the brush. Much of the data is from small studies or one company's labs.
Studies 36
Natarelli N, Gahoonia N, Sivamani RK. Integrative and Mechanistic Approach to the Hair Growth Cycle and Hair Loss. J Clin Med. 2023
Result: About 85-91% of scalp hairs are in anagen at any time, anagen lasts years, catagen about 2 weeks and telogen about 2-3 months.
Read the study ↗Oh JW, et al. A Guide to Studying Human Hair Follicle Cycling In Vivo. J Invest Dermatol. 2016
Result: Guide to studying human hair follicle cycling in vivo, including phase lengths of the scalp hair cycle.
Read the study ↗Rebora A, Guarrera M. Kenogen. A new phase of the hair cycle? Dermatology. 2002
Result: After shedding, follicles can stay empty (kenogen) for about 4 months rising to about 7, in about 80% of hair cycles in men followed 14 years.
Read the study ↗Piérard-Franchimont C, Piérard GE. Teloptosis, a turning point in hair shedding biorhythms. Dermatology. 2001
Result: Shedding (teloptosis) and the start of the next anagen are controlled separately.
Read the study ↗Piérard-Franchimont C, et al. The hair eclipse phenomenon: sharpening the focus on the hair cycle chronobiology. Int J Cosmet Sci. 2003
Result: The hair eclipse phenomenon describes the gap between shedding a hair and regrowth.
Read the study ↗Milner Y, et al. Exogen, shedding phase of the hair growth cycle: characterization of a mouse model. J Invest Dermatol. 2002
Result: Exogen, the active release of the club hair, was characterized as a distinct shedding phase in a mouse model.
Read the study ↗Show 30 more studies
Higgins CA, Westgate GE, Jahoda CA. From telogen to exogen: mechanisms underlying formation and subsequent loss of the hair club fiber. J Invest Dermatol. 2009
Result: Reviews the mechanisms by which a telogen club fiber is formed and then released.
Read the study ↗Van Neste D, Leroy T, Conil S. Exogen hair characterization in human scalp. Skin Res Technol. 2007
Result: Fewer than about 7 exogen hairs per cm2 were present at one time on the human scalp.
Read the study ↗Guarrera M, Rebora A. Exogen Hairs in Women with and without Hair Loss. Skin Appendage Disord. 2017
Result: About 2.6% of hairs shed by healthy women had exogen roots.
Read the study ↗Loussouarn G. African hair growth parameters. Br J Dermatol. 2001
Result: African-born adults grew hair 256 micrometres/day versus 396 in a Caucasian comparison group, with density 190 versus 227 hairs/cm2.
Read the study ↗Loussouarn G et al. Diversity in human hair growth, diameter, colour and shape. An in vivo study on young adults from 24 different ethnic groups observed in the five continents. Eur J Dermatol. 2016
Result: In non-balding adults aged 18-35 from 24 ethnic groups, African hair had lower density and slower growth, Asian hair a thicker diameter and faster growth, and Caucasian hair high total density.
Read the study ↗Leerunyakul K, Suchonwanit P. Asian Hair: A Review of Structures, Properties, and Distinctive Disorders. Clin Cosmet Investig Dermatol. 2020
Result: A review tabulating Asian, African and European hair: cross-sectional area 4,804, 4,274 and 3,857 square micrometres and density 175, 161 and 226 hairs/cm2.
Read the study ↗Baque CS, et al. Relationships between hair growth rate and morphological parameters of human straight hair. Int J Cosmet Sci. 2012
Result: Thicker straight hairs grew faster, had shorter gaps between cuticle scales and more often contained a medulla.
Read the study ↗Tajima M, et al. Characteristic features of Japanese women's hair with aging and with progressing hair loss. J Dermatol Sci. 2007
Result: In Japanese women aged 14-68, diameter and the share of thick hairs rose to about age 40 and then fell; density and growth rate declined after the 40s.
Read the study ↗Randall VA, Ebling FJ. Seasonal changes in human hair growth. Br J Dermatol. 1991
Result: In 14 healthy UK men counted for 18 months, shedding averaged about 60 hairs a day at its August-September peak, more than double the winter rate.
Read the study ↗Courtois M, et al. Periodicity in the growth and shedding of hair. Br J Dermatol. 1996
Result: In 10 French men followed 8-14 years, telogen peaked at the end of summer and start of autumn, and some had two peaks a year.
Read the study ↗Kunz M, Seifert B, Trüeb RM. Seasonality of hair shedding in healthy women complaining of hair loss. Dermatology. 2009
Result: In Swiss women with hair-loss complaints, telogen hairs peaked in summer, with a smaller peak in spring and the fewest in late winter.
Read the study ↗Liu C, et al. Changes in Chinese hair growth along a full year. Int J Cosmet Sci. 2014
Result: In Chinese adults followed monthly, telogen rose in August-September, a smaller effect than in Europeans and within normal limits.
Read the study ↗Seago SV, Ebling FJ. The hair cycle on the human thigh and upper arm. Br J Dermatol. 1985
Result: On the thigh, anagen averaged 54 days in men and 22 in women, and men's hairs ended up three times longer mainly because anagen lasted 2.46 times longer.
Read the study ↗Higgins CA, et al. FGF5 is a crucial regulator of hair length in humans. PNAS. 2014
Result: FGF5 is a crucial regulator of hair length in humans; families with FGF5 mutations have extremely long eyelashes and more follicles in anagen.
Read the study ↗Khumalo NP, et al. What is normal black African hair? A light and scanning electron-microscopic study. J Am Acad Dermatol. 2000
Result: In African volunteers who had not cut their hair for a year, 10-16% of shafts had knots (versus 0.15% in other groups) and electron microscopy showed repeated breaks.
Read the study ↗Sinclair R. Hair shedding in women: how much is too much? Br J Dermatol. 2015
Result: Women normally shed 50-150 hairs a day and shedding without visible thinning often turned out to be early pattern loss (about 60% in one biopsy series).
Read the study ↗Wasko CA, et al. Standardizing the 60-second hair count. Arch Dermatol. 2008
Result: A 60-second comb count averaged about 10 hairs in healthy men and was stable on consecutive days and 6 months later.
Read the study ↗Rebora A, et al. Distinguishing androgenetic alopecia from chronic telogen effluvium when associated in the same patient: a simple noninvasive method. Arch Dermatol. 2005
Result: A modified wash test with 100 or more hairs best matched telogen effluvium and 10% or more short hairs pointed to pattern loss, with moderate agreement (kappa 0.53).
Read the study ↗Guarrera M, Cardo PP, Rebora A. Assessing the reliability of the Modified Wash Test. G Ital Dermatol Venereol. 2011
Result: The modified wash test had good to almost perfect test-retest reliability over four weekly tests, except total counts in normal subjects.
Read the study ↗Daunton A, et al. Chronic Telogen Effluvium: Is it a Distinct Condition? A Systematic Review. Am J Clin Dermatol. 2023
Result: Of people diagnosed with chronic telogen effluvium, 97.5% were women, and some cases may reflect preoccupation with normal shedding.
Read the study ↗Harrison S, Sinclair R. Telogen effluvium. Clin Exp Dermatol. 2002
Result: Telogen effluvium is a stress-triggered early shift of many follicles into rest, with shedding about 2-4 months later.
Read the study ↗Rebora A. Proposing a Simpler Classification of Telogen Effluvium. Skin Appendage Disord. 2016
Result: Proposes grouping telogen effluvium into premature teloptosis, collective teloptosis and premature entry into telogen.
Read the study ↗Steck WD. Telogen effluvium: a clinically useful concept, with traction alopecia as an example. Cutis. 1978
Result: A normally shed telogen hair has a pale, club-shaped bulb that is normal and does not mean the follicle died.
Read the study ↗Courtois M, et al. Hair cycle and alopecia. Skin Pharmacol. 1994
Result: In 10 men followed about 15 years, balding showed a growing share of hairs with short anagen, falling diameter and longer empty gaps before regrowth.
Read the study ↗Courtois M, et al. Ageing and hair cycles. Br J Dermatol. 1995
Result: In 10 men followed 8-14 years, anagen shortened, hair diameter fell most in the thickest hairs and the gap before regrowth lengthened.
Read the study ↗Whiting DA. Diagnostic and predictive value of horizontal sections of scalp biopsy specimens in male pattern androgenetic alopecia. J Am Acad Dermatol. 1993
Result: Horizontal scalp sections in men with pattern loss showed 22 terminal and 13 vellus hairs on average; fewer than 2 follicular structures per mm2 predicted no response to minoxidil.
Read the study ↗Messenger AG, Sinclair R. Follicular miniaturization in female pattern hair loss. Br J Dermatol. 2006
Result: In women with pattern loss, terminal follicles fell from 263 to 96/cm2 and total follicles from 317 to 243/cm2 between the mildest and most severe grades.
Read the study ↗Ishino A, et al. Contribution of hair density and hair diameter to the appearance and progression of androgenetic alopecia in Japanese men. Br J Dermatol. 2014
Result: In Japanese men aged 25 or older, pattern loss showed up as fewer thick hairs (over 80 micrometres) and more vellus hairs, with density similar to men without loss.
Read the study ↗Altendorf S, et al. Frontiers in the physiology of male pattern androgenetic alopecia: beyond the androgen horizon. Physiol Rev. 2026
Result: Review of male pattern hair loss physiology: follicles shrink and anagen shortens, and how androgens trigger this is not fully explained.
Read the study ↗Kearney CA et al. Androgenetic alopecia in women: narrative review. Am J Clin Dermatol. 2026
Tested: review of treatments
Result: Only topical minoxidil is FDA-approved for female pattern hair loss; antiandrogens such as spironolactone are used off-label.
Read the study ↗Related
- Hair structure, from follicle to fiberThe hair you see is dead, hardened keratin made of three layers, which is why care is about protecting it rather than repairing it.
- Hair by ancestry, what differs and what overlapsHair differs on average between populations in curl, width, density and surface lipids, but the overlap is large and the old three-box labels hide more than they show.
- Strand thicknessThickness is the width of a single hair strand, separate from how many strands you have, and it changes how hair feels, styles, breaks and ages.
- Hair densityDensity is how many hairs grow per square centimetre of scalp; it varies with ancestry, scalp site and age, and on its own it says little about hair loss.
- Hair loss scales, hairlines and how to classify your own hair lossThe Norwood, Ludwig, Sinclair and BASP scales describe pattern hair loss in broad bands, and this page explains how reliable they are, how well people can stage themselves and how to tell a mature hairline from a receding one.
- Taking a good hair photoA well-taken photo shows curl family, length, hairline shape and overall hair loss pattern, but it cannot show strand thickness, porosity or scalp oiliness, and small changes are invisible.
- How often to wash your hairYour scalp sets how often you need to wash and your hair lengths set how rarely you can, so the right number depends on your hair type and scalp.
- Telogen effluviumA temporary burst of diffuse shedding that starts 2 to 3 months after a physical or emotional shock and usually settles within 6 months once the trigger is gone; it does not cause bald patches.
- Androgenetic alopecia (male and female pattern hair loss)The most common cause of hair loss is an inherited, slowly progressive shrinking of scalp follicles; it cannot be cured, but finasteride, minoxidil and transplants slow, partly reverse or camouflage it.