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Is it normal to lose underarm hair as you get older?

4 min read

According to a study published in the Journal of Clinical Endocrinology & Metabolism, more than one-sixth of older men and half of older women experience the progressive loss of axillary (underarm) hair. The answer to is it normal to lose underarm hair as you get older? is yes, but understanding the root causes is crucial.

Quick Summary

Losing underarm hair is a very common part of the aging process, largely due to declining hormone levels like estrogen and androgens. While often a normal involutional change, other factors such as nutritional deficiencies or thyroid issues can also play a role.

Key Points

  • Normal part of aging: Losing underarm hair is common and generally a normal part of the aging process for both men and women.

  • Hormonal decline is the cause: It is primarily caused by the natural decrease in sex hormones like androgens and estrogen that occurs with age.

  • Not a health problem, usually: In most cases, it is a normal involutional change and not a sign of a health issue.

  • Look for other symptoms: If the hair loss is sudden, uneven, or accompanied by fatigue or unexplained weight changes, it could indicate an underlying condition like a thyroid disorder.

  • Maintain overall health: Lifestyle factors like diet and stress management can support hair health, but won't reverse normal age-related thinning.

  • Consult a doctor if concerned: For peace of mind, or if symptoms point to a medical issue, it is best to consult a healthcare professional.

In This Article

Why Underarm Hair Thins With Age

Just as the hair on your head may thin, grow coarser, or turn gray, the hair in your armpits undergoes similar changes. This gradual decrease in hair density is a perfectly normal part of aging for many individuals. The primary driver behind this phenomenon is the shift in your body's hormone levels over time.

The Role of Hormonal Changes

As both men and women age, their bodies experience a natural decline in the production of sex hormones, specifically androgens and estrogen. Androgens are hormones responsible for hair growth in the pubic and underarm regions. While often associated with male characteristics, androgens are present in both sexes and are essential for maintaining body hair.

  • For women: During menopause, estrogen levels drop dramatically. Since estrogen helps protect hair follicles from the effects of androgens, its decrease allows androgens to have a greater impact, which can lead to hair thinning on the scalp but also contribute to the loss of underarm and pubic hair.
  • For men: The gradual decrease in testosterone levels, known as andropause, can lead to a reduction in androgen-stimulated body hair. This can result in thinning armpit, chest, and pubic hair over time.

Understanding Involutional Alopecia

This process of age-related hair thinning is sometimes referred to as involutional alopecia. It's a natural consequence of the aging hair follicle. As you get older, the hair follicles spend less time in the anagen (growth) phase and more time in the telogen (resting) and catagen (shedding) phases. This results in the growth of finer, shorter, and fewer hairs overall. This is different from androgenetic alopecia, or male/female pattern baldness, which is more directly related to genetic and hormonal factors affecting scalp hair.

Other Potential Contributors to Body Hair Loss

While hormonal shifts are the most common cause, several other factors can influence the loss of body hair as you age. It is important to consider these possibilities, especially if the hair loss is sudden or accompanied by other symptoms.

Medical Conditions and Hair Loss

  • Thyroid Disorders: An underactive (hypothyroidism) or overactive (hyperthyroidism) thyroid can disrupt the body's metabolic processes and hormone regulation, leading to widespread hair loss, including in the armpits. Thyroid problems are more common in older adults and can be effectively managed with medication.
  • Autoimmune Diseases: Conditions such as alopecia areata, where the immune system attacks hair follicles, can cause patchy hair loss anywhere on the body. While it can occur at any age, certain autoimmune disorders are more prevalent in older populations.
  • Nutritional Deficiencies: As people age, their nutritional needs and absorption of vitamins and minerals can change. Deficiencies in key nutrients like iron, zinc, and B vitamins can impact hair health and lead to thinning.

Medications and Hair Thinning

Many commonly prescribed medications for older adults can have hair loss as a side effect. These include certain blood thinners, drugs for high blood pressure, and antidepressants. If you notice a change in hair density after starting a new medication, it is wise to discuss it with your doctor.

Normal Aging vs. A Cause for Concern

Determining if your underarm hair loss is a normal age-related change or a sign of an underlying issue can be difficult. Here is a comparison to help differentiate between the two:

Feature Normal Age-Related Thinning Potential Health Concern
Onset Gradual, occurs over many years. Sudden or rapid shedding.
Pattern Symmetrical thinning in both armpits, often accompanied by other body hair changes. Patchy bald spots or hair loss concentrated in one area.
Accompanying Symptoms Typically no other symptoms besides hair thinning and graying. Accompanied by unexplained fatigue, significant weight changes, skin changes (rashes, redness), or intense itching.
Cause Hormonal shifts (menopause/andropause), genetics. Thyroid disease, autoimmune disorder, or nutritional deficiency.
Overall Health Good general health. Signs of a systemic illness or disorder.

Lifestyle and Management

For age-related hair loss, management focuses on overall wellness rather than reversing the process entirely. While you can't stop the clock, certain lifestyle choices can support healthy hair and body. These strategies can also help mitigate hair loss caused by other factors.

Maintaining a Healthy Lifestyle

  1. Eat a Balanced Diet: Ensure your diet includes adequate protein, iron, and zinc to support hair follicle health. Leafy greens, lean meats, nuts, and seeds are excellent sources.
  2. Manage Stress: Chronic stress elevates cortisol levels, which can disrupt the hair growth cycle and lead to shedding. Incorporate stress-reducing activities like meditation, gentle exercise, and spending time with loved ones.
  3. Use Gentle Personal Care Products: Harsh soaps or deodorants can irritate the skin and follicles. Opt for mild, fragrance-free products to keep the skin under your arms healthy.
  4. Stay Hydrated: Proper hydration supports overall cellular function, including the health of your skin and hair.

When to Consult a Doctor

If you are concerned about your hair loss, especially if it is sudden, severe, or comes with other symptoms, it is always best to consult a healthcare professional. A doctor or dermatologist can help determine the underlying cause and recommend appropriate treatment.

Embracing Change with Confidence

It’s important to remember that physical changes are a natural part of life. While society often places a high value on youthful appearance, many people find confidence and grace in the changes that come with age. Underarm hair is not a measure of one's health or vitality. Focusing on overall health and well-being is a more meaningful way to embrace the journey of aging.

Ultimately, the loss of underarm hair is a common, normal part of growing older for many people. It’s primarily driven by natural hormonal shifts and the aging process of hair follicles. However, paying attention to sudden or accompanied changes can provide valuable insights into your overall health. By understanding the causes and prioritizing a healthy lifestyle, you can confidently navigate this normal stage of life.

To learn more about healthy aging and its effects on the body, visit the National Institute on Aging's website: https://www.nia.nih.gov/health/aging-changes-and-body.

Frequently Asked Questions

Yes, it is very common and considered a normal part of the aging process. The thinning or loss of underarm hair is a natural result of hormonal changes that occur over time in both men and women.

You lose underarm hair with age primarily due to a decline in the production of sex hormones, such as androgens and estrogen. These hormones play a key role in hair growth in the armpits, and their reduced levels cause hair follicles to become less active and produce less hair.

Yes, some medications can cause hair loss, and this can affect body hair as well as scalp hair. Common culprits include certain blood thinners, high blood pressure medications, and some antidepressants. If you notice hair loss after starting a new medication, consult your doctor.

While the gradual loss of underarm hair is a sign of normal hormonal shifts due to aging (menopause, andropause), sudden or extreme loss could signal a hormonal imbalance related to a condition like a thyroid disorder. If you are concerned, it is best to see a healthcare provider.

Nutritional deficiencies can impact hair health throughout the body. Lack of essential nutrients like iron, zinc, and protein can contribute to hair thinning and loss. Ensuring a balanced diet can support overall hair and body health.

The complete loss of underarm hair is less common than simple thinning, but it can still be a normal age-related change. However, if it happens suddenly or is accompanied by other symptoms, a doctor's consultation can help rule out underlying medical issues.

For most age-related hair loss, the hair that is lost will not fully regrow. The hair follicles become less active over time. However, addressing underlying medical causes, if present, can sometimes help restore more normal hair growth.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.