Does Lack of Sleep Cause Hair Loss?

Reviewed byKnox Beasley, MD
Written byGrace Gallagher
Published 05/25/2025

It’s no secret that failing to get enough quality sleep on a regular basis can negatively affect overall health and wellness. But do the negative consequences of poor sleep include hair loss?

Overview

It’s no secret that failing to get enough quality sleep on a regular basis can negatively affect overall health and wellness. But do the negative consequences of poor sleep include hair loss? Can lack of sleep cause hair thinning? If so, why does lack of sleep cause hair loss?

Research suggests that a lack of sleep and hair loss could be connected, but this link may be indirect. The two conditions share some common risk factors, though, such as poor mental health, stress, and underlying medical challenges.

Here, we’ll look at the potential link between sleeplessness and hair health. We’ll also discuss science-backed hacks for hair restoration and better sleep.

How Sleep Affects Hair Loss

There are several ways sleep (and a lack thereof) affects hair, which we’ll cover below.

Lack of Sleep Can Be a Symptom of Stress

In the same way stress can cause sleeplessness, it might lead to hair loss.

There’s a well-known link between stress and hair loss. Although high levels of stress can’t cause male pattern hair loss, it can trigger — and potentially worsen — a type of temporary hair loss called telogen effluvium.

A 2023 study of 1,080 men and women suggests that several causes of hair loss, including telogen effluvium, may be related to:

  • Psychological stress (relationship problems, financial worries, etc.)

  • Physiological stress (high fever, chronic illness, etc.)

When you’re chronically stressed, you may have chronically high cortisol levels. Cortisol, known as the stress hormone, has been linked to poor hair health. How so? Elevated cortisol levels can affect hair follicles and disrupt the hair growth cycle.

Telogen effluvium can also be triggered by:

  • Severe shock

  • Traumatic events

  • Surgery

  • Severe blood loss

  • Major illnesses and infections

  • Pregnancy and childbirth

All of which can cause hair loss on their own and are stressful enough to keep you from getting sufficient shut-eye.

Stress and sleep share a frustrating relationship: Stress can keep you up at night, while a night of poor sleep can leave you feeling incapable of coping with stress.

In fact, a recent review shows that sleeplessness can worsen stress and vice versa. Another vicious, cruel cycle, right?

So, if you’re noticing your hair fall out after a bout of sleeplessness, ask yourself if there could be another factor at play.

Lack of Sleep May Hint at a Medical Issue

If you’ve noticed an increase in hair loss and are having trouble getting enough hours of sleep (seven to nine hours are recommended for most adults), it’s possible you’re dealing with a medical problem you haven’t yet uncovered.

As mentioned, telogen effluvium hair loss can happen a few months after experiencing severe illness or infections — both of which might affect your sleep.

However, other illnesses may cause hair loss as well as sleep issues.

For instance, thyroid conditions might make your hair shed significantly. Both hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) are linked to hair issues, though the link between the thyroid and hair loss isn’t fully understood.

The thyroid can also affect sleep quality and energy levels.

A 2021 study found that people with hyperthyroidism and hypothyroidism may be more likely to experience sleep conditions like insomnia, restless legs syndrome (RLS), and obstructive sleep apnea.

So, if you’re struggling to get a good night’s sleep, it might be time to meet with your healthcare provider to have your thyroid hormone levels checked. A simple blood test can determine your levels of TSH (thyroid-stimulating hormone) and free T4 (thyroxine). Other symptoms of thyroid disease can include weight gain, fatigue, cold sensitivity, and a depressed mood.

Sleep and Trichotillomania

Ever absentmindedly pulled out some hair while sitting in traffic, stressing over a work problem, or having a tense conversation with a loved one?

While this can happen to anyone, some folks have a constant, compulsive urge to pull out their hair. This is a mental health condition called trichotillomania.

Obsessive-compulsive disorder (OCD) and related mental health conditions — including trichotillomania — are associated with sleep disorders.

A 2021 study found potential links between sleep deprivation and trichotillomania. Those with trichotillomania were less likely to get enough hours of sleep each night compared to those who didn’t have the condition.

The study didn’t make it clear whether a lack of sleep could cause the condition. It just highlighted the correlation between poor sleep habits and the frequency of hair-pulling.

As you can imagine, constant hair-pulling doesn’t just lead to hair breakage. It can also put a lot of pressure on your hair follicles — to the point where growth might slow down or stop altogether.

How to Reverse Hair Loss Caused By a Lack of Sleep

Is hair loss from lack of sleep reversible? Usually, yes — but this depends on what’s causing both issues.

As discussed, if there’s a link between lack of sleep and hair loss, it may be due to stress, illness, or trichotillomania. There’s a chance your hair can recover from hair loss if it’s caused by those issues.

To tackle your poor sleep and hair loss issues, it might be wise to take a three-pronged approach here:

  • Address whatever’s causing your hair loss

  • Use quality hair-loss treatments backed by research

  • Work on improving sleep patterns

Keep reading for details.

Address the Underlying Issue With Hair Loss

It’s best to act ASAP to figure out what’s contributing to your hair loss. We highly recommend speaking with a healthcare professional to determine what’s making your hair fall out. You may want to start with a dermatologist, preferably one with experience diagnosing and treating hair loss problems.

You might also need to get blood tests to check for underlying illnesses or vitamin deficiencies.

From there, you can address those issues directly. This might look like:

  • Taking prescription medication to manage health conditions

  • Improving your diet or using supplements to boost your vitamin intake

  • Using positive stress-relief methods to manage anxiety

  • Seeking mental health care to cope with chronic stress or trichotillomania

  • Going to trauma debriefing after a shocking or traumatic experience

It may take time for you (and your hair follicles) to recover after stress, illness, or infection. But your hair will most likely grow back.

Use Science-Backed Hair Treatments

To speed up the hair regrowth process, you can use one or more science-backed hair loss treatments. This might include:

  • Finasteride. Finasteride is an FDA-approved oral medication that reduces the body’s levels of DHT (dihydrotestosterone) — a hormone linked to male pattern baldness.

  • Minoxidil. Minoxidil is an FDA-approved, over-the-counter topical treatment that can treat many types of hair loss. It’s available in the form of minoxidil foam or minoxidil liquid solution.

  • Finasteride and minoxidil together. Our topical finasteride & minoxidil spray combines both science-backed treatments to stimulate hair growth.

  • Supplements. Hair-friendly supplements like our biotin gummies have the nutrients your body needs to grow healthy hair.

  • In-shower products. A volumizing shampoo and conditioner can breathe new life into thin, limp hair while keeping your mane healthy and clean.

  • Saw palmetto shampoo. Our thickening shampoo with saw palmetto may help promote thick, healthy-looking hair. This herbal ingredient is a natural DHT blocker.

Recover From Sleeplessness

If your sleep quality is so bad right now that you’re Googling whether it’s making your hair fall out, it’s probably time to seek expert advice.

A healthcare professional might prescribe one or more of these treatment options:

  • A melatonin supplement

  • Histamine-1 (H1) receptor medications

  • GABA-A (gamma-aminobutyric acid) receptor medications

They might also suggest you work on your sleep hygiene with techniques like improving your sleep environment so it’s less stimulating (think blackout curtains and no screens). You should also try to avoid alcohol right before bed, as it can disrupt sleep. And limit caffeine late in the day, as it can make it harder to fall asleep. 

Exercise, especially in the morning, can provide key benefits, including stress relief and better sleep at night.

You may also benefit from seeing a therapist who specializes in treating sleep issues, especially if your sleeplessness is stress-related.

These treatments might not improve your hairline directly, but maintaining a proper sleep schedule will certainly help you feel better overall.

Does Sleep Help Hair Growth?

A lack of sleep can send stress hormones out of whack, and severe stress can be a contributing factor in hair loss. So, in theory, logging more hours of shut-eye could help you avoid stress-induced hair loss.

But this isn’t the only piece of the puzzle — and stress isn’t the only potential cause of hair loss.

Sleep and Hair Loss: The Big Picture

Can sleep deprivation cause hair loss? If so, why does lack of sleep cause hair loss?

Insufficient shut-eye probably won’t directly cause your hair to fall out. But getting enough sleep is an absolute necessity when it comes to maintaining your well-being — both mental and physical.

  • A lack of sleep doesn’t directly cause hair loss — at least, there’s little evidence that it does. Indirectly, though, sleeplessness can worsen stress, which can, in turn, affect your hairline.

  • Both sleeplessness and hair loss could be related to underlying medical conditions. Major illnesses, infections, and conditions like thyroid disease can cause both hair loss and sleep issues.

  • There are many evidence-based hair loss treatments to try. Most types of hair loss can be slowed down or stopped. Treatments like finasteride, minoxidil, supplements, and quality hair care products can help.

Sleeplessness, like hair loss, can be a sign to make an appointment with a medical professional. Both can be symptoms of underlying conditions — and, usually, both can be treated.

To explore science-backed hair loss treatments, take our free hair assessment.

11 Sources

  1. Alanazi A, et al. (2023). Stress-related hair loss among the general population in Al Majma’ah, Saudi Arabia: a cross-sectional study. https://pmc.ncbi.nlm.nih.gov/articles/PMC10625171/
  2. Cavic E, et al. (2021). Sleep quality and its clinical associations in trichotillomania and skin picking disorder. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871011/
  3. Centers for Disease Control and Prevention (CDC). (2024). About sleep. https://www.cdc.gov/sleep/about/index.html
  4. Hughes EC, et al. (2023). Telogen effluvium. https://www.ncbi.nlm.nih.gov/books/NBK430848/
  5. Kaur H, et al. (2023). Chronic insomnia. https://www.ncbi.nlm.nih.gov/books/NBK526136/
  6. National Heart, Lung, and Blood Institute (NHLBI). (2022). How sleep affects your health. https://www.nhlbi.nih.gov/health/sleep-deprivation/health-effects
  7. National Institutes of Health (NIH). (2021). How stress causes hair loss. https://www.nih.gov/news-events/nih-research-matters/how-stress-causes-hair-loss
  8. Rafi AW, et al. (2011). Pilot study of 15 patients receiving a new treatment regimen for androgenic alopecia: the effects of atopy on AGA. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3262531/
  9. Shakoei S, et al. (2022). Sleep disturbance in alopecia areata: a cross-sectional study. https://pmc.ncbi.nlm.nih.gov/articles/PMC8973252/
  10. Suchonwanit P, et al. (2019). Minoxidil and its use in hair disorders: a review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/
  11. Yi Y, et al. (2020). Effect of behavioral factors on severity of female pattern hair loss: an ordinal logistic regression analysis. https://pmc.ncbi.nlm.nih.gov/articles/PMC10625171/aa
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