To date, there haven't been many clinical studies confirming Ashwagandha as a direct treatment for hair loss. However, some of its components, along with its positive effects on stress, might help indirectly prevent hair loss.

Ashwagandha is an evergreen shrub native to Africa, India and the Middle East. It contains bioactive compounds called withanolides, which may offer antioxidant and anti-inflammatory benefits.

This herb is also recognized as an adaptogen, potentially enhancing the body’s ability to combat environmental, biological and physical stressors.

While Ashwagandha is often promoted for various uses, current research suggests it may serve as an alternative treatment for anxiety, stress and poor sleep quality. Additionally, some studies indicate it might support male fertility by boosting testosterone levels.

Overall, a 2023 study found that Ashwagandha root extract may help with hair loss in several ways:

● Reducing stress levels

● Decreasing cortisol levels

● Supplying antioxidants that may promote healthy hair growth

● Delivering anti-inflammatory effects to help prevent additional hair loss

Aside from cortisol, a 2022 review stated that hormones have a significant impact on hair growth as well as thickness. The authors suggested that imbalances in androgens, oestrogen and other hormones could negatively interfere with hair growth cycles.

Additionally, a 2023 review noted the possible positive effects of Ashwagandha in endocrine disorders like thyroid disease, which can also cause hair loss. However, the authors noted that excessive amounts of ashwagandha could cause side effects.

Potential side effects and risks of using Ashwagandha for hair loss

● Hormonal changes: Ashwagandha may influence hormone levels, which could potentially lead to hair thinning or loss in some individuals.

● Allergic reactions: some people might experience allergic reactions, resulting in scalp irritation or hair issues.

● Interactions with medications: it can interact with certain medications, potentially leading to unintended effects that may affect hair health.

● Digestive issues: some users report gastrointestinal problems, which can impact overall health, including hair growth.

● Overuse risks: excessive consumption may lead to negative effects that could indirectly affect hair loss.

Taking Ashwagandha is not advisable if you:

● are pregnant

● have liver disease

● have an autoimmune disorder

● are planning to undergo surgery soon

● have thyroid disease

● have hormone-sensitive prostate cancer

Also, you shouldn’t take Ashwagandha if you take certain medications, due to possible interactions. These include:

● thyroid medications

● immunosuppressants

● high blood pressure medications

● anti-seizure drugs

● diabetes medications

● Sedatives

Ashwagandha is mainly offered in supplement forms, such as tablets or powders, and is also available in topical products like liquid extracts. Depending on the specific product, these may be derived from the plant's leaves or roots.

As with any natural supplmenet, before taking Ashwagandha, consult with a medical professional especially if you have pre-exisiting condition/s or are taking OTC medication.

The appropriate dosage of oral Ashwagandha can vary by product. While some individuals may take it daily, it’s crucial to adhere to your doctor’s recommendations regarding the exact dose and duration for safe use.

A 2022 review and meta-analysis suggest that Ashwagandha may be beneficial for stress when taken at doses of 300 to 600 milligrams per day. However, further research is necessary to validate these results.

Effective treatments for hair loss

There isn't a one-size-fits-all treatment for hair loss that addresses every underlying cause. Although Ashwagandha and other alternative remedies are still under investigation, the following medical treatments are frequently recommended by healthcare professionals:

Minoxidil (Rogaine): available as a topical solution or oral treatment, minoxidil is effective in addressing early-stage hair loss by promoting new hair growth and reducing further loss.

Finasteride (Propecia): this oral medication is taken once daily and is prescribed to treat male pattern hair loss.

Spironolactone: an oral medication prescribed for female pattern hair loss, spironolactone can help reduce hair shedding and promote thicker hair.

Shampoos: there are various over-the-counter shampoos formulated for hair loss, featuring ingredients like minoxidil and biotin that support hair growth.

Laser therapy: a dermatologist may suggest laser therapy if treatments like Rogaine or other medications have not been effective.

Microneedling: this technique involves using numerous tiny needles on the scalp to stimulate hair growth.

Platelet-rich plasma (PRP): often used in conjunction with microneedling, PRP involves injections made from plasma derived from your own blood to combat hair loss.

Corticosteroid injections: for those diagnosed with alopecia areata, a doctor may recommend corticosteroid injections to help prevent damage to hair follicles.

Hair transplant: considered a permanent solution, a hair transplant can effectively address areas of thinning hair or baldness.

Additional supportive treatments for hair loss

If a blood test shows deficiencies in biotin (vitamin B7), iron, or zinc, they might suggest taking a multivitamin to promote hair growth. A multivitamin can be a safer option than consuming high doses of individual nutrients, as it helps prevent toxicity.

Where to find Ashwagandha for hair loss

Ashwagandha is available over the counter at pharmacies, health stores and online. It’s important to note that, like other supplements, Ashwagandha is not approved by the FDA, meaning it isn't rigorously monitored by the government and may contain unlisted or unsafe ingredients.

As an herb rather than a medication, Ashwagandha typically isn’t covered by standard health insurance or government programs. Some partial coverage for alternative treatments might be available, but only if they are prescribed by a medical doctor and shown to safely address the condition in question.

For these reasons, Ashwagandha is unlikely to be covered, but you can check with your insurance company if a healthcare provider recommends it as part of your hair loss treatment plan.

When to seek medical assistance

It's normal to lose 50 to 100 hairs each day, as your body constantly sheds old hair and grows new strands.

However, if you're noticing excessive hair loss, it may be a good idea to consult a dermatologist. Signs of concern include significantly more hair loss than usual in the shower, on your comb, or on your pillow, as well as thinning hair, bald spots, or a receding hairline.

A dermatologist can help determine the underlying cause and provide treatment recommendations. Experimenting with various medications and herbs without understanding the root cause of your hair loss may lead to ineffective treatment.

The earlier a doctor can diagnose the cause of your hair loss, the more effective treatment and prevention strategies can be.

Additionally, consider seeking medical advice if you’ve tried ashwagandha without seeing results or if you're experiencing potential side effects from the supplement.

Ashwagandha FAQ

Does ashwagandha increase or decrease DHT?

Ashwagandha may potentially reduce dihydrotestosterone (DHT). In men experiencing hair loss, blocking DHT can help support healthy testosterone levels and encourage hair growth.

Is Ashwagandha available as a hair mask?

Ashwagandha is mainly available in oral supplement form. You could theoretically create a hair mask using the powder or liquid extract, but topical application may not effectively address the root causes of hair loss, such as stress or hormonal imbalances.

How long does it take for Ashwagandha to work for hair?

It’s unclear how long it takes for Ashwagandha to promote hair regrowth, and there’s no established dosage for this purpose. The National Center for Complementary and Integrative Health (NCCIH) generally states that Ashwagandha is safe for use up to three months at a time.

Is Ashwagandha good for your skin?

A 2023 study suggests that topical Ashwagandha may enhance overall skin health and reduce signs of photoaging, such as dryness, fine lines, and sunspots. Other research indicates that Ashwagandha may aid in treating skin ulcers, wounds and overall inflammation.