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Typically there is no hair on top of the head. For some men, the hair loss starts with a withdrawing hairline, while for some the hair loss happens from the top of the head. It is very common for men experience hair loss from the crown as well as have a receding hairline at the same time. Generally the hair at the back of the head falls at the very end. Characteristics of hair loss in women In women hair loss happens through the general thinning of the hair from the entire scalp. In most women the entire head is never completely bare of all the hair, but it may be so sparse that the scalp may be clearly visible. But for both men and women the hormone related hair loss is mostly not reversible. Why does hair loss happen There are numerous reasons for hair loss. 1. The most common cause of hair loss is the presence of high quantities of the hormone Dihydrotestrostone in the scalp. DHT i.Martell has alopecia areata, an autoimmune disorder that causes her hair to fall out and which has been a part of her life since she was 10 years old.Martell began participating in pageants when she was 13, and for several years she did not disguise her alopecia. "I was always taught to just be the best version of me that I could be," she explains. "And my family was always very positive about my alopecia. Basically, they taught me that there's a lot more to me than hair."Martell encountered a roadblockTwo years ago, however, Martell began wearing wigs during her pageant competitions after realizing that she was otherwise unlikely to move any further along the pageant route.This was a very difficult decision to make. Martell had never really considered wearing a wig before.