Anagen, Catagen, Telogen: Understanding the Hair Growth Cycle
hi-doctor.ai BlogApril 6, 2026

Anagen, Catagen, Telogen: Understanding the Hair Growth Cycle

Table of contents

Key Point 1The hair growth cycle has three phases: anagen (growth), catagen (transition), and telogen (resting).

Key Point 2Anagen is the active growth phase, lasting years and determining hair length.

Key Point 3Catagen is a short transitional phase where hair growth stops and the follicle shrinks.

Key Point 4Telogen is the resting phase, followed by hair shedding and the start of a new cycle.

The Three Phases of Hair Growth

Hair growth isn't a continuous process. Instead, it occurs in a cycle with distinct phases: anagen, catagen, and telogen. Each phase has a specific duration and set of characteristics. Understanding these phases can help explain why hair grows at different rates, why hair loss occurs, and how certain treatments work.

Anagen: The Growth Phase

The anagen phase is the active growth phase of hair follicles. During this phase, cells in the hair root divide rapidly, adding to the hair shaft. This is the longest phase of the hair cycle, lasting anywhere from two to seven years. The duration of the anagen phase largely determines the length of your hair. People with a longer anagen phase can grow their hair much longer than those with a shorter phase. Approximately 85-90% of hair follicles are in the anagen phase at any given time.

Factors influencing the anagen phase include genetics, nutrition, and overall health. Optimal conditions support a longer and more robust anagen phase, leading to thicker and healthier hair.

Catagen: The Transition Phase

The catagen phase is a short transitional stage that lasts about two to three weeks. During this phase, hair growth stops, and the outer root sheath of the hair follicle shrinks and attaches to the hair root. This process cuts off the hair from its blood supply, effectively ending its growth. Only about 1-3% of all hairs are in the catagen phase at any one time.

The catagen phase is a signal that the hair follicle is preparing to enter the resting phase. It's a period of regression where the hair follicle essentially shuts down its growth functions. This phase is crucial for the overall cycle, allowing for the eventual shedding of old hair and the beginning of new growth.

Telogen: The Resting Phase

The telogen phase is the resting phase of the hair cycle. During this phase, the hair follicle is completely at rest, and the hair is fully formed but not growing. This phase typically lasts around three months. About 10-15% of hairs are in the telogen phase at any given time. At the end of the telogen phase, the hair shaft is shed, and a new hair begins to grow in the follicle, starting the anagen phase again.

Normal hair shedding is a part of the telogen phase. People typically lose around 50 to 100 hairs per day. However, factors such as stress, hormonal changes, and certain medical conditions can cause more hair follicles to enter the telogen phase, leading to increased shedding, known as telogen effluvium.

How Treatments Affect the Hair Cycle

Understanding the hair cycle is essential for understanding how hair loss treatments work. Many treatments aim to either prolong the anagen phase or stimulate hair follicles to re-enter the anagen phase more quickly. Here are some common treatments and how they interact with the hair cycle:

  • Minoxidil: This medication is believed to shorten the telogen phase and prolong the anagen phase, leading to increased hair growth and thickness. It also increases blood flow to the hair follicles, providing them with more nutrients.
  • Finasteride and Dutasteride: These medications inhibit the production of dihydrotestosterone (DHT), a hormone that can shorten the anagen phase and shrink hair follicles, leading to hair loss. By reducing DHT levels, these medications help prolong the anagen phase and allow hair follicles to recover.
  • Nutritional Supplements: Certain vitamins and minerals, such as biotin, iron, and zinc, are essential for healthy hair growth. Deficiencies in these nutrients can disrupt the hair cycle and lead to hair loss. Supplements can help correct these deficiencies and support a healthy anagen phase.

Hi Doctor AI provides telemedicine consultations. All treatments are prescribed by EU-licensed doctors after reviewing your medical history. We do not sell or ship medications—prescriptions can be used at any licensed pharmacy in the EU.

Expected Results and Timeline

The timeline for seeing results from hair loss treatments varies depending on the individual and the specific treatment used. However, here's a general overview of what to expect:

  • Initial Shedding: Some treatments, like minoxidil, may cause initial shedding as hair follicles transition from the telogen phase to the anagen phase. This shedding is usually temporary and a sign that the treatment is working.
  • Early Growth: New hair growth may be noticeable within a few months of starting treatment. However, this initial growth may be fine and sparse.
  • Significant Improvement: Significant improvements in hair density and thickness typically occur after six to twelve months of consistent treatment.
  • Long-Term Maintenance: Hair loss treatments often require long-term maintenance to sustain results. Discontinuing treatment may lead to a reversal of the benefits.

Potential Side Effects

Like all medications, hair loss treatments can have potential side effects. It's important to discuss these with a healthcare professional before starting treatment.

  • Minoxidil: Common side effects include scalp irritation, dryness, and unwanted hair growth in other areas.
  • Finasteride and Dutasteride: Potential side effects include sexual dysfunction (decreased libido, erectile dysfunction), although these are rare.
  • Nutritional Supplements: Side effects are generally mild but can include digestive upset.

How Hi Doctor AI Helps

Hi Doctor AI offers a convenient and discreet way to address hair loss. Skip the waiting room and connect with EU-licensed doctors online. Through our secure platform, you can complete a medical questionnaire, and our medical team will assess your eligibility for prescription treatments. If suitable, you'll receive a valid EU prescription in less than 24 hours. We offer treatments for hair loss, including oral and topical options, tailored to your needs.

Our online consultation costs 45€, and you'll receive a full refund if no prescription is issued. Hi Doctor AI provides consultations and prescriptions only, ensuring you receive expert medical guidance without the need for in-person visits. Get started today and take control of your hair growth journey.

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Anagen, Catagen, Telogen: Understanding the Hair Growth Cycle