Alopecia Areata is a long-term condition where the immune system attacks hair follicles, causing patchy hair loss, and since you?ve had it for many years, it?s best managed with a dermatologist?s guidance; treatments may include topical or injected steroids, immunotherapy, or medicines to stimulate hair regrowth, along with stress control and good nutrition, but results can vary and relapses are common, so regular follow-up is important.

Round patches of hair loss in the beard are most commonly caused by alopecia areata, where the body's defence system temporarily affects the hair roots, leading to smooth, bald spots; it is not an infection and does not spread from person to person. In some cases, a fungal infection (ringworm) can look similar, especially if there is itching, scaling, or redness, so a proper check by a doctor is important to confirm the cause. Treatment depends on the diagnosis; doctors often prescribe medicated lotions or mild steroid creams to help reduce inflammation and promote hair regrowth, and antifungal medicines if an infection is found. The good news is that in many people, hair grows back over time, especially with early treatment. Try to avoid scratching or applying random creams, keep the area clean, and manage stress, as it can sometimes trigger or worsen hair loss.

Medications such as minoxidil or finasteride can help stimulate hair growth. Eating a healthy diet with sufficient protein, iron, zinc, and vitamins also supports hair health. It is important to address underlying causes such as hormonal imbalances, stress, or scalp conditions. A dermatologist can examine your scalp and recommend the best treatment for you.

Hair loss over a long time can be due to genetic factors, stress, hormonal changes, poor nutrition, or scalp issues affecting hair growth. Maintain a balanced diet with enough protein, manage stress, keep your scalp clean, and avoid harsh hair products or tight hairstyles. Try to follow a routine and note if hair fall is increasing or due to any triggers. It is best to consult a doctor to find the exact cause and guide proper treatment to control hair loss.