Wednesday, May 1, 2024

What causes baldness? Understand why people lose their hair

telogen effluvium hair loss

In some patients this inhibition of mitosis induces catagen and delays re-entry of telogen hair into anagen. The pathogenesis of hair loss in hyperthyroidism is unknown [7]. Nothing can be done to prevent most of the types of physical shock that can start telogen effluvium. Some cases may be caused by a poor diet, and these might be prevented by eating a balanced diet that provides enough protein, iron and other nutrients. Again, telogen effluvium is typically a self-limited response to the addition of a stressor to the body.

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Poor diet

For example, if you have a poor diet, consult a dietitian to help you balance it. If the hair loss began after you started a new medication, talk to your doctor to see if the medication should be discontinued. Many times, however, the cause is a specific event in the past, and you can expect that the hair will grow back. In cases where hair growth has not returned to a satisfactory level, your doctor may prescribe minoxidil (Rogaine), a lotion applied to the scalp that may stimulate hair growth in some people. In some rare cases, if there is reason to doubt the diagnosis, a biopsy of the scalp may be done. In this procedure, a small piece of the scalp that includes several hair follicles is removed and examined under a microscope.

Additional Common Questions

telogen effluvium hair loss

It helps an individual to maintain self-image and carry on healthy and fruitful social interactions [1]. Femininity, sexuality, attractiveness and personality are symbolically linked to woman’s hair rather than in men. Women are more likely to have lowered quality of life and restricted social contacts as compared to men as a result of hair loss [2]. Loss of hair becomes a matter of concern in all individuals irrespective of age and sex [2].

Female pattern hair loss

If you have telogen effluvium (hair loss), a lot of hairs fall out from your scalp. This is more than normal and most noticeable when you wash your hair. You will not have patches of hair loss (bald patches) but rather a generalised thinning. Typically, the patient is a lady who reports having had a “full head of hair” but noted that it “began suddenly” to “come out by the handful”. Usually, and differently from AGA, the patient is accurate in giving the date of onset of her hair loss.

Medications or medical treatment

Rarely are subjects with AGA coming to the dermatologist because of hair loss. They complain about the rarefaction of their scalp hair, but do not say that they are actually shedding hair. TE complaint is made especially by women, but, less often also by men. The apparent gender exclusivity may depend on the fact that men keep their hair shorter and fail to notice their shedding, or that they pay less attention to shedding, resigned as they are to become bald. In fact, the typical patient is a lady who always had “a full head of hair” and who, at first sight, she still has. Nonetheless, TE occurs also in patients with AGA, especially if this is of modest severity.

If you have telogen effluvium, you may lose up to 300 strands of hair per day. “Alopecia areata is a condition where the immune system mistakenly attacks the hair follicles, which usually leads to hair loss in small, round patches on the scalp or other parts of the body. It can affect people of any age and may come and go unpredictably. Alopecia areata is a condition where the immune system mistakenly attacks the hair follicles, which usually leads to hair loss in small, round patches on the scalp or other parts of the body. Baldness is often hereditary, and is activated by a shift in your hormones.

High levels of some vitamins and minerals, such as selenium, vitamin A, and vitamin E, are linked to hair loss, so over-supplementation is counterproductive for telogen effluvium. Talk to your healthcare provider before taking any OTC supplements. The Food and Drug Administration (FDA) warns that biotin (found in some of these supplements) can interfere with lab tests, which may result in misdiagnosis of health conditions. If you are taking a supplement containing biotin, discuss it with a healthcare provider before any blood work.

Getting enough protein in your diet is essential as it provides the building blocks for proper hair growth; meat, tofu, eggs, beans, grains, nuts, and fish are all good protein sources. Some studies suggest that telogen effluvium can also be connected to low levels of iron, so include iron-rich foods like leafy vegetables, lentils and liver where you can. If you like the idea of adding supplements to your routine, there are some which are specifically formulated to contain ingredients that increase hair thickness and health.

Healthcare professionals

Once you address the cause, most cases of telogen effluvium will resolve without treatment within six to eight months. A lack of essential vitamins and minerals such as iron, zinc and vitamin D can contribute to hair loss, particularly if you are experiencing an iron deficiency. Hair loss due to measurable deficiencies may be supported by replacement therapy but supplements in the form of vitamins are not proved for hair loss [22]. For instance there is no effect of biotin supplement over hair loss [22]. Efficacy of the replacement of iron or thyroxine on the outcome of TE are also lacking, although some benefits have been achieved in few controlled studies [23].

DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. The information on this page is written and peer reviewed by qualified clinicians. Telogen effluvium has been related to a variety of insults which can be physical, mental, or chemical in nature [1,4]. Morbidity is generally limited to mild cosmetic changes which are mild. © Copyright 2024 Healthgrades Marketplace, LLC, Patent US Nos. 7,752,060 and 8,719,052.

Hair loss due to TE is usually temporary, but can last up to six months. Your hair often grows back without treatment once that stress is gone. Telogen effluvium happens to your hair during the telogen phase. Some sort of stress or change to your body can result in over 20% of your hair entering the telogen phase prematurely, which causes hair loss. Most healthy people lose up to 100 or 150 strands of hair per day, but if you have TE, you might lose 300 or more strands per day. Telogen effluvium is a form of hair loss that involves hair thinning or increased hair shedding.

Thus, paradoxically, with this type of hair loss, hair fall is a sign of hair regrowth. For professional advice, a person can contact a dermatologist or trichologist, who is a specialist in conditions related to the hair and scalp. However, your chances of developing chronic telogen effluvium without a detectable cause increase if you’re a woman or assigned female at birth (AFAB) and are between 30 and 60 years of age. Any type of hair thinning can feel particularly worrying, especially if the reason behind it is unknown, therefore it’s important to understand what might be causing the issue. Dr Bhavini Shah from LloydsPharmacy Online Doctor explains eight possible causes of thinning hair in women.

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