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Often, though, the hair loss is subtle, and other people may not notice anything different about your hair. However, persistent excess hair shedding may be caused by iron deficiency or an underactive thyroid gland. Your doctor may do a blood test to check for these if you have any other symptoms of these conditions. Nonspecific reaction pattern in which the main symptom is the increased shedding of telogen hairs developing 3-4 months after the causing event. Alopecia would occur only when about 40% of hairs have been shed. Severe protein, fatty acid and zinc deficiency, chronic starvation, and caloric restriction can lead to telogen effluvium [11].
What medications/treatments are used to treat telogen effluvium?
But if I had to guess, I think this will ultimately be diagnosed as telogen effluvium, with the triggers being stress, low iron, and maybe the birth control switch. It’s difficult to pinpoint a hero product since I attacked this from all angles, but I’d definitely say the Minoxidil made the biggest impact. Without it, I don’t know if my hair would have reentered the growth phase at all. The foam settled nicely into my problem areas, and I felt little to no discomfort upon application.
Are you losing your hair? A dermatologist breaks down some FAQs.
“Female pattern hair loss, also known as androgenetic alopecia, is common and can occur at any age, but it's thought that 40% of women aged 70 or over experience the condition in some form. Women with androgenetic alopecia will usually experience gradual thinning of the hair, typically on the top of the scalp and some women notice their hairline receding. In a person with telogen effluvium, some body change or shock pushes more hairs into the telogen phase. Typically in this condition, about 30% of the hairs stop growing and go into the resting phase before falling out. So if you have telogen effluvium, you may lose an average of 300 hairs a day instead of 100.
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The hair cycle appears to be reset so that the anagen period is shortened. In this stage of the cycle, the hair follicle is inactive and a white bulb of keratin forms at the root to keep the hair in the follicle until it’s ready to be shed. About 10% to 15% of hair is normally in the telogen phase at any given time. “Telogen effluvium (TE) is the most common type of temporary hair loss I see that happens after severe stress or a change to your body,” reports Oksana Bailiff, MD, a dermatologist at Geisinger. After the three- to six-month shedding period, you’ll notice new hair growth in your affected areas.
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It is thought we shed around 50 to 100 hairs naturally throughout the day. Finally, I invested in a few soothing hair care products to give my strands some much-needed TLC. Minoxidil can seriously dry out your hair and scalp, and Gisou's Honey-Infused Hair oil and Mask proved to be the perfect antidote—they both smell heavenly and make my hair and scalp feel quenched. I’ve always loved Verb’s affordable, clean products, and decided to commit to their Hydrating Shampoo and Conditioner for good.
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Corticosteroid creams are in general declined by the patients because they make the hairs dirty and lotions are difficult to be dosed. Systemic corticosteroids are usually unadvisable for TE needs to be treated for a long time and because of the unavoidable side-effects that are disproportionate to the severity of the original disorder. In fact, the treatment must last at least three months, and the patient should be informed not to expect any improvement before and invited to monitor the severity of her shedding once a month by MWT. It may be, however, that a spontaneous recovery occurs before the canonical three months.
It should be distinguished from anagen effluvium, in which the hair shedding is due to interruption of active or anagen hair growth by drugs, toxins or inflammation (eg, alopecia areata). Telogen effluvium involves rapid shedding of hair over a short period. It typically happens a couple of months after your body goes through a physical or emotional stress.
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In chronic telogen effluvium, corticosteroids can be given systematically especially if telogen effluvium is the manifestation of underlying systemic disorder like SLE [28]. The major sign of course is the shedding of an abnormal amount of hair. One way to assess this is to avoid shampooing for 4-5 days and then shampoo and collect and count all the hairs that one finds in the sink before disposing of them down the drain.
If there are more than 100 hairs, this is compatible with telogen effluvium. If your doctor thinks a hormone problem, vitamin deficiency, or infection caused your hair loss, a blood test can help confirm the cause. If you have telogen effluvium, at least four hairs will come out with each pull. This treatment has been used for hormone-related hair loss (often in addition to minoxidil or finasteride) and is under study for telogen effluvium.
One must distinguish this form of hair loss from other conditions affecting the scalp. When significantly more than 10% of the scalp hair follicles are in the telogen growth phase, this will manifest in certain patients as a rather dramatic hair-shedding event. Effluvium simply refers to the shedding of excess matter (in this case, hair). Patients will report hair shedding, usually without other symptoms, with a relatively abrupt onset.
By definition, in acute telogen effluvium, shedding lasts less than six months; often the period of shedding is much shorter. A careful history will identify a causative event (see etiology section) occurring approximately three months before the onset of the shedding (range from 1 to 6 months). Quite often the patient has fully recovered from the acute illness and fails to see the connection between the illness with the hair loss. The effects of these drugs are very quick, and your hair will begin to fall out while it is still in the growth, or anagen, phase.
Patients who wish to take an active role in their treatment may choose to use minoxidil. They contain a variety of vitamins, minerals, and other substances. Telogen effluvium has many causes, often connected to a physical change or trauma. They can help determine what’s behind your hair loss and help develop an appropriate treatment plan for you.
Thinning hair and hair loss can be stressful, especially for women who normally have a lot of hair, triggering feelings of shame or insecurity. Thinning hair in women can occur at any age and can take different forms, such as minor thinning on the crown of the head or complete baldness. According to Dr Shah, female pattern hair loss, also known as androgenetic alopecia, is common and can occur at any age. The most important aspect in the management of TE is counseling the patient about the natural history of the condition.
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