The phenomenon of hair loss?
Hello doctor, I have a family history of hair loss, and recently I've noticed an increase in my hair shedding.
I have long hair, and I've observed that the shorter hairs being shed are more numerous than the longer ones.
Is this a normal phenomenon?
Lynn, 10~19 year old female. Ask Date: 2016/04/27
Dr. Wu Yuxin reply Dermatology
Without actually observing the hair loss phenomenon, it is difficult to make a determination.
If it is causing significant distress, please seek medical attention as soon as possible.
Reply Date: 2016/04/27
More Info
Hair loss is a common concern that many individuals face, and it can be particularly distressing when one notices an increase in shedding, especially if the hair being lost is predominantly short. To address your question about whether shedding short hair is normal, we need to consider several factors related to hair growth cycles, genetics, and overall health.
Firstly, it is essential to understand that hair goes through three distinct phases: the anagen (growth) phase, the catagen (transitional) phase, and the telogen (resting) phase. During the anagen phase, which can last several years, hair grows actively. The catagen phase is a short transitional period, and the telogen phase is when the hair rests and eventually sheds. It is normal for individuals to lose between 50 to 100 hairs a day, and this shedding can include hairs from all phases of the growth cycle.
When you notice that you are losing more short hairs than long ones, it may indicate that the hairs in the telogen phase are shedding. Short hairs often represent those that have not been in the growth phase for long, which can happen for various reasons, including stress, hormonal changes, or nutritional deficiencies. If you have a family history of hair loss, such as androgenetic alopecia (commonly known as male or female pattern baldness), this genetic predisposition can also play a significant role in the hair loss you are experiencing.
In your case, since you mentioned a family history of hair loss, it is possible that the increase in shedding could be related to genetic factors. However, it is also important to consider other potential causes. Factors such as stress, changes in diet, hormonal fluctuations, and even certain medical conditions can contribute to hair loss. For instance, if you have been experiencing increased stress or changes in your lifestyle, this could trigger a condition known as telogen effluvium, where a significant number of hair follicles enter the telogen phase prematurely, leading to increased shedding.
Additionally, if you are noticing that the short hairs are finer or weaker, this could indicate that the hair follicles are not producing healthy hair. This could be due to a variety of reasons, including nutritional deficiencies (such as lack of protein, iron, or vitamins), scalp health issues (like dandruff or dermatitis), or even underlying medical conditions that may require further investigation.
If the shedding of short hair is accompanied by other symptoms such as scalp irritation, redness, or pain, it is advisable to consult a healthcare professional or a dermatologist. They can perform a thorough examination, possibly including blood tests to check for nutritional deficiencies or hormonal imbalances, and provide a tailored treatment plan based on your specific situation.
In conclusion, while shedding short hair can be a normal part of the hair growth cycle, especially if it is within the range of 50 to 100 hairs per day, an increase in shedding, particularly if it is concerning to you, warrants further investigation. Given your family history of hair loss, it would be prudent to monitor your hair loss closely and seek professional advice if you notice significant changes or if it becomes a source of distress. Remember, early intervention can often lead to better outcomes in managing hair loss.
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