Is there still hope for thinning and fine hair?
Every time I wash my hair, I lose three to four hundred strands.
Before washing, I comb my hair and nearly 100 strands fall out.
Four years ago, I consulted a dermatologist, but the doctor did not perform any tests and simply told me that it was normal to lose three to four hundred strands of hair while washing, attributing it to aging (I was around 45 years old at that time).
Now, four years later, my hairline has widened significantly, and my hair has noticeably become thinner and sparser.
I am on the verge of baldness.
I would like to ask the doctor: 1.
Is there a chance for improvement in this situation? 2.
Due to the excessive hair loss while washing, I am very afraid to wash my hair (as soon as my hair comes into contact with water, it falls out rapidly).
Therefore, I only wash it when it feels dirty.
However, the dirtier my hair gets, the more it falls out when I comb it.
Should I wash my hair when it is dirty, or should I wash it before it gets dirty?
Tu Nu, 40~49 year old female. Ask Date: 2018/03/07
Dr. Wu Yuxin reply Dermatology
Aging is indeed a common cause, and genetics may also play a role.
It can only be determined after an examination.
Reply Date: 2018/03/07
More Info
Thinning hair can be a distressing issue for many individuals, and understanding the underlying causes and potential solutions is crucial. Based on your description, it seems that you are experiencing significant hair loss, with a noticeable increase in the number of hairs falling out during washing and styling. This situation can be exacerbated by various factors, including genetics, hormonal changes, stress, and scalp health.
1. Can Thinning Hair Be Reversed?
The possibility of reversing thinning hair largely depends on the underlying cause. If the hair loss is due to genetic factors, such as androgenetic alopecia (commonly known as male or female pattern baldness), complete reversal may be challenging. However, there are treatments available that can help slow down the progression of hair loss and promote regrowth. These treatments include topical minoxidil, oral finasteride (for men), and low-level laser therapy. It's essential to consult with a dermatologist or a trichologist who can assess your specific situation and recommend the most appropriate treatment plan.
If your hair loss is related to stress, nutritional deficiencies, or other temporary conditions, there is a higher chance of recovery. For instance, telogen effluvium is a common form of hair loss that occurs after significant stress or trauma, and it often resolves on its own once the triggering factor is addressed. In such cases, ensuring a balanced diet rich in vitamins and minerals, particularly biotin, zinc, and iron, can support hair health.
2. Washing Hair: When is the Best Time?
Your concern about washing your hair due to the excessive shedding is understandable. However, it is essential to maintain a regular hair washing routine to keep your scalp healthy. Washing your hair when it is dirty is generally advisable, as accumulated oil and dirt can lead to scalp issues, which may further exacerbate hair loss. If you find that washing your hair causes excessive shedding, consider using a gentle, sulfate-free shampoo that is less likely to irritate your scalp.
Additionally, try to avoid aggressive towel-drying or brushing wet hair, as this can lead to further breakage. Instead, gently pat your hair dry and use a wide-toothed comb to detangle it. If you are experiencing pain at the roots when you brush or style your hair, it may indicate scalp sensitivity or inflammation, which should be evaluated by a healthcare professional.
3. Consulting a Specialist
Given your history of hair loss and the concerns you have expressed, it would be beneficial to seek a consultation with a dermatologist or a hair loss specialist. They can perform a thorough examination of your scalp and hair, potentially including blood tests to check for underlying conditions such as thyroid issues or hormonal imbalances. A proper diagnosis is crucial for determining the most effective treatment options.
In conclusion, while thinning hair can be a challenging issue, there are various avenues for treatment and management. Understanding the cause of your hair loss is the first step toward finding an effective solution. Regular hair washing, gentle handling of your hair, and consulting with a specialist can all contribute to better hair health and potentially reverse some of the thinning you are experiencing. Remember, you are not alone in this struggle, and there are resources and professionals available to help you navigate through it.
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