Hair Loss: Causes and Solutions After Hormonal Treatments

Hair Issues - Hair Loss

Hello Doctor, I underwent endometriosis surgery around July 2016 and received hormonal suppressants for six months, which induced a pseudo-menopausal state.
After that, I switched to birth control pills for treatment.
Around June 2017, I stopped the medication due to severe side effects.
Since then, I have experienced significant hair loss; I lose hair while washing, combing, and even blow-drying, and I notice more hair falling out when I casually run my fingers through my hair.
This has been ongoing for almost a year, with daily losses exceeding 100 strands, both long and short, often with white bulbs at the ends.
I've observed a general thinning of my hair, which was once abundant.

I would like to ask the doctor: Can a blood test at a dermatology clinic determine the cause of my hair loss? If it is androgenetic alopecia, can it be detected through blood tests? Is it possible that the birth control pills have caused such significant hair loss over the course of a year? If so, what can be done to improve this condition? Thank you.

Lin's, 30~39 year old female. Ask Date: 2018/03/17

Dr. Wu Yuxin reply Dermatology

It is necessary to conduct an examination, and if needed, a blood test should also be performed.

Reply Date: 2018/03/17

More Info

Hair loss can be a distressing experience, especially when it seems to be linked to hormonal treatments or other medical interventions. Based on your description, it appears that your hair loss began after undergoing hormonal therapy following endometriosis surgery. This situation is not uncommon, as hormonal fluctuations can significantly impact hair growth cycles.

Causes of Hair Loss
1. Hormonal Changes: Hormonal treatments, such as those used for managing endometriosis or contraceptive pills, can lead to changes in the hair growth cycle. These treatments can cause hair to enter the telogen (resting) phase prematurely, leading to increased shedding. This condition is often referred to as telogen effluvium, which is typically temporary but can be distressing.

2. Genetics: While you mentioned that your family history does not suggest a predisposition to hair loss, it’s important to consider that genetic factors can still play a role. Androgenetic alopecia, commonly known as male or female pattern baldness, can occur even in individuals without a strong family history.

3. Nutritional Deficiencies: Hormonal treatments can sometimes affect nutrient absorption or appetite, leading to deficiencies that may contribute to hair loss. For instance, low iron levels, which you mentioned, can significantly impact hair health.

4. Stress: The psychological stress associated with medical treatments and the anxiety of experiencing hair loss can further exacerbate the condition. Stress can trigger or worsen conditions like telogen effluvium.

Diagnostic Approach
To determine the underlying cause of your hair loss, visiting a dermatologist is a crucial step. They may recommend:
- Blood Tests: These can check for hormonal levels, iron deficiency, thyroid function, and other potential underlying issues. While blood tests can indicate some forms of hair loss, they may not definitively diagnose androgenetic alopecia. A dermatologist may also perform a scalp examination or a biopsy if necessary.

- Scalp Examination: A thorough examination of your scalp can help identify patterns of hair loss and any signs of scalp conditions, such as inflammation or infection.

Treatment Options
1. Medication: If your hair loss is determined to be related to hormonal changes, treatments such as minoxidil (Rogaine) may be recommended. This topical solution can help stimulate hair growth and is often used for both men and women experiencing hair thinning.

2. Nutritional Support: Addressing any nutritional deficiencies is essential. Incorporating iron-rich foods (like spinach, lentils, and red meat) and ensuring adequate intake of vitamins (especially B vitamins, vitamin D, and zinc) can support hair health.

3. Stress Management: Techniques such as mindfulness, yoga, or counseling can help manage stress, which may alleviate some of the hair loss.

4. Alternative Therapies: Some individuals find success with natural remedies, such as essential oils (like rosemary oil) or supplements (like biotin), though scientific evidence varies.

5. Consultation with a Specialist: If hair loss persists or worsens, consider consulting a trichologist or a specialist in hair loss. They can provide tailored advice and treatment options based on your specific situation.

Conclusion
In summary, hair loss after hormonal treatments can be multifactorial, involving hormonal changes, genetics, nutritional deficiencies, and stress. A comprehensive evaluation by a dermatologist, including blood tests and scalp examinations, can help identify the cause and guide appropriate treatment. While it may take time to see improvement, addressing the underlying issues and exploring treatment options can lead to better outcomes for your hair health.

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