Excessive Hair Loss: Causes and Concerns - Internal Medicine

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Excessive hair loss can be a concerning issue, especially when it becomes noticeable over time. Based on your description, it seems you have been experiencing significant hair shedding for the past two to three years, and you are also noticing hair growth in areas where it typically wouldn't be, such as on your cheeks. This situation can be indicative of several underlying conditions, and it is important to understand the potential causes and concerns associated with excessive hair loss.


Causes of Excessive Hair Loss
1. Genetic Factors: One of the most common causes of hair loss is genetic predisposition, often referred to as androgenetic alopecia or male/female pattern baldness. If you have a family history of hair loss, this could be a contributing factor.

2. Hormonal Changes: Hormonal imbalances can lead to hair loss. Conditions such as polycystic ovary syndrome (PCOS) in women can cause excessive hair growth in unwanted areas (hirsutism) and hair thinning on the scalp. Hormonal changes related to pregnancy, menopause, or thyroid issues can also affect hair health.

3. Stress: Chronic stress can trigger a type of hair loss known as telogen effluvium, where hair follicles prematurely enter the shedding phase. This can lead to noticeable thinning and increased hair fall.

4. Nutritional Deficiencies: A lack of essential nutrients, such as iron, zinc, and vitamins (especially B vitamins), can contribute to hair loss. A balanced diet is crucial for maintaining healthy hair.

5. Medical Conditions: Certain medical conditions, such as autoimmune disorders (like alopecia areata), scalp infections, or skin conditions (like seborrheic dermatitis), can lead to hair loss.
6. Medications: Some medications can have side effects that include hair loss. If you are taking any medications, it may be worth discussing this with your healthcare provider.


Concerns Related to Hair Loss
1. Psychological Impact: Hair loss can have a significant psychological impact, leading to feelings of self-consciousness, anxiety, or depression. It’s important to address these feelings and seek support if needed.

2. Underlying Health Issues: Persistent hair loss may indicate an underlying health issue that requires medical attention. It’s advisable to consult with a healthcare professional to rule out any serious conditions.

3. Treatment Options: Depending on the cause of your hair loss, treatment options may vary. For genetic hair loss, medications like minoxidil (Rogaine) or finasteride (Propecia) may be recommended. For hormonal imbalances, addressing the underlying condition may help restore hair growth. Nutritional supplements and a balanced diet can also support hair health.

4. Professional Evaluation: Given the duration and severity of your hair loss, it would be beneficial to seek a professional evaluation from a dermatologist or a trichologist. They can perform a thorough examination, possibly including blood tests, to determine the cause of your hair loss and recommend appropriate treatments.


Conclusion
In summary, excessive hair loss can stem from a variety of causes, including genetic factors, hormonal changes, stress, nutritional deficiencies, and medical conditions. It is important to take your symptoms seriously and consult with a healthcare professional for a proper diagnosis and treatment plan. Addressing hair loss early can help mitigate its effects and improve your overall well-being. Remember, you are not alone in this, and there are resources and treatments available to help you manage your hair loss effectively.