Increased Hair Loss: Pubic and Armpit Hair Shedding - Dermatology

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Loss of pubic and axillary hair?


Hello, doctor.
Recently, I have noticed that I am losing more pubic hair and underarm hair than before.
I used to not lose much hair in those areas.
What could be the cause of this situation?

Xiao Gao, 10~19 year old female. Ask Date: 2021/11/08

Dr. Wu Yuxin reply Dermatology


You should seek medical attention, as it could be a more severe case of alopecia areata.

Reply Date: 2021/11/08

More Info


Increased hair loss in areas such as the pubic region and armpits can be concerning, and it’s important to understand the potential causes and implications. While hair loss on the scalp is often more discussed, shedding in other areas can also indicate underlying issues.
First, it’s essential to recognize that hair growth and shedding are normal biological processes. Hair follicles go through cycles of growth (anagen), rest (telogen), and shedding (catagen). However, if you notice a significant increase in hair loss in these areas, it may be indicative of several factors.

1. Hormonal Changes: Hormones play a crucial role in hair growth. Fluctuations in hormone levels, such as those occurring during puberty, menstruation, pregnancy, or menopause, can lead to increased shedding. Conditions like polycystic ovary syndrome (PCOS) can also affect hormone levels and lead to hair loss in various body areas.

2. Stress: Psychological or physical stress can trigger a condition known as telogen effluvium, where hair follicles prematurely enter the shedding phase. This can result in noticeable hair loss in various regions, including the pubic and armpit areas.

3. Skin Conditions: Conditions such as folliculitis, eczema, or dermatitis can affect hair follicles and lead to increased shedding. If you have noticed any redness, itching, or irritation in these areas, it may be worth consulting a dermatologist.

4. Nutritional Deficiencies: A lack of essential nutrients such as vitamins (especially B vitamins), minerals (like zinc and iron), and proteins can impact hair health. If your diet has changed recently or if you have been experiencing other symptoms of deficiency, this could be a contributing factor.

5. Medications: Certain medications can have side effects that include hair loss. If you have started any new medications recently, it’s worth discussing this with your healthcare provider.

6. Genetics: Just as with scalp hair, genetic factors can influence hair growth in other areas of the body. If there is a family history of hair loss or thinning in these regions, it may be a contributing factor.

7. Underlying Health Conditions: Conditions such as autoimmune disorders, thyroid issues, or other systemic diseases can lead to hair loss. If you have other symptoms or concerns about your health, it may be beneficial to seek a comprehensive evaluation.

If you are experiencing significant hair loss in your pubic and armpit areas, it is advisable to consult a healthcare professional. A dermatologist or endocrinologist can help determine the underlying cause through a physical examination, medical history, and possibly laboratory tests. They can provide you with appropriate treatment options based on the diagnosis.

In the meantime, maintaining a balanced diet, managing stress through relaxation techniques, and ensuring proper hygiene can help support overall hair health. Avoiding harsh chemicals or irritants in personal care products may also be beneficial.

In summary, while increased hair loss in the pubic and armpit areas can be alarming, understanding the potential causes can help you address the issue effectively. Seeking professional advice is the best course of action to ensure that any underlying conditions are identified and treated appropriately.

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