Is Hair Loss Linked to Low Ferritin Levels in Women? - Dermatology

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Hair loss and iron deficiency?


Hello doctor, I am experiencing hair loss issues.
Earlier this year, I had some improvement, but I started losing hair again in March.
I had a blood test that showed my ferritin level is 37 ng/mL.
The normal range for females seems to be 11.0-306.8 ng/mL.
Is my level considered low? Although I am not anemic, could this affect my hair? After all, the normal range can go up to around 200-300 ng/mL.
My red blood cell count is 4.50 x 10^6/uL (normal range for females: 3.7-5.5) and my hemoglobin is 13.9 g/dL (normal range for females: 11.3-15.3).

D, 30~39 year old female. Ask Date: 2023/05/19

Dr. Li Yufen reply Dermatology


Hello: Based on the data, there doesn't appear to be an issue with iron deficiency anemia.
There are many causes of hair loss, including infections, metabolic conditions, and autoimmune disorders that also need to be ruled out.
If the hair loss does not improve or worsens, it is advisable to consult a dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2023/05/19

More Info


Hair loss is a multifaceted issue that can be influenced by various factors, including nutritional deficiencies, hormonal imbalances, genetic predispositions, and underlying medical conditions. One of the nutritional factors that has been studied in relation to hair loss is ferritin, a protein that stores iron in the body.
Ferritin levels can indeed have an impact on hair health. In women, low ferritin levels can lead to hair thinning and increased hair shedding. While your ferritin level of 37 ng/mL falls within the normal range (11.0-306.8 ng/mL), it is on the lower end. Some studies suggest that ferritin levels below 70 ng/mL may be associated with hair loss, particularly in women. Therefore, while you may not be classified as having iron deficiency anemia, your ferritin level could still be low enough to contribute to your hair loss issues.

Iron is essential for many bodily functions, including the production of hemoglobin in red blood cells, which carries oxygen to various tissues, including hair follicles. Hair follicles are highly metabolically active and require a sufficient supply of oxygen and nutrients to maintain healthy hair growth. When iron levels are low, the body may prioritize vital functions over hair growth, leading to hair shedding.

In addition to ferritin levels, it is essential to consider other factors that may contribute to hair loss. Hormonal changes, particularly those related to androgens, can also play a significant role. Conditions such as polycystic ovary syndrome (PCOS) can lead to hormonal imbalances that may result in hair thinning or loss. If you have irregular menstrual cycles, as mentioned in previous discussions, it may be worth investigating whether hormonal factors are contributing to your hair loss.

Moreover, stress can exacerbate hair loss. Chronic stress can lead to a condition known as telogen effluvium, where hair follicles prematurely enter the shedding phase. Managing stress through relaxation techniques, exercise, and adequate sleep can be beneficial for overall health and may help reduce hair loss.

If you are experiencing significant hair loss, it is advisable to consult with a healthcare professional, such as a dermatologist or a trichologist, who specializes in hair and scalp disorders. They can perform a thorough evaluation, including a detailed medical history, physical examination, and possibly additional blood tests to assess other potential deficiencies or hormonal imbalances.

In summary, while your ferritin level is not critically low, it is on the lower end of the normal range, which could potentially contribute to your hair loss. It is essential to consider a holistic approach that includes evaluating hormonal levels, managing stress, and ensuring a balanced diet rich in essential nutrients. If hair loss persists, seeking professional guidance is crucial for determining the underlying cause and appropriate treatment options.

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