Hair Loss: Causes, Symptoms, and When to Seek Help - Dermatology

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Hair loss issues?


Hello, doctor.
Recently, I turned 30, and a year ago, my hairstylist mentioned that my hair density was decreasing.
I've also noticed signs of inflammation lately, and I've observed a significant increase in hair loss while washing my hair.
Although I considered it might be due to habits, such as wearing a helmet, and the cleanliness of my pillow and bed sheets, I haven't seen any improvement after making changes for two to three months.
Now, I've also noticed that my hair quality has deteriorated; it has become dry, flat, and lacks elasticity.
I've been using the same brand of shampoo for two to three years.
Additionally, I've recently changed jobs, which has altered my lifestyle, causing me to sleep later and only get about six hours of sleep.
What factors could be causing my hair loss? Could it be related to hormonal imbalances? Which specialist should I see?

AJ086, 30~39 year old female. Ask Date: 2023/10/04

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to the causes of hair loss, you can refer to the article from Jskin Dermatology Clinic at http://jskin.com.tw/m/404-1535-38356.php.
If the hair loss condition does not improve or worsens, it is recommended to consult a nearby dermatologist for diagnosis and treatment at https://www.derma.org.tw/finddoctor/.
Thank you!

Reply Date: 2023/10/04

More Info


Hair loss can be a distressing experience, especially when it becomes noticeable and affects your self-esteem. Understanding the potential causes, symptoms, and when to seek help is crucial for addressing this issue effectively.

Causes of Hair Loss
1. Genetic Factors: One of the most common causes of hair loss is androgenetic alopecia, also known as male or female pattern baldness. This hereditary condition can start as early as your 20s and is characterized by gradual thinning of hair on the scalp.

2. Hormonal Changes: Hormonal imbalances can significantly impact hair health. Conditions such as polycystic ovary syndrome (PCOS) in women or thyroid disorders can lead to hair thinning. Changes in hormone levels due to pregnancy, menopause, or other medical conditions can also contribute to hair loss.

3. Stress: Psychological stress can trigger a type of hair loss called telogen effluvium, where hair follicles enter a resting phase and shed more than usual. Life changes, such as moving to a new country or starting a new job, can increase stress levels and exacerbate hair loss.

4. Nutritional Deficiencies: A diet lacking in essential nutrients, particularly proteins, iron, and vitamins (like Vitamin D and B vitamins), can lead to hair loss. Ensuring a balanced diet rich in these nutrients is vital for maintaining healthy hair.

5. Medical Conditions: Certain medical conditions, such as autoimmune diseases (like alopecia areata), scalp infections, or skin disorders (like psoriasis), can cause hair loss.
6. Hair Care Practices: Overuse of hair products, frequent dyeing, or heat styling can damage hair and lead to breakage. If you’ve been using the same shampoo for years, it might be worth considering a change, especially if you notice a decline in hair quality.


Symptoms to Watch For
- Increased Hair Shedding: Noticing more hair in your brush or on your pillow can be a sign of hair loss.

- Thinning Hair: A visible reduction in hair density or widening part lines.

- Changes in Hair Texture: Hair may become dry, brittle, or lose its natural shine.

- Scalp Issues: Itching, redness, or inflammation on the scalp can indicate underlying problems that may contribute to hair loss.


When to Seek Help
If you notice significant changes in your hair or scalp, it’s essential to consult a healthcare professional. A dermatologist or a trichologist (a specialist in hair and scalp disorders) can provide a thorough examination and recommend appropriate tests, such as blood tests to check for hormonal imbalances or nutritional deficiencies.


Recommendations for Management
1. Healthy Lifestyle: Maintain a balanced diet rich in vitamins and minerals. Foods high in omega-3 fatty acids, antioxidants, and proteins can promote hair health.

2. Stress Management: Engage in stress-reducing activities such as yoga, meditation, or regular exercise to help mitigate the effects of stress on hair loss.

3. Proper Hair Care: Avoid harsh chemicals and heat styling tools. Opt for gentle shampoos and conditioners that suit your hair type.

4. Medical Treatments: Depending on the diagnosis, treatments may include topical minoxidil, oral medications, or even hair transplant procedures for more severe cases.

5. Regular Check-ups: If you suspect hormonal issues, consult an endocrinologist to evaluate your hormone levels and overall health.

In conclusion, hair loss can stem from a variety of factors, including genetics, hormonal changes, stress, and nutritional deficiencies. If you are experiencing significant hair loss, it is advisable to seek professional help to determine the underlying cause and appropriate treatment options. Taking proactive steps in managing your hair health can lead to improvements and alleviate concerns about hair loss.

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