Hair Loss: Causes, Concerns, and Care Tips - Dermatology

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Hair loss


Hello,
For about the past six months, I've noticed that the hair on the left side of my scalp has been thinning.
Three months ago, I cut off the permed hair (which I had done a year ago), and I clearly observed that my hair has become significantly less.
My friends have also noticed this, and occasionally when I go to the salon for a wash, the staff comments that I don't have much hair.

In addition to being sparse, my hair is very fine, which makes it feel even thinner.
Out of concern, I researched online and found a website for consultation.
According to what I read, a normal daily hair loss is under 100 strands.
Based on my observations, my hair loss seems to be within this range, but it’s mostly long hair that falls out, and my hair grows slowly (during my student days, I would only get a haircut every two months), so I’m very worried it will continue to decrease.

Also, could stress be a contributing factor? I do have work-related stress, but the pressure from my family to get married seems to be greater than the work stress.
I would like to ask the doctor how I can take care of myself.
Additionally, if I need to see a dermatologist, could you recommend where I should go?

Afra, 20~29 year old female. Ask Date: 2006/09/20

Dr. Jiang Yujiao reply Dermatology


Hello: In response to your question, if there is hair loss in only one area, consider (1) alopecia areata, (2) localized skin lesions causing hair loss, or (3) external factors such as trichotillomania or tight hairstyles leading to hair loss.
Most of these cases will regrow hair.
If hair loss is due to stress, aside from alopecia areata or trichotillomania, it is likely to be diffuse hair loss.
Please consult a licensed dermatologist or visit the dermatology outpatient department at a hospital.

Reply Date: 2006/09/20

More Info


Hair loss can be a distressing experience, and understanding its causes, concerns, and care tips is essential for managing the situation effectively. Based on the information provided, it seems that you are experiencing localized thinning of hair, particularly on the left side of your scalp, which has become noticeable to both you and those around you. You mentioned that your hair is fine and that you have been under significant stress, both from work and family expectations regarding marriage.

Causes of Hair Loss
Hair loss can be attributed to a variety of factors, including genetics, hormonal changes, medical conditions, and lifestyle choices. In your case, several potential causes could be contributing to your hair loss:
1. Genetics: If there is a family history of hair loss, particularly male or female pattern baldness, this could be a significant factor. Genetic predisposition often leads to gradual thinning of hair over time.

2. Stress: Psychological stress, whether from work or personal life, can lead to a condition known as telogen effluvium. This condition causes hair follicles to enter a resting phase prematurely, leading to increased shedding. The stress you are experiencing regarding family expectations could be exacerbating your hair loss.

3. Hair Care Practices: If you have recently cut off permed hair, it’s possible that the transition from chemically treated hair to natural hair may have revealed underlying thinning that was previously masked by the volume of the curls. Additionally, harsh hair care products or excessive styling can contribute to hair damage and loss.

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


Concerns Regarding Hair Loss
It’s understandable to be concerned about hair loss, especially when it becomes noticeable to others. While losing up to 100 hairs a day is considered normal, the perception of thinning hair can be distressing. The fact that you have noticed a decrease in hair density, particularly in a specific area, warrants attention.

Self-Care Tips
To manage and potentially improve your hair health, consider the following self-care tips:
1. Balanced Diet: Ensure you are consuming a diet rich in vitamins and minerals. Foods high in protein, iron, omega-3 fatty acids, and vitamins A, C, D, and E can promote hair health. Consider incorporating leafy greens, nuts, seeds, fish, and lean meats into your meals.

2. Stress Management: Engage in stress-reducing activities such as yoga, meditation, or regular exercise. Finding healthy outlets for stress can help mitigate its impact on your hair.

3. Gentle Hair Care: Avoid harsh hair treatments and minimize the use of heat styling tools. Opt for gentle shampoos and conditioners that are sulfate-free and designed for fine or thinning hair.

4. Scalp Care: Regular scalp massages can stimulate blood circulation to the hair follicles, potentially promoting hair growth.
5. Avoid Tight Hairstyles: Styles that pull on the hair can lead to traction alopecia, which causes hair loss. Opt for looser styles that do not stress the hair shaft.


When to See a Dermatologist
If your hair loss continues or worsens, it would be wise to consult a dermatologist or a trichologist (a specialist in hair and scalp health). They can perform a thorough examination of your scalp, assess your hair loss pattern, and possibly conduct tests to rule out any underlying medical conditions.
In summary, while hair loss can be concerning, understanding its potential causes and implementing self-care strategies can help you manage the situation. If necessary, seeking professional advice will provide you with tailored solutions and peace of mind.

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