Managing Excessive Hair Growth and Shedding: Solutions for Scalp Issues - Dermatology

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Abnormal hair growth and hair loss?


Hello, doctor! I would like to ask about my condition over the past six months.
I have experienced a significant increase in body hair (with many new hairs growing), severe oiliness of the scalp, intense itching, hair loss, and my hair has become very sparse.
Are there any methods to improve this situation? Thank you!

Xiao Gao, 30~39 year old female. Ask Date: 2009/05/07

Dr. Jiang Yujiao reply Dermatology


Xiao Gao: Hello, I have experienced a significant increase in body hair over the past six months (with many new hairs growing), and my scalp is very oily, itchy, and I have been losing hair, resulting in thinning hair.
Based on your symptoms, this may be related to elevated male hormones.
Generally, excessive life stress and irregular daily routines can affect hormone secretion.
I recommend that you visit a dermatologist to determine whether the increase in body hair is within normal limits.
If necessary, the doctor may arrange for a blood test.
Response from Jiang Yu-Jiao.

Reply Date: 2009/05/07

More Info


Excessive hair growth and shedding can be distressing and may indicate underlying health issues. Based on your description of increased body hair, oily scalp, itching, and thinning hair, it’s essential to consider several factors that could contribute to these symptoms.

Firstly, the increase in body hair and changes in scalp condition could be linked to hormonal imbalances. Conditions such as polycystic ovary syndrome (PCOS) can lead to excessive hair growth (hirsutism) and scalp issues, including oiliness and hair loss. Hormonal fluctuations can also cause an increase in sebum production, leading to an oily scalp, which can contribute to itching and discomfort.

The itching and hair shedding you’re experiencing may also be related to scalp conditions such as seborrheic dermatitis or dandruff. These conditions can cause the scalp to become inflamed, leading to excessive flaking and itching. The inflammation can also affect hair follicles, potentially leading to hair thinning or shedding.

To address these issues, here are some recommendations:
1. Consult a Dermatologist: It’s crucial to seek professional advice from a dermatologist who can evaluate your scalp condition and overall health. They may perform tests to check for hormonal imbalances or scalp disorders.

2. Scalp Care: Use a gentle, medicated shampoo designed to treat oily scalp and dandruff. Look for ingredients like ketoconazole, salicylic acid, or zinc pyrithione, which can help reduce inflammation and control oil production.

3. Topical Treatments: If your dermatologist diagnoses a specific scalp condition, they may prescribe topical treatments or medicated shampoos to help manage symptoms. For example, corticosteroids can reduce inflammation, while antifungal treatments can address fungal infections.

4. Hormonal Evaluation: If excessive body hair growth is a concern, your doctor may recommend blood tests to evaluate hormone levels. If an imbalance is found, they may suggest treatments such as hormonal therapy to help regulate hair growth.

5. Lifestyle Changes: Maintaining a balanced diet rich in vitamins and minerals can support hair health. Consider incorporating foods high in omega-3 fatty acids, antioxidants, and vitamins A, C, D, and E. Staying hydrated and managing stress through relaxation techniques or exercise can also positively impact your overall health and hair condition.

6. Avoid Harsh Hair Products: Limit the use of hair products that can irritate the scalp or contribute to oiliness. Opt for lightweight, non-comedogenic products that won’t clog pores.

7. Regular Hair Washing: Depending on your scalp condition, you may need to wash your hair more frequently to manage oiliness and prevent buildup. However, be cautious not to over-wash, as this can strip natural oils and lead to further irritation.

In conclusion, managing excessive hair growth and shedding requires a multifaceted approach that includes professional evaluation, proper scalp care, and lifestyle adjustments. By addressing the underlying causes and implementing appropriate treatments, you can improve your scalp health and reduce hair shedding. Remember, early intervention is key to preventing further hair loss and promoting regrowth.

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