Abnormal Hair Loss: Causes and Solutions for New Moms - Dermatology

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Abnormal hair loss


Hello Dr.
Cheng, I have been experiencing abnormal hair loss for the past two weeks, especially when washing or combing my hair, which seems to be getting worse.
I have a four-month-old baby; could this be related to my recent childbirth, or could there be other reasons? Additionally, I often tie my hair in a ponytail or clip it at the back of my head, but this often causes my scalp to feel painful.
What could be the reason for this?

Tina, 20~29 year old female. Ask Date: 2002/02/13

Dr. Zheng Lizhen reply Dermatology


1.
Hair loss can occur in various situations, such as androgenetic alopecia, alopecia areata, syphilis, lupus, leprosy, tinea capitis, injury, trichotillomania, seborrheic dermatitis, hypothyroidism, postpartum, after a major illness, and more.
Postpartum hair loss is mostly temporary and reversible.

2.
Mechanical pulling of the hair can certainly lead to damage to the hair follicles on the scalp, so avoid tying the hair too tightly to prevent excessive tension, and allow the hair and scalp follicles to rest periodically.

Reply Date: 2002/02/13

More Info


Hello! Thank you for your question regarding abnormal hair loss, especially in the context of being a new mom. It’s understandable to be concerned about hair loss after giving birth, as many women experience this phenomenon, commonly referred to as postpartum hair loss.

Postpartum hair loss is primarily linked to hormonal changes that occur after childbirth. During pregnancy, elevated levels of estrogen prolong the growth phase of hair, leading to thicker hair. However, after delivery, estrogen levels drop, which can trigger a significant shedding phase known as telogen effluvium. This condition typically manifests around three to six months postpartum and can last for several months. The good news is that this type of hair loss is usually temporary, and most women will notice their hair returning to its normal growth cycle within a year.

In addition to hormonal changes, other factors may contribute to hair loss in new mothers. Stress, sleep deprivation, and nutritional deficiencies can all play a role. Caring for a newborn can be overwhelming, leading to increased stress levels, which can exacerbate hair loss. Furthermore, if your diet is lacking in essential nutrients such as iron, zinc, and vitamins (especially B vitamins), this could also affect hair health.

Regarding your habit of tying your hair back tightly, this can lead to a condition known as traction alopecia. This occurs when hair is pulled too tightly, causing stress on the hair follicles and potentially leading to hair loss. If you are experiencing scalp pain, it may be a sign that your hair is being subjected to excessive tension. It’s advisable to give your hair and scalp a break by opting for looser hairstyles or allowing your hair to rest without any tight accessories.

To address your concerns, here are some recommendations:
1. Nutrition: Focus on a balanced diet rich in vitamins and minerals. Foods high in protein, iron, and omega-3 fatty acids can support hair health. Consider incorporating leafy greens, nuts, seeds, fish, and lean meats into your meals.

2. Stress Management: Engage in relaxation techniques such as yoga, meditation, or deep-breathing exercises to help manage stress levels. Finding time for self-care, even in small increments, can be beneficial.

3. Gentle Hair Care: Avoid tight hairstyles and give your hair a break from pulling. Use a wide-toothed comb to minimize breakage and consider using a gentle shampoo and conditioner designed for sensitive scalps.

4. Consult a Professional: If your hair loss persists or worsens, it may be beneficial to consult a dermatologist or a trichologist. They can provide a thorough evaluation and recommend treatments tailored to your specific situation.

5. Patience: Remember that postpartum hair loss is a common experience, and while it can be distressing, it is often temporary. Allow your body time to adjust after childbirth.

In summary, your hair loss is likely related to the hormonal changes following childbirth, compounded by stress and possibly tight hairstyles. By focusing on nutrition, managing stress, and adopting gentler hair care practices, you can support your hair's recovery. If you have ongoing concerns, seeking professional advice is always a good step. Take care!

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