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Hello doctor, every time I wash my hair, I notice hair loss...
especially when I'm doing hair treatments, I pull out a large handful of hair, about 30-50 strands.
I also lose some hair when I comb it, but not as much as when I wash it.
Is this normal? I'm only 25 years old.
Tiantian, 20~29 year old female. Ask Date: 2013/03/20
Dr. Wu Yuxin reply Dermatology
To determine whether it is normal or not, an examination of the scalp and hair is necessary! If there is a noticeable increase in hair loss compared to previous experiences, it is advisable to seek medical attention and start treatment as soon as possible.
Reply Date: 2013/03/20
More Info
Experiencing hair loss at the age of 25 can be concerning, and it is important to understand what is considered normal and what may indicate an underlying issue. Hair loss, or alopecia, can occur for various reasons, and while some shedding is normal, excessive hair loss can be a sign of a medical condition.
Firstly, it is important to note that losing 50 to 100 hairs a day is generally considered normal. This is part of the natural hair growth cycle, where hair follicles go through phases of growth, rest, and shedding. However, if you are noticing a significant increase in hair loss, especially if it is accompanied by thinning or bald patches, it may warrant further investigation.
In your case, you mentioned that you experience a substantial amount of hair loss during washing and conditioning, which could be indicative of several factors. One possibility is androgenetic alopecia, commonly known as male or female pattern baldness, which is hereditary and can begin as early as your twenties. This condition typically presents as thinning at the crown or a receding hairline.
Another potential cause could be telogen effluvium, a temporary condition often triggered by stress, hormonal changes, or nutritional deficiencies. Since you mentioned having a history of anemia, even if it is not the type that typically causes hair loss, it is worth considering that any imbalance in your body could contribute to hair shedding.
Additionally, scalp conditions such as seborrheic dermatitis or psoriasis can lead to hair loss. These conditions often present with symptoms like itching, flaking, or redness on the scalp, which could explain the discomfort you are experiencing. If you notice any unusual symptoms, it is advisable to consult a dermatologist for a thorough examination.
Regarding treatment options, if your hair loss is determined to be due to androgenetic alopecia, medications such as minoxidil (Rogaine) or finasteride (Propecia) may be recommended. Minoxidil is a topical solution that can help stimulate hair growth and is available over the counter. Finasteride, on the other hand, is an oral medication that requires a prescription and is typically used for male pattern baldness but can also be effective for women in certain cases.
It is also crucial to manage stress levels, as anxiety and worry about hair loss can exacerbate the problem. Engaging in relaxation techniques, regular exercise, and maintaining a balanced diet rich in vitamins and minerals can support overall hair health.
In summary, while some hair loss is normal, excessive shedding at the age of 25 should be evaluated by a healthcare professional. A dermatologist can provide a proper diagnosis and recommend appropriate treatments based on the underlying cause of your hair loss. Early intervention can often lead to better outcomes, so seeking help sooner rather than later is advisable.
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