Telogen Effluvium: Is Your Hair Loss Normal? - Dermatology

Share to:

Telogen effluvium


Hello Doctor: I would like to ask about our usual hair loss (such as hair loss while washing, blow-drying, or other body hair like eyebrows and pubic hair).
When these hairs fall out, is there usually a small white bulb at the root? I found information online stating that this type of hair loss indicates telogen effluvium, so does this mean that most of the hair we lose is typically in the telogen phase? Is this normal? Thank you for your response! ^ ^

Xiao Bai, 20~29 year old female. Ask Date: 2013/05/13

Dr. Wu Yuxin reply Dermatology


Under normal circumstances, the hair that falls out is typically in the telogen phase.
As long as the amount of hair loss is not excessive, it is considered normal.

Reply Date: 2013/05/13

More Info


Understanding hair loss can be a complex issue, and it's important to differentiate between normal shedding and conditions that may require medical attention. The phenomenon you're describing is known as telogen effluvium, which is a common form of hair loss characterized by the shedding of hair that is in the telogen phase of the hair growth cycle.

To clarify, hair goes through three main phases: the anagen (growth) phase, the catagen (transitional) phase, and the telogen (resting) phase. During the telogen phase, hair follicles are inactive, and hair is eventually shed. It's completely normal to lose some hair daily, with estimates suggesting that losing around 50 to 100 hairs per day is typical for most people. The presence of a small white bulb at the root of the hair when it falls out indicates that the hair was in the telogen phase, which is a normal part of the hair cycle.

In your case, if you notice that the hair loss is consistent with the shedding of hair that has a white bulb at the end, it is likely that you are experiencing normal telogen shedding. However, if you are observing an increase in the amount of hair you are losing, or if you notice thinning in specific areas, it may be worth consulting a dermatologist or a trichologist for a thorough evaluation. They can help determine if there are underlying factors contributing to your hair loss, such as stress, hormonal changes, nutritional deficiencies, or other medical conditions.

Stress is a significant factor that can trigger telogen effluvium. Situations such as major life changes, illness, or even psychological stress can push a larger number of hair follicles into the telogen phase, leading to increased shedding. If you are experiencing stress, it may be beneficial to incorporate stress-reducing techniques into your routine, such as exercise, meditation, or counseling.

Additionally, it's important to consider your overall hair care routine. While washing your hair regularly is essential for scalp health, using harsh shampoos or products that are not suitable for your hair type can potentially irritate the scalp and contribute to hair loss. If you have oily hair, it may be tempting to wash it daily, but using a gentle, sulfate-free shampoo can help maintain scalp health without stripping natural oils.

If you are concerned about the health of your hair or if the shedding persists, it may be advisable to explore treatments that promote hair growth. Products containing minoxidil, for example, have been shown to be effective for some individuals experiencing hair thinning. However, it's essential to consult with a healthcare professional before starting any new treatment to ensure it is appropriate for your specific situation.

In summary, while some hair loss is normal and can be attributed to the natural hair growth cycle, significant changes in hair density or increased shedding should be evaluated by a professional. Understanding the underlying causes of your hair loss can help you take appropriate steps to manage it effectively. Remember, maintaining a healthy lifestyle, managing stress, and using suitable hair care products can all contribute to the overall health of your hair.

Similar Q&A

Understanding Hair Loss: Is It Male Pattern Baldness or Telogen Effluvium?

Hello Doctor: I have been experiencing hair loss after taking oral isotretinoin for 4.5 months. I stopped the medication two months ago, but there hasn't been a noticeable improvement. I visited a large hospital where the doctor briefly assessed me and suggested it might be ...


Dr. Wu Yuxin reply Dermatology
These two types of hair loss are completely different symptoms. I cannot respond to your situation without seeing it; an actual examination is necessary to determine the cause.

[Read More] Understanding Hair Loss: Is It Male Pattern Baldness or Telogen Effluvium?


Understanding Hair Loss: Insights on Telogen Effluvium and Male Pattern Baldness

Dr. Huang, does the M-shaped hairline need to recede significantly to be considered? For example, like that of Hsieh Chang-ting? A dermatologist previously mentioned that I have telogen effluvium due to excessive worry about hair loss from seborrheic dermatitis. I asked the docto...


Dr. Huang Ruiyun reply Dermatology
Hsiao Chang-ting is not considered bald. Telogen effluvium can occur throughout the entire scalp in any area.

[Read More] Understanding Hair Loss: Insights on Telogen Effluvium and Male Pattern Baldness


Understanding Hair Loss: Is It Normal Shedding or Male Pattern Baldness?

Hello Dr. Zheng, I am a patient with early-stage androgenetic alopecia and have bilateral receding hairlines. I am undergoing low-level laser therapy. I have oily hair, so I wash my hair frequently; however, I notice some hair loss during washing and drying. What I want to know i...


Dr. Zheng Lizhen reply Dermatology
Hello! It is fine to wash your hair every day. Best wishes for health from Dr. Cheng Li-Chen, Dermatology Department, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Understanding Hair Loss: Is It Normal Shedding or Male Pattern Baldness?


Is Your Hair Loss Normal? Insights from a Dermatologist

Hello, doctor. I lose about 120-200 hairs every day just from washing and blow-drying my hair. Is this normal? This has been ongoing for 5 to 6 months. I have seen a dermatologist, but they didn't say much, only suggesting that I could use a hair growth serum. I have hyperth...


Dr. Li Yufen reply Dermatology
Hello: Losing 120-200 hairs daily is not considered normal. It is recommended to visit a hospital for hair loss-related examinations to rule out any underlying health issues that may be causing the hair loss. Thank you!

[Read More] Is Your Hair Loss Normal? Insights from a Dermatologist


Related FAQ

Hair Loss

(Dermatology)

Hair Dye

(Dermatology)

Hair Growth Solution

(Dermatology)

Scalp

(Dermatology)

Body Hair

(Dermatology)

Male Pattern Baldness

(Dermatology)

Hair

(Rare Disease)

Follicular Obstruction

(Dermatology)

Hair

(Surgery)

Keratosis Pilaris

(Dermatology)