Hair Loss: Is It Related to Anemia? - Dermatology

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Hair loss issues


Hello Doctor: I used to have a lot of hair, but in the past few months, I've noticed significant hair loss, especially when I wash my hair, as there is a large clump of hair in the drain.
After blow-drying, there is also a lot of hair on the floor, which has never happened before and is making me a bit worried.
I have Mediterranean anemia and was diagnosed with iron deficiency anemia six months ago, for which I was taking iron supplements but have since stopped.
Doctor, is this level of hair loss abnormal? Is it related to my anemia? Should I seek medical attention? Which specialty should I consult? Thank you!

Miss Lin, 40~49 year old female. Ask Date: 2014/01/11

Dr. Wu Yuxin reply Dermatology


Unexplained hair loss should always be evaluated by a healthcare professional.
A physical examination is necessary, and if needed, hematological tests should be conducted to rule out potential issues such as autoimmune disorders or thyroid problems.
Anemia is also a possible cause of hair loss.
It is recommended to first consult a dermatologist for the relevant physical examinations.

Reply Date: 2014/01/11

More Info


Hair loss can be a distressing experience, and understanding its potential causes is crucial for effective management. In your case, you mentioned experiencing significant hair loss over the past few months, particularly during hair washing and drying. Additionally, you have a history of Mediterranean anemia and iron deficiency anemia, for which you were previously treated with iron supplements.

First and foremost, it is important to recognize that hair loss can be influenced by a variety of factors, including genetics, hormonal changes, nutritional deficiencies, and underlying medical conditions. In your situation, the connection between hair loss and anemia, particularly iron deficiency anemia, is worth exploring.

Iron plays a vital role in the production of hemoglobin, which carries oxygen in the blood. Adequate oxygen supply is essential for the health of hair follicles. When the body is deficient in iron, it can lead to a condition known as telogen effluvium, where hair follicles prematurely enter the resting phase of the hair growth cycle, resulting in increased shedding. This type of hair loss is often temporary and can improve once iron levels are restored.

Given your history of iron deficiency anemia, it is plausible that your hair loss could be related to this condition. However, since you have stopped taking iron supplements, it is essential to assess your current iron levels and overall nutritional status. A blood test can help determine if you are still experiencing iron deficiency or if there are other nutritional deficiencies contributing to your hair loss.

In addition to iron deficiency, other factors may also be at play. Stress, hormonal imbalances (such as those related to thyroid function), and scalp conditions (like seborrheic dermatitis or alopecia areata) can also lead to hair loss. Since you have a history of Mediterranean anemia, it is advisable to consult a healthcare professional who can evaluate your overall health and determine if there are any underlying conditions that need to be addressed.

When seeking medical advice, it would be best to consult a dermatologist or a healthcare provider specializing in hair loss. They can perform a thorough examination, review your medical history, and possibly conduct blood tests to evaluate your iron levels and other relevant parameters. Based on their findings, they can recommend appropriate treatments or lifestyle changes to help manage your hair loss.

In the meantime, consider adopting a balanced diet rich in iron, vitamins, and minerals to support hair health. Foods such as lean meats, leafy greens, legumes, nuts, and seeds can help improve your nutritional status. Additionally, managing stress through relaxation techniques, regular exercise, and adequate sleep can also positively impact hair health.

In summary, your hair loss may indeed be related to your history of iron deficiency anemia, but it is essential to investigate further to rule out other potential causes. Consulting a dermatologist or a healthcare provider specializing in hair loss will provide you with the best guidance tailored to your specific situation. Remember that hair loss can be a multifactorial issue, and addressing it holistically will yield the best results.

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