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Skin & Hair Concerns
Question #24000
45 days ago
76

why hairfall occur - #24000

Sia

I am super worried about my hairfall. Like, it’s really bad right now! I’ve noticed that over the past few months, my hair is falling out more than usual. I used to have thick hair and now I’m seeing strands everywhere — on my clothes, in the shower, and I can even see my scalp more than before. I tried noting when it happens, and I think it’s worse after I wash it, which is usually every other day. My friends said it’s probably stress or maybe something in my diet, but I can’t really pinpoint anything specific that's changed! I thought maybe hormones could be a thing for me, since I have irregular periods and feel all over the place, but could that be a reason for why hairfall occur? Also, I read online about genetics playing a role and I remember my mom had thin hair too but it didn’t start until she was older, I’m only in my late 20s, and already struggling with this. Why hairfall occur in my case especially? Is there something specific I should be looking for? I’ve just been feeling hopeless about it and any insights would mean the world!

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Doctors' responses

Hairfall can indeed be concerning, and it can happen for a number of reasons, making it a bit tricky to pinpoint the exact cause without a bit more info. Stress, dietary deficiencies, hormonal imbalances, or even genetic predispositions you’ve heard about from your family—these are all valid contributors. Since you’re also mentioning irregular periods and generally feeling “all over the place,” hormones could certainly play a part. Conditions like polycystic ovary syndrome (PCOS) can lead to hormonal changes resulting in hair thinning or loss. It’s worth getting your hormone levels checked with a health professional who can run specific tests and identify if, for example, androgen levels are elevated. Besides hormones, nutrients deficiency like low levels of iron, vitamin D, or problems with thyroid function could also be involved and might require straightforward lab investigations. Dietary changes, like ensuring you’re getting adequate protein and essential fatty acids, could help too. If stress is a trigger, determining whether it might be acute or chronic is crucial because it leads to a condition called telogen effluvium, wherein a larger number of hairs shift to the shedding phase. As for hair care, consider gentle handling—don’t brush too hard when wet, air dry instead of blow-drying when possible, and maybe switch to shampoos that are sulfate-free, which can be gentler on your scalp. Genetic factors, as you’ve noted, often play a role, but it’s unusual in your late 20s unless triggered by other overlapping causes, which calls for early intervention. I highly suggest scheduling an appointment with a dermatologist or endocrinologist who might give more direct insight into your situation, including specialized treatments if needed. They may also discuss the potential benefits of topical or oral medications if they deem it appropriate.

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