Health & hair

When hair loss is a sign of something else

Hormones, illness, stress and some medicines can all cause shedding. Many of these causes are treatable, and the hair often comes back.

DraftPending dermatologist review
Thyroid problems

Both underactive and overactive thyroid can cause diffuse thinning. Hair usually recovers once levels are treated.

Ask about: TSH and thyroid hormone tests

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PCOS

Higher androgen levels can thin hair at the crown and parting, often with acne or irregular periods.

Ask about: Hormone tests, and options like spironolactone

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Iron deficiency

Low ferritin is common, especially with heavy periods or a vegetarian diet, and is linked to shedding.

Ask about: Ferritin and a full blood count

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Stress and shock (telogen effluvium)

A major stressor pushes many hairs into the resting phase. Heavy shedding follows 2–3 months later and usually settles within 6 months.

Ask about: What happened 3 months before the shedding

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After illness or high fever

Typhoid, dengue, COVID-19, surgery and other illnesses often trigger temporary shedding.

Ask about: Timeline of illness and recovery

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Long-term stress

Ongoing stress can keep shedding going and worsen other kinds of hair loss.

Ask about: Sleep, workload, and whether shedding started after a stressful period

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Pregnancy and after delivery

Hair thickens in pregnancy, then sheds heavily 2–4 months after birth. It normally returns within a year.

Ask about: Iron and thyroid checks if it lasts longer

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Vitamin deficiencies

Low vitamin D, B12 or zinc are linked to shedding, particularly in vegetarians.

Ask about: Vitamin D, B12 and, if suspected, zinc

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Alopecia areata

An autoimmune condition causing round bald patches, sometimes more. Newer medicines can help severe cases.

Ask about: Steroid injections, and JAK inhibitors for severe cases

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Dandruff and scalp conditions

Seborrhoeic dermatitis, psoriasis and fungal infections can inflame the scalp and add to hair fall.

Ask about: Whether the scalp is scaly, red or itchy

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Medicines

Some blood thinners, retinoids, antidepressants, beta-blockers and chemotherapy can cause shedding.

Ask about: Whether an alternative is possible. Never stop a medicine on your own

Discussion

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