Jul 09

Can You Color Your Hair If It’s Shedding Due To Telogen Effluvium? Tips That Might Help

By: Ava Alderman: People sometimes ask me if it’s possible to continue to color your hair after it starts falling out or shedding.  After all, having it become thinner over time is bad enough, but having a dull, flat or unflattering color is even worse.  I heard from someone who said: “I think that I have telogen effluvium but I’m not one hundred percent sure.  My hair is shedding pretty badly and it’s averaging around 275 hairs per day.  If this isn’t bad enough, my grey roots are starting to show through.  I normally color my hair myself.  Can I still do this with my shedding? I’m scared to try it, but I look old and dreadful with the grey hairs coming through.” I’ll tell you my take on this in the following article.

Coloring Your Hair Often Means You’ll Lose A Bit More:  I wish I could tell you that I have been able to color my hair during shedding and suffer no increase in hair fall.  Unfortunately, this just isn’t true.  You have to manipulate and tug at your hair a good deal to get the color spread evenly.  This alone is going to make more fall out.  And when you’re already shedding, this can seem unacceptable.  The good news though is that I also noticed less fall in the days following the coloring so that it didn’t turn out to be as bad as I thought.  Yes, I probably did lose more hairs, but the new color looked a lot better so I felt that it was worth it.

With that said, I used to try to color my hair much less to try to spare myself this process.  And over time, I came up with some things that helped me minimize the shedding during or after coloring. I’ll share them below.

Try Glaze:  Hair glaze was a huge weapon in my arsenal. I would mix the colored glaze with my regular conditioner.  And as a result, I would suffer no increase in shed and over time my color was richer.  It wasn’t a permanent solution, but it allowed me a longer reprieve between colorings.

Try Using Non Permanent Or Gentle Color:  Look for dye called “gentle.”  You want something that doesn’t contain ammonia.  The reason for this is the dye can be harsh and can contribute to inflammation on your scalp.  Inflammation can worsen or cause hair loss.  So you want to use the most gentle product you can find.  And you want to leave it on your head the least amount of time that will still be effective.

Consider Using A Root Brush Only On The Hairs You Need To Color: A stylist actually pointed this out to me when she noticed that my ends were darker than the rest of my hair.  She asked me why I was always coloring my whole head and she suggested I only color the hairs that were gray or dull.  I started using one of those wands that colored only roots and the results were very good.  (I used it on the full length of my hair instead of only the roots, but I limited this process to greys.)  This saved my scalp and it lessened the shed hairs.

To answer the question posed though, nothing says you can’t continue to color your hair.  But, you should be as gentle as is possible and you should try to prolong the time between colorings as it’s my experience that coloring increases your shed on that day.  If you are unsure that you can do this yourself, go to a stylist.  Some stylist actually specialize in hair loss and they know how to be very gentle.  I’ve found that most people can do this themselves, but some just feel more comfortable leaving it to the experts.

Of course, these are only temporary fixes.  I did realize this and my main goal was always to stop my hair loss so I wouldn’t have to worry about styling anymore.  This was a long, hard journey but I eventually found some things that helped quite a bit.  You’re welcome to read the whole story on my blog at http://stop-hair-loss-in-women.com/

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Jun 25

Will Worrying About My Telogen Effluvium Prolong Or Worsen My Shedding?

By: Ava Alderman: I often hear from people who would avoid just about anything in order to make their hair shedding end more quickly.  One contributing factor that I am often asked about is stress or worry.

I heard from a young woman who said: “I began shedding about two and a half months after going off of a medication that I took for years.  The shedding has lasted for about nine weeks so far with no signs of letting up.  I am embarrassed to admit this, but I have become obsessed by my hair.  I count the number of hairs I shed.  I research wigs and toppers online because I feel certain I will need one someday.  I add up the number of hairs each week and take a weekly average and then put it on a calendar to see if there is any improvement from week to week. And then I worry when there is not.  My mom says that worrying about my shedding is only going to make me shed worse.  But I can’t find any information to substantiate this.  Is is true?”

If you spend any amount of time researching this topic, you will likely find that there is a lot of debate about it.  A lot of specialists do not believe that worry causes or prolongs shedding.  However, people who have actually gone through this would beg to differ.

There Are Conflicting Opinions Depending On Who You Ask:

To be quite honest, I used to count my hairs also.  And I would often find that the more I worried, the worse the shedding got. Now, there are those who will tell you that once telogen effluvium unleashes, there isn’t much that can help, improve, or worsen it since it simply has to run it’s course.  While I understand this intellectually, experience has shown me something else.  When I was actively shedding, I would immediately react favorably to some shampoos and horribly to others.  (The difference in the amount of hairs was significant with each use.)  I would sometimes even react to certain vitamins or supplements.  And I most definitely believe that I reacted negatively to extreme worry.  If you think about it, worry and stress releases cortisol and this is not only a hormonal change (which can often affect hair or prolong shedding,) but it is also a contributor to androgens which also negatively affects hair.

I also think it’s noteworthy that my shedding improved once I had something come up in my life that forced me to focus my attention on something else.  Now, I know that many will say it was merely time for my shedding to end.  And they may well be right about that.  But I will always believe that my worrying made it worse.

 Why It Just Doesn’t Make Sense To Worry Regardless Of Whether It Makes The Shedding Worse:

Telogen effluvium is bad enough without heaping on the worry.  And honestly, when you are stressed, things are magnified and seem to be about ten times worse than they actually are.  Try to distract yourself.  See if you can go one day and then two or more without counting hairs.  I broke myself of counting hairs this way and it was an enormous relief to me.  Resist the urge to keep hair journals or calendars.  You don’t need to do that.  You know your progress by looking at what comes out when you wash your hair (but not counting it.)  I took to going jogging or cleaning anytime I began to dwell on my hair.  As my body looked stronger, leaner and better, I had something to take pride in and to distract me from my hair.

So to answer the question posed, you’ll hear differences of opinion as to whether worry or stress can prolong shedding or even be an additional trigger.  Many will tell you that it doesn’t make much of a difference because the shedding will run it’s course either way.

While I understand that, it’s my experience that worry did seem to make me shed more and for longer.  And when life dictated that I turn my attention away from my hair, things improved dramatically with my life and with my hair.

Of course, it may have been a coincidence but I will always believe that lowering my stress was a contributing factor to my improvement.  But there were other things that I did to combat inflammation and support regrowth as well.  And I believe that all of these things worked together to help me obtain some improvement.  If it helps, you can read a hair loss story on my blog at http://stop-hair-loss-in-women.com/.

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Jun 19

Are All Of The Hairs That Are Shed With Chronic Telogen Effluvium Replaced? Will It All Grow Back?

By Ava Alderman: I sometimes hear from people who are worried that all of the hair that has been shed from a hair loss condition like chronic telogen effluvium (or CTE) is not going to be replaced. They often can’t help but notice that their hair is becoming much more thin and they worry that the regrowth will never catch up to the loss.

I heard from someone who said: “I have been shedding hair for the past seven months. I am pretty sure that I have chronic telogen effluvium because there is no androgentic alopecia in my family. My question is whether the hairs that I’ve lost are all going to grow back. Because when I look at my hair, it’s obvious that they couldn’t possibly all be regrowing. My hair is so thin right now. Will all of the follicles eventually wake up and regrow the hair that was lost?” I will try to address this concern in the following article.

If You Are Dealing With Telogen Effluvium Instead Of Androgen Driven Hair Loss, It Should All Eventually Grow Back Eventually: The short answer to the question is yes because with telogen effluvium, the hair cycles have only been reset. There isn’t any damage or shrinking of the follicles. So once the cycle moves back to the growing phase, then the hair should regrow. And this is true of every follicle that had previously switched to the resting or shedding cycle.

The reason that regrowth often doesn’t seem to come all at once is that often the person is still shedding hair at the same time that they are regrowing it.  That’s why you sometimes lose short hairs.   As this process is happening, you aren’t going to get the volume that you would if every single follicle stopped shedding and then started regrowing all at the same time. Although this is what many of us wish for, it often isn’t always the way that recovery happens in reality.

Another consideration is that the hair that is regrowing takes a while to become long enough to create any real volume. If much of your hair is made up of short regrowth strands, then you may have to wait a little while before you see any true or noticeable improvement.

If Androgenetic Component Is Involved, You May Have Some Loss In Volume Or In The Number Of Strands Of Hair: I realize that this woman didn’t think that androgenetic alopecia was possible for her. But I am going to mention it because it is the most common type of hair loss and you don’t need a family history to have it. If you have follicles that have been affected by androgens, you may well experience miniaturization. This means that over time, the follicle shrinks so that the hair that grows there becomes smaller and more thin. Some follicles eventually become so affected by this process that they no longer produce a hair. (This is why you can sometimes see bald or very thin places on a scalp with this type of hair loss.)

And someone with androgen driven hair loss might not regrow every single hair that was shed out simply because of the miniaturization process happening over time.

So the answer to the question posed is that if the hair loss really is some sort of telogen effluvium and the follicles are not compromised, then you should regrow all of the hair. But if there is an androgen component, you would have to treat those follicles and diminish the inflammation and the androgens in order to have a chance of regrowing all that you have lost.

The good news is that even if there is an androgen component to your hair loss, there are things that you can do to try to keep the follicle healthy enough to produce a healthy hair.  I feel strongly that although I had chronic telogen effluvium, I saw enough miniaturization to convince me that some of what I was seeing was androgen driven.  And I was able to find a few things that helped. If you like, you’re welcome to read my hair loss story on my blog at http://stop-hair-loss-in-women.com/.

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Jun 13

How Does Telogen Effluvium Resolve Itself?

By: Ava Alderman: I sometimes hear from people who worry that their hair shedding or telogen effluvium is never going to end.  They want to know how it is going to resolve and when.  I heard from a woman who said “I’ve been shedding for about eleven weeks.  I am pretty sure that I have telogen effluvium from going off of contraceptives.  And I’ve read that it can take 2-3 months for this to resolve.  I’ve not seen much improvement so I’m wondering just how this is going to resolve itself and what type of improvement I’m going to see.  Will my hair just suddenly stop shedding one day or is it a gradual process?”  I’ll try to answer these questions in the following article.

The Way That The Shedding Resolves Depends Upon The Trigger:  Some shedding is caused by a trigger that can be removed.  For example, if your scalp was being negatively affected by a new product that you were using and you were having an allergic reaction that caused shedding, sometimes all that is needed is removing the trigger and discontinuing the product. Once this happens, a pretty quick improvement is seen.  Another example is that you’ve added additional stress to your life style.  You body will try to compensate for this by shifting your hair cycle from the growing to the resting phase.  This is your body’s way of reserving its energy. So when you remove that stress from your life, then this process is no longer necessary and the growing phase can resume.

The Process Is Different When The Trigger Can’t Be Changed Or Taken Back:  Sometimes, there is nothing that you can do to remove your trigger.  For example, if you’ve given birth, have had surgery, have had a medical issue or have been ill, there’s not much you can do to turn back time and erase the trigger.   It’s already occurred and all you can do is to try to be gentle with yourself so that you aren’t adding additional stress to your life.  Once this process is in motion,  your body will shift your hair follicles to their resting or shedding phase and you will lose hair as the result.  Once the event passes or your body begins to heal, there’s nothing else that you can really do except for wait for the resting or shedding phase to end and for the growing phase to resume once again.

Most literature that you will read says that this process takes around 3 months.  I find that this is just a general guideline.  Some people get relief before this. And for others, it takes a little longer.  Also, there’s a condition called chronic telogen effluvium which occurs when the shedding lasts for six months or more because of reoccurring triggers, new triggers, or shedding that isn’t caused by the suspected culprit in the first place.

Does Normal Hair Loss Resume Suddenly Or Gradually?:  It’s my observation and experience that most people see a gradual improvement.  It’s every shedding person’s fantasy to wake up one morning and find that you have almost no hair loss, but this typically isn’t the reality, although you may have some really great or low shed days once recovery starts. In my own case, I would see some improvement and have some bad days followed by some really great days, and then I would just gradually find that my average number of shed hairs gradually decreased until I began to see what was a normal amount of hair loss once again.

So to answer the question posed, generally speaking, (since experiences can vary,) telogen effluvium can resolve itself once the trigger is removed or once enough time has passed for normal hair cycles to resume and for the hair to get in the growing phrase once again.

I know that you are probably frustrated.  There were days when I thought my hair loss would never end.  But never stop looking for your triggers and do everything that you can to support a healthy scalp and to decrease inflammation in the mean time.    If it helps, you can read my hair loss story at http://stop-hair-loss-in-women.com/.

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Jun 07

Does Telogen Effluvium Cause Hair To Break Off Or Split?

By: Ava Alderman: I sometimes hear from people who are noticing a lot of broken hairs coming out. Often, they also see very dry or flyaway hair with the presence of split ends. I heard from a woman who said: “I’ve been noticing a lot of fallen hair on my clothing. But, when I examine the hairs very closely, there isn’t a root on the end. So, I think that the hairs are breaking off. I have a friend who went through a bout of hair loss last year and she says that perhaps I have telogen effluvium. I did some research online and I’m not sure if this is correct? I’m not sure if this type of hair loss causes breakage in addition to hair fall.” I will try to address this concern in the following article.

Hair That Falls Due To Telogen Effluvium Sheds Out From The Root. It Usually Doesn’t Break Off. (Although You Can Have Some Breakage:) I’d like to clarify what happens to a hair when it is affected from this type of hair loss.  Essentially, something makes it change where it is in its growth cycle. This may be stress or some medical issue or illness.  But true TE changes hair from the growth phase to the shedding phase.  And, as a result, that same hair sheds out.  What this means is that the root is no longer becoming nourished in the growth phase so the next part of its life cycle is to fall out.  That’s why you can typically look at this type of hair and see a root, a white bulb, or a dark sheath around either one of these.

What the woman in the above scenario was describing was something different.  She wasn’t seeing any evidence of a root.  She was seeing broken hairs which meant that the roots were probably still in tact and her affected hairs were likely still in the growing phase which is not indicative of telogen effluvium. There are other possibilities though.  Often, you will see this type of breakage with some sort of damaging grooming practice like hot irons, or very harsh chemical processes like hair straightening, perming, coloring, or keratin treatments.   Anything that you can make your hair dry or brittle can cause this type of breakage or fall.

Now, here is where it can get a little confusing.  Sometimes, when you have telogen effluvium, your hair can become dry and flyaway since it’s no longer being actively nourished.  And when this happens, some of those hairs can break off.  So, it is definitely possible to see some spent hairs that have roots and some that do not.  In this case, you would have a combination of two different processes.  However, if you have this type of shedding hair loss, you would see a good deal of hair with roots and you would typically be talking about a large amount of hair that is coming out.  Generally speaking, if there’s a lot of hair, most of what you are seeing has a bulb or root, and you can identify a medical issue or trigger, then telogen effluvium is certainly possible.  But, if you don’t have a trigger and you are seeing a smaller amount of broken hairs, then think about whether you’ve participated in anything that could dry out or damage your hair.  Because to answer the question posed, although TE hair can sometimes break off, you generally see this more with hair that has been damaged by a harsh high temperature or chemical process.

I did have some breakage when I had telogen effluvium. However, most of the strands that were falling had roots attached, even if they were also dry and brittle.  It wasn’t until I addressed my trigger and the health of my hair that I began to see some improvement. If it helps, you can my story on my blog at http://stop-hair-loss-in-women.com/.

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May 23

Can Cutting your Hair Stop Telogen Effluvium?

By: Ava Alderman:  I sometimes hear from people who notice that their shedding from telogen effluvium improves after they get a hair cut.  Often, they are quite encouraged by this and they wonder if more cutting would help the situation even more.  I heard from a woman who said: “I have been shedding for four and a half months.  I had put off getting my hair trimmed because any time I even touch my hair, it sheds.  So I didn’t want to be embarrassed by tons of hair coming out in the stylist’s hands.  However, my hair got so shaggy that I just could not put it off anymore.  Unbelievably, when I cut my hair, I had almost zero shedding for the next three days and this was only for a trim.  So I’m wondering what would happen if I got a real cut and took off quite a bit of length.  Would this type of drastic hair cut stop my telogen effluvium?”

I can only tell you my opinion about this, which I’ve seen proven correct many times.  It’s very common for your hair loss to get better after you color and cut your hair.  Why? Because when we are shedding so badly, we develop the habit of handling our hair extremely carefully.  We learn to wash it especially gently and we take special care when we brush or groom it.  However, our stylist doesn’t take this type of care.  So, it’s probable that a lot of hair comes out when she is cutting and styling it.  (And we usually do not see this because we don’t have eyes in the backs of our heads.)

Because of all of the hair fall at our appointment, we have a reprieve in the days following this.  Sometimes, this lasts for a week or so.  But typically, no matter how short we cut our hair, the shedding resumes (unless the telogen effluvium resolves internally, which is possible.)  The reason for this is that, other than cutting your hair, you haven’t made any changes that would affect your shedding.  And cutting your hair only affects it externally.   Telogen effluvium typically only stops when it has finished it’s cycle.  What this means is that once you start to shed, your hair cycle goes from growing to shedding.  And likewise, the shedding stops once your cycle switches back to growing again.  This happens internally.  And nothing that you do externally affects this process.  Cutting your hair can certainly help your hair’s appearance and as I said it can give you a break from the shedding.  But, unless you just coincidentally get your hair cut on the day that your shedding resolved itself and went back into the growing phrase, you aren’t likely to see it stop just because you got a hair cut.

With all of this said, the woman in the above scenario had been shedding for four and a half months.  Telogen effluvium is said to resolve itself after three months.  So, it was possible that she had another type of hair loss happening.  So while cutting her hair could provide her with some relief, it wasn’t likely to stop the shedding until either her hair resumed it’s normal cycles or until she identified the reason that she was really losing hair.  But there’s nothing wrong with cutting your hair if you think that it will look better.  Frankly, shorter hair can be easier to deal with when you are shedding because it takes up less room on your clothing and furniture.

How do I know all of this? Because I lived it. I knew that the number of hairs that I was losing every time I touched or styled it was way too much. But many assured me that everything was normal while my hair continued to fall. In the end, it was a stylist who helped me discover what was wrong. You can read my story at http://stop-hair-loss-in-women.com/.

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May 07

Brittle Or Fly Away Hair And Chronic Telogen Effluvium: What’s The Connection?

By: Ava Alderman:  I often hear from people with long term or chronic telogen effluvium who can’t help but notice a troubling change of texture in their hair.  Often, they describe their hair and brittle, dry, or flyaway and they want to know what they can do to make it look better.  I heard from someone who said: “my hair has been shedding horribly for about seven months.  I’m pretty sure that I have chronic telogen effluvium because my hair started shedding after I lost a lot of weight.  My hair has become very dry, brittle and fly away.  What is causing this texture? And what can I do about it?”  I will try to address these questions in the following article.

Why Hair That Is Shedding Can Take On A New And Undesirable Texture:  The most common reason that hair takes on an odd, dry or flyaway texture when it is shedding is because it is going into the “resting” or shedding phase of its life cycle.  You may already know this, but please bear with me.  Hair has different phases throughout its life cycle as follows: the anagen or growth phase; the catagen or transitional phase (where its neither growing nor shedding;) and the telogen or resting phase (where it is most definitely shedding.)  This is the phase where hair sheds out to make room for new hairs.  So hair in the late part of the telogen phase can become drier because it’s not as deeply embedded into the scalp and isn’t being actively nourished.  (It doesn’t need to be since it will soon be falling out.)

However, when you have telogen effluvium (or the chronic variety,) you have many more hairs than normal in that resting phase and this means that you will have many more hairs than normal that aren’t getting actively nourished.  So your hair’s overall appearance can be brittle or dry even if not every hair on your head meets that description. There are other things that might contribute to this also.  Some hair loss treatments will very aggressively dry out your scalp and your hair.  Some of these topicals have anti androgen components that are meant to rid your scalp or excess oil and sebum.  And while they can do a good job of this, the result can often be that the product is almost over drying to your scalp and to your hair.

What Can You Do About The Fly Away Or Brittle Hair:  There are a couple of tricks that I can offer you.  If your hair is long, allow it to dry either in a ponytail or twisted in a towel if the ponytail pulls out too much hair.  Allowing your hair to dry pulled back will often help it behave much better when it is dry.  Also, you can use gel to tame those fly away hairs or even spray on conditioner which is very light weight.  Finally, if it you can’t even stand the look of the hair, wear it up or pulled back so that it stays tame.  Also, sometimes wearing it wavy or curly will hep to camouflage some of the unruliness or dryness.  Finally, I’ve found that putting a little coconut or emu oil on your hands and smoothing it over the fly aways can help quite a bit.  You just have to be very careful to use a very small amount or your hair could look oily.  Also, try not to get too much oil on your scalp as you don’t want to clog your follicles.

Unfortunately, I know some of these tricks from my own experience.  I shed for much longer than was normal, but I finally found something that helped quite a bit. You can read more of that story at http://stop-hair-loss-in-women.com/.

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Apr 19

I’m Losing 250 Hairs Per Day And Sometimes More. Is This Telogen Effluvium?

By: Ava Alderman:  I often hear from folks who want to tell me how many hairs they are losing per day in the hopes that I can tell them which type of hair loss that they have.  People sometimes write about losing 100, 250, 350, or even up to 500 hairs per day.  I heard from someone who said: “I’m loosing around an average of 250 hairs per day.  The least I’ve lost since the shedding started was around 200.  The most I’ve lost has been around 500.  This is not just a little bit of shedding.  This isn’t the increase you notice in the summer during seasonal hair loss.  No, this is all out shedding and loosing hair all over my floor and on my clothing.  It’s constantly falling down and clogging the drains or littering the floors.  It’s an alarming amount of hair.  Is this telogen effluvium?  And, if so, when will it end? It’s been doing this for over six weeks.”

Although A Large Amount Of Shed Hairs Are Common With Telogen Effuvium, There Are Other Possibilities: Unfortunately, it was impossible for me to say if this woman had telogen effluvium.  I’m not a doctor or medical professional and I couldn’t see or examine her hair.  I can say that a high amount of loss like this can be indicative of telogen effluvium.  It’s commonly believed that people with androgen driven hair loss (like androgetic alopecia, also called AGA) don’t lose nearly this many hairs per day.  Rather, their loss is said to be much more slow.  This can be the case sometimes, but it’s not always the case.  Some people with AGA do shed high amounts of hair, at least some of the time.

There is also a condition called alopecia areata.  However, often the shedding in this condition is patchy rather than diffuse.  Sometimes, the hair loss with type of condition is so aggressive that it leads to total baldness.  Neither of these things appeared to be the case in this situation.

Is There A Trigger?: Other than a high amount of shedding, another hallmark of telogen effluvium is a trigger.  Generally, something happens in your life that places stress on your body.  Since hair growth is not necessary for survival, your hair will shed when the body is stressed in order to build reserves.  Examples of stressors are things like childbirth, dieting, illness, surgery, changing your medications, and severe emotional stress.  Look back in your life and see if you can find a stressor which became a trigger.  Or, ask yourself if it’s possible that you have a medical issue that might be an underlying trigger that you’ve not yet discovered.

The Bottom Line: At the end of the day, her high amount of shedding with the absence of excess androgens or patchy hair loss might have indicated that telogen effluvium was a likely cause of her loss.  But again, I am not a doctor.  If this was in fact telogen effluvium,  you can generally expect the loss to end before the end of six months.  If the hair loss goes on for longer than this, then you are looking at chronic telogen effluvium or another form of hair loss.  But try not to worry about that right now, as stress could make the loss worse.

I know first hand about stress and hair loss because I had CTE or chronic telogen effluvium more than once and I believe that stress was one of my triggers.  Once I successfully addressed my CTE,  I started seeing normal loss and normal textured hair growing in again.  But, it was a long, hard, frustrating journey, especially in the beginning. If it helps, you can read the whole  story on my blog at http://stop-hair-loss-in-women.com/.

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Apr 13

Why Is My Hair Still Shedding Four (4) Months Into Telogen Effluvium?

By: Ava Alderman: I sometimes hear from people who are beyond frustrated that their hair loss is still in full swing long after they hoped that it would end. Many times, they have read or been told that telogen effluvium lasts for around three months. But, several months later, they are still shedding and are wondering why.  I heard from someone who said: “my hair started shedding horribly when I changed birth control pills. I researched this and felt pretty sure that I had telogen effluvium. I also read that it generally lasts three months or less. Well, it has been over 4 months and I am still shedding as badly as when this whole thing started. Why? And when is it going to end?”

There are a couple of reasons why you might still be shedding 4 or more months after the telogen effluvium starts. I will discuss them below.

You Might Be Heading Into Chronic Telogen Effluvium Territory: It’s very common to read or to be told that the shedding should end within three months. But, technically, TE doesn’t become the chronic variety until it has gone on for six months or more. Once the 6 month point passes, then it is classified as chronic telogen and that can last for years. I have read of cases of CTE lasting for 7 years or more. Luckily, this is pretty rare.  The experiences that people have with this condition vary greatly.

You Might Have More Than One Trigger: Sometimes, one trigger kicks off the first round of shedding. (In this case, it was probably the birth control pills.) Then, it is possible for a whole new or second trigger to kick off a new round of shedding. Sometimes, the inflammation from the first bout of hair loss can be the trigger for the second bout of loss. This is just one example, but other triggers are certainly a possibility. I’ve even heard of the stress from the first round contributing to the second round.

It’s Possible That You Don’t Have Telogen Effluvium Or That Something Else Is At Play: It is possible that the first bout of shedding was caused by the change in medication but the current loss was due to other forms of hair loss like androgenetic alopecia. Sometimes, telogen effluvium gives way to other forms of hair loss. Another possibility is that there is now a medical condition or other reason for the hair loss that has nothing to do with the initial round of shedding.  It’s not all that uncommon for telogen effluvium to seemingly age your hair or scalp so that loss that would not have shown itself until years later shows up much earlier.

So what can you do if you are in this situation? You can look at your health, your life style, and your scalp to determine if there might be a new trigger, a medical issue, or the existence of androgenetic alopecia, which is the most common form of hair loss.  If you are looking at androgen driven loss, you might see other symptoms like an itchy scalp and more oil on your face and scalp.  You might also see regrowth that is coming in much more thin than your regular hair.

Finally, it’s possible that the hair loss will end soon and that you will never reach the level of CTE. The three month guideline is only that – a guideline. Unfortunately, hair loss doesn’t always follow a set time frame.

Believe me when I say that I know exactly what you are growing through.  I remember thinking that was going to be home free after a few months of shedding.  But unfortunately, it continued on and on until I finally found what was fueling my triggers and I finally learned how to manage it. If it helps, you can read the whole story at http://stop-hair-loss-in-women.com/

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