Hair loss is a common concern for many, but not all hair loss is the same. One condition that can cause sudden and noticeable hair shedding is known as telogen effluvium. At The Rushton Clinic, we frequently encounter cases of telogen effluvium, and we understand how distressing it can be for those affected. In this article, we'll explore what telogen effluvium is, what causes it, how to recognise it, and the available treatment options.
What is Telogen Effluvium?
Telogen effluvium (TE) is a form of temporary hair loss that occurs when a large number of hair follicles enter the resting (telogen) phase of the hair growth cycle simultaneously. Normally, around 10-15% of hair follicles are in the telogen phase at any given time, with the rest in the growth (anagen) or transition (catagen) phases. However, in cases of telogen effluvium, this percentage increases dramatically, leading to a noticeable increase in hair shedding.
TE typically results in diffuse thinning across the scalp rather than bald patches, making the hair appear less dense overall. While the condition is usually temporary, it can be alarming, particularly when hair loss is sudden or severe.
What Causes Telogen Effluvium?
Telogen effluvium is often triggered by a significant stressor or change in the body. Some of the most common causes include:
Physical or Emotional Stress:Â Severe stress, whether physical (such as surgery, illness, or injury) or emotional (such as the loss of a loved one), can disrupt the hair growth cycle and push more hair follicles into the telogen phase.
Hormonal Changes:Â Hormonal fluctuations, particularly those related to pregnancy, childbirth, menopause, or discontinuation of oral contraceptives, can lead to TE. Thyroid imbalances and other endocrine disorders can also be culprits.
Nutritional Deficiencies:Â A lack of essential nutrients, particularly iron, zinc, and vitamin D, can contribute to telogen effluvium. Sudden weight loss or extreme dieting can also trigger the condition.
Medications:Â Certain medications, including those for high blood pressure, antidepressants, and some forms of hormone therapy, can induce TE as a side effect.
Acute Illness or Fever:Â High fever or severe infection, including viral illnesses like COVID-19, can cause temporary hair loss several weeks to months after the illness.
Surgery or Trauma:Â Major surgeries or physical trauma can shock the body, leading to telogen effluvium.
Symptoms of Telogen Effluvium
The primary symptom of telogen effluvium is increased hair shedding. This typically occurs 2-3 months after the triggering event. Key signs to look out for include:
Diffuse Hair Thinning:Â Unlike conditions that cause bald patches, telogen effluvium results in overall thinning across the scalp.
Increased Hair Shedding:Â You may notice more hair in your brush, on your pillow, or in the shower drain.
Visible Scalp:Â As the hair thins, the scalp may become more visible, especially in bright light or when hair is parted.
No Inflammation or Scarring:Â TE does not cause inflammation, redness, or scarring on the scalp, which differentiates it from other types of hair loss.
Diagnosis and Treatment
If you suspect you have telogen effluvium, it’s important to seek a professional diagnosis. While some triggers of TE may self-correct, others will require crucial investigations to identify the underlying cause. At The Rushton Clinic, we conduct a thorough clinical assessment, including a detailed history of your health, lifestyle, and any recent stressors or changes. We may also perform trichoscopy (scalp examination with highly magnified digital video imaging) and, if necessary, targeted nutritional and hormonal blood tests to check for underlying deficiencies or imbalances.
Treatment for Telogen Effluvium
The good news is that telogen effluvium is usually temporary, and in most cases, hair growth resumes on its own once the underlying cause is addressed. However, treatment options are available to help support hair regrowth and manage symptoms:
Addressing the Underlying Cause: The most important step in treating TE is identifying and addressing the underlying cause. Whether it’s managing stress, correcting a nutritional deficiency, or adjusting medication, resolving the trigger can help the hair growth cycle return to normal.
Nutritional Support:Â Ensuring a balanced diet rich in essential vitamins and minerals is crucial for hair health. Supplements such as, iron, zinc, and vitamin D may be recommended if deficiencies are identified.
Stress Management:Â Learning to manage stress through techniques like mindfulness, meditation, or counselling can be beneficial, particularly if stress is the trigger for TE.
Patience and Monitoring:Â Telogen effluvium often resolves over time. Regular follow-ups and monitoring can help track progress and ensure that hair regrowth is occurring as expected.
When to Seek Help
If you’re experiencing significant hair shedding or if the shedding persists for more than a few months, it’s important to consult with a trichologist or hair loss specialist. While telogen effluvium is often temporary, prolonged hair loss could indicate other underlying conditions that require attention.
At The Rushton Clinic, we specialise in diagnosing and treating all forms of hair loss, including telogen effluvium. Our expert team is here to provide you with personalised care and guidance, helping you understand your condition and explore the best treatment options available.
Final Thoughts
Telogen effluvium can be a distressing experience, but understanding the condition and knowing that it is often temporary can provide some reassurance. With the right care and support, most people will see their hair return to its previous fullness. If you’re concerned about sudden or excessive hair shedding, don’t hesitate to reach out to us at The Rushton Clinic. We’re here to help you regain your confidence and support you on your journey to healthier hair.
If your concerned about Telogen Effluvium contact us today.
コメント