Hair Restoration Blog

Q:

Hiya Doc,

I’ve read in a book on hair loss that mentioned, in certain circumstances, hair loss can be caused by emotional or mental stress. I’ve started to lose a bit of hair, but I’m really hoping it’s only temporary, as I don’t think I have genetic hair loss because my two older brothers seem to be doing OK.

How common is it for hair loss to be caused by emotional distress?

Thanks,

A:

Many hair loss patients who come to me for their initial hair loss evaluation associate the beginning of their hair loss to some stressful event in their lives. Many say they notice hair loss when they moved to another city or different country, got divorced or had significant problems at work or in their personal lives. Usually, they are right as these types of evens can accelerate hair loss.

However, hair loss would not happen to these same people if they were not genetically predisposed to balding. In other words, at age 30 and after, we may have the hair loss gene which is supposed to cause balding. At age 30 or after, if we are involved in a stressful situation, an emotional traumatic event, or major surgical procedure, it can accelerate the hair loss process. So the loss expected to be seen in 10 years could come around sooner.

Stress, trauma, or major surgeries may cause hair loss in people who are not supposed to lose hair, but the condition is temporary and the lost hair will grow back after the passing of the stressful condition, or treatment of the medical condition.

In these cases, patients have a condition called telogen effluvium in which, due to stress, a significant number of hair follicles go to sleep. Remember: patients do not lose those follicles permanently and the follicles can produce new hairs in just a few weeks.

My recommendation for you is to see a hair specialist and get your hair miniaturization mapped by microscope; this way the doctor can tell you whether or not you are experiencing an early stage of patterned baldness or that you have lost your hair due to stress.

If your baldness has just begun, medication may help you. If you are experiencing telogen effluvium without being predisposed to pattern baldness, you only need to wait and your hair will grow back in a couple of weeks.

Q:

I take Errin Tablets for a few months as a contraceptive. I have also been experiencing hair loss recently. I wanted to know if there is a correlation between losing hair and this particular contraceptive. I had a baby 4 months ago. I see thinning everywhere but it is more obvious on the front and top as diffuse thinning.

A:

Your hair loss could be related to your pregnancy and delivery of your baby. Human hair grows in cycles and goes to resting phase (telogen) between the growth cycles. About 95% of your hair is in growth phase (anagen) at anytime and about 5% of them are in resting phase. You may not see any hair growing from the follicles during resting phase. That is the reason we normally lose scalp hair on a regular basis. In fact losing up to 200 hairs every day is normal and part of the cycling of our hair. Some stimulants can put a large number of our hairs into telogen phase. This condition is called Telogen effluvium. Telogen effluvium (TE) can be seen in women after delivery of a baby. Telogen effluvium is especially seen between months one to five following delivery of a baby, when the load of estrogen is removed. It is usually seen in 40 to 50% of women after pregnancy, and like most of the changes in pregnancy, it is temporary. Wait 4 to 6 months and you should grow your hair back. Meanwhile, make sure you are taking sufficient minerals and vitamins on a daily basis.

Any other cause of imbalance in estrogen level may increase hair loss. Scalp hair loss is reported in users of oral birth control pills containing norethindrone and ethinyl esteradiol, like Errin tablets or other brands: Brevicon, Norinyl, Norethindrone. However the association of those contraceptives and hair loss has not been completely confirmed through medical literature. I women think their hair loss may be linked to the use of birth control pills, they need to stop the pill and use another birth control method after discussing that with their doctor.