21 - accelerated hair fall for 6 months - how can I treat this? (Photos)

Question

For approximately the past six months, I have been experiencing a noticeable and accelerated rate of hair loss. This has resulted in a significant increase in scalp visibility, which is a marked change from my baseline. I am 21 years old and seeking to understand the underlying causes and potential management strategies for this condition.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing the details and photos. From what you’ve described, it sounds like you’re experiencing rapid hair shedding over the past six months, which has noticeably thinned your hair and increased scalp visibility. At your age, several factors could contribute to this, including telogen effluvium (often triggered by stress, illness, hormonal changes, or nutritional deficiencies), androgenetic hair loss, autoimmune conditions, or other underlying medical issues.

Management depends on identifying the cause. Common approaches include:

Laboratory evaluation: Checking thyroid function, iron levels, vitamin D, and other nutrients that affect hair growth.

Topical therapies: Minoxidil can help stimulate regrowth in many cases of thinning hair.

Addressing triggers: If hair loss is due to stress, illness, or recent changes in medications or diet, targeting the trigger often improves shedding.

Gentle hair care: Avoid harsh styling, excessive heat, or tight hairstyles that can worsen shedding.

Medical treatments: In certain cases, oral medications or procedural options like PRP may be considered after evaluation.

Since hair loss can be reversible if the cause is identified early, it’s important to get lab work and a thorough assessment. Most young adults with recent hair shedding respond well to treatment once the underlying factor is addressed.

Even though this can feel alarming, early intervention gives the best chance for recovery, and there are multiple safe and effective options to slow shedding and support regrowth.

21 - accelerated hair fall for 6 months - how can I treat this? (Photos)

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