Is it normal to start losing from 15 to 25 hairs in the shower very suddenly? (Photo)

Question

There's no history of AGA in my family, my father's 55 years old and has a head full of hair. I have my mother's hair and my grandpa died at the age of 94 with his head full of hair. I have a mild Seborrheic Dermatitis since 6 months ago. I went no poo and brushed my hair 100-200 times per day. I was so stressed and nervous about that awkward thing. After two months, one day I suddenly started finding 6-8 hairs on my pillow and from 15-25 when showering, every hair with a small white bulb.

Matthew Richardson, MD · Answer

Losing up to 100 hairs per day is not especially unusual. Combing or brushing the hair repeatedly is usually not recommended. Once patients are medically stabilized from a hair loss standpoint, they may be candidates for a hair transplant procedure.Be sure to see a hair restoration expert.

Yael Halaas, MD · Answer

Hello and thank you for the question. On average, we lose 50 to 100 hairs each day. In addition, it's not uncommon to have periods where we lose more hair-change in the season, styling techniques and hormonal changes. However, I do suggest that you discontinue the number of times your brush your hair daily. I also recommend that you have consultation with a hair loss restoration specialist who will examine your scalp and determine if you are indeed losing an excessive amount of hair.

Monika Soni, MD · Answer

Thank you for your question! You really need to see an expert for a full review. What is needed here is an up close examination. Brushing 100-200 times daily is not good and the lack of shampooing may possibly have flared your seborrheic dermatitis. Blood tests might be needed depending on your exact story. Best of luck!

David P. Melamed, MD · Answer

Losing 15-25 hairs in the shower, and up to 100 hairs per day, is not abnormal... assuming everything else is normal!  Although you are reporting no AGA in your family, this does not mean you cannot be affected.  Based on your age, gender, and medical history, and medical examination there may be additional areas of concern.  I recommend seeing a medical doctor for further evaluation.

Jeff Donovan, MD, PhD · Answer

You really need to see an expert for a full review. What is needed here is an up close examination. Brushing 100-200 times daily is not good and the lack of shampooing may possibly have flared your seborrheic dermatitis. Blood tests might be needed depending on your exact story. See an expert.

Dilan Fernando, MBBS · Answer

Hi there your history is slightly confusing. What you need to assess is if your hair loss is sustained and if the number of hairs being shed is greater than usual. I would advise you see a hair loss specialist who can examine your hair loss thoroughly.

Jon Ver Halen, MD, FACS (license suspended) · Answer

Dear Ofederico263,Hello and thank you for your excellent question. I suggest that you start Finasteride and Minoxidil, as they are the only two medications for hair loss approved by the FDA. For women of child-bearing age, I use spironolactone instead of finasteride. Both medications have different mechanism of action, and I usually recommend both medications to my patients. Other adjuncts include low-level laser light therapy, PRP, stem cell, or other regenerative medical treatment. Also, you will want to ensure that you are not taking any medications that could be contributing to your hair loss. The main objectives with the combination treatments are to stabilize your hair loss, increase your existing hair fiber diameter, and stimulate some hair regrowth. After those options are completed, I recommend hair transplant, including FUE or FUT. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!
  
Best,
  
Jon Ver Halen, MD FACS
  
Harvard educated plastic surgeon
  
Texas “Top Doc” 2017, 2018
  
RealSelf100
  
America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018
  
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Sara Wasserbauer, MD - Account Suspended · Answer

Normal shedding is up to 100 hairs (weekly average) per day.  October and May are the months when humans shed the most, so it is very possible you are just going through a normal shedding phase.  Keep track by collecting your hair from your brush, shower, and pillow (and nowhere else) daily for a week and then average your hiar counts.  Less than 100 is normal.Good luck!

William Rassman, MD (retired) · Answer

If you are worried about losing hair, see a doctor who will examine you and then let you know. What you need is a Master Plan if you are losing hair

Is it normal to start losing from 15 to 25 hairs in the shower very suddenly? (Photo)

Answers (9)

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