5th year FUE transplant and started to shed (photo)

. Shock Loss or Telogen Effluvium (due to stress)
Stress can trigger telogen effluvium, but it usually affects the whole scalp.

If the rest of your hair is not shedding, it could mean that the transplanted grafts are more vulnerable to stress or other triggers — possibly because they’re no longer receiving optimal blood supply or have miniaturized over time.

2. Miniaturization / DHT Sensitivity
If the transplanted hairs were not fully DHT-resistant (sometimes happens with hair from the wrong donor zone), they can thin over time, especially if you’re not on DHT blockers like finasteride.

Even good grafts can be affected by systemic DHT levels over the years.

3. PRP Helped Temporarily, But Not a Long-Term Fix
PRP boosts growth factors and improves blood flow, but the effect is temporary.

If there’s an underlying issue like DHT sensitivity, PRP can’t fully prevent miniaturization.

4. No Maintenance Treatment Post-Transplant
Many surgeons recommend starting finasteride (oral or topical) or minoxidil after a transplant to maintain the results.

If you weren’t on any maintenance meds, your native (non-transplanted) hair or even some vulnerable grafts could start thinning.

PRP Maintenance
Since PRP worked for you, doing it every 3–6 months can help keep shedding in check.