Telogen Effluvium
Temporary hair shedding caused by stress, illness, or hormonal changes.
Overview
Telogen effluvium is a form of temporary hair loss that occurs when a large number of hair follicles enter the resting (telogen) phase simultaneously, leading to widespread shedding. Unlike pattern baldness, it affects the entire scalp rather than specific areas. Common triggers include physical or emotional stress, illness, surgery, childbirth, crash dieting, or medication changes. The good news is that telogen effluvium is usually reversible once the underlying cause is addressed.
Common Age
Any age; most common in women 30-60
Prevalence
Very common; second most common cause of hair loss
Duration
Usually resolves in 6-9 months once trigger addressed
Common Symptoms
- Diffuse hair thinning across entire scalp
- Excessive hair shedding (100-300+ hairs daily)
- Hair comes out in handfuls when washing
- More hair on pillow, brush, or drain
- Ponytail feels thinner
- No bald patches, just overall thinning
- Shedding starts 2-3 months after trigger
- Scalp may be tender
Possible Causes
- Severe emotional stress
- Major surgery or illness
- High fever or infection (including COVID-19)
- Childbirth (postpartum hair loss)
- Crash dieting or malnutrition
- Starting/stopping medications
- Thyroid disorders
- Iron deficiency
- Hormonal changes
Note: These are potential causes. A healthcare provider can help determine the specific cause in your case.
Quick Self-Care Tips
- 1Identify and address the trigger
- 2Be patient—recovery takes 6-9 months
- 3Eat a balanced, protein-rich diet
- 4Take iron supplements if deficient
- 5Manage stress with relaxation techniques
- 6Be gentle with hair (avoid heat styling)
- 7Consider biotin supplements
- 8Get thyroid levels checked
Disclaimer: These are general wellness suggestions, not medical treatment recommendations. They may help manage symptoms but should not replace professional medical care.
Detailed Treatment & Solutions
1IDENTIFY THE TRIGGER
Think back 2-3 months before shedding started. Common triggers: illness, surgery, childbirth, crash diet, new medication, severe stress. Addressing the cause is key to recovery.
2NUTRITIONAL SUPPORT
Ensure adequate protein (0.8g per kg body weight). Check and correct iron deficiency. Consider zinc, biotin, and vitamin D. Avoid extreme diets.
3MEDICAL EVALUATION
Blood tests for thyroid function, iron/ferritin, vitamin D, zinc. Rule out other conditions. Check medications that may cause hair loss.
4GENTLE HAIR CARE
Use wide-tooth comb. Avoid tight hairstyles. Minimize heat styling. Use gentle, sulfate-free shampoos. Don't over-wash.
5STRESS MANAGEMENT
Practice meditation or yoga. Get adequate sleep. Exercise regularly. Consider therapy if stress is ongoing.
6PATIENCE AND REASSURANCE
Hair growth cycle takes time. Shedding usually stops within 6 months. Full recovery in 6-12 months. The hair that grows back is normal.
Important: Always consult a healthcare professional before starting any treatment regimen. The solutions above are for educational purposes and may not be suitable for everyone.
Risk Factors
- Recent illness or surgery
- Childbirth
- Severe stress
- Nutritional deficiencies
- Thyroid disorders
Prevention
- Balanced nutrition
- Stress management
- Avoid crash diets
- Address medical conditions promptly
When to See a Doctor
Consult a healthcare provider if you experience any of the following:
- Hair loss continues beyond 6 months
- You can't identify a trigger
- You have other symptoms (fatigue, weight changes)
- Hair loss is severe or distressing
- You notice patchy bald spots (may be different condition)
Talk to a Healthcare Provider
If your symptoms are persistent, severe, or concerning, please consult with a qualified healthcare professional for proper evaluation and personalized advice.
Frequently Asked Questions
QHow much hair loss is normal?
Losing 50-100 hairs per day is normal. With telogen effluvium, you may lose 300+ hairs daily. If you notice significant increase in shedding, especially finding lots of hair on your pillow, brush, or shower drain, consult a doctor.
QWill my hair grow back after telogen effluvium?
Yes, telogen effluvium is reversible. Once the trigger is removed and any nutritional deficiencies corrected, hair typically starts regrowing. Full recovery usually takes 6-12 months. The new hair will be normal.
Related Conditions
Anxiety
Feelings of worry, nervousness, or unease about something with an uncertain outcome.
Hypothyroidism (Underactive Thyroid)
A condition where the thyroid gland doesn't produce enough hormones.
Androgenetic Alopecia (Male/Female Pattern Baldness)
The most common type of hair loss, caused by genetics and hormones.
Hypothyroidism (Underactive Thyroid)
A condition where the thyroid gland doesn't produce enough thyroid hormone.
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Medical Disclaimer
The information on this page is for educational purposes only and is not intended as medical advice. It should not be used for self-diagnosis or self-treatment. Always seek the guidance of a qualified healthcare professional with any questions you have regarding a medical condition. If you are experiencing a medical emergency, call your local emergency services immediately.
Information last reviewed: January 2026
This page provides educational information only. It is not medical advice.