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It can also go hand-in-hand with autoimmune conditions, like alopecia. Stress — like that from a traumatic event, a health issue (like surgery), rapid weight loss, or pregnancy — can be a big factor in telogen effluvium. So what exactly is it that can lead to clumps of hair falling out? Well, there are plenty of potential culprits, and some people may have more than one issue at play. Around 90 percent of your hair is in the anagen stage at once, and this growth phase can last for years.
Avoid tight hairstyles
Maybe you even notice clumps of hair in the bristles of your brush after your daily brushing. In many cases, a person’s hair will return to its usual state once a doctor has treated the underlying condition. Avoiding tight hairstyles will usually prevent further damage. If a person has anagen effluvium due to undergoing chemotherapy, cooling the scalp during the procedure may help. Hair will often grow back within 3–6 months after stopping chemotherapy.

Hair loss risk factors
Usually, if you think back to the past 3 months or more, you may be able to connect higher stress levels to hair loss. A 2020 study tracked 79 women taking spironolactone daily (doses ranged from 25–200 mg) for a minimum of 6 months. Nearly two-thirds of participants experienced some kind of improvement after 1 year. Those who began the trial with more pronounced hair loss saw the most benefit from the medication. Menopause can also lead to uncomfortable systemic symptoms such as night sweats, weight gain, and vaginal dryness, which may raise your overall stress levels. Below, we’ll explore common causes of hair loss in women and the treatment options available.
Alopecia
It can show up if you wear tight braids or ponytails every day or regularly wear hair extensions or weaves. These styles tug on the hair roots, damaging the hair follicles over time. Most women lose a lot of hair a few months after giving birth. Later in life, some women notice extra shedding during menopause. You might also notice shedding if you’re dealing with other hormonal changes, such as stopping birth control pills. Propecia is a well-known hair loss treatment that contains the active ingredient finasteride.
However, if you begin to notice larger clumps of hair coming out or clumps coming from one area specifically, it may be time to seek medical attention. Yet, many people notice that while they shower and clean their hair, many strands of hair end up leaving the scalp in the process. This can be alarming if you are unsure of the cause of this hair loss or do not know what is considered normal in terms of hair loss. Using harsh products such as hair dyes, bleaches, and chemical shampoos in the shower can damage your hair.
What are the main causes of hair loss?

Stress related hair loss can be due to extreme physical stress, caused by a serious illness or being in intensive care, or by ongoing severe mental stress. Hair can either be shed from all over the scalp or in patches. Similarly to showering, this pulls out the hairs that would naturally fall from your scalp. If you brush or wash your hair less often, you may spot more hairs falling out. It’s perfectly normal to lose a small amount of hair in the shower - this is the easiest place to spot hair that naturally falls out throughout the day. Excessive hair shedding can become long-term if you continue to experience high levels of stress for an extended period.
How Much is Normal?
We love the L’Oréal Paris EverPure Sulfate-Free Simply Clean Sheer Oil, which contains a natural origin blend of sunflower, olive, jojoba seed, coconut, and rosemary oils. A deficiency of protein can result in significant hair changes and even hair loss. Also, protein aids in the production of keratin, a vital protein that helps form hair, skin, and nails. This is also true if you haven't brushed your hair in a while.
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However, you may need to work with your healthcare provider to find and treat any underlying conditions that are causing your hair to fall out. When women with long or thick locks wash their hair, they may see between 150 and 200 hairs fall out. Additionally, people who opt to wash their hair only once or twice a week are more likely to see increased shedding as a result of the buildup. Other causes of hair loss include hormonal changes, illness, weight loss, or certain medications.
Hair shedding and hair loss are terms that are often used interchangeably, but there's actually a significant difference between the two. This condition of excessive hair shedding is common among those who have had significant physical or emotional stressors. That is a different type of hair loss that you should get checked by your doctor. Not all researchers agree that spironolactone works, and the FDA has not endorsed it as a treatment for androgenic alopecia. However, the medication has still been used off-label for years to treat hair loss in women. More research is needed before definitive claims can be made regarding its effectiveness.
Try L’Oréal Paris EverPure EverStrong Sulfate-Free Thickening Shampoo and L’Oréal Paris EverPure EverStrong Sulfate-Free Thickening Conditioner. The rosemary-infused duo helps fortify fragile, thin hair to help reduce breakage and promote thicker-looking strands. Hair loss due to other conditions, such as alopecia areata, usually causes patchy hair loss. This is a different, but treatable, underlying cause of hair loss. Stress may be physical (such as after an illness or weight loss) or emotional.
Healthy fats, like omega-3 fatty acids, support strong, healthy hair and may even help to reduce hair loss (although fish oil has not been shown to affect new hair growth). Sources of omega-3s include fatty fish like salmon, as well as fish oil supplements. If you’re using super-hot water or irritating hair products in the shower, taking fewer showers could likely reduce hair shedding. But waiting longer between showers as a way to reduce hair loss could just mean you notice more hairs in the shower. Some women may even notice hair growth changes after going off hormonal birth control pills.
Hair falling out in shower due to stress should be taken seriously to get rid of it. You can combat your stress by getting more sleep, exercising, meditating, and trying to take more time for yourself to reflect or rest. Addressing the source of stress can help you to combat hair falling out during shower in the long run. When possible, you can remove the source of stress or change a part of your lifestyle for your own health. If this is not possible you can use a specifically designed treatment to counteract hair loss by stress, called the Telogen Effluvium Treatment. More than 90% of users are satisfied including to clinical study results from this treatment.
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In a lot of cases, hair will grow back when you stop taking the medication. It is typical for a certain amount of hair — usually around 100 strands — to fall out every day. A doctor may recommend dietary changes and supplements to treat a nutritional deficiency. Both hyperthyroid disorder (an overactive thyroid gland) and hypothyroid disorder (a sluggish thyroid) can lead to excessive shedding.
Your physician may be able to pinpoint an underlying condition that's causing so much hair shedding and address your concerns, Dr. Stevenson says. If you want the science behind it, hair shedding is a natural process, as every hair goes through a cycle of growth, transition, resting, and shedding phases. Yadav explains that the growth phase, known as anagen, is followed by the transition phase, or catagen, when hair growth slows down. The resting phase, or telogen, is when no growth or shedding occurs, but new hair growth behind it is preparing to emerge. After that, the hair growth cycle, which can take up to eight years, starts again.
If you’re experiencing more shedding than normal, you may want to turn your attention to your scalp. Buildup, irritation, and dryness can all throw your scalp off balance, which can in turn impact the look and feel of your mane. Consider adding a scalp treatment, such as L’Oréal Paris Elvive Hyaluron + Pure Oil Erasing Serum for Oily Hair, into your regular routine. The salicylic acid-infused formula helps remove impurities, leaving the scalp feeling purified and refreshed.
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