When does postpartum hair loss begin?

Written by Du Rui Xia
Obstetrics
Updated on September 01, 2024
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Postpartum hair loss generally begins three months after childbirth and is a normal physiological phenomenon. In medicine, it is also known as telogen effluvium postpartum. The main reason for hair loss is related to changes in estrogen levels in the body after pregnancy. During pregnancy, the increased levels of estrogen slow down the rate of hair loss and extend the life of hair. However, after giving birth, hormone levels gradually decrease and the hair loses hormonal support, leading to hair loss. This condition typically starts around three months postpartum and can gradually improve around six months after childbirth.

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Written by Qu Jing
Dermatology
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How to treat hair loss?

There are many types of hair loss, such as sudden localized patchy hair loss known as alopecia areata, androgenetic alopecia which is related to genetic factors and dependent on the action of androgens, also known as seborrheic alopecia, as well as postpartum hair loss due to insufficient qi and blood after childbirth, and telogen effluvium caused by rapid weight loss or dieting. The specific treatment of hair loss should be based on the corresponding cause. The cause of alopecia areata is not completely clear, and it is related to factors such as emotions, stress, endocrine disruption, and autoimmunity. Treatment generally includes oral intake of compound glycyrrhizin tablets and topical application of minoxidil. If the skin lesions are widespread or severe, the combination of corticosteroid treatment may be considered, and treatment generally lasts several months or even longer. Androgenetic alopecia often occurs between the ages of 20 and 30 and is related to familial genetics. The treatment of this condition lacks very effective remedies. Treatment options include topical minoxidil, and oral intake of finasteride. Traditional Chinese medicine has relatively good effects in treating androgenetic alopecia, including the oral intake of Chinese herbal medicine and local acupuncture treatment. Attention should be paid to avoiding staying up late and maintaining a light diet. When the hair follicles have already closed, local hair transplantation can be carried out, transferring hair from the occipital region of the scalp to the top. If the area of androgenetic alopecia is too large without sufficient follicles for transplantation, then the use of a wig should be considered. (Note: Medications should be used under the guidance of a physician.)

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Written by Liu Gang
Dermatology
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What are the causes of male seborrheic alopecia?

Male seborrheic alopecia is also called androgenetic alopecia, which is related to excessive secretion of endogenous androgens leading to vigorous secretion of sebaceous glands. Excessive secretion of sebaceous glands makes the hair follicles loose and buoyant, so the hair roots are not firm and will fall out. It is also related to family genetics; most men in the same family will exhibit similar symptoms of hair loss. Once this condition occurs, formal treatment can bring about some improvement. However, most men may experience recurrent hair loss as they age into their 40s or 50s, and this hair loss is irreversible. Generally speaking, it becomes difficult to completely cure with age.

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Written by Liu Gang
Dermatology
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Can hair loss be inherited?

Hair loss generally has two common types: alopecia areata and seborrheic alopecia. Seborrheic alopecia has a certain hereditary nature, whereas alopecia areata does not have a hereditary aspect. Most cases are related to deficiencies in vitamins, trace elements, or low immunity. Seborrheic alopecia has some hereditary factors and is a genetic disease carried by males in the family. Once this disease occurs, it is not easy to completely eradicate and tends to worsen with age. Generally, one can take oral medications to reduce oil secretion, avoid spicy and stimulating foods, and avoid staying up late and stress. It is advisable to wash hair with lukewarm or cold water, and avoid using very hot water. After recovery, it is important to exercise more, consume more vegetables and fruits, and supplement vitamins and trace elements.

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Written by Liu Gang
Dermatology
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How to treat seborrheic hair loss?

Seborrheic alopecia, also medically known as androgenetic alopecia, is associated with excessive secretion of sebum by the sebaceous glands, consumption of spicy and stimulating foods, or frequent staying up late. Most patients have a certain genetic predisposition, with parents also displaying similar hair loss. Upon encountering this condition, it is necessary to treat it with medication. The most commonly used medications include Vitamin B6 tablets, finasteride tablets, and anti-grease hair growth tablets. These medications require long-term usage, and the treatment period is relatively long, lasting at least one to three months or more, to potentially control the condition. Topical medications can include the use of minoxidil solution. It is important to maintain a proper diet and lifestyle, strengthened exercise, avoiding spicy and stimulating foods, and persisting long-term to possibly prevent the recurrence of the condition.

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Written by Qu Jing
Dermatology
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How to deal with seborrheic hair loss and itchy scalp?

Scalp itching associated with seborrheic hair loss can arise from two possible scenarios. One is that the itching is due to seborrheic dermatitis accompanying the hair loss. The other possibility is that the scalp, being greasy, provides a conducive environment for the proliferation of microbes, leading to a fungal infection of the scalp, which then results in itching and increased dandruff. In cases of seborrheic dermatitis, the affected area may show erythema and papules with oily scales or crusts, and there may even be exudation, crusting, and erosion, resembling eczema. The local treatment should primarily focus on degreasing, anti-inflammation, and itch relief. When fungal infection is also present, antifungal treatment becomes the priority. Ketoconazole shampoo can be used in such cases, applied three times a week for a period of 6-8 weeks.