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Telogen Effluvium: Dealing With Rapid Unexplained Hair Loss

When I was in my early 40s, my hair suddenly started falling out. I learned that I had a condition called telogen effluvium.

A Guide to Dealing With Excessive Hair Shed

I am a woman in my early 40s. About a year and a half ago, I was met with a surprising health issue that seemed to come out of nowhere for me. My hair started falling out suddenly—with no apparent explanation. I learned, after going to the doctor as well as reading as much as I could on the subject, that this is something that happens to many people and can be not only physically alarming, but a horrible mental game as well.

Over the past year, several doctor visits, and much research, I have acquired quite an arsenal of useful information that I would love to share with others who may be dealing with this problem. It is not an easy fix for certain, but there are many things one can do to help alleviate the symptoms of rapid, all-over hair loss, or more specifically, hair shed, as they wait for it to pass.

This type of hair loss is scary because you cannot be medically ensured of when it will stop.

This type of hair loss is scary because you cannot be medically ensured of when it will stop.

Telogen Effluvium Is Usually Temporary

If you truly do have telogen effluvium (rapid, unexplained hair loss), or are experiencing what seems like a more than usual amount of hair shedding that endures over an extended period of time, the good news is that yes, it likely will resolve in time. Most cases do, as stated in the abstract Diffuse Hair Loss in an Adult Female: Approach to Diagnosis and Management, found in the National Institutes of Health Library of Medicine’s online resource. Typically, the condition subsides within 6 months of onset.

In my own darkest hour, however, this opinion was less than comforting to me as I found myself facing the reality that not only is there a general lack of information on this subject, but it is sometimes vague, and it often suggests the condition is medically untreatable. This was difficult to accept and became my motivation for offering what I have found and sharing my own experiences in working towards stopping—or limiting—hair loss.

Defining Telogen Effluvium

What Exactly Is Telogen Effluvium?

First, I would like to define telogen effluvium, because there are several types of hair loss and I can only speak to this particular type. (See the video I've included, which discusses the specifics of telogen effluvium.)

As I learned in the article on Medscape, "Telogen Effluvium: Background," this condition results in hair loss which is uniform (not patchy)—so much so, that an overall thinning of the hair is soon visible. The loss of hair is obvious and spontaneous, and the hairs fall out from the root with a tell-tale white bulb often visible at the end. You find fallen hairs all over: in the drain, and when you brush your hair, or just as you are standing still. One may wonder if it is in their head, but this is soon ruled out as the hair fall continues and a reason seems elusive. It usually does not last beyond 6 months and you will never reach the state of complete baldness.

Unfortunately, my experience lasted much longer and is still occasionally present today. Two years later, it has become chronic, as explained in WebMD’s article, "Telogen Effluvium and Other Effluviums." Because I have a long-term case, I feel the information I am able to offer is even more comprehensive and represents the combination of bits of wisdom from several sources on this subject. At this time, I am happy to report that I am miles from where I was during this dark period of my life, and my hair is steadily, although slowly, returning to a normal state. Most very likely, yours will as well.

Some Potential Causes of Telogen Effluvium:

  • Hormonal imbalance
  • Low thyroid disease
  • Systemic disease
  • Allergic reaction to a food or product
  • Stress
  • Traumatic physical event (sometimes relating to a prior fever)
  • Traumatic loss
  • Deficiency of a nutrient or vitamin, such as vitamin D3 or iron
  • Too much vitamin A
  • Lack of protein
In telogen effluvium, hair becomes visibly thinner.

In telogen effluvium, hair becomes visibly thinner.

Battling Helplessness

Although feelings of direness accompany this problem, as at first, not much seems to help, I must assert that there are things you can do to minimize your hair loss and which will help you feel a little more proactive in dealing with this problem, in general. However, do not expect a definitive cure-all, as sadly, it often doesn't occur that way. Rest assured, that time is your best friend in dealing with telogen effluvium, and although this is difficult to accept, in the end, you will likely admit this as well. This said, here are 10 positive and empowering things you can do if this is happening to you.

Strategies to Minimize Hair Loss:

Here are some common strategies that can help to minimize hair loss:

  • Take biotin
  • Check your vitamin D3 levels
  • See a doctor to rule out more serious health issues
  • Make sure you are not taking too much vitamin A
  • Take a multi-vitamin
  • Eat more protein
  • Rule out allergies to certain hair products or foods
  • Reduce the use of chemicals on your scalp
  • Reduce stress levels
  • Handle hair with care
  • Wash hair every other day
  • Avoid products containing keratin

1. Go to a Doctor

The first thing I have to strongly suggest is to go to a doctor. There are several diseases that are symptomatic with hair loss and you need to rule them out. These include hormonal imbalances, systemic illness, thyroid problems, and lupus. The doctor will run a blood test panel checking for deficiencies, disease, or other issues. My doctor did not believe me at first. She thought that perhaps it was in my head, but within a few months, she was proved wrong and so much of my hair was gone.

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Read More From Youmemindbody

I was referred to a dermatologist who gave me the courtesy of listening and caring. You should seek a doctor that will truly try to understand and acknowledge your difficulty. This is imperative to keep up your own mental stamina as you traverse this issue. The dermatologist diagnosed me as having telogen effluvium and offered to give me a scalp biopsy. However, I did not take this option. It would be useful in confirming the diagnosis, but since there is no real treatment, that is as far as it would take me. I opted out. The most difficult part of this experience is living with the fear that your hair loss will be permanent or will eventually be complete. That is why telogen effluvium patients so desperately seek help.

The Emotional Side of Hair Loss: Don't Give Up!

2. Try to Determine a Cause

Potential causes for telogen effluvium can include a recent physical trauma (including having had a baby or a fever illness) or occurrence of a traumatic event or loss which happened in the few months prior to the onset of shedding hair. A deficiency could be a cause, such as a vitamin deficiency, a protein deficiency, or an iron deficiency. Many believe hormonal changes could be a cause as well. An allergic reaction to food or a reaction to a product could perhaps have brought on an episode of telogen effluvium. Stress could also be the culprit.

Determining a cause, if you can, is a first line defense because you can remove the problem. However, I must warn you, a great majority of people can never say for sure what the cause was. I am among these people. Although I have my suspicions, I don't have 100% certainty. I did experience a great loss just prior to my hair loss and then, after and during the loss, I experienced continued bouts of more-than-normal stress. It is difficult to control stress in life today, so removing a stressor is not always a plausible solution.

If you can determine, however, what initiated the onset of your hair falling out, you should do everything you can to eliminate this stimulus as soon as possible to more towards healing. See the video to the upper right about the emotional side of hair loss. It outlines why finding a cause can be so important in your fight.

Making sure you are consuming enough protein is a healthy strategy for hair growth.

Making sure you are consuming enough protein is a healthy strategy for hair growth.

3. Take Vitamins and Add Protein to Your Diet

Telogen effluvium is a sign perhaps that your body is in need of some nutrient that you are missing. It is a good reason to amp up your health, regardless if this is a primary cause of your hair loss or not.

Make sure you are eating enough protein and getting the proper amount of iron; eat healthfully. Consider taking a fish oil supplement to amp your body’s vigor, and try a vitamin for hair such as Super Hair Energizer. This did seem to help things for me after a month or so insofar as new hair growth was concerned.

However, I do have to add an important warning. Do not overdose on any one vitamin. I am referring especially to vitamin A. Too much vitamin A, in fact, could be the cause of your problem! I was taking both a multi-vitamin and eating Luna Bars for women to improve my nutrition and this was giving me more than the recommended amount of vitamin A which can be toxic… especially to hair! If you happen to be sensitive to vitamin A, this could perpetuate your cycle of hair loss rather than help it. As suggested in several articles I came across, including "Does Vitamin A Cause Hair Loss?" this could have contributed further to my problem or at least hindered my recovery from it.

Let food be your medicine: eat healthfully to ensure you are getting all the proper nutrients.

Let food be your medicine: eat healthfully to ensure you are getting all the proper nutrients.

4. Take Biotin

One vitamin that needs to be mentioned in its own section (because of its importance) is biotin. Begin taking daily biotin supplements immediately upon hair loss. It will improve hair and nail health, which won't hurt you during this struggle. It should make your hair grow faster and give it a nice, healthy sheen, so you may want to consider this one for life! It will not, however, stop your hair loss. But it is a positive step you can take toward building your hair back up for the future. See what Dr. Oz says about biotin in the video below and how it is imperative to your hair health.

5. Try Vitamin D3

I believe vitamin D3 was the crux of what helped me. I read so many materials on telogen effluvium and finally, something resonated with me one day. Vitamin D3 supports the processes in your body including, and most relevantly here, the cycles of your hair.

There are 3 phases of hair growth as explained in detail in the article "Pathophysiology of Telogen Effluvium," which I read on Medscape. Telogen is the resting phase of hair, when a hair that is done growing remains at rest in the follicle before it is pushed out by a new hair. In telogen effluvium, a majority of hair remains in this phase longer than the usual 3 months and are not properly followed by the growth phase. I feel that D3 helps your hair cycles transition between phases. In telogen effluvium, or at least in my particular case, I experienced shortened cycles. I would have anaphase, or a growth phase, and then a long period in the telogen phase. It was far before it was time to enter this phase, and I would stay there too long. This resulted in an inordinate amount of my hair being in the telogen phase at any given time. (Only about 10-20% should be in this phase at any given time according to sources like WebMD.) The D3 allowed me to get back to the normal phase more quickly, which truly helped me.

It was a godsend, I believe. I strongly encourage anyone who is perplexed with this problem to try a D3 supplement after consulting their doctor. It is not usually dangerous to take a D3 supplement, but one should check with a medical professional just to ensure the safety of this recommendation in each individual scenario. I do not pretend to be a doctor! I read in the article "Vitamin D and Hair Loss," at Livestrong.com, and the Dermatology Online's Journal article, "Does D Matter? The Role of Vitamin D in Hair Disorders and Hair Follicle Cycling," that Vitamin D3 could help in transitioning your hair's cycles from one phase to another.

6. Massage the Scalp

Another thing that seemed to help me was massaging my scalp gently. I would put pressure on my scalp and, without moving my fingers through my hair, but by keeping them firmly in place, I would manipulate the scalp. I think this helped to stimulate a change and it felt good!

7. Treat Your Hair With Kid Gloves

If your hair is falling out to the degree that mine was, you will not want to touch it too much. If I had brushed my hair, I think it would have all come out. I gently shampooed my hair and cut down to doing so every three days at the worst point. (See the Dr. Oz video below on how to have healthy hair.) This was actually healthy for my hair, and I am glad to have started this habit. I also did as little as possible to style my hair or pull it back. I did not go to the salon because I think their treatment could only have resulted in the most unimaginable loss of hair. These are the fears of someone suffering from this problem. I only colored my hair when absolutely necessary and I did so with semi-permanent dye to reduce the chemical effect on my scalp should my problem have been a result of a hair dye allergy.

Treat your hair as gently as possible during periods of hair loss.

Treat your hair as gently as possible during periods of hair loss.

8. Trim Your Hair Often

Trimming my hair often helped to make it appear thicker. Because of biotin, your hair will grow faster, so you may need to trim quite frequently.

9. Stop Using Harsh Products, Such as Keratin and Dyes

When I began my battle with this condition I had strong suspicions that keratin was the culprit, and perhaps, initiated my problem. Avoid harsh chemicals like keratin in your everyday hair regimen. They are stronger than you think and you could have a counter-indication to them. Never get a keratin treatment. You can read online about the problems with hair loss that so many have experienced following such treatments. In my case, I was using a daily keratin shampoo and conditioner. I believe it may have been just too harsh for me. I began checking all my hair products and surprisingly, keratin was a main ingredient in so many of them. The ironic part is that keratin is touted as a means of improving the health and beauty of your hair. If you are having trouble with hair fall, I strongly recommend cutting out this use of this ingredient in your hair care regimen.

Also, during the time you are experiencing increased hair loss, be very careful of the way you color or highlight your hair. If you can cut it out altogether, I would recommend this option. Telogen effluvium does happen to women after they have a baby. This is thought to be due to the trauma that their bodies experience during birth or to the drastic change in hormone levels that occur. It begins about a month after birth. If you are young, and have no grays, lay off the chemical processing until you return to your normal hair cycles of growth and fall. If however, you are like me and have grays, you may not want to forgo coloring. As an alternative I use Natural Instincts semi-permanent hair color. It is less harsh, and I color my hair myself to ensure the gentlest touch, less I lose more of what I do have!

Many women wonder if their hair is thinning and become preoccupied with tracking hair loss.

Many women wonder if their hair is thinning and become preoccupied with tracking hair loss.

10. Remain Positive and Have Faith

Telogen effluvium is said to resolve on its own over time. I have had a struggle with this problem for almost two years now, but it is finally getting better. I no longer experiencing so much hair loss and there are so many new, short hairs sprouting out of my head that there is no way I could ever doubt that I truly did experience severe hair loss those many months ago. If you truly have telogen effluvium, be confident that this issue does resolve. It takes time, but it does resolve. Especially if you follow the above strategies to amp up your health, things do get better. Remember that most people see improvement within 6 months, and for more severe cases like my own, perhaps it will be an ongoing issue that you can hopefully manage in the long term.

Be Careful of Options Like Rogaine

My personal opinion is that I do not think one should jump too quickly into using hair regrowth products on the market (such as Rogaine and the like). Such treatments can come with new sets of problems and symptoms that the person taking them must then deal with as well. Make sure you know exactly what you are getting into before you make any flash decisions about buying and using these products. They are definitely helpful for some types of hair loss, but perhaps, not the best solution for all individuals. Insofar as telogen effluvium is concerned, you may not need such interventions in the end so make this decision very carefully if you are leaning toward such an option. Again, be sure to get the advice of a medical professional.

My hair is doing much better today.

My hair is doing much better today.

Further Resources on Telogen Effluvium:

If you would like to read more about potential causes of telogen effluvium hair loss, you may find the following resources helpful:

Review of Important Information on Telogen Effluvium

After trying the “tricks" above, a better understanding of telogen effluvium may help you the most, as it will assist you in truly dealing with this issue and understanding that it could be a few years before you are completely through this rough patch. (No pun intended.) Here are the basic facts I have garnered about telogen effluvium. They are reinforced in my article, “Telogen Effluvium: What Finally Helped Me,” which I wrote as I was just stumbling out of the most difficult times of this condition. You may also want to read my article “Telegen Effluvium: Waiting for it to Pass,” if you would like further detail on my journey and what emotions you may be feeling, as well as sources for more information.

  • Telogen effluvium is an upset in the normal cycling of your hair growth and fall out patterns.
  • It can lower your self-esteem and try to steal your thunder, but you will come through.
  • It usually resolves on its own after a period of time.
  • Chronic telogen effluvium occurs when it goes beyond 6 month’s time but is less common than a normal six-month recovery.
  • Keeping a healthy attitude is the most important thing as you deal with this difficult situation.
  • Amping up your general health can only aid in restoring your hair, emotional wellness, and body, to a healthy state.

Good luck! I truly wish you well and hope to encourage you in your struggle with this very real problem. Better days ahead!

ABC News Interview With Dr. Oz: How Hair Reflects Your Health

How common is telogen effluvium?

This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.

Comments

Leslie on August 09, 2018:

Hi Amie! I just want to say that after reading your story, it sounded just like me. I started to see a little more than normal hair fall back in March. It wasn't much, so I didn't think anything of it. Then at the end of June, I got my hair cut and highlighted. Within the 2 weeks of that my hair suddenly thinned out a lot and the shedding increased dramatically. I started to see my scalp and was crying every single day. I have always had very thick, full hair. So, to have this happen to me was devastating. I've had more than normal stress in the past year, but nothing I could pinpoint as being the cause. I saw a dermatologist and she, without really looking at my head, said it was Telogen Effluvium and to use Rogaine, which I won't do. Since reading your article I've started to take Vitamin D and Biotin. I haven't noticed much of a difference and my hair still looks thin. I do have a few questions for you. One, how much vitamin D did you take? Did you also take the Biotin and Hair Energizer vitamin at the same time? I've always taken a multivitamin. Can I take all of these other vitamins on top of that? How long was it before you stopped seeing your scalp? Did the thickness of your hair ever come back completely? I'm so sorry for all of the questions, but I feel myself freaking out every day and I really don't know what to do. I do plan to see a second dermatologist, but that's all I have planned so far. Any guidance you have would be great. Thank you!

Leslie on August 02, 2018:

Hi Amie! You're story sounds exactly like mine. I've lost alot of my hair which has always been thick and wavy. Now it looks lifeless because it's thinned out so much. My derm said TE from stress. I started losing hair in march but not enough to pay attention. Then got my hair cut and highlighted at the end of June. Suddenly I started losing more hair at a faster rate, lots of thinning especially around the hairline. I can see my scalp! I've cried alot over the past couple of weeks. It's been a nightmare. All of my blood work came back fine too. Reading your story has given me a little hope. I do have a couple of questions. Were you taking the super hair energizer, biotin, vitamin D, and a multivitamin all at once? If so, how much of each? I'm really hoping to find a way to get my hair to stop falling out and to grow new, thick hair again.

Beaver 16 on April 16, 2018:

Started to shed hair dramatically 4 weeks after my brand of Levothyroxine was changed! It appears that this brand more than any other causes massive hair loss! Stopped taking Levo 4 weeks ago and hair loss is less but I have lost about 60% of my shoulder length hair and I now have serious roots as I am too afraid to dye it. This has been an emotional roller coaster and impacted massively on my general well being as I am obsessing about hair loss.

Bikram on February 02, 2018:

I am 20 year old and I experienced severe hairfall about six month ago..then I shaved my hair and that seemed effective but after 6 month again I am experiencing hair fall....and my symtoms are similar to telogen effiluivim... I want to know how long does the hair keep falling in telogen effilivium...plz answer me..

Amie Butchko (author) from Warwick, NY on January 08, 2018:

My friend, I am so sorry all this has happened to you! My opinion is that it certainly could have been the flu that started this. Your hair is not critical to life, so if you're body is trying to heal itself it can save energy by not "worrying" about your hair, so absolutely, this could have caused it. I hope you are seeing better days. I know how hard it is to lose your hair. Please know things will get better. Hang in. We don't know how strong we are until we've gone through hard times. Hope you have found some good people to care for you in your life! There are caring friends out there to give you love!!!!!!

Amie Butchko (author) from Warwick, NY on January 08, 2018:

I am so sorry it took me so long to respond to this post - I hadn't been on in awhile! I do hope things are going better for you. Sounds like you have had so many changes and been through so much stress. I hope being home with your parents has helped things to normalize. I do notice every now and then that I just go into a cycle of a little hair loss again, but I try to just stay calm and things work themselves out. Time is your friend. Good luck and know i am wishing you all the best!!

Bette MANN on September 12, 2017:

Thank you so much for this article. It has been 6 month s since my journey started and today for the first time I can say that the fall out has stopped and I can see regrowth. It is only a quarter of a n inch but it is there. I am 73 but feel like I am 33 and I am fighting this. I beat cancer. I will beat this. Thank you so much for this article. ..it has been immensely helpful.

Lynda 66 on September 01, 2017:

My hair is falling out for over six months . My thyroid is controlled, I may need hormones. I take D3 And a multiple vitamin. I am clueless what to do from here. I've lost 50% of my hair. What do I say to a doctor to check? My hair has stopped growing. How I can force it to go back to the growing process to untick my hair

Julie.thakur01@gmail.com on August 30, 2017:

Hello everyone....unfortunately for me it's for more than 5 years still the condition is same though I have tried so many streams of treatment but things are not getting better,

It's just m spending my hard earned savings blindly with a hope of improvement....please help me.

Deb on August 17, 2017:

I am going through this terrible hair loss right now. My hair has always been something that people complimented me on. It is long and curly and usually pretty nice. My Dad died about 4 months ago and then I had a horrible illness with a super high fever which put me in bed for a week. My Dr. thinks it was those two things that made my hair fall out. I have probably lost half of my hair and can clearly see my scalp in the front. It is very dismaying. This happened to me one other time in my life when I gave birth to my daughter but it recovered and I'm hoping it will again soon.

Jasmine on July 31, 2017:

Thank you for your article. You made me feel so much better. Can I email you with questions?

tara sundara on July 27, 2017:

annie thanks for sharing your story. My hair loss started about two and a half yrs ago when I started to work out for real using the Tracy Anderson method. I've been vegetarian my whole life and I think already suffered from mineral, iron and b12 deficiencies although by body did not show it. I was in my late 20s and now am in my early 30s. I've always had a lot of hair so I did not notice the excessive sheddinga t first but adter about a year and my middle parting was noticibly larger and there was a small bald patch on my crown. I cut down on exercise and started taking supplement and doing all sorts of natural remedies. Some days it feels like my shedding is less other days not so much. I do see new hairs but not as many as I'd like. I feel

like I've tried everything - eating meat is not possible for me but I am trying to eat more eggs. My last hope is a supplement called msm i hope it will help. Any tips would be appreciated.

Diana on July 13, 2017:

Excellent article!

Anonymous on June 03, 2017:

Thanks this article was helpful and being it was written about a month ago is refreshing

Carol1956 on May 29, 2017:

Hi....My problem started 5 weeks ago, Since then I have lost 1/2 my hair..It is a nightmare...Even though we may all be under stress, or whatever, usually you can paint a smile on your face and get out in the world...how can you do that when there are physical signs that all is not well....My hair has always been long and thick...but most importantly ..strong...you could throw anything at my hair and it would take it...In Feb I had double pneumonia and nearly died...I was on intravenous drugs for 8 days to save my life, then a 2 week course of very strong oral antibiotics...I coped with being sick, on my own, in a foreign country, and I thought I was coping ok...I thought I was strong...I lost all of my family during this time and this very nearly destroyed me...but I battled on...I was very depressed, but no one knew...and I kept everything to myself.... I thought I had gotton over it, and then my hair started to break off and fall out...with such alarming speed it has taken my breath away....My confidence is shattered...I cry , all the time, and that cannot be helping...The last 2 years have been really tough, but I have coped..I cope with anything...thats the problem...but this losing my hair has shook me rigid..My hair is now just under my ears....very thin....and every day it seems more is falling out....The hairdresser says its not falling out at the root because she sees no bald spots...My scalp occasionally itches....but only in this past 5 weeks....I dare not scratch...When I had pneumonia I had a very high fever, I was all alone, and it was by a pure fluke that I was found in my house, in bed...I had only hrs to live when I was found...my hair was matted as I had not got out of bed for over a week...After 4 days in intensive care I was moved to the ward...I had some strength, not much, but I thought if I covered my hair in conditioner, and combed through the mass of matted hair I could at least save it...I did that...my hair was fine....it took hours and hours, but I managed it....now 3 months later I have lost so much of my hair it is scary...Was it the Pneumonia, was it that I was alone for over a week at the house knowing that I could not get help, and that if no one came, I would die...was it the falling out with my siblings because they did not bother to see if I was ok, just left me there to die.....was it trying to un matt my hair when I was so ill...I just dont know...All I know is that the way I feel now, I wonder what on earth the point was getting saved...I feel so depressed, its beyond words...I dont want to go outside the door....I am losing my business because I just cant function without crying...and you know ...this isnt a vanity thing....it really isnt...Its just that I have gone through so much this year, and just when I thought that I was going to get better, and that I could regain strength and walk again without having to stop every other step...just when I thought this was all in the past, my hair falls out...I mean really !!!!..Is it just some cruel twist of fate, some sick joke, someone up there saying....right, youve lost your family, your home, your business, now your going to lose the one thing that you always liked about yourself, your hair....I know people are far worse off than me...I appreciate that...but the point is I am alone...Usually when something traumatic happens to you you have the love and support from your family...well I dont have that....Im not feeling sorry for myself...just stating a fact....it makes the whole situation so much harder to deal with....I have read all these comments...and there is a glimmer of hope....When tho I have read it can last for 6 months I know that my hair situation will be so bad by then I might as well not have any...The hairdresser obviously had never heard of TE...neither had I...I was looking on google and came across this site...Iv had blood tests done today....I get the results in a week....I ma hoping and praying that this dosnt get much worse, I am losing the will to live already....anymore and I will feel like giving up....

sarahcharlotte on April 16, 2017:

I'm so glad I found this article. I wish I found it ages ago.

I'm 24 years old and in January 2016 all my hair started falling out. Three months before this, I was presenting a research paper at a national conference which was extremely stressful. I am sure this was what caused my hairs to be pushed into telogen, and for them to fall out 3 months later. I had diffuse thinning all over my head and I was already dealing with severe social anxiety at this point, so when my hair began to fall, I got depression and I was in a very dark place. I had also moved cities for work and was all alone, and my boyfriend and I were doing distance, so it was a terrible year for me. Previously I had been a very proud, strong, confident girl. I was so scared to wash my hair, that I never went to the beach or exercised and I just put my hair into a bun everyday for work and used heaps of dry shampoo. I simply bought a baby soft hairbrush, and tried to just deal with it. I eventually got used to it. I think it was around June 2016 when my hair stopped falling out, and then probably August when I noticed hairs starting to sprout- I was so happy!

January 2017 I moved away from Sydney and back to my parents house in the country because life was too stressful for me in Sydney alone. In March 2017, my hair began to fall out again. It is now April 2017, and the thinning is starting and I am not sure what has caused this. I don't know if it was a change of environment, if it was my stress/cortisol axis turning off (anxious to not anxious), a thyroid issue or hormonal (I have been taking Microlut for 24 months and apparently this can cause hair loss). I had a blood test yesterday.

I have never been formally diagnosed by a derm, but due to my history of anxiety I am sure it is TE. I just don't know why it has come back!! I am also on a progesterone-only minipill (Microlut) which apparently causes hair loss.

Has anyone had any experience with hormonal TE? Maybe my oestrogen has plummeted (I know this can trigger TE). I just hope I don't have too much androgens on board- I have heard low oestrogen + high androgens can cause it. I am also getting acne which makes me think it's hormonal.

I am going to try Biotin asap!

Thanks to everyone who has posted their personal stories! Please provide ANY information you can :)