The Free Press, Mankato, MN

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Health & Fitness

September 8, 2013

Stress may play a role in hair loss, but there are many other triggers

DEAR MAYO CLINIC: Is it true that chronic stress can cause hair loss, and if so, is the hair loss reversed once the stress is lessened?

ANSWER: There's no easy yes or no answer to this question. Some hair loss may be related to stress, and, in some cases, it is possible that hair loss could be reversed. But it depends upon the type of hair loss you have and other triggers for the hair loss that could be at work.

It is generally accepted that some connection between high levels of stress and hair loss is likely in certain situations. But that connection has not been proven in clinical research trials in people. Research on mice and human hair that has been grown in laboratories seems to show that stress may play a role in two specific kinds of hair loss: telogen effluvium and alopecia areata.

The first, telogen effluvium, is the more common of the two. This type of hair loss involves shedding hair faster than normal from all over your head. It typically does not lead to baldness, but your hair does become thinner than usual. Telogen effluvium has been linked to a range of triggers, and some of them do involve stress.

One trigger that's frequently noticed by women with infants is the hair loss that often starts about three to five months after the birth of a child. While you're pregnant, you lose less hair than normal. Several months after delivery, the body then sheds hair down to its typical level. That hair loss may be concerning, especially if you didn't notice the buildup of hair during pregnancy. But for most women, the loss tapers off once the hair has returned to its usual thickness.

Other triggers that can cause telogen effluvium include thyroid problems, massive weight loss, significant medical illness and general anesthesia. If you've recently stopped using a method of birth control that contains hormones, that also could lead to this kind of hair loss. A few specific medications may trigger telogen effluvium, too, although that is rare.

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