Introduction to Telogen Effluvium

Telogen Effluvium (TE) is a common form of diffuse hair loss that occurs when the normal hair growth cycle is disrupted by a significant stressor. This condition leads to an increased shedding of hair, typically affecting the scalp uniformly and can be quite distressing, though it is often temporary.

Causes of Telogen Effluvium

TE can be triggered by a variety of factors:

Physical Stress: Major surgery, severe illness, or high fever can disrupt the hair cycle.

Emotional Stress: Events such as the death of a loved one, divorce, or job loss.

Dietary Influences: Poor nutrition, sudden weight loss, or deficiencies in iron, zinc, and protein.

Medical Conditions: Thyroid disorders, autoimmune diseases, and hormonal changes, especially postpartum hormonal changes.

Medications: Some drugs, including beta-blockers, anticoagulants, and retinoids, may induce TE.

Symptoms of Telogen Effluvium

Increased Shedding: This is the most noticeable symptom, where hair falls out more easily than usual—during washing, brushing, or even gentle pulling.

Overall Thinning: The hair thins generally across the entire scalp rather than in patches.

Scalp Visibility: More of the scalp may be visible, but there are no bald patches.

Diagnosis of Telogen Effluvium

Medical History: A detailed discussion about any recent events or changes in health that could have triggered hair loss.

Physical Exam: Examination of the hair and scalp for signs of shedding.

Tests: Blood tests to identify nutritional deficiencies, thyroid issues, or hormonal imbalances.

Treatment and Management

Addressing Underlying Causes: Treatment often involves managing any underlying condition or changing medications that might be causing the hair loss.

Nutritional Support: Ensuring a well-balanced diet rich in vitamins and minerals essential for hair health.

Stress Management: Techniques such as yoga, meditation, or therapy can help manage stress.

Gentle Hair Care: Using a soft brush, avoiding harsh hair treatments and styling tools.

Recovery and Coping

Hair growth usually resumes once the triggering factor is addressed, though it may take several months for hair density to return to normal. Emotional support and patience are crucial during this period as recovery can be slow.


Q: How long does Telogen Effluvium last?

A: Typically, TE lasts for around six months, but it can vary based on the cause and individual circumstances.

Q: Can TE cause permanent hair loss?

A: No, TE does not lead to permanent hair loss. Normal hair growth usually resumes after the underlying cause is addressed.


While Telogen Effluvium can be alarming, understanding the triggers and appropriate management can significantly help in recovery and prevent recurrence. It’s important to address any contributing factors and to provide adequate care for your hair and overall health during recovery.

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