Telogen Effluvium is a form a hair loss that can result from multiple conditions including anemia (low blood count), low iron, inadequate protein in diet, thyroid disease, childbirth, major surgery, severe illness, medications and birth control pills. Generally once the body feels the insult, hair begins to shed over the entire scalp. This is due to fact that the insult results in switching the hairs from the growth phase to the resting phase of the hair cycle. Some individuals will notice large amounts of hairs coming out in their brushes, pillow or shower. Generally the normal shedding of hair will increase from 100-150 hairs daily to almost 500 hairs. Once the insult has been withdrawn from the body however, the hair loss should resolve within 6-12 months

Low blood count (anemia) - Patients with anemia due to excessive bleeding, low blood iron or insufficient red blood cell production tend to develop Telogen Effluvium. Some people don't have enough iron in their diets or may not fully absorb iron. Women who have heavy menstrual periods may develop iron deficiency. Low iron can be detected by laboratory tests and can be corrected by taking iron pills. The etiology of low blood count should also be fully investigated and treated. Once the iron deficiency or low blood count is diagnosed and treated, the hair loss should resolve.

Inadequate Protein in Diet - Some people, who go on crash diets that are low in protein, have severely abnormal eating habits, or protein malnutrition in the intestine can result in Telogen Effluvium. The body will attempt to save protein by shifting growing hairs into the resting phase. Massive hair shedding can occur two to three months later. Hair can then be pulled out by the roots fairly easily. This condition can be reversed and prevented by eating the proper amount of protein.

Thyroid Disease - Either an over-active thyroid (hyperthyroidism) and an under-active thyroid (hypothyroidism) can cause hair loss. The physician can easily attain thyroid levels by laboratory testing. Hair loss associated with thyroid disease can be reversed with proper treatment.

Childbirth – While a woman is pregnant, most of her hairs are in the growth phase. After delivery however, many hairs enter the resting phase of the hair cycle. This will result in a dramatic shed and thinning over the entire scalp. The hair loss can last three to six months, but resolves completely in most cases.

Severe illness and Major Surgery - Illnesses or Major Surgery may cause hairs to enter the resting phase. Three to four months after a high fever, severe illness, infection, or major surgery a massive shed of over 250 hairs will occur. This shedding usually corrects itself within six to 12 months.

Medications - Some prescription drugs may cause temporary hair shedding. Examples include some of the medicines used for the following: pain (aspirin or ibuprofen), depression, birth control pills, irregular heart beat, high blood pressure, or blood thinner. High doses of vitamin A or Accutane may also cause hair shedding.

Birth Control Pills – Certain birth control pills may result in hair loss in women whom are susceptible to female pattern hair loss. This can usually be corrected by switching birth control pills by the physician. Hair loss may also occur once a woman stops using oral contraceptives. This may continue for six months following the discontinuation of the medication.

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