What it is
Everyone sheds some hair daily. Concern begins when shedding increases noticeably, hair becomes visibly thinner, or patches appear.
Scalp conditions such as dandruff (seborrhoeic dermatitis), fungal infection or psoriasis can cause itching, flaking and sometimes contribute to hair fall.
Common factors
- Pattern hair loss (genetic and hormonal)
- Shedding after illness, fever, surgery, childbirth or stress
- Thyroid problems, low iron or other nutritional factors
- Patchy hair loss (alopecia areata)
- Scalp conditions, tight hairstyles and harsh treatments
When to see a dermatologist
- Sudden or heavy shedding
- Bald patches, or a widening parting or receding hairline
- Scalp itching, scaling, redness or pain
- Hair fall with other symptoms such as fatigue or irregular periods
At your consultation
- 1The doctor takes a history: when it started, recent illness or stress, diet, medicines and family history.
- 2Your scalp and hair are examined; blood tests may be suggested if an underlying cause is suspected.
- 3The likely cause is explained and a plan agreed, with honest expectations about timelines.
Options that may be considered
Which, if any, is right for you is decided by the doctor after examining you.
- Treatment of scalp conditions such as dandruff
- Medical treatment for hair fall, chosen for the cause
- Investigations for underlying causes, when needed
- In-clinic procedures for hair thinningVerify: Listed on directory profiles; confirm availability at the clinic.
Realistic expectations
- Hair grows slowly; most hair-fall treatments take a few months to show a difference.
- Some shedding settles once its trigger has passed.
- Pattern hair loss is managed over the long term.
Questions
How much hair fall is normal?
Losing some hair every day is normal. If you notice a sudden increase, thinning or patches, it is worth getting checked.