Telogen Effluvium: Why Your Hair Is Shedding and How to Stop It

Woke up to a lot of hair on your pillow or in the drain? That sudden shedding can feel scary, but most of the time it’s a temporary reaction called telogen effluvium. It isn’t a permanent bald spot – it’s your body’s way of hitting the pause button on hair growth.

What Is Telogen Effluvium?

Telogen effluvium is a type of diffuse hair loss that happens when many hair follicles jump into the resting (telogen) phase at once. Normally only 10‑15% of strands are in telogen, but stress, illness, or medication can push that number up to 30‑40%. After a few weeks, those hairs fall out together, creating the illusion of a thinning crown.

How to Stop the Shedding

First, pinpoint the trigger. Common culprits include a big emotional event, a fever, recent surgery, drastic weight loss, iron deficiency, thyroid swings, or new drugs like birth control or anticoagulants. Once you know the cause, you can address it – see a doctor for labs, adjust meds, or manage stress.

While you sort out the root problem, give your scalp some TLC. Switch to a gentle shampoo, avoid tight ponytails, and skip heat styling for a few weeks. A soft scalp massage for a minute or two each day boosts blood flow and can shorten the shedding phase.

Nutrition matters too. Make sure you’re getting enough protein, iron, zinc, and vitamin D. Foods like lean meat, beans, leafy greens, and nuts cover most bases. If you’re low on iron or vitamin D, a supplement can help, but talk to a clinician before starting anything.

Over‑the‑counter products such as biotin or marine‑derived collagen are popular, but the science behind them is thin. They’re not harmful, but don’t expect a miracle. Focus on a balanced diet first.

For stubborn cases, doctors may suggest topical minoxidil. It keeps follicles in the growth (anagen) phase and can speed up regrowth. Low‑level laser devices are another option, though results vary.

Most people see noticeable regrowth within three to six months once the trigger is removed. Patience is key – hair grows about half an inch a month, so recovery isn’t instant.

If you’ve been shedding for more than six months, losing more than 100‑200 hairs a day, or notice patchy loss, schedule a visit. Blood tests can rule out anemia, thyroid issues, or autoimmune problems that need specific treatment.

Bottom line: telogen effluvium is usually a short‑term reaction. Identify the cause, give your scalp gentle care, and support your body with good nutrition. In most cases, your hair will bounce back without surgery or pricey treatments.