Symptom Explorer
Hair Loss
Excessive hair shedding, thinning, and falling
Normal Shedding vs. a Problem Worth Treating
Every person sheds 50–100 hairs daily as part of the normal hair cycle — you will always see some hair in the shower or on your comb, and this is completely healthy. Hair loss becomes a medical concern when you notice a sustained increase in daily shedding over several weeks, visible thinning of the ponytail diameter, your parting appearing wider than it used to, the scalp becoming more visible, or discrete bald patches forming. Sudden heavy shedding — handfuls in the shower — is alarming but often temporary, typically caused by a physical or emotional stressor 2–3 months prior (telogen effluvium). The pattern, speed, and distribution of loss are the key details Dr. Anshalika uses to determine the cause and the right treatment.
The Most Common Causes of Hair Loss
Hair loss is rarely a standalone problem — it is usually a signal of something happening elsewhere in the body. Nutritional deficiencies are the most underdiagnosed cause: low iron (ferritin below 40 ng/mL is associated with significant hair loss), vitamin D deficiency, zinc insufficiency, and vitamin B12 deficiency are all correctable and frequently responsible. Thyroid disorders — both an underactive and overactive thyroid — disrupt the hair cycle significantly. Polycystic ovarian syndrome (PCOS) in women causes hormonal hair loss along the parting and temples. Postpartum hair loss affects most new mothers at 3–4 months after delivery due to the dramatic drop in oestrogen — reassuringly, this resolves on its own with supportive treatment. Alopecia areata (autoimmune patchy loss), scalp fungal infections, and side effects from certain medications (chemotherapy, blood thinners, some blood pressure drugs) round out the common causes.
How We Identify What Is Driving Your Hair Loss
Accurate diagnosis is the non-negotiable first step. At Medistar, Dr. Anshalika combines trichoscopy — a magnified examination of the scalp that reveals follicle density, miniaturisation patterns, inflammation, and scalp condition — with a targeted blood panel. Depending on your clinical history, this typically includes a complete blood count, serum ferritin, thyroid function (TSH, T3, T4), vitamin D, DHEAS, and a hormonal profile for women. This combination identifies the specific cause in the vast majority of cases and allows treatment to be precisely targeted — rather than taking a trial-and-error approach with generic supplements or over-the-counter products.
Treatment Approaches for Hair Loss at Medistar
Once the cause is established, treatment is highly effective. Iron deficiency responds to supervised supplementation and dietary guidance. Thyroid-related loss resolves when thyroid function is corrected. Telogen effluvium resolves on its own with nutritional support and stress management, though PRP therapy significantly accelerates recovery. Pattern hair loss is managed with a combination of prescription medications (minoxidil topical, finasteride oral for men) and PRP therapy every 4–6 months for maintenance. In cases where loss has progressed to permanent baldness that does not respond to medical therapy, Bio-FUE hair transplant offers a permanent surgical solution. Dr. Anshalika will walk you through the realistic expectations for your specific situation at your first consultation — no vague promises, just a clear plan.
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Common Questions
It's normal to lose 50–100 hairs a day — you probably won't even notice. But if you're seeing clumps in the shower drain, on your pillow, or your ponytail is getting thinner, your hair might be going through a rough phase. Stress, hormonal changes, nutritional deficiencies, or genetics can all play a role. The good news is, most hair loss can be slowed down or reversed when caught early.
A slowly receding hairline or a thinning spot on top is usually pattern hair loss — the most common type. It runs in families and happens because certain hair follicles are sensitive to hormones. Think of it like some plants in a garden being more sensitive to weather than others. Treatments like medications, PRP therapy, or a hair transplant can help.
Sudden, perfectly round bald patches — usually the size of a coin — are often caused by your immune system mistakenly attacking your hair follicles. It's called alopecia areata. Think of it like friendly fire — your body's defense system getting confused. Most of the time, hair grows back with treatment, so don't panic.