If you suddenly find a lot of hair in the drain after showering, you might get a shock. And the brush is also full of it – is that normal?

The feeling that only men suffer from the loss of hair on the head is deceptive: around one third of women are also affected in the course of life. Daniela Kleeman. Dermatologist FMH with practice in Zurich, explains the reasons for excessive hair loss and what treatment options are open to you.

We lose hair daily. When is the concern justified? Losing up to 100 hairs a day is quite normal. There are also variations depending on the season – but that is individual. But as soon as one loses hair in tufts, the concern is certainly justified.

What are the reasons for excessive hair loss? The most common is plant-related hair loss – in men and women. But also various diseases, infections and inflammation of the scalp can lead to the loss of hair.

And otherwise? Increased hair loss can also be caused by a lack of nutrients – such as iron deficiency – which often occurs in young women. On the other hand, hair is also characterized by stress, which is not only caused by problems in the job or private life. Likewise, serious illness can cause stress for the body. Hormones also affect the hair cycle: Because estrogens have a positive effect on the hair, Testosterone rather not. If the estrogen level falls sharply after pregnancy or menopause, the hair falls as well. Since a hair is subject to a three-month cycle of growth, stagnation and failure, one notices the hair loss often with delay.

Many women wear their hair tightly bound together. Can this cause baldness? If you wear a strong braid for years – or even a heavy hairstyle such as dreadlocks – that pulls constantly on the hair roots and can lead to permanent damage. Since the strongest move is on the front hairline, it then moves back and forth.

Does regular styling with straighteners and curling iron also lead to hair loss? No, that only damages the hair structure and ensures brittle and dull hair. The hair root itself is not affected by it.

What's the best way to prevent hair loss? Basically, you should find out the cause and treat it – not just fight the symptoms. In genetically-induced hair loss and symptom relief, the drug Minoxidil has been shown to be long-term in several studies. He is applied to the scalp. In addition, so-called PRP treatments, in which a serum of autologous blood is injected into the scalp, are often successful. However, the costs are not covered by the health insurance and you should do the treatment at the beginning at least three times.

Can one also do something about hair loss as a precaution? In general, you should start as early as possible with the appropriate treatments: For if the hair roots irreversibly damaged or stop production, these hair can not be saved. Especially genetic hair loss can not be stopped, but only delayed with treatments. But as soon as you stop this, hair loss continues. Preventively taking trace elements like biotin is certainly never wrong as these nails and hair strengthen.

What other natural remedies help? It certainly helps to stimulate the circulation of the scalp, for example with caffeine shampoos. My grandmother always said that I should eat millet, as it also contains biotin. Unfortunately, such funds usually only help to a limited extent.

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