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How to Troubleshoot Postpartum Hair Loss, According to Trichologists

How to Troubleshoot Postpartum Hair Loss Universal: fallen hair on a comb
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It’s usually a few months postpartum when you first notice it: Clumps of hair circling the bathtub drain when you’ve finally found four baby-free minutes to shower. But why is it happening, and will your hair grow back?

We asked a few hair and scalp experts to share their insights on post-pregnancy hair loss, including its causes and some potential solutions to help you through this transitional period.

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Meet the Experts

  • Anabel Kingsley is the brand president and consultant trichologist at Philip Kingsley. Renowned as the leading authority on hair and scalp health with clinics in London and New York, Anabel has an immense passion for helping those experiencing hair and scalp concerns.
  • Stephen Pullaniat is a consultant trichologist for the Philip Kingsley Trichological Clinic in New York.
  • Dr. Nava Greenfield is a board-certified dermatologist at Schweiger Dermatology Group in New York City. Dr. Greenfield attended medical school at the Albert Einstein College of Medicine, Yeshiva University. She completed her internship at Yale-New Haven Hospital and her residency in dermatology at SUNY Downstate Medical Center.

What Is Postpartum Hair Loss?

"Postpartum hair loss is a stress-induced hair loss event that is typical for many women around 3 to 4 months after giving birth," explains Dr. Greenfield. "As opposed to some other forms of hair loss, it occurs throughout the scalp, but it does not leave scarring, and is not inflammatory."

postpartum hair loss woman shower
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What Causes Postpartum Hair Loss?

Postpartum hair loss is totally normal and common, affecting approximately 50 percent of women after giving birth, Kingsley explains. Here’s why: During pregnancy, estrogen levels increase, which extends the anagen (growth phase) of the hair growth cycle. This causes you to hold onto more hairs than usual and shed much less. For context, it's normal to lose anywhere between 80 to 100 strands a day, but during pregnancy, you might only be losing between 10 to 40 hairs, according to Kingsley. This also explains why your mane looked much more lustrous for a short time.

Post-baby (or while breastfeeding, if you decide to nurse), estrogen levels return to normal…and so does your hair. So all that hair that was in the “resting” phase for weeks starts to fall out at an accelerated pace, which is why you're seeing those clumps of hair circling the shower drain.

"While having a baby is joyous, the postpartum period can be challenging both mentally and physically," says Kinglsey. "The good thing about hair shedding, although it is monumentally distressing while it’s occurring, is it’s a sign your hair is re-setting."

postpartum hair loss mom and baby
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What Are the Signs and Symptoms of Postpartum Hair Loss?

"Most people notice a sudden onset of increased shedding the shower or clumps of hair falling out when they brush their hair. Typically, this occurs at around 3 months after delivery," says Dr. Greenfield.

It's also not uncommon to find more hairs than usual on your pillowcases and clothes; for some postpartum women, they'll notice their hairline is thinning in the front, as if they're balding.

postpartum hair loss mom sleep
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How to Manage Postpartum Hair Loss

We repeat: It’s hormonal, so there’s not a lot you can do. But since your hair cells are the second fastest growing cells in the body, if it starts to become an issue, it’s an indicator that you could be depleted elsewhere, says Pullaniat. In fact, given that hair is non-essential tissue, your body automatically de-prioritizes its energy needs if something else needs more attention. In other words, factors like stress, poor nutrition and lack of sleep—all common for new moms—can exacerbate postpartum hair loss.

Yep, it’s a tall order for a mom with a newborn that requires her attention 24/7 in the early days. Still, Pullaniat stresses the importance of making an effort to prioritize (or enlist help) when it comes to these things. For example:

  • Ask your partner to take a night shift so you can catch some extra winks.
  • Use a food delivery service like Instacart to make sure your fridge is stocked with nutritious foods. Of utmost importance for postpartum hair health? Animal protein in the form of chicken, fish and red meat for energy, according to Pullaniat.
  • Wash your hair regularly, but gently. "Shampooing regularly is important because it keeps your scalp clear of dead skin cells, pollution, sweat and old oils which will help to support the growth of new hairs," explains Kingsley. "A flaky, oily scalp worsens hair shedding and can increase oxidative stress. I know it's distressing to shampoo when you’re losing your hair, but it really will help."  
  • Use a wide-tooth comb to release tangles and a deep conditioner to keep strands properly nourished.
  • Get a fresh haircut. As we all know, it can make a world of difference.

Frequently Asked Questions

How long does postpartum hair loss last?

For some women, postpartum hair loss resolves at the six-month mark. But since it’s tied to your hormones, it varies, which means you might be dealing with it for close to a year.

"If hair loss has been occurring for more than six months, make an appointment to see your doctor or a trichologist, so you can arrange for relevant blood tests and assess if anything else might be going on," advises Kinglsey.

How common is postpartum hair loss?

Postpartum hair loss is reported to affect approximately 50 percent of women after giving birth and there can be a variety of causes as explained above. 

When does postpartum hair loss happen?

Postpartum hair loss often shows up 3 to 4 months after giving birth. The good news, according to Kinglsey: After telogen (resting) and exogen (when hair is released), anagen (growth) starts. There’s a new hair at the heels of one that’s just fallen out, so you can expect to see regrowth fairly quickly. That said, try to be patient, as it will take a little while to actually see the progress, as hair only grows half an inch a month.   


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