Nothing more distressing than looking at a brush or comb and seeing that huge tuft of hair in free fall … But, after all, when is it really necessary to worry about hair loss ? The Brazilian Association of Hair Restoration Surgery says that 25% of Brazilian women between 35 and 40 years old and 50% of those over 40 years old suffer from the problem. Yes, the data is terrifying but, calm down! Before you go into despair, know that each case is different.

“There are genetic falls, those without a definite cause (telogenic or telogen effluvium) and endocrine or metabolic (thyroid, chronic diseases),” says dermatologist Murilo Drummond, from Clínica Murilo Drummond (RJ). For all causes, there are specific precautions. Therefore, diagnosing is the priority step before starting to care.

The fall routine
You wake up, get up and notice many threads on the pillow. Go to the bath and the drain looks like a bird’s nest, and the same goes for your brush. When she goes out on the street, she always has a friend pulling a thread that has fallen on her shirt. On average, about 80 hairs fall out of the 150 thousand we have on our heads. This is an expected average. When that number is exceeded, you are probably in trouble.

It is also worth mentioning that the “life” of a thread has three phases. The first is growth (with an average duration of three to six years), the second is when they stop growing (two years) and the third (three months) is when the thread is old and weak (and falls, growing another in its That said, let’s get to the causes of the fall!

1. It’s in the blood
Hereditary causes will come knocking at your door. And there’s no way, genetics is inevitable. The way is to remedy.

What to do: according to Murilo, it can be treated with local medicines, based on minoxidil – a drug that expands the hair growth phase – and oral, with finasteride, one of the best known remedies for baldness.

2. Hormonal changes
It is potato, if there is a hormonal deficiency, there is the fall in sequence. This is because when there is an irregularity in certain endocrine glands (such as thyroid, adrenal and pituitary), the hair follicles suffer from the lack of nutrients. Generally, women who have just become mothers suffer a hormonal readjustment that can also cause a visible fall. In that case, readaptation may take a few months.

What to do: seek an endocrinologist to regulate hormones.

3. Anemia
This disease implies fragile hair. With it comes the decrease in iron in our body. This mineral can never be lacking in our body. In addition to falling hair, it also causes shortness of breath, malaise, headache, weakness and tiredness.

What to do: To fight anemia, you must force yourself on an iron-enriched diet. Bet on red meats, beans and dark green vegetables.

4. Alopecia areata
This strange name is a very strange autoimmune disease: they are rounded areas of our scalp that are bald. Terrible, right? This is because our own immune system destroys healthy tissue. More common in young people up to 20 years old, it can be treated with corticosteroid creams and injections. The cause of this disease is unknown.

What to do: a dermatologist may recommend medication such as steroids, anti-inflammatory or immunosuppressive medication, which reduces the immune response.

5. Food
There’s no way. When we go on a restrictive food group diet, we can even shed a few pounds, but we end up harming our body with a lack of nutrients. And hair is one of the affected points, because the follicle demands a large amount of minerals (mainly iron) to be born. Hence the fall and that “thinning” thread.

What to do: what is best is to seek a healthy diet, with carbohydrate, protein and mineral, and also to increase the intake of B and C vitamins, zinc and iron.

6. Stress
If you are experiencing a stress or anxiety crisis, know that your body is using more energy to function than normal. This implies a great loss of vitamins and minerals, which causes the fall. Here, she can be severe, see?

What to do: see here 10 tips to relieve stress .

7. External factors
Dryer, flat iron, hot shower and hairstyles can harm those who are already prone to fragile hair. In the case of heat, air bubbles usually form inside the wire. And then the fall comes. But it can also come from hot water, which removes sebum that has a protective function on the scalp. In the case of hairstyles, the question is the force used to fasten the threads. Ponytails or coke very try to the head end up tense the hair, which can cause the break or (worse) an inflammation in the hair follicle.

What to do: the solution for both cases (tension or heat) is to reduce external aggression and let the hair “rest” for long periods, avoiding the use of a hairdryer, shower and flat iron at high temperatures.

8. Oiliness
Yes, excessive oiliness can cause hair loss , as it facilitates the proliferation of fungi, causes itching and scaling of the scalp.

What to do: reduce the wash interval. “Avoid large rubs, washing gently and avoiding very hot and prolonged baths, in addition to using only shampoos indicated by the specialist doctor”, explains Murilo.

9. Medicines
Some medications can affect our hair health. Some of them are antidepressants, antihypertensives, antibiotics and anabolic steroids. The worst of them is the antidepressant, as it weakens and interrupts the life cycle of the hair.

What to do: talk to your doctor. He can either change the dose or recommend another type of substance.

10. Chemical abuse
Straightening, discoloration, coloring … whoever does chemistry should know that the hair tends to get weaker. It loses its capillary mass. This is a case in which there is not the fall itself, but the chemical cut.

What to do: treatment, reconstruction and strengthening of the hair is essential before bombarding the locks with more chemistry.

Extra care
Some treatments are indicated to stimulate the growth of new hair. One of them is mesotherapy, a microneedle indicated for those who suffer a fall. “Mesotherapy will provide mechanical stimulation due to needle trauma and improved circulation,” explains Luciana Labouriau, dermatologist at Clínica Murilo Drummond (RJ). The 20-minute process is slightly painful, but bearable. There are 5 to 10 weekly sessions.

“The result depends on the stimulation of what it takes to grow, so it is not immediate. The patient must be aware of the expectation to await the effect. Especially because the anxiety of seeing results worsens some cases of falls ”, warns Luciana.

Some people have also used latanoprost as a treatment. It is a lotion with a substance used in eye drops to treat glaucoma. Apparently, the lotion makes new hair grow, allows the growing hair to continue growing and prevents hair loss. But none of this is scientifically proven. It is more like a “scientific accident”, because when used as eye drops, people noticed growth in the lashes.