I was in the shower, mentally reviewing the morning’s to-do list, when I noticed the water rising around my ankles. Clogging the drain was a large tangle of reddish-brown hair. My hair. When I later blow-dried it, I pulled another wad of hair from my brush. Incredulously, I wondered, Is my hair falling out? I shook my head upside-down over the bathroom sink, watching as dozens of strands rained down.
At 48, I’ve tolerated many aspects of aging with what I think of as grace. Unsightly bunions, the surprise appearance of cellulite on places I hadn’t realized cellulite could exist (hello, upper arms!), and even the early beginnings of the “turkey gobbler neck” Nora Ephron made famous in I Feel Bad About My Neck; And Other Thoughts on Being a Woman.
I’d anticipated these changes and regarded them as unavoidable parts of living a long and good life. What I hadn’t expected was sudden hair loss.
If you can relate to this, you’re not alone. According to a 2022 study published in the medical journal Menopause, by middle age, more than 50 percent of women will experience female-pattern hair loss with excessive hair shedding or thinning. (Alopecia is the medical term for hair loss.)
When to consult a doctor
We lose, on average, between 50 and 100 hairs daily due to the normal stages of the hair growth cycle, according to the American Academy of Dermatology Association. Those with thicker or longer hair tend to lose more. Some amount of hair loss is inevitable as we age and the rate of hair growth slows. But when you start to notice an unusual amount of thinning or hair shedding, it may be time to see a professional.
Causes
Joel Schlessinger, M.D., a dermatologist and cosmetic surgeon in Omaha, Nebraska, says hair loss in women can occur for many reasons, including hormonal changes, stress, starting or stopping certain medications, disease and illness, viral infections accompanied by a high fever such as COVID-19, hereditary factors, and even excessive cosmetic hair services and styling.
Schlessinger, the president emeritus of the American Society of Cosmetic Dermatology and Aesthetic Surgery, says, “Since the causes of hair loss can be so diverse, it’s very important to see a board-certified dermatologist to pinpoint the exact reason behind the hair loss and which type of hair loss you may have.”
Treatments