Treating Telogen Effluvium
Acute telogen effluvium as a result of surgery, childbirth, or some other temporary condition or event, the hair loss seems to stop on its own and does not require additional treatment. For repetitive or chronic telogen effluvium, identification and treatment of the underlying trigger or triggers is paramount to resolving hair loss.29, 134
Fortunately, many causes of telogen effluvium are treatable. There are also a number of options that can help stimulate hair growth and/or improve hair health, replace, or at least cosmetically improve the appearance of thinning hair. It is also important to manage the stress and anxiety that are often associated with hair loss, especially since it can actually make alopecia worse.29, 37, 50, 79, 172
If the telogen effluvium is concurrent with androgenetic alopecia, 5α-reductase inhibitors and other anti-androgens may be prescribed.20 Combined estrogen and hormone replacement therapies (those without a net androgenic effect) can help reverse telogen effluvium.29, 32
A topical herbal solution containing natural 5α-reductase inhibitors and estrogenic compounds (stinging nettle, chamomile, thyme, horsetail and fennel) was shown in a double-blind prospective study to significantly reduce the duration of telogen effluvium in comparison to 2% minoxidil.50, 179
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