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What is Chronic Telogen Effluvium?
Written by Medicover Team and Medically Reviewed by Dr Anusha Nagral Reddy , Dermatologist
Chronic Telogen Effluvium is a long-term hair shedding condition where more hairs than usual enter the resting (telogen) phase of the hair growth cycle. It primarily affects the scalp and leads to noticeable thinning or increased hair fall without causing complete baldness.
What are the Symptoms of Chronic Telogen Effluvium?
Chronic Telogen Effluvium (CTE) causes ongoing hair shedding that affects the entire scalp. Early identification of signs can help in managing the condition before it worsens.
Common Symptoms
- Gradual hair thinning across the scalp
- Noticeable strands on combs, pillows, or in the shower
- Hair appears less dense, but the scalp remains healthy
- No pain, itching, or scalp irritation
- Daily shedding affects routine and well-being
What are the Common Causes and Risk Factors of Chronic Telogen Effluvium?
Chronic Telogen Effluvium (CTE) occurs when the natural hair growth cycle is disrupted over time. Various health and lifestyle factors may lead to ongoing hair shedding across the scalp. Over time, this leads to visible thinning across the scalp, often leaving people confused or worried about why their hair continues to fall out.
Common Causes
- Hormonal changes linked to childbirth, menopause, or thyroid issues
- Low iron or vitamin D levels from poor nutrition
- Emotional stress or prolonged anxiety
- Sudden illness or recovery from infections
- Ongoing use of specific medications like anticoagulants or anticonvulsants
- Drastic weight loss or frequent dieting
Risk Factors
- Women over 30, especially after pregnancy or during menopause
- People with underlying health issues, including autoimmune conditions
- Unbalanced eating habits that lack essential nutrients
- Those experiencing long-term physical stress, such as surgery or trauma
- Frequent exposure to heat or chemicals in hair styling routines
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Get Second OpinionHow is Chronic Telogen Effluvium Diagnosed?
Diagnosing Chronic Telogen Effluvium (CTE) involves identifying the root cause of persistent hair shedding. A thorough clinical evaluation helps distinguish it from other scalp or hair disorders. Timely diagnosis ensures better outcomes and prevents further hair thinning.
Common Diagnostic Procedures
- Detailed medical history and physical scalp examination
- Hair pull test to assess active shedding
- Blood tests to check for iron levels, thyroid function, and vitamin deficiencies
- Trichoscopy (scalp microscopy) to observe follicle health
- Scalp biopsy in rare cases to rule out other hair loss conditions
What are the Treatment Options for Chronic Telogen Effluvium?
Chronic Telogen Effluvium (CTE) is a manageable condition, and treatment focuses on restoring balance in the body while supporting healthy hair growth. The right care plan depends on what's causing the shedding.
Main Treatment Methods
Nutrition Correction
- Add foods rich in protein, iron, and vitamins
- Supplement deficiencies after testing (like iron or vitamin D)
- Focus on steady, balanced meals instead of restrictive diets
Topical Applications
- Use of Minoxidil to boost hair growth speed
- Applied daily to areas of visible thinning
- Often helps reduce excessive shedding over time
Lifestyle Adjustments
- Lowering daily stress through relaxation methods
- Improving sleep quality and reducing fatigue
- Staying consistent with routines that support overall health
Non-Invasive Therapies
- Laser light therapy to improve blood flow to follicles
- PRP therapy using your own blood to stimulate scalp recovery
- Both methods are painless and done in sessions.
Medication (If Needed)
- Hormonal treatments in cases of imbalance
- Addressing thyroid or other metabolic issues through prescribed drugs
- Regular follow-up helps track progress and adjust doses
When to See a Doctor?
Not all hair loss needs medical attention, but if the shedding becomes persistent or distressing, it's time to consult a professional. Chronic Telogen Effluvium (CTE) often reflects an internal issue that should not be ignored.
Signs You Should See a Doctor
- Hair shedding continues beyond six months
- The scalp appears thinner or more visible over time
- Daily hair fall is noticeably higher than usual
- No change despite improving diet or stress levels
- Hair loss is starting to affect your mood or confidence
Who Should Be Extra Cautious
- New mothers noticing extended shedding after delivery
- Individuals with a history of thyroid imbalance or anaemia
- Those on long-term medications or recovering from illness
- Anyone experiencing sudden weight loss or extreme fatigue
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What Precautions Can Help Prevent Chronic Telogen Effluvium?
Preventing Chronic Telogen Effluvium (CTE) involves daily care, stress control, and timely attention to health. A few simple habits can go a long way in reducing the chances of prolonged hair shedding.
Daily Preventive Measures
- Eat balanced meals that include protein, leafy greens, nuts, and whole grains.
- Avoid extreme dieting or skipping meals
- Get enough sleep, rest supports healthy hair cycles
- Limit hair styling damage by reducing heat and chemical exposure
- Use mild hair products and avoid harsh treatments
Wellness Habits That Support Hair Health
- Stay physically active to keep blood flow steady to the scalp
- Practice stress relief through yoga, journaling, or quiet time
- Drink enough water to maintain overall body function
- Schedule routine checkups to catch early signs of nutrient gaps or hormonal shifts
Possible Complications If Ignored
- Ongoing hair loss may cause noticeable thinning
- Emotional strain, including self-consciousness or worry, may develop
- Undiagnosed health issues can go unchecked, affecting more than just hair
Our Experience in Treating Chronic Telogen Effluvium
At our Medicover hospital, we understand how overwhelming hair loss can feel. That's why we take a thoughtful, supportive approach to treating Chronic Telogen Effluvium.
Every person's journey is different, and we tailor care plans based on individual needs, whether it's identifying nutritional gaps, managing stress, or restoring hair health through safe, non-invasive options. Our team stands beside each person with compassion, clear guidance, and ongoing support from diagnosis to recovery.
