Why Is My Hair Falling Out? Let’s Talk About Telogen Effluvium

If you’ve been noticing more hair in that wide tooth comb, your hair brush, on your pillow, or clogging up your shower drain, don’t panic just yet- you might be dealing with something called telogen effluvium. Sounds intense, but I promise it’s more common (and more manageable) than it sounds.

Let’s break it down together.

So, What Is Telogen Effluvium?

Telogen effluvium (TE) is a temporary form of hair loss that happens when a large number of your hair follicles shift into the telogen (resting) phase of the hair growth cycle. Normally, about 5-10% of your hair is in this phase at any given time. But with TE, that number can jump to 30% or more – and those hairs eventually fall out.

The result? Noticeable shedding; mmmhhhhnnn….usually about 2-3 months after a triggering event.

Triggers?

Think of telogen effluvium as your scalp’s version of waving a little white flag. It’s often your body’s way of saying, “Hey, something’s off.”

Common triggers include:

• Stress – Emotional or physical stress can send your hair into hibernation mode.
• Illness or infection – Including high fevers and yes, even COVID-19.
• Postpartum changes – A super common cause for new moms.
• Nutritional deficiencies – Low iron, vitamin D, or protein.
• Crash diets or sudden weight loss
• Major surgery or trauma
• Medications – Some antidepressants, blood pressure meds, and birth control pills can be culprits.
• Hormonal shifts – Think thyroid imbalances or stopping/starting hormonal birth control.

Signs You Might Be Dealing With Telogen Effluvium

• Shedding more than usual – like clumps of hair in the shower or more strands on your pillow.
• Diffuse thinning – hair feels less dense all over, rather than in specific bald patches.
• No itching, burning, or inflammation – just hair loss, no other symptoms.

Bonus clue: if the shedding started a couple of months after a stressful event, it’s a good bet TE is the cause.

The Good News? It’s Temporary.

Most cases of telogen effluvium resolve on their own in 3 to 6 months, once the triggering issue is addressed. Your hair growth cycle resets, and new hairs start pushing through.

That said, here’s how you can support the regrowth process:

Nurture Your Hair Back to Health

1. Eat nutrient-rich foods – Iron, zinc, biotin, protein, and omega-3s all play a role in healthy hair.
2. Reduce stress – Easier said than done, but worth it. Try journaling, or simply giving yourself grace.
3. Avoid heat and harsh treatments – Give your hair a break from flat irons, tight styles, and chemical treatments.
4. Use gentle, nourishing products – Look for formulas that support scalp health and promote growth.
5. Consider a hair growth oil or serum – Especially those with herbs like rosemary, amla, or fenugreek.
6. Check your bloodwork – A doctor can test for deficiencies or hormonal imbalances.
7. Be patient and consistent – Hair takes time to grow, but it will come back.

When to See a Professional

If the shedding lasts more than 6 months, or if you’re noticing bald patches or other symptoms, it’s a good idea to check in with a dermatologist or trichologist to rule out other forms of hair loss like alopecia areata or androgenic alopecia.

 

The Bottom Line?

Telogen effluvium is stressful, but it’s usually not permanent. Your body and hair are just responding to a bump in the road—and with a little support, they’ll find their way back to balance.

So if you’re shedding, breathe. Be kind to your scalp. Fuel your body. And remember: this too shall pass – and yes, your hair can bounce back beautifully.