When a hair falls from your head

A common problem patients report to their doctor is excessive hair loss. What could be the causes, what tests can be performed to diagnose the problem, and how to care for the scalp, explains trichologist Łukasz Budzyński, M.A.

What tests are there for hair loss?

blood count is an important test , as it can indicate whether excessive hair loss is related to anemia and iron . Other tests include determining thyroid hormone levels ( TSH , fT4 ), which can lead to hair loss if they are underactive. It's also important to determine androgen levels and hormones related to the reproductive system ( LH , FSH , and estradiol- _E2 ).

Valuable information is provided by the trichological examination I conduct during each appointment. It involves analyzing the scalp and hair follicles using a specialized microcamera and interpreting the results on a screen.

I am always asked how often should we wash our scalp?  

There is no single solution that works for everyone; it depends on individual needs and various factors, such as daily routine (e.g., sports, daily living conditions), scalp type (normal, dry, sensitive, dehydrated, oily), hair length and type, and the care products used, explains Budzyński .

Women who don't have scalp problems should generally wash their hair every other day, i.e., three times a week. The most common recommendation is to wash your hair twice, meaning you shampoo, rinse with water, and repeat the process again. Reduce the amount of shampoo for the second application.

If we feel the need to wash our hair more often, choose gentle shampoos that are intended for daily care and do not cause severe irritation to the scalp, e.g. shampoos based on natural ingredients, herbal shampoos, or simply shampoos recommended for daily cleansing.

  Men most often wash their scalp every day because their hair is short and does not require such special care.

  I often hear theories that washing your hair too often causes it to weaken and fall out. This is simply not true!

Of course, if we use a shampoo that is too aggressive or inappropriate, it can cause scalp problems and, in the long run, weaken the hair itself and cause excessive hair loss.

The truth is, however, that our scalp becomes dirty most quickly because of our hair itself. The thicker and coarser the hair, the more difficult it is to wash it properly.  

Factors that influence this include:

1. air pollution, dust, dirt,
2. styling products
3. the conditions in which we live every day
4. intensity of the day
5. water quality

Important – How to use hair masks?

When using conditioners or hair masks, remember to apply them to the hair itself, without rubbing them in or contacting the scalp. These products are good for the hair, but not necessarily for the scalp itself, as they are often silicone-based.

Scalp peeling

The condition of your scalp is crucial, so don't forget to regularly exfoliate your scalp (2-4 times a month), no more than every 10 days. A properly performed exfoliation removes not only dead skin cells but also residue from difficult-to-remove ingredients from products like styling products. Well-cleansed skin functions better, and an additional benefit is the stimulation of microcirculation. A proper exfoliation, in addition to microparticles, should also have enzymatic properties.

By the way – scalp peeling is a very pleasant and relaxing treatment.

Proper scalp care is essential to maintaining beautiful, healthy, and shiny hair. So, remember a few basic rules:

1. let's wash our hair 3 times a week (if we need to, we wash it more often – individual approach).
2. Do not use aggressive shampoos that may irritate the scalp.
3. Let's support cleansing by regularly exfoliating the scalp 2-4 times a month.

I invite you for consultations at the Med Estetyka offices at 7 Orkana Street.