Why Your Hair Falls Out When You Wash It, According to Doctors

It's normal for hair to fall out in the shower, but excessive hair loss warrants a call to your doctor.
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If you're lamenting your hair falling out in the shower, know this: Hair loss is a fact of life, and spying a bunch of strands in the drain is a normal part of your mane's growth cycle. The process of wetting and lathering simply serves to remove strands that are already loose.

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But what's normal when it comes to hair loss after washing, and what's cause for concern? Here's what to know.

Normal Hair Loss in the Shower

Believe it or not, normal hair loss is shedding 50 to 100 strands per day, as part of the natural renewal process, according to the American Academy of Dermatology.

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Here's a little science lesson: On a normal scalp about 90 to 95 percent of hair follicles are in the anagen, or active hair growth phase, which lasts for years — and unless they're damaged, these strands won't shed or fall out. The remaining 5 to 10 percent are in the telogen stage, and it's at this point that those 100 or so strands drop away, often when you're washing or brushing your hair.

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But there are other reasons hair falls out in the shower, per the Mayo Clinic, including:

  • Fluctuating hormones:​ Had a baby recently? Pregnancy and childbirth, along with menopause and thyroid conditions, affect your hormones — and cause hair loss. "Female pattern hair loss, which occurs after menopause, can cause thinning in the central part of the scalp," explains Mary Stevenson, MD, a dermatologist at NYU Langone Medical Center.
  • Your brush and wash schedule:​ If you tie up your hair and forego washing it for a few days, extra loose strands are left on your head. The result? Excessive hair loss after washing on that third or fourth (or fifth or sixth...) day.
  • Medications:​ Recovery from illness as well as some drugs used to treat depression, arthritis, high blood pressure and heart ailments may lead to hair loss in the shower.
  • Stressful events:​ Divorce, a death or sickness in the family, a significant weight drop and job loss are just a few external stressors that can wreak havoc with the hair on your head.
  • Family history:​ Excessive hair loss is a part of aging, though your hair type and amount may also play a role (you may have more hair to lose if it's thick and long).
  • Certain styles and treatments:​ Too many perms, heat styling, coloring, chemical straighteners or tight braids may lead to dry hair and shedding.

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When to Talk to a Doctor

A shower drain with lots of hair in it after you've skipped shampooing for several days is indeed normal. But anything more, such as big clumps falling out or overall hair thinning warrants a call to the doctor.

If you haven't experienced extreme stress of late and you're relatively healthy, it's still a good idea to talk with your health care provider about excessive hair loss after washing. By making an appointment, your physician may be able to pinpoint an underlying condition that's causing so much hair shedding and address your concerns, Dr. Stevenson says.

How to Stop Hair From Falling Out in the Shower

The key to avoiding excessive hair loss after washing is to be very gentle with your strands (think: air-drying and finger-combing). Check out these smart tips for tender loving lock care:

  • Always moisturize:​ Pick a gentle shampoo and be sure to use conditioner every time you wash your hair (the leave-in kind is even better).
  • Nix the heat:​ They're addicting, we know, but hot rollers and flat irons heat up the hair and can lead to breakage. As for blow dryers, use them sparingly and on the lowest setting.
  • Go natural:​ Wean yourself from perms, highlights, straightening treatments and other chemical blasts to you hair shaft and wear your natural 'do (you locks will thank you!).
  • Comb gently:​ A wide-toothed comb is your friend here — pull it slowly through your wet hair when detangling after a shampoo.
  • Style with care:​ Tight ponytails, buns and braids can pull on your hair, causing it to fall out.
  • Eat right:​ Yup, your diet can affect your hair health, especially if you're low on iron or protein. For optimal hair health, Dr. Stevenson recommends "a well-balanced diet rich in vegetables and fruits so you end up with lots of antioxidants."

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references

Is this an emergency? If you are experiencing serious medical symptoms, please see the National Library of Medicine’s list of signs you need emergency medical attention or call 911.