I’m a 32 year old mother of 3 and first noticed an increase in the amount of hair I was losing on a daily basis about 2 1/2 to 3 years ago. I had a lot of hair so I wasn’t too worried about it at first, but the hair loss continued and now I have a significant decrease in hair volume. I went to see two dermatologist. The first one told me it was hereditary and to use Womens Rogaine. He didn’t even touch or look closely at my scalp. He also said if I did’nt tell him what was wrong that he would never guess I was losing hair, which didn’t make me feel better because I can tell the difference. I never tried the Rogaine. The other diagnosed me with telogen effluvium and recommended I take a injection of Kenalog. Which after about a year of weighing the benefits and risks decided to get the shot. It’s been about three months now and haven’t noticed any decrease in hairloss or any regrowth. It sure has messed up my menstral cycle though. I really would appreciate any advice you might have. It is really depressing as a young woman to go through hairloss. Thank you for your time.

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Telogen effluvium generally has a spontaneous recovery in 6 to 12 months. It is precipitated by hormonal, emotional, or medical stressors. Aside from seeing a dermatologist, you may want to get a complete medical physical to rule out other medical causes of female hair loss (such as eczema, malnutrition, autoimmune disease, drug reactions, infections, genetics).

Kenalog is sometimes used for hair loss, however its efficacy is not well studied and I do not believe that it works unless the hair loss is in the autoimmune category. Telogen effluvium and steroids are poorly linked for benefits, and as you said, it is messing around with your hormone balance and menstrual cycle. Unfortunately, even with a good diagnosis, you may still find that there are no suitable treatments available. At least you will be educated and can then avoid ineffective medications or treatments so that you do not have to suffer from adverse drug effects. Don’t get ahead of yourself though. See a doctor to have other causes ruled out first.

“Knowledge is power.” -Francis Bacon