Hair fall is one of the most common reasons young adults visit us, and the good news is that most cases respond very well when treated early. The bad news is that most patients wait 12–18 months before seeking help — during which time far more hair is lost than needed.
Normal vs concerning
Everyone sheds 50–100 hairs a day. If you are seeing that much on your pillow, brush and shower drain combined, that is normal. However, if any of the following apply, it is time for a consultation:
- Your parting or hairline is visibly wider than a year ago.
- You can see scalp through your hair under bright light.
- Hair fall started suddenly after an illness, surgery, or major stress.
- You have PCOS, thyroid, or nutritional deficiencies.
What actually helps
Blood tests first — ferritin, vitamin D, B12, thyroid, and (for women) hormone panel. Correcting deficiencies alone stops hair fall in a surprisingly large number of cases. Where medical treatment is needed, options include topical minoxidil, oral finasteride (men) or spironolactone (women), and in-clinic PRP sessions for early androgenetic patterns.
What to skip
Onion juice, castor oil masks and expensive shampoos will not regrow follicles that are already miniaturising. They are harmless, but they are also not treatment. Every month of delay is more hair lost.