Hair loss resulting from chemotherapy

Understanding Hair Loss from Anticancer Medication

Hair loss is a distressing side effect experienced by many female patients undergoing anticancer treatment. In this discussion, we aim to simplify and elucidate the underlying mechanism behind this particular side effect.
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Why Does Hair Loss Occur?

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It occurs because anticancer drugs also damage normal cells.

Hair loss happens because anticancer drugs not only target cancer cells but also damage fast-growing normal cells in the body. This includes the hair matrix cells at the root of the hair.

When Does Hair Loss Begin?

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Normally, hair loss starts approximately 2 to 3 weeks after beginning anticancer medication. It can cause mild scalp pain. The speed and extent of hair loss vary greatly depending on the medication and the patient's condition. Hair loss isn't limited to the scalp; it affects eyebrows, eyelashes, and body hair too.

What Can I Do When Losing Hair?

  • Gently wash your hair with a mild shampoo. 
  • Consider cutting your hair shorter before hair loss starts for easier management. 
  • Use a soft-bristled brush and avoid harsh treatments like perming or coloring. 
  • When going out, wear dark-colored clothing to minimize the appearance of loose hairs. 
  • Inside, wearing a bandana or knit cap can help with cleaning up loose hairs.

When Will My Hair Grow Back?

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Typically, new hair starts to grow back about 1 to 3 months after completing anticancer medication. By 8 to 10 months, there should be enough hair to visit a salon. Initially, the new hair may have a different texture, but it usually returns to normal after cutting. Overall, it may take about 1 year after treatment for your hair to fully regrow and for you to no longer need the wig.

In summary, your wig will be your companion for over a year, so choose it wisely and handle it with care.

Flowchart: From Starting Anticancer Medication to Regaining Hair (Breast Cancer Example)

This timeline serves as a general guide from starting treatment to full hair regrowth, but individual experiences may vary depending on medication and physical condition.
Decision

Decision Anticancer Medication (Recommend starting a wig consultation)

(Early-1st week) When decide anticancer medication, your doctor will inform you in advance about the potential side effects, including hair loss, its extent, and the specific areas affected base on medication and physical condition.
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Starting Anticancer Medication

(2 to 3 weeks) Begin taking the medication
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Hair Loss Begins

(2nd to 3rd week) Consider purchasing a wig at this stage.
Wig_Preparation

Wig Preparation

It's not too late to choose a wig even after hair loss starts.
Contact us in advance to have your preferred wig ready.
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During Treatment

(Until the 6th month) Continue medication. Due to hair loss, scalp becomes sensitive. Wear a wig or hat when going out, and a soft medical hat at home for protection.
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Hair Regrowth

(8th to 9th month) Hair starts regrowing. Use a wig or hat during this phase as the new hair may be uneven.
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Hair Length Reaches Approximately 3cm

(1 year) New hair grows at about 1cm per month. Despite regrowth, continue using a wig or hat as new hair quality may differ.
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Return to Original Hair

(1.5 to 2 years) Gradually transition away from the wig. Hair length reaches a point where wig use is no longer necessary, though this timing varies. Some may still need a partial wig during this phase.

Hair Loss and Regrowth Timeline

  • Hair loss typically begins by the 2nd to 3rd week after starting anticancer treatment. Depending on the medication, hair may fall out gradually or all at once. 
  • The duration of anticancer treatment varies for each person. Around 2 to 3 months after completing treatment, hair starts growing back. During this time, it's crucial to handle your delicate hair and scalp with care. 
  • Approximately one year after finishing anticancer medication, your hair will have grown to a sufficient length, allowing you to store your wig away.However, this timeframe varies among individuals, some people may need topper to cover special area.
🔔 In conclusion, maintaining open communication with your doctor is highly recommended to better understand your individual situation. Your doctor can provide valuable insights, guidance, and support tailored to your specific needs throughout your anticancer treatment journey. This ongoing conversation ensures that you receive the best possible care and support during this challenging time.