Hair loss is a hugely sensitive issue that many people face for so many different reasons. Sadly, the stereotype and first assumption that people seem to jump to is that if someone has lost their hair (particularly if they are female), is that it must be due to chemotherapy. Whilst this is an assumption that isn’t made in a horrible way, and people usually ask out of a sense of compassion, it’s hard facing the questions time and time again. I wanted to write this post because I’ve lost count of the number of times I’ve been asked if I have cancer over the last 6 or so months (since my hair started to fall out again), and I feel it’s important to raise awareness of other conditions as well. 

So, what are some of the common causes? 

1. Alopecia Areata: this is probably the most well-known cause of non-cancer related hair loss. It is an autoimmune condition that causes the immune system to attack hair follicles, leading to hair loss in patches. For some people, it can lead to total hair loss on the scalp, or even the entire body.  

2. Genetics: male or female pattern baldness is hereditary. It can start as early as your 20’s and gradually lead to significant hair thinning. 

3. Hormonal changes: hormones play a huge role in hair growth. Conditions like Polycystic Ovary Syndrome (which is coincidentally a condition that affects a vast number of those with Fowler’s Syndrome), thyroid disorders or the menopause can lead to hair loss or thinning. 

4. Stress and trauma: this could be anything from major surgery or illness, to the loss of a loved one. Stress-related hair loss usually happens a few months after the triggering event. 

5. Nutritional deficiency: if your diet is lacking essential nutrients like iron, vitamin D and protein, then this can contribute to hair loss. 

6. Medications: not just chemotherapy – many medications can have hair loss as a side effect. These include blood thinners, many antidepressants, birth control and treatments for things like acne or arthritis. 

7. Trichotillomania: this is a psychological condition where someone has an irresistible urge to pull out their hair, leading to noticeable bald spots. It is a form of compulsive behaviour and often needs professional help to overcome. 

When people assume that hair loss equals chemotherapy and/or cancer (chemotherapy is also used for other conditions), it means that a vast number of other conditions are also being overlooked. And when people who have hair loss are repeatedly asked if they have cancer, it’s not only invasive, it also reminds them that there is something visibly different about them.  

I, personally, have lost huge amounts of my hair this year due to having had Sepsis. The assumption is that because my body was so focused on fighting the infection, it took its energy away from bodily functions that it didn’t deem essential. I don’t hugely mind people knowing that I’ve lost my hair – I have, after all, posted photos clearly showing my hair loss. However, being totally transparent – I do find it hard when I go out without a wig because people have a tendency to point and stare at my head. When children ask questions I genuinely don’t mind answering them because I’d much rather educate others about why my appearance is the way it is, but it does take an emotional toll. 

Next time you see someone dealing with hair loss, please try to resist the urge to jump to conclusions. Rather, offer them the compassion and respect that they deserve.