Postpartum hair loss: the first year
Almost nobody warns you about the shower drain at four months.
During pregnancy, more hairs than usual stay in their growing phase. They do not shed on the normal schedule, so hair often looks thicker and heavier than it ever has. After birth, that borrowed time ends. A large group of hairs moves into the resting phase at once, and then they let go together. The clinical name is telogen effluvium. The everyday name is the handful that comes away when you tie your hair back.
The usual shape of it
- Months 1 to 2. Usually little change. Hair still behaves the way it did in late pregnancy.
- Months 3 to 4. Shedding starts, often abruptly. This is the point where most women first search for answers.
- Months 4 to 6. The peak. Hair comes out in the shower, on the pillow, in the brush. The hairline and the crown feel thinnest.
- Months 6 to 12. Shedding slows. Short new hairs appear along the hairline, the ones that stand up and refuse to lie flat. They are a good sign, not a new problem.
- Around twelve months. Most women are close to where they started, though texture can take longer to settle than density.
That shape is the normal one. It is worth knowing because the peak arrives exactly when you have the least patience for it.
What helps, honestly
Not much speeds it up, and anyone promising otherwise is selling something. What does help is not making it worse: avoid tight ponytails and buns while the new growth is short and fragile, be gentle with heat, and eat properly, which is easier said than done in the first year. Iron and ferritin are worth checking with your doctor if you were low during pregnancy or lost a lot of blood at delivery.
When to look further
Postpartum shedding is diffuse. It thins everywhere. Ask your doctor to look again if you see patches rather than general thinning, if the scalp itches, burns or scars, if shedding is still heavy past the first year, or if it comes with fatigue, weight change or cold intolerance that does not fit new motherhood alone. Those point somewhere other than telogen effluvium.
If you want cover while it grows back
Some women wait it out. Others want the crown to look like theirs again for a wedding, a return to work, or a christening. A hair topper clips onto your own hair and covers the part and crown without touching the new growth underneath, and it comes off at the end of the day. Toppers at HEADS start from ₱45,000. A consultation is ₱500, credited in full against anything you go on to buy, and it is genuinely fine to come, look, and decide against it.
We fit at 1 Antonio Arnaiz Ave, Laguna Tower, Ground Floor, Corner Unit, Makati City 1200 (The Residences at Greenbelt, corner of Greenbelt Drive and Esperanza Street).
The questions, in short
- Is postpartum hair loss permanent?
- No. It is a shedding phase, not a loss of follicles. Most women are close to their old density by about a year.
- When is it worst?
- Usually between four and six months after birth.
- Does breastfeeding cause it?
- No. The timing often overlaps, but the trigger is the change in hormones after delivery, not feeding.
- Should I take a supplement?
- Only one your doctor recommends after checking your levels. Guessing rarely helps and iron in particular should not be taken blind.