HomeAnswersDermatologyhair lossI am a 31-year-old female experiencing severe hair loss despite taking iron supplements and all my tests being normal. Please help.

What can cause excessive hair fall in a 31-year-old female?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At November 4, 2023
Reviewed AtJanuary 4, 2024

Patient's Query

Hello doctor,

I am a 31-year-old female experiencing hair loss or excessive hair shedding for the past seven years. This is the first time I am experiencing this problem. Eight months back, I saw a dermatologist who prescribed Cystiphane pills and lotion for hair loss, but it did not help. In fact, hair loss increased even more. I have been having low iron levels for more than seven to eight years, but I have never had hair problems before. Six years back, my iron level was low as usual and my ferritin level was 8, so a hematologist advised me to take iron supplements and vitamin B12 shots.

I am also taking Anacaps pills (Ducray) for almost three months along with zinc supplements and vitamin D. After four months of taking iron, my iron level is now at the top range and my ferritin level increased to 21. However, my hair loss neither improved nor stopped. I also took thyroid tests and my TSH, T3, and T4 results appear to be normal and within the range. I also took an ANA (anti-nuclear antibody) test and it was positive (1:320) but I repeated the test in another laboratory the result of which was negative (1:100).

I have already lost half my hair. It is shedding too much, and it is becoming thin. What is your opinion about my case? Is there anything else that I need to test? How could I stop my hair loss before I lose all my hair? What could be the cause of the problem? Please help.

Thank you.

Answered by Dr. Suvash Sahu


Welcome to icliniq.com.

I appreciate that you have chosen icliniq for your medical needs. I am here to give you the best care possible.

I have seen your query and can understand your concern. From your description, it seems that you have no nutritional deficiency, but you have female pattern hair loss or androgenic alopecia. Other causes like stress-related alopecia are also common in which females keep their hair very tight in a certain manner which creates tension in the root which results in hair fall. Straightening and other procedures can also cause weakness in the hair roots. Other conditions like fever, typhoid, malaria, thyroid, etc., can also cause hair fall, but these are less common.

I suggest you apply Melatonin (Folliserum) serum locally daily morning and apply 2 % Minoxidil (1 ml) locally at night. Also, take the tablet Xtraglo (biotin, copper, iron, selenium, zinc, L-cysteine, L-lysine, methionine) once daily for three months. Do follow up with pictures, if possible, for better evaluation and to estimate the grade of alopecia.

I hope your query got resolved. Please feel free to reach me again, in case of any further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu


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