Q. What could cause hair fall in a 22-year-old without dandruff?

Answered by
Dr. Sandhya Narayanan Kutty
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 11, 2022 and last reviewed on: Dec 20, 2022

Hi doctor,

I am 22 years old and have been facing hair fall problems for the last couple of months, but no dandruff issue. Kindly help.



Welcome to

I read your query and understand your concern.

Multiple factors cause hair loss, most commonly due to genetic factors, in case your parents and their blood relatives have MPHL (male pattern hair loss). It is most likely to be genetically transmitted, and other reasons include Vitamin deficiencies, zinc and iron deficiencies, climatic factors, hormonal imbalances, dietary changes, and lifestyle factors, including using of commercial oils, shampoos, hair smoothening or straightening products and due to frequent coloring of hair with strong products. Therefore, I would suggest the following:

1. Tablet Follihair (combination of vitamins, minerals, amino acids, biotin, and natural extract) once daily after food for two months at night.

2. Ega scalp hair tonic (gibberellin and an optional proteolytic enzyme) may be used on your scalp. Apply and massage twice daily after cleaning and drying your scalp well.

3. In case of dandruff or seborrheic dermatitis, use KZ plus lotion (Ketoconazole and Zinc pyrithione) twice a week may be used, diluted in a 1:1 ratio with water, apply, massage, and leave for 3 to 5 minutes and wash off.

4. Make sure to have a balanced diet, including fruits and green leafy vegetables. And consume enough water daily.

5. PRP (platelet-rich plasma) mesotherapy procedures for the scalp where plasma rich in platelets would be extracted from a small amount of blood drawn from your vein and is injected superficially into your scalp every 15 days (if done along with mesotherapy which is vitamin injection done similar to PRP treatments) to one month and done in sessions of 6. For the procedure, direct consultation with a dermatologist is advised. It will help with hair growth and reduce hair fall.

I hope this helps.

Thank you

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