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Postpartum Hair Loss: Causes and Treatment Options

Sara Harcharik Perkins, MD

Reviewed by Sara Harcharik Perkins, MD

Written by Jill Seladi-Schulman, PhD

Published 10/29/2018

Updated 02/03/2025

You’re already juggling a million things after giving birth — sleepless nights, endless diaper changes, and baby barf. The last thing you want to deal with? Losing your hair.

But postpartum hair loss is a thing. And it can be frustrating. 

The good news? It’s probably temporary and you can get back to a healthy-looking head of hair. 

In this article, we cover what causes postpartum hair loss, how long it typically lasts, and what you can do about it.

While data on postpartum hair loss is limited, there’s lots of research on the substantial hormone changes you go through during and after pregnancy.

And what you’re experiencing technically isn’t hair loss but excessive hair shedding due to diminishing estrogen levels.

Dermatologists refer to this excessive hair shedding as telogen effluvium. 

Telogen effluvium is really common after giving birth, with some survey studies finding that over 90% of women reported some form of hair shedding during the postpartum period.

Childbirth isn’t the only thing that can trigger telogen effluvium. Here are a few other potential causes:

  • Illness

  • Severe stress

  • Some medications

  • Crash dieting

  • Major surgery

Beginning in the first trimester, your progesterone and estrogen levels gradually increase. Your ovaries produce these hormones in the first 12 weeks of pregnancy. And after that, it’s your placenta doing the work.

High levels of circulating placental estrogen can prolong the anagen phase (AKA growing phase) of the hair-growth cycle. This is why some women experience thicker-looking hair during pregnancy.

But after delivery, hormonal changes like a sharp drop in estrogen can cause all those growth phase hairs to enter into the catagen (AKA resting) phase — all at the same time.

Months later, they all shed at the same time during the telogen (AKA shedding) phase. 

Combine this with stress and sleep deprivation, and you’ve got a recipe for postpartum hair loss. 

Your hair won’t suddenly start shedding while you’re giving birth. 

Instead, postpartum shedding accelerates several weeks or even months after childbirth as your hormone levels dramatically shift. 

 In general, telogen effluvium usually takes place three to four months after a stressful or traumatic event. And childbirth can be pretty traumatic.

Hair loss typically peaks around four months postpartum.

So, when does postpartum hair loss stop? Most women get back to normal hair growth and fullness one year postpartum.

Excessive shedding from telogen effluvium will typically resolve on its own. 

A few months after you notice the hair loss, you should start to see your hair shedding go back to more typical levels — about 50 to 100 hairs per day.

You might be able to use topical minoxidil while breastfeeding, but your healthcare provider can offer personalized guidance there. 

Here are a few things you can try to make your hair look a little fuller in the meantime.

Opt For The Right Products

The right hair care products can make all the difference when you have fine hair.

Hair products like volumizing shampoo and conditioner will help wash away heavy oils and grease while adding extra body. 

Check out our guide on how to get volume in your hair for tips to make hair look more like it did pre-pregnancy.

Up Your Vitamins

Healthy hair growth relies on essential vitamins and minerals like those part of a healthy diet. A lack of these nutrients can potentially lead to hair loss:

If you have a nutritional deficiency, work with your healthcare provider to determine whether supplementation is right for you.

Our biotin gummies can help prevent sparse strands. Some women also continue to take prenatal vitamins with folate, iron, and vitamin D to help with regrowth.

Eating a healthy, balanced diet can help, too.

Address Postpartum Depression 

Postpartum depression, which is different from the baby blues, is very real. And it can happen to anyone.

Postpartum anxiety or depression can make it difficult to take care of yourself — and your hairline. 

Online therapy might help you deal with your postpartum emotions and get the help you need to address your symptoms.

While hair loss in new moms is common, if your child’s first birthday has come and gone and you still notice thinning, it might be time to see a healthcare provider.

What’s the best treatment for postpartum hair loss? A dermatologist, trichologist, or other healthcare professional can help you figure out the right hair loss treatments for you. They can also uncover whether there’s something bigger going on, like female pattern hair loss or a thyroid issue.

Below, we round up some effective, science-backed treatments for hair loss. 

Word of caution: If you’re breastfeeding, it’s always best to check with your healthcare provider before starting any new treatment.

Topical Minoxidil

Minoxidil is easy to use, backed by plenty of research and FDA-approved for female pattern hair loss.

Though its use for telogen effluvium is an off-label indication, it’s a common line of defense for various forms of hair loss.

These 2% minoxidil drops make it easy to target thinning areas or a wide part. A lightweight, higher-strength 5% minoxidil foam version may be a better choice if you have more aggressive signs of hair loss.

Oral Minoxidil 

If you’re looking for a way to boost hair growth without changing your styling routine, this once-a-day pill might be just the thing. It works by increasing blood flow to your hair follicles, which can help kickstart growth.

While oral minoxidil isn’t actually FDA-approved for hair loss, it can be effective for female hair loss at different doses ranging from 0.25 to 1.25 milligrams per day.

Spironolactone 

This prescription medication primarily works by blocking the binding of testosterone and dihydrotestosterone (DHT) to androgen receptors in your hair follicles, decreasing their effects. 

FYI: spironolactone treats androgenetic alopecia, also known as female pattern hair loss, so it may not be effective for telogen effluvium.

Telogen effluvium is the most common form of postpartum hair loss — and one that usually completely resolves itself in under a year. 

From the moment you notice more shedding than usual, your scalp is working to replace those lost hairs with new hairs. 

Let’s recap what we know about postpartum hair loss: 

  • It’s totally normal. No, you’re not the only one losing hair after childbirth. Most new moms experience some hair loss.

  • Give it time. Hair loss from telogen effluvium usually resolves within a year.

  • Try a treatment. If it’s already been over a year or your hair loss feels severe, talk to a healthcare provider or dermatologist about hair loss treatments like minoxidil to help kickstart hair growth.

Hair can impact the way you feel about yourself, but remember, there are things you can do to improve hair health and help get hair loss under control.

Learn more about the various types of hair loss in women in our comprehensive guide.

Want to do a little more digging? Read our guide on how to get thicker hair for more tips. And if you’re ready to make a move, set up an online hair consultation now.

15 Sources

  1. Aleissa M, et al. (2023). The efficacy and safety of oral spironolactone in the treatment of female pattern hair loss: A systematic review and meta-analysis. https://pmc.ncbi.nlm.nih.gov/articles/PMC10502763/
  2. Almohanna HM, et al. (2018). The role of vitamins and minerals in hair loss: A review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380979/
  3. Do you have hair loss or hair shedding? (n.d.). https://www.aad.org/public/diseases/hair-loss/insider/shedding
  4. Gangakhedkar GR, et al. (2021). Physiological changes in pregnancy. https://pmc.ncbi.nlm.nih.gov/articles/PMC9108783/
  5. Hair loss in new moms. (n.d.). https://www.aad.org/public/diseases/hair-loss/insider/new-moms
  6. Hirose A, et al. (2023). Investigation of exacerbating factors for postpartum hair loss: A questionnaire-based cross-sectional study. https://pmc.ncbi.nlm.nih.gov/articles/PMC10846762/
  7. Jee SB, et al. (2024). Physiological changes in pregnant women due to hormonal changes. https://pmc.ncbi.nlm.nih.gov/articles/PMC10993087/
  8. LactMed®. (2024). Minoxidil. https://www.ncbi.nlm.nih.gov/books/NBK501032/
  9. Malkud S. (2015). Telogen effluvium: A review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4606321/
  10. Mirallas O, et al. (2016). The postpartum telogen effluvium fallacy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4908443/
  11. Patel P, et al. (2023). Minoxidil. https://www.ncbi.nlm.nih.gov/books/NBK482378/
  12. Pierard-Franchimont C, et al. (2013). Alterations in hair follicle dynamics in women. https://pmc.ncbi.nlm.nih.gov/articles/PMC3884776/
  13. Ramirez-Marin HA, et al. (2022). Role of oral minoxidil in patterned hair loss. https://pmc.ncbi.nlm.nih.gov/articles/PMC9650732/
  14. Robinson DP, et al. (2012). Pregnancy and pregnancy-associated hormones alter immune responses and disease pathogenesis. https://pmc.ncbi.nlm.nih.gov/articles/PMC3376705/
  15. Symptoms of depression among women. (2024). https://www.cdc.gov/reproductive-health/depression/index.html
Editorial Standards

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Sara Harcharik Perkins, MD

Sara Harcharik Perkins, MD, FAAD is a board-certified dermatologist and Assistant Professor in the Department of Dermatology at the Yale School of Medicine. She is the director of the Teledermatology Program, as well as the Associate Program Director of the Yale Dermatology Residency Training Program. Her research focuses on telemedicine and medical education. Her practice includes general medical dermatology, high-risk skin cancer, and procedural dermatology.

Dr. Perkins completed her undergraduate education at the University of Pennsylvania and obtained her medical degree at the Icahn School of Medicine at Mount Sinai. She completed her medical internship at the Massachusetts General Hospital, followed by residency training in dermatology at Yale University, after which she joined the faculty.

Dr. Perkins has been a member of the Hims & Hers Medical Advisory Board since 2018. Her commentary has been featured in NBC News, Real Simple, The Cut, and Yahoo, among others.

Publications:

  • Ahmad, M., Christensen, S. R., & Perkins, S. H. (2023). The impact of COVID-19 on the dermatologic care of nonmelanoma skin cancers among solid organ transplant recipients. JAAD international, 13, 98–99. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518328/

  • Ahmad, M., & Perkins, S. H. (2023). Learning dermatology in medical school: analysis of dermatology topics tested in popular question banks. Clinical and experimental dermatology, 48(4), 361–363. https://academic.oup.com/ced/article-abstract/48/4/361/6869515?redirectedFrom=fulltext&login=false

  • Belzer, A., Leasure, A. C., Cohen, J. M., & Perkins, S. H. (2023). The association of cutaneous squamous cell carcinoma and basal cell carcinoma with solid organ transplantation: a cross-sectional study of the All Of Us Research Program. International journal of dermatology, 62(10), e564–e566. https://onlinelibrary.wiley.com/doi/10.1111/ijd.16700

  • Ahmad, M., Marson, J. W., Litchman, G. H., Perkins, S. H., & Rigel, D. S. (2022). Usage and perceptions of teledermatology in 2021: a survey of dermatologists. International journal of dermatology, 61(7), e235–e237. https://onlinelibrary.wiley.com/doi/10.1111/ijd.16209

  • Asabor, E. N., Bunick, C. G., Cohen, J. M., & Perkins, S. H. (2021). Patient and physician perspectives on teledermatology at an academic dermatology department amid the COVID-19 pandemic. Journal of the American Academy of Dermatology, 84(1), 158–161. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491373/

  • Belzer, A., Olamiju, B., Antaya, R. J., Odell, I. D., Bia, M., Perkins, S. H., & Cohen, J. M. (2021). A novel medical student initiative to enhance provision of teledermatology in a resident continuity clinic during the COVID-19 pandemic: a pilot study. International journal of dermatology, 60(1), 128–129. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7753449/

  • Cohen, J. M., Bunick, C. G., & Perkins, S. H. (2020). The new normal: An approach to optimizing and combining in-person and telemedicine visits to maximize patient care. Journal of the American Academy of Dermatology, 83(5), e361–e362. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316470/

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