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Why does chemo cause hair loss?

Picture of Andrew Bellingham

Andrew Bellingham

Pharmacist | 20+ Years | BPharm | Dip Clin Pharm

Chemotherapy is a common treatment for cancer, but it often comes with the side effect of hair loss. This can be a distressing experience, both emotionally and physically. Understanding why this happens can help make the process a bit easier to manage.

Chemotherapy works by targeting and killing fast-growing cancer cells. However, it doesn’t just attack cancer cells; it can also affect other fast-growing cells in the body, including those in your hair follicles. Hair follicles are among the fastest-growing cells, so they can be particularly vulnerable to the effects of chemo. When these cells are damaged, hair can fall out, leading to noticeable thinning or baldness.

What type of chemo doesn't cause hair loss?

Not all chemotherapy drugs cause hair loss. The risk largely depends on the type and dosage of the drug used. For example, some chemotherapy treatments might target specific cancer cells more precisely, sparing healthy cells like those in the hair follicles.

Some newer forms of chemotherapy, such as targeted therapies and hormone therapies, often have a lower risk of causing hair loss compared to traditional chemotherapy. These treatments work differently from standard chemo, focusing more on the specific characteristics of cancer cells, which can sometimes reduce the impact on normal cells.

If you’re concerned about hair loss, it’s worth discussing with your oncologist. They can provide information about the potential side effects of your specific treatment plan and may be able to suggest alternatives or additional support to help manage this side effect.

Frequently asked questions about hair loss

How does chemotherapy lead to hair loss?

Chemotherapy targets and kills rapidly dividing cells, which include cancer cells and hair follicle cells. As these hair follicle cells are damaged, hair growth slows down or stops, leading to hair loss. This can start a few weeks after beginning treatment and typically affects the scalp, but it can also impact other areas of the body.

Can hair loss from chemotherapy be prevented?

While it’s challenging to completely prevent hair loss from chemotherapy, there are strategies to manage it. Some people find that wearing a wig or using head coverings can help them feel more comfortable. Scalp cooling systems, which involve wearing a cold cap during treatment, have also been shown to reduce the risk of hair loss in some cases by constricting blood vessels in the scalp and reducing the amount of chemotherapy reaching the hair follicles.

How long does it take for hair to grow back after chemotherapy?

While it’s challenging to completely prevent hair loss from chemotherapy, there are strategies to manage it. Some people find that wearing a wig or using head coverings can help them feel more comfortable. Scalp cooling systems, which involve wearing a cold cap during treatment, have also been shown to reduce the risk of hair loss in some cases by constricting blood vessels in the scalp and reducing the amount of chemotherapy reaching the hair follicles.

A bald woman with cancer sits in deep thought, she looks positive about her future.

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