Treating Sudden Hair Shedding in a 31-Year-Old Male with Telogen Effluvium and Stress Triggers
Hair loss can strike unexpectedly—especially when life circumstances or medications disrupt the hair growth cycle. At Reena Jogi MD Dermatology, we help patients identify and reverse the root causes of sudden hair shedding. This case follows a 31-year-old male from Houston who developed telogen effluvium after a period of intense stress and recent medication changes.
Chief Complaint: Sudden Hair Shedding
The patient presented with moderate, generalized hair loss that began approximately 3 months prior. He described the onset as sudden, with no prior history of scalp symptoms. He was already taking Nutrafol, a common hair supplement, but felt increasingly concerned by the shedding across his scalp.
The patient also reported significant anxiety over the past 8 months, and recently began a new medication—which may have served as the trigger for acute telogen effluvium (TE).
Clinical Examination and Diagnosis
Our physical exam included scalp dermoscopy, facial inspection, and a positive hair pull test, confirming active shedding. There were no signs of scarring or focal lesions.
We diagnosed him with:
Telogen Effluvium (L65.0)
Diffuse hair shedding due to a disruption of the normal hair growth cycle
Triggered by psychological stress and/or recent systemic medication
While androgenetic alopecia (male pattern baldness) is a possibility, TE often masks or precedes AGA. We emphasized that further observation and treatment response will help clarify the long-term diagnosis.
Treatment Strategy: PRP and Topical Minoxidil
After a thorough review of available options—ranging from oral finasteride/dutasteride to laser caps and Alma TED—the patient chose a non-hormonal treatment path focused on:
✅ 1. Platelet-Rich Plasma (PRP) Therapy
We scheduled his first session of PRP injections, which stimulate follicle recovery by delivering growth factors from his own blood plasma directly into the scalp.
✅ 2. Topical Minoxidil 5% Solution
He also began using topical minoxidil with guidance on proper use:
Apply 1 mL twice daily directly to dry scalp
Expect 3–6 months before visible results
Continue long-term to maintain gains
We counseled him on initial shedding, which is a common, temporary sign that follicles are entering a more productive growth cycle.
Additional Counseling: Addressing Mild Acne
The patient also had mild back acne with some post-inflammatory hyperpigmentation (PIH). We prescribed a tailored regimen to reduce acne and inflammation:
AM Routine:
Wash with Plexion cleanser
Apply a moisturizer with SPF 30+
PM Routine:
Optional second wash with Plexion
Apply Tretinoin 0.05% cream to affected areas
Follow with a non-comedogenic moisturizer
We explained that acne can take 2–3 months to improve, and consistent skincare is key to avoiding scars and dark spots.
Conclusion: Targeted Care for Stress-Related Hair Loss in Houston & Katy
This case showcases the power of early intervention for patients with stress-induced hair loss. By beginning a focused treatment with PRP and minoxidil, and supporting the patient’s skin health, we empowered him to regain confidence and control over his appearance.
If you’ve recently experienced hair shedding triggered by stress or medication, contact Reena Jogi MD Dermatology in Houston or Katy, TX for expert support.
