Hair fall at this age is common and usually manageable with proper evaluation and treatment.
Common Causes
Iron deficiency (most common)
Poor nutrition or low protein intake
Stress and lack of sleep
Dandruff or scalp infection
Hormonal imbalance (PCOS in some cases)
Treatment Plan
1. Oral Supplements (for 3–4 months)
Biotin + Zinc + Multivitamin
Once daily after food
Iron supplement (only if iron level is low)
2. Topical Treatment
Minoxidil 2% solution or foam
Apply 1 ml once daily at night
Apply only on the scalp
Continue for at least 6 months
Initial shedding during the first 3–4 weeks is normal.
3. Shampoo
If dandruff is present:
Ketoconazole 2% shampoo
Use twice weekly for 4–6 weeks
If no dandruff:
Use a mild shampoo 2–3 times per week
4. Diet
Eggs (1–2 per day)
Milk or curd
Green leafy vegetables
Fruits
Nuts (almonds, walnuts)
Adequate protein intake
Light oil massage once or twice weekly
Manage stress
Expected Results
1 month: reduction in hair fall
3 months: appearance of new baby hair
6 months: visible hair regrowth
Next Steps
Required Investigations
Before starting treatment, the following tests are advised:
Hemoglobin (Hb)
Iron profile (especially serum
ferritin)
TSH (
thyroid function test)
If periods are irregular → PCOS evaluation may be required.
Note: Serum ferritin should ideally be above 40 ng/ml for healthy hair growth.
Health Tips
Avoid junk food
Lifestyle Measures
7–8 hours of proper sleep
Avoid tight hairstyles and excessive heat styling
If hair fall is associated with:
Irregular menstrual cycles
Acne
Weight gain
PCOS should be ruled out.
#consult a doctor