Hair loss is a potential side effect of various breast cancer treatments, including chemotherapy, hormonal therapy, targeted therapy, immunotherapy, and radiation therapy. For many individuals, hair represents a significant part of their identity, and losing it can be emotionally challenging. However, understanding the causes of hair loss and learning coping mechanisms can help navigate this aspect of cancer treatment with confidence and resilience.
Understanding Hair Loss during Breast Cancer Treatment:
Chemotherapy and Hair Loss:
Chemotherapy targets rapidly dividing cells, including hair follicles, leading to hair loss not only on the scalp but also on other parts of the body.
Understanding the types of chemotherapy medicines and their potential impact on hair loss can help prepare individuals for what to expect.
Hormonal Therapy and Hair Loss:
Certain hormonal therapies, such as tamoxifen and aromatase inhibitors, may cause mild to moderate hair loss, often affecting specific areas of the scalp. While the exact mechanisms are not fully understood, these therapies can influence hair follicle growth by lowering oestrogen levels.
Targeted Therapy, Immunotherapy and Hair Changes:
Some targeted therapies can result in changes to hair texture or colour, while immunotherapy generally does not cause hair loss but may affect a small percentage of individuals.
Understanding these nuances can help individuals anticipate and manage hair-related changes during treatment.
Radiation Treatment and Hair Loss:
Radiation therapy targets specific areas of the body, potentially leading to hair loss in those regions. Understanding the implications of radiation treatment on hair loss can help individuals prepare for any changes in their appearance.
Preventing and Managing Hair Loss:
While hair loss during breast cancer treatment may be inevitable for some, there are strategies to mitigate its impact and promote regrowth. These include:
Cold Caps and Scalp Cooling Systems:
These devices can help reduce the impact of chemotherapy on hair follicles by cooling the scalp during treatment sessions.
Wigs, Scarves, and Hats:
Choosing head coverings that suit individual preferences can provide a sense of normalcy and privacy during treatment.
Hair Care and Styling:
Adopting gentle hair care routines and protecting the scalp from sun exposure can support healthy regrowth and minimise discomfort.
Patience and Self-Care:
Recognising that regrowth takes time and being kind to oneself throughout the process can ease the emotional toll of hair loss.
Dr. Pragati Singhal
