Cancer Cervical Cancer Caring for Your Hair During Chemotherapy By Lisa Fayed Lisa Fayed is a freelance medical writer, cancer educator and patient advocate. Learn about our editorial process Lisa Fayed Fact checked by Fact checked by Elaine Hinzey, RD on April 14, 2020 linkedin Elaine Hinzey is a fact checker, writer, researcher, and registered dietitian. Learn about our editorial process Elaine Hinzey, RD Updated on April 14, 2020 Print If having cancer and going through grueling rounds of treatment weren't enough, now you have to lose your hair, too? If you are feeling anxious and angry, you are by no means alone. Steve Mason / Stockbyte / Getty Images Hair loss is one of the most dreaded side effects of chemotherapy, which works by targeting the fastest-growing cells in your body. Among the most rapid-growing cells are hair follicles, which divide every 23 to 72 hours. Because of this, hair loss is one of the most common—and distressing—side effects of cancer treatment. The most important thing to know is, except in extremely rare cases, the hair grows back. So, the prognosis is very favorable. The Kind of Hair Loss That Comes With Chemotherapy Chemotherapy-induced hair loss is called anagen effluvium, which is diffuse hair loss due to exposure to a drug that is toxic to the hair matrix. While some people with cancer experience a visible thinning of hair, including the eyebrows and eyelashes, others will have total hair loss. The severity of the loss is often directly associated with the type of chemotherapy drugs used, the dosage used, and how often they are administered; higher dosages are associated with more severe loss. Whether you're simply noticing more hair in your brush or clumps are falling out in the shower, hair loss can be emotionally devastating—especially for women—and support from loved ones is crucial at this time. Beyond the impact of your treatment on your hair, chemotherapy and radiation can also wreak havoc on your skin, making it more difficult to care for your scalp. Thankfully, there are many steps you can take to feel more comfortable while undergoing therapy and confident about yourself and your appearance. Remember, you are part of a huge community of women who are going through and have gone through these challenges and who have likely felt exactly how you feel now. How to Handle Hair When It's Falling Out Hair loss from chemotherapy comes in two forms: Hair breakage and actual hair loss. While there is no right or wrong way to care for the scalp, there are many helpful suggestions. Ask Your Healthcare Providers About Cold-Cap Treatment: Some patients are using this therapy, which is widely used in Europe, to preserve their hair. It freezes the scalp, reducing the effects of chemotherapy on scalp hair and slowing hair loss. While many women report great results, this method can be expensive. Do as Little as Possible With Your Hair: This is both to reduce psychological distress as well as minimize breakage and loss that comes from too much brushing, pulling, or styling of the hair. You can shampoo and condition frequently if you prefer that, but generally washing the hair once or twice per week is sufficient. Be Gentle When Handling the Hair: Use a wide-toothed comb when brushing. You may want to wear a hair net at night, which can prevent your hair from falling out in clumps on your pillowcase and having to clean it up in the morning. Choose Mild Haircare Products: Many shampoos have fragrances and harsh chemicals that only serve to dry out already-irritated skin. Conditioners, by contrast, can sometimes be overly oily or contain emollients, humectants you simply don't need. When it comes to hair cleansing, the first rule of thumb is to simplify. If your hair is thinning, use a milder shampoo that is gentler on the scalp. Doctors often recommend a baby shampoo which has the right pH balance for dry, inflamed skin. If your scalp is itchy or sensitive, rubbing baby oil or mineral oil on the skin can usually help. Consider a New Hairstyle: If your hair has not entirely fallen out, you may want to consider a new hairstyle that doesn't require so much blow-drying, curling, or hair products. A pixie cut, for example, requires little hair product and allows you to style in whatever direction needed to conceal thinning patches. Some women choose to shave their heads to reassert their power over their bodies during cancer treatment, and also to avoid having to see the hair fall out—and this is also something to consider. Skip Coloring or Perming: As for hair treatments, doctors will almost universally advise against coloring or perming during chemotherapy. Even if you don't experience a lot (or any) hair loss, chemotherapy can still damage the hair shaft and cause a dry, itchy, flaky scalp. This can lead to unpredictable results when coloring or perming and can sometimes even accelerate the thinning of your hair. Moreover, the harsh chemicals are almost guaranteed to cause you irritation you don't need. If coloring your hair is really important to you, opt for temporary/semi-permanent hair coloring that doesn't contain peroxide or paraphenylenediamine (PPD). On the hand, if you want to lighten your hair, it is probably best to wait until you've finished chemo as these hair products almost universally contain peroxide and bleach. What to Do Once It's Fallen Out Try a Wig: While it may feel like the end of the world, wearing a wig can actually help you feel more confident in public—and these days, there are countless styles and colors to choose from. You can even cut and color your wig to match your natural color and style. Insurance plans will often cover the expense of wigs for people undergoing cancer treatment if they are prescribed as a "cranial prosthesis." There are even organizations that provide them for free. If you choose to wear one, get a cap liner to help eliminate some of the itchiness. You can order from the American Cancer Society's not-for-profit website and catalog, “tlc” Tender Loving Care®catalog by visiting www.tlcdirect.org or by calling 1-800-850-9445. You can also ask your cancer team and fellow patients for recommendations, or look online for local wig shops. Wear a Headscarf to Protect Your Scalp: If you're uncomfortable with wearing a wig, wear a headscarf to provide sun protection, keep your scalp warm, and feel more comfortable. When you're outdoors with nothing protecting your scalp, use a UV sunscreen with an SPF of at least 30. A Word From Verywell Though hair is important for self-esteem and symbolizes femininity in our culture, while you are battling cancer, the most important thing is to stay emotionally and mentally strong for the fight. Your hair will very likely grow back, and above all, it does not define you. Your strength through adversity does. Was this page helpful? Thanks for your feedback! Limiting processed foods and red meats can help ward off cancer risk. These recipes focus on antioxidant-rich foods to better protect you and your loved ones. Sign up and get your guide! Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Ferreira MN, Ramseier JY, Leventhal JS. Dermatologic conditions in women receiving systemic cancer therapy. International Journal of Womens Dermatology. 2019. doi:10.1016/j.ijwd.2019.10.003 Kanwar AJ, Narang T. Anagen effluvium. Indian J Dermatol Venereol Leprol. 2013;79(5):604–612. doi:10.4103/0378-6323.116728 National Cancer Institute. Skin and nail changes during cancer treatment. Updated June 14, 2019. Cleveland Clinic. Managing cancer treatment side effects. Reviewed August 2019. Kruse M, Abraham J. Management of chemotherapy-induced alopecia with scalp cooling. J Oncol Pract. 2018;14(3):149-154. doi:10.1200/JOP.17.00038 Memorial Sloan Kettering Cancer Center. Hair loss and your cancer treatment. Updated October 26, 2017. Seydi E, Fatahi M, Naserzadeh P, Pourahmad J. The effects of para-phenylenediamine (PPD) on the skin fibroblast cells. Xenobiotica. 2019;49(10):1143–1148. doi:10.1080/00498254.2018.1541264 American Cancer Society. Individual health insurance options. Updated May 13, 2019. CancerCare. Wigs. American Cancer Society. Hair loss-tips for women. Updated December 2018.