Hair Loss
I will be starting chemo on Feb 1st. I asked my doctor when my hair would start to fall out and I think he said between weeks 2-4 after treatment starts. This seems so sudden to me. I have been reading general information about when, why and how but I really want some true, real life opinions and experiences. I have long hair down to the middle of my back. I would be more than happy to donate it but don't want to cut if off too soon or too late either. I am also not sure if I should shave it or just cut it really short. What would be the difference going from really long hair to really short hair or shaved, either way it will be a huge difference. Feel free to share the good, bad and ugly, I am really torn with when to shave or not to shave! Thanks!
Comments
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I also had very long hair prior to chemo. I cut it short to just below my ear prior to starting and had a hairpiece made from the hair I had cut off, here is the link to the site.
The majority of people lose their hair right around day 14 - or within the following week, but it can also depend on the specific chemo regimen they receive. If you are doing Taxol as a stand alone regimen it may be a more gradual thinning, or if you do CMF, some people have very little hair loss. I waited to shave my remaining hair off until it was coming out in clumps, and then I did not shave it smooth, but left about 1/2 inch, which I did not completely lose. Good luck!
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Hi samjune79 - I am slated to start chemo on Feb 1, as well - Taxol and Herceptin. My MO specifically told me to expect hair loss and nausea. The nurse, who did my chemo class yesterday, seemed to think that was very exaggerated. Specific to my treatment, I have read individual experiences ranging from thinning to clumps of hair loss, as well as different time frames for when that happens, but usually as your doctor has stated - 2-4 weeks. I have read people saying cold caps have helped, and others saying they haven't. Yeah, I'm getting more confused. I have long, fine dark hair. If I can make an apt before Feb 1, I will try to cut it shorter, perhaps slightly above the shoulders - something I haven't done since my 20's, and never have I gone shorter than that. I am waiting to jump the gun on shaving it.
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samjune79-I also had long hair prior to chemo. I would recommend having your haircut into a cute, short hairdo just before you start chemo. It doesn't matter if you like the hairdo or not, you will only have it for a few weeks, but choosing to cut it gives you a little control in a situation where you otherwise don't have much control. It is also a little easier when shorter hair (which doesn't seem like your hair) falls out than when long hair falls out. In hindsight, I waited too long to cut my hair. It was really hard to pull BIG wads of hair out of my hairbrush, the shower, the back of my chair, and anywhere else I sat. I literally filled two hotel room trash cans with hair for a few days before I cut my hair. Heaven knows what the hotel maids thought was going on!!
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I did not cut my long hair before it fell out, but I wish I had. Longer wigs (if you choose to wear a wig) tangle and are hot and a pain. I ripped that thing off and put on a skull cap as soon as I left work. I should ave picked out a short wig and then gotten my hair cut to match it so there wouldn't be any transition. My hair fell out to the point I couldn't fake it anymore at day 24. Before chemo, it was 2/3rds of the way down my back. I tolerated the wig for a few months, and then switched to skull caps once I finished chemo because I hated the wig with a passion, so much so that I would rather go without it. I spent a lot of money for a couple of wigs, but if I could change that, I would have gotten an inexpensive wig instead.
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I agree with Italychick on the wig. I bought a longer wig that looked somewhat like my real hair. I rarely wore it. I did wear scarves -loads of them. They were cheaper, morecomfortable and looked better (in my mind, anyway) than the wig did. It was also easier to stop wearing them once I had a reasonable skiff of real hair back.
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I'm along the same lines as the other folks that posted. It does depend on your chemo regimen, but my MO told me my hair was for sure falling out (yes- a totally cried lol). I came out of the womb with a ton of hair and always had long hair so was a great shock. Also at the same time I found out I was doing chemo first, so no time to digest everything.
For me- and everyone is different, I had it cut into a pixie cut first to help adjust. I cried walking in and out of the salon that time, but by the time I had it shaved, I was ready. The shedding was crazy and annoying and it got to a point where I was like shave it, it was driving me crazy.
Also my scalp became very sensitive and the stubble at first hurt when I laid my head on my pillow. That did get better and the stubble fell out as well. The positives definitely are the fast showers, and now that I'm going into BMX in a week- I won't have to worry about dirty hair afterwards.
I never bothered with wigs, I've been doing scarves and beanies. Also- I realized how you're not looking at yourself as much as others! So sometimes you really forget you have no hair (or eyebrows and lashes as well). So for me that's easier- maybe tougher on those around you lol.
Good luck on this journey- it is doable!
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Great advice from everyone, and thanks SpecialK for the resource!
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Hi all, just a quick question, I had my first AC treatment on 1/12- so I am on day 11 i guess. Are there any warning signs when hair is getting ready to start shedding or is it basically you wake up one day and its raining hair. Sigh.
I also have long hair and am not looking forward to any of this part of the side effects.
I have wigs and hats etc ready to go when needed but still going to be sad about it.
thanks for any input!
Traci
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Consider if cutting the hair short now will lessen the trauma for you. Everyone is different. I had my hair shorn close about a week after starting AC chemo. It didn't start shedding in earnest until day 19 for me. Some women get an itchy scalp as the hair starts releasing. I think most women notice when washing or brushing their hair when it is coming out fast. I actually kept a decent amount of hair through AC. I was thinking that I was lucky. However, soon after starting Taxol, most of the rest quickly exited, along with almost all the eyebrows and lashes. I'm now 4 weeks post chemo and eagerly awaiting noticeable growth. I still can't really see it but can feel some stubble on my head.
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I agree - I would get your hair cut at least shoulder length - maybe a pixie. And once the hair starts to fall, I did not shave my head but only had it cut in a really short 'buzz'. (think Marines) Someone recommended the stubble would be more uncomfortable if I shaved it all off.
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I think hair loss in very individual. All the prior chemo I had a bit shed but I had such thick hair no one but me noticed. Like I had never seen my scalp before. Taxol was a different story. Between cycle 1 & 2 it really shed not clumps. Shed a lot. My puppy had my hair stuck on her feet. Some patients do have clumps fall. I cut hair from chin length to below ear. But have had peach fuzz also. Don't know what that's about. If that falls also? For those of you who remember old movies. Think of the B&W Scrooge with an old actor name Sim. Not much hair. Some on sides & a tiny bit on top, none in front. That's me. I couldn't stand the wig. Itched & hot. Using scarves. A few don't lose hair, hear of some losing hair after treatment stops! Hope you are one of those that have a good head. Luck
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I had shoulder length hair before starting treatment. I cut it short after my first A/C treatment. My head started feeling tender about 2 weeks later. By day 16 or 17 my hair started to fall out. After a few days of finding clumps of hair in the shower I had my stylist shave it off. I felt so much better because I felt I was in control of the situation.
My shaved head hasn't went slick bald. I have finished 4 rounds of A/C and one dense dose taxol. I sort of have a really bald top and more hair around the bottom and sides. Think Friar Tuck from Robin Hood lol. I definitely don't have enough to run around in public without a scarf or cap. I have a couple of wigs, but I rarely wear them. THey look natural enough, but aren't that comfy.
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Thanks for the feedback ladies!
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HI! I started on AC and my hair started coming out in CLUMPS 2 days after my 2nd treatment...It was too depressing to me to see it in my hands all the time so I had my husband cut it really short, I wanted to lose it on MY terms...I cried the whole time, I think losing my hair is one of the parts that made me the most depressed about this whole situation
My head felt sore when I had stubble so I then had my husband shave it close down, now it doesn't bother me when I'm sleeping...I sleep in a soft cotton hat. I do wear a wig every day to work (I am a teacher) and my students don't know what I am going through so I try to keep things the "same" but once i get home I put on a beanie cap....weekends I wear a hat or a wig depending on if I am leaving the house LOL I also bought a baseball hat that has hair around the edges, easy for running to the store etc.
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If you have really long hair, cut it short and consider donating it to Locks of Love. They use it to make wigs. A great charity. Or do as Special K suggested.
I had a synthetic wig, couldn't stand it in the Florida heat and humidity. May be nice now to wear up north in the cold
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Thanks everyone for your experiences and opinions. I have decided not to shave right away and cut really short in the back but keep some in the front slightly layered. I can't donate to most wig charities because of my highlights but I did find one (Children With Hair Loss) that says they "prefer non-treated hair" so I'll send my 12 inches to them in hopes they can use it. I have scheduled my hair cut for Feb 11th so that is day 11 of my treatment. I will be on Taxol and Carboplatin once every 3 weeks for 5 months. The paperwork my MO gave me says "occurring in greater than 30%" with a list of symptoms including hair loss (chemocare.com). My family think that means that only 30% of the people treated will loss their hair. They are hopeful but I don't want to be pulling out clumps.
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All of this is hard, but it seems like the hair loss is particularly so. I've always had longish hair - never above my shoulders - and would have preferred to keep it that way! I'm on TCHP and the hair started to really come out about day 16. It was on my pillow, on my clothes, in the brush, all over my hands in the shower, all over the bathroom. It seemed to be most thin on top so I wore a ponytail for a few days to cover that up. When I found myself crying after each shower for two days - I decided it was time to do something.
Unfortunately, I never felt "empowered" or like I was "in charge" like some people do. I was incredibly sad and felt like none of this was my choosing. I went to a beauty salon that sells wigs and they buzzed it to about a quarter inch in a private room. I pretty much cried the whole time. However - I was thankful when it was over and my scalp was no longer sensitive. I walked out with my wig on and carried on.
I'm now almost up to my third round. I'm still losing some hair but the pieces are so small that you don't notice. I swear the hair in the back is growing! And it's still a shock to see my pale scalp with dark and gray stubble after coloring my hair lighter for many years. I think that completely bald would be better than this.
Good luck. I hope that you have peace in your decision. Keep telling yourself that it's just for now!
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A suggestion someone gave me was to get a 'lint roller' made for clothes with you start loosing your shorter hair. You can roll the tape over your pillow, your head, your clothes, the inside of your cap. I found it a great tool.
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Hugs and welcome to both samjune79 and NotVeryBrave. You are indeed quite brave
Glad you found this amazing group of people!
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I got my hair cut short right before chemo. My scalp started to tingle around day 14. Day 16, as predicted, it started coming out in clumps. What hair didn't fall out hurt. I had to go out that day and get my head shaved, which helped. Wigs bothered my scalp, so I just wore scarves. While its certainly weird to be bald, for me, it was not the worst side effect of chemo. My hair has grown back to its normal thickness and texture.
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Hello everyone.. I'm new to all of this....I started chemo on June 28, 2017. I am taking carboplatin, taxotere, and Herceptin. I have to do 6 treatments and then Herceptin by itself for 8 months. When I first started chemo I was using the cool caps. I used them for the first 2 chemo treatments. After the 2nd treatment my hair started really thinning out so I decided to quit using the cool caps. I was suppose to have my 3rd one today, however by platelets were too low so it was postponed. Now I'm really thinking I should have kept trying the cool caps. I haven't lost any of my eyebrows or my eyelashes yet either. Is there anyone that didn't loose a lot of hair taking the same chemo drugs. I'm really struggling with the whole hair loss and hope that I just stay with the thinning out.
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I am cold capping i had 3 treatments of FEC and although i had lost alot of hair on the sides i still have a lot and it doesn't show. I have 3 more to go of docetaxel (taxotere)and i will continue cold capping till the end. They said the regrowth is faster.
Good luck. !!!
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My hair starting growing back on TCHP around the fourth round without cold capping. I never lost all of it, but it was quite thin with probably 80% gone - worst on top.
I didn't lose eyebrows until almost finished with chemo (slow thinning with rapid regrowth) and eyelashes well after chemo was done (left quickly and returned slowly). My upper lashes are still only 2/3 their normal length and I finished chemo in April!
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Vivianlu8...Thank you for the information, good luck with the cold caps. I'm still torn on whether or not I should have stopped.
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Notverybrave.... I am hoping that I am with you and don't lose all of my hair. I would be fine if it just stayed as thin as it is now with out having to loose much more. Its weird how some people lose it all and others it just thins out.
Thanks for responding!
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