A common misconception when people think about cancer is baldness. Many people are surprised to learn that hair loss will not necessarily occur, or that it comes in different grades.
Hair loss is certainly one of the most common side effects, some would argue the most distressing. It makes the disease visible to others, as well as disturbing one’s body image.
Why do some people loose their hair?
Chemotherapy treatment targets rapidly dividing cells, including the hair matrix cells , causing damage to the hair root bulb which results in total or partial hair loss.
Hair loss is commonly described as completely reversible once the treatment stops. In rare cases, chemotherapy can damage the hair
follicular stem cells and the reversibility can be compromised. The stem cells in question, located in the bulb, are responsible for reinitiating follicle growth. If damaged, the hair loss can then become permanent.
Less toxic chemotherapy will result in less severe hair loss but delayed hair growth, where chemotherapy agents associated with greater toxicity will offer faster hair growth preceded by more severe hair loss.
Did you know?
6 out of 10 people will notice different hair characteristics compared to their pre-treatment hair. Chemotherapy can affect the inner root sheath epithelia as well as the follicle melanocytes. In other words, your post-treatment hair might be curly or wavy and the colour can change.
How to manage hair loss?
People can find it helpful to manage their hair loss as it can give you a sense of control. You can:
- plan – cut your hair shorter to allow you time to adjust to your changing image. By cutting your hair short, you also don't have to watch as so much of your hair falls out.
- shaving your head is optional and a personal choice - you can do it at your local hairdresser or at home with the help of your family. It is also a great way to get kids involved and normalise your new look so it isn't so scary for little ones.
- purchase a wig or hair accessories that match your current hairstyle
Hair loss might not impact your life’s expectancy, but it can impact your quality of life, and for some people the ability to cope with the treatment. The distress associated with hair loss is related to a change in body image and identity. These feelings are valid, and we encourage you to reach out for help if needed. Lymphoma nurses can provide patients with information on support available and will make referrals to allied health specialists (if required).
Our nurses are available on our nurse support line 1800953081 or nurse@lymphoma.org.au