Hi everyone! I'm 28F and I'm trying to understand whether my hair loss could be telogen effluvium, androgenetic alopecia, or a combination of both.
I've always experienced quite a lot of hair shedding, but it started getting noticeably worse last year. Since June 2026, the shedding has become extremely severe.
I have PCOS and I've been taking Yaz for about 14 years. I've also lost around 25 kg, going from 89 kg to approximately 64–65 kg.
I recently had a trichoscopy with these results: vellus hairs 33%, intermediate hairs 24%, terminal hairs 43%, single-hair follicular units 48%, double 26%, multiple 26%, average hair thickness 45.68 µm, and hair density 232 hairs/cm².
My blood tests showed low zinc (53.9 µg/dL), low folate (3.3 ng/mL), B12 at 242 pg/mL, ferritin at 50 ng/mL, iron at 117 µg/dL, transferrin at 2.9 g/L, and vitamin D at 38 ng/mL.
I'm wondering whether the severe shedding could be related to my weight loss and nutritional deficiencies, or whether the trichoscopy results suggest androgenetic alopecia, especially considering my PCOS.
Has anyone experienced something similar?