Why the Same Treatment Works Differently Depending on the Season
Monsoon-related hair fall is not one disorder but a combination of different stress factors acting on the hair follicles simultaneously. This essay discusses the clinical process behind the effectiveness of PRP treatment in treating monsoon-related hair loss, the differences in using this technique compared to others, and how we select the candidates for this procedure at Dermosphere.
During the summer monsoon at our clinic in Dwarka, there is an increasing number of cases with hair fall issues. Patients usually believe that the monsoon itself causes hair fall.
However, clinically it is much more complicated than that and knowing this process is important since it will allow us to decide which treatment would be the most effective.
The Follicular Mechanism: Telogen Effluvium
Hair growth goes through three stages, anagen, catagen, and telogen, where anagen is active hair growth, catagen is a brief transition stage and telogen is resting and shedding. Normally, 85-90 percent of scalp follicles should be in the anagen stage while 10-15 percent of them should be in the telogen stage. Seasonal hair loss is a typical example of telogen effluvium where a physiological stress factor such as accumulation of UV rays and heat stress over the last summer along with moisture caused by monsoon, fungal or bacterial growth in the scalp forces more follicles to move to telogen than usual.
It is important for proper diagnosis as telogen effluvium is a diffuse, temporary and reversible phenomenon whereas androgenetic alopecia is progressive. Due to a delay in manifestation, patients usually realize the problem after several weeks when they are no longer exposed to stress. The fact above makes the connection between shedding and monsoon unclear. This is the starting point for clinical assessments of Dr. Sumit Sethi at Dermosphere as he tries to differentiate between seasonal telogen effluvium and other forms of hair loss.
Why PRP Targets This Specific Mechanism
The Platelet-Rich Plasma is created from drawing a few autologous units of blood which are then centrifuged so as to obtain platelets 4-7 times more concentrated than normal. The platelets are responsible for releasing a series of growth factors – PDGF (platelet-derived growth factor), VEGF (vascular endothelial growth factor), IGF (insulin-like growth factor), and EGF (epidermal growth factor) – in the injection process of the dermis and subdermis layers of the scalp at the follicle level.
This has three main benefits in relation to monsoon-induced telogen effluvium. First of all, PDGF and IGF trigger the entry of inactive follicles into anagen phase. Secondly, VEGF induces angiogenesis at the follicular unit level thus improving circulation in the hair follicles after nutritional and oxidative stress. Lastly, the anti-inflammatory effect of the platelet derived factors helps treat the low grade folliculitis and scalp inflammation that is common during the monsoon season due to humidity, sweat accumulation, and fungi colonization.
This is why PRP is often more clinically appropriate for seasonal shedding than mesotherapy or topical growth serums alone — those approaches nourish the follicle from outside, whereas PRP works at the level of the follicular signalling environment itself.
Candidacy, Protocol, and Limitations
PRP is not a scheduled seasonal ritual — it should not be administered purely because monsoon has arrived. Candidacy depends on scalp assessment: pattern of shedding, follicular density on trichoscopy, duration of symptoms, and exclusion of active scalp infection (which typically needs to be treated before PRP, not alongside it). At Dermosphere, Ishmeet Kaur's team typically structures an initial course of sessions spaced several weeks apart, followed by maintenance visits based on response, since growth factor stimulation is cumulative rather than immediate.
It's also worth noting PRP's limitations. It doesn't reverse hereditary pattern baldness on its own, and results vary based on the extent of follicular miniaturisation already present. For patients where trichoscopy reveals significant androgenetic changes, PRP is usually combined with topical or oral therapy rather than used in isolation — a distinction we always discuss upfront rather than overselling PRP as a standalone fix.
Conclusion
Hair loss during monsoon is a true clinical condition associated with Telogen effluvium. PRP treatment is aimed to treat this problem from a mechanism of action point of view, where it helps induce anagen phase, improve scalp blood flow, and decrease scalp inflammation. However, the treatment efficacy is solely dependent on proper diagnosis.
If you feel you have been experiencing unusual hair loss recently, then you should not diagnose yourself but rather get a professional opinion. Get a scalp trichoscopy done by our specialists in Dermosphere, located in Sector 19, Dwarka, and find out whether PRP treatment is right for you.
Phone: +91-9971011813 / +91-8448866813 / 011-45040813
Gmail: dermosphere@gmail.com
Website: dermosphere.com
Address: Flat No. 154, Ground Floor, Pocket-3, Phase-1, Sector-19, Dwarka, New Delhi – 110075
FAQs
- How is telogen effluvium diagnosed differently from androgenetic alopecia? Trichoscopy and pattern analysis distinguish the two — telogen effluvium shows diffuse shedding across the scalp, while androgenetic alopecia shows patterned miniaturisation, typically at the crown or hairline.
- Does PRP need to be paired with other treatments for monsoon hair fall? Not always. Pure telogen effluvium often responds to PRP alone, but if follicular miniaturisation is present, we typically combine it with topical or oral therapy for better outcomes.
- Is there a minimum gap required between PRP sessions? Yes — sessions are spaced several weeks apart to allow the growth factor cascade to act before restimulating the scalp, and the exact interval is set based on your assessment.
- Can active scalp infection be treated with PRP at the same time? No — active fungal or bacterial infection is usually treated first, since injecting into an inflamed or infected scalp can reduce PRP's effectiveness and isn't clinically advisable. #PRPTherapy #TelogenEffluvium #MonsoonHairFall #HairLossScience #DermosphereDwarka #ScalpHealth #RegenerativeDermatology #HairFallTreatmentDwarka #ClinicalDermatology #RealSkinSolutions
Top comments (0)