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Scalp Care During Chemo

Scalp Care During Chemo

WebMD06-05-2025

One of my cancer treatments was paclitaxel, also known as Taxol. From the beginning, my doctor informed me that one of the likely side effects would be hair loss. She explained that the rate of hair loss varies from person to person and mentioned something called 'cold capping' that might help prevent some of it. At that time, cold capping wasn't covered by my insurance, so it wasn't an option for me.
After my second infusion, I noticed my hair falling out at a noticeable rate. That's when I decided to cut it shorter to make the loss less apparent. However, the inevitable happened – chunks of hair were left on my pillowcase and in the shower. I eventually chose to shave my head to avoid the emotional and mental anguish of losing my hair piece by piece.
As someone who always enjoyed having long, full hair, these changes were challenging, uncomfortable, and deeply emotional. However, I learned ways to care for my scalp and bring myself comfort during this phase of my treatment.
The Effects of Chemotherapy on the Scalp
Chemotherapy affects hair follicles, causing hair to fall out and leaving the scalp tender, sensitive, and dry. Here are the steps I took to care for my scalp during this time:
1. Gentle Cleansing
Using a mild, fragrance-free cleanser made a big difference in reducing irritation. Harsh chemicals or strong fragrances can cause additional sensitivity, so it's important to choose products designed for sensitive skin. If you're unsure, a dermatologist can provide recommendations.
2. Hydration
Keeping my scalp hydrated was essential to preventing further dryness and discomfort. I loved using organic aloe vera gel, which I bought from Amazon – it was soothing and effective. I also used a small amount of leave-in conditioner, which felt more like applying lotion. Even without hair, this helped keep my scalp moisturized and comfortable. Be sure to check product labels to avoid hidden fragrances that might cause irritation.
3. Sun Protection
Protecting your scalp from the sun is incredibly important since it becomes more vulnerable without hair. I used sunscreen specifically designed for sensitive skin, avoiding strong fragrances to minimize irritation.
4. Accessories
Wearing a wig, beanie, or head wrap can offer both protection and comfort. It's important to ensure these items are clean to avoid irritation. Many local cancer centers or the American Cancer Society offer free accessories, so be sure to check with them.
A Note on Emotional Well-Being
Losing your hair is much more than just a physical change. It comes with an emotional toll that's deeply personal. Everyone's relationship with their hair is different, and so is the process of grieving its loss. It's important to remember that it's not 'just hair,' and it's OK to feel whatever emotions come up.
Be gentle with yourself and prioritize your mental well-being. There's no right or wrong way to navigate this journey. If you feel overwhelmed, consider reaching out to your local cancer center for resources and support groups. There is a community ready to help you through this.

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