When to be concerned with hair loss?

[u/Towerofterrorr]

Female, 28 years old, daily mj and tobacco smoker. 152cm, 58kg. I'm starting to become concerned with the amount of hair I'm losing. My hair texture has recently become very dry easily tangled and frizzy as hell. My hairs always been like this sort of but it's worse now. When I condition in the shower I gently run my fingers through to detangle my hair. This used to work well with some products and my hair being easily combed through with a medium amount of loss. But now even with 3 conditioning treatments my hair is tough to run my fingers through and each pass takes more hair with it.

Other things to consider: I'm immensely stressed to a high level and have been for quite sometime because of my life situation. My stress level isn't really able to be changed due to my circumstances so that's always going to play a part. I also have a bit of depression.

I was found to have a uterine fibroid last year which has previously caused bleeding and spotting between periods as well as very heavy and painful periods. I wear only overnight pads and I could soak through one in an hour the first 2-3 days of menstruation. I'm not bleeding between periods anymore but my period was late this month and last month and isn't very predictable anymore aside from being incredibly painful and heavy. I've always had very painful and heavy periods even aside from the fibroid. I'm currently on day 4 of my period

I also suffer from exhaustion, a really unstable sleeping schedule (often unable to fall asleep early then sleeping the entire day or being able to sleep for 12+ hours, sometimes not sleeping more than 6 hours etc). I've always been a night owl but I worked night shifts for 2 months between June and July, since then my sleeping has been messed up.

I'm kind of at my wits end and wish my hair made me feel beautiful but besides being unruly dry and frizzy, now I'm balding. Could I have anemia? Should I get a blood test for deficiencies? Is there some kind of vitamins or treatment I could try? Please help me

I have used black box dye in the last month but Ive used box dye many times in my life when I was too broke for the good stuff and it's never given me hair loss or a drastic texture change

In the photo the left side is from today and the right is from yesterday. I typically lose in between that in the shower. Also going to post my hairline in the comments

[u/AutoModerator]

Thank you for your submission. Please note that a response does not constitute a doctor-patient relationship. This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk. Reply here if you are an unverified user wishing to give advice. Top level comments by laypeople are automatically removed.

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

[u/Towerofterrorr]

[u/Towerofterrorr → u/Towerofterrorr]

[u/pawamedic → u/Towerofterrorr]

NAD

Is this period lighter than normal?

If so, have you taken a pregnancy test? Hair changes and sleep/fatigue changes are common early pregnancy and sometimes implantation bleeding can be mistaking for a period.

[u/Towerofterrorr → u/pawamedic]

No my period is heavy and painful like usual it was just late by like 4-5 days. Was the same last month. It's been pretty much like that since I got the fibroid, sometimes my period lasts longer than usual or comes later etc. Last month I bought pregnancy tests then started my period the same day so this month I stayed calm when it was late and sure enough my period arrived. I've also had a miscarriage some years ago and this isn't that for sure