Hair and Nail Changes During Pregnancy

During pregnancy, your body undergoes hormonal and physiological changes that can affect your hair and nails. Here's what you need to know:

Hair Changes:
- Thicker Hair: Higher estrogen levels slow hair shedding, making hair appear fuller starting around week 15.
- Texture Shifts: Hormonal changes can make hair drier, oilier, or even change its curl pattern.
- Postpartum Hair Loss: After childbirth, hair may shed more than usual, typically peaking around 4 months postpartum.
Nail Changes:
- Faster Growth: Increased blood flow and hormones speed up nail growth during pregnancy.
- Brittleness: Some women experience weaker, more brittle nails prone to splitting or breaking.
- Surface Changes: White spots or grooves may appear on nails.

How to Care for Hair and Nails:

For hair: Use pregnancy-safe shampoos and avoid harsh treatments. Postpartum, focus on a nutrient-rich diet and gentle hair care.
For nails: Moisturize regularly, file gently, and include biotin, protein, and iron in your diet.

Most changes are temporary and resolve within months after delivery. If you notice unusual symptoms like severe hair loss or nail detachment, consult a healthcare provider.

Hair Changes During Pregnancy

How Hormones Affect Hair Growth

During pregnancy, higher estrogen levels extend the hair's anagen (growth) phase, which leads to less shedding and a fuller look to your hair ^[8]. Normally, hair goes through cycles of growing, resting, and shedding; pregnancy hormones stretch out the growth phase and reduce hair loss. Here's a breakdown of the changes you might notice during this time.

Common Hair Changes to Expect

Most women start noticing hair changes around week 15 of pregnancy ^[1]. Here's what you might experience:

Hair Change	Timing	Common Experience
Thickness Changes	Week 15 onwards	Fuller hair due to reduced shedding
Texture Shifts	Throughout pregnancy	Hair may feel drier, oilier, or frizzier
New Growth	First trimester onwards	Hair growth on areas like face, chest, belly
Growth Rate	Throughout pregnancy	Hair grows faster than usual

If you're not thrilled by any hair changes you're experiencing, there's some good news: Your hair should return to normal within six months after birth. - Jennifer Kelly Geddes, What to Expect ^[2]

To manage these changes, try these texture-focused tips:

For frizzy hair: Use shampoos and serums that lock in moisture.
For limp hair: Stay away from heavy products like leave-in conditioners.
For oily hair: Go for exfoliating shampoos paired with lightweight conditioners.

Celebrity hairstylist Koni Bennett from Vanity Boutique Salon shares this advice:

Washing at night, and allowing your dry hair to rest in a high bun while you sleep can be the volumizing hair hack you never knew you needed ^[2].

After pregnancy, many women experience postpartum hair loss, which is explained below.

Hair Loss After Pregnancy

The hormonal shifts that boosted hair growth during pregnancy reverse after childbirth, often causing noticeable shedding. This postpartum hair loss usually peaks about four months after delivery ^[9]. When estrogen levels drop, a large number of hairs move into the shedding phase all at once.

To care for your hair during this phase:

Eat a balanced diet rich in protein and iron.
Be gentle with your hair - avoid harsh treatments.
Stay away from tight hairstyles that could strain your hair.
Use volumizing products to add body.

The American Academy of Dermatology reassures:

Postpartum hair loss is normal and temporary ^[1].

Though this can feel overwhelming, it's a natural part of recovery after pregnancy.

Nail Changes During Pregnancy

Increased Nail Growth

During pregnancy, hormones can speed up nail growth. Studies show that 34.2% of pregnant women experience nail changes, compared to just 12.8% of nonpregnant women ^[5]. This is largely due to a rise in hormones like estrogen, which directly impacts nail development ^[7].

Dr. Thaïs Aliabadi explains:

Pregnancy hormones can cause your nails to grow more quickly than normal, or oddly enough, make your nails weaker and more brittle, causing splits and breaks. Your nails should return to normal after giving birth. ^[7]

Here are some common nail changes during pregnancy:

Change	What You Might Notice
Growth Rate	Nails grow faster than usual
Surface Changes	White lines or dots (leukonychia)
Structure	Grooves may form on the nail surface

These changes in growth often come with noticeable shifts in nail structure and appearance.

Nail Strength and Look

Pregnancy can also impact the strength and overall look of your nails. Conditions like onychocryptosis (ingrown nails) affect 12.3% of pregnant women, while 13.7% experience leukonychia (white spots or lines) ^[5]. Common changes include:

Brittleness: Nails may become more fragile and prone to splitting.
Separation: Some women experience nail detachment, known as onycholysis.
Surface Changes: White spots or lines may appear on the nails.

Celebrity manicurist Mazz Hanna, founder of Mazz Hanna High-Vibration Luxury Skincare, highlights the importance of diet for nail health:

People ask me all the time how they can keep their nails strong and beautiful, and I always say the same thing: It starts with diet. ^[11]

To support nail health during pregnancy, focus on these essential nutrients:

Nutrient	Daily Requirement	Best Food Sources
Biotin	30 mcg	Eggs, nuts, oatmeal, spinach
Protein	0.36 g per pound of body weight	Lean meats, legumes, eggs
Vitamin C	75 mg (women)	Citrus fruits, bell peppers
Zinc	8 mg (women)	Beef, poultry, beans

Research shows that taking 2.5 mg of biotin daily for six to seven months improved brittle nail symptoms in 63% of participants ^[10]. By prioritizing proper nutrition and practicing gentle nail care, pregnant women can better manage these temporary changes.

Hair Loss During Pregnancy Treatment & Prevention

Hair and Nail Care During Pregnancy

Taking care of your hair and nails during pregnancy isn't just about appearances - it's about maintaining overall health during this important time.

Safe Hair Care Methods

Pregnancy may make you rethink your hair care routine, but there's no need to overcomplicate it. Dr. Deirdre Hooper, a Board-Certified Dermatologist, reassures:

I have never advised a pregnant woman to stop using her preferred over-the-counter shampoo. If you like it, keep using it. ^[13]

When selecting products, go for those labeled "fragrance-free" rather than "unscented." Brands like It's a 10 offer pregnancy-safe options, including Blow Dry Miracle Glossing Glaze Conditioner and Miracle Daily Shampoo, which avoid harsh ingredients ^[12].

If you're considering hair coloring, here are safer alternatives:

Treatment Type	Why It's Safer	Tips to Keep in Mind
Highlights/Balayage	Limits contact with the scalp	Ideal for those with sensitive skin
Vegetable-based dyes	Uses natural ingredients	Check for any harmful additives
Ammonia- and Peroxide-free dye	Gentle on sensitive skin	Follow product instructions carefully

Just like your hair, your nails also deserve extra attention during pregnancy.

Nail Care Guidelines

A gentle nail care routine can help prevent damage and keep nails looking their best. Use a glass nail file, moving in one direction to avoid splitting, and shape nails with rounded tips for added strength ^[3]. Before bed, apply a moisturizing cream with natural ingredients like shea butter or vitamin E to your nails and cuticles ^[15].

Dr. Heather Rogers, another Board-Certified Dermatologist, advises caution:

When you are pregnant, your skin is more sensitive, so minimize exposure to ingredients that are common causes of irritation. ^[13]

Foods for Healthy Hair and Nails

Your diet plays a big role in hair and nail health. Incorporate these nutrients into your meals:

Nutrient	Food Sources	How It Helps
Healthy Fats	Olive oil, avocados	Keeps hair and nails hydrated
Protein	Lean meats, turkey	Encourages growth
Iron	Spinach, lean red meat	Reduces brittleness
Vitamin D	Eggs, fish	Strengthens nails
Biotin	Sweet potatoes, nuts	Promotes firmness

Before making big dietary changes or adding supplements, consult your healthcare provider ^[16]. Staying hydrated is also crucial - drink plenty of water daily to keep nails strong and prevent dryness ^[14]. For extra protection, wear rubber gloves when doing chores like washing dishes or handling cleaning products ^[3].

When to See Your Doctor

Taking care of your hair and nails during pregnancy is important, but knowing when to consult a doctor is just as crucial. Here's what to watch for and when to seek professional advice.

Normal vs. Concerning Changes

While many pregnancy-related changes are harmless, some symptoms may need medical attention. Dr. Amel Ibrahim, Aesthetic Doctor & Medical Director at City Skin Clinic, explains:

Always discuss with your healthcare provider. They can help determine if there are underlying causes contributing to the hair loss. As such, they can advise on safe and effective treatments based on your stage of pregnancy and all round medical profile. ^[18]

The table below outlines warning signs and their potential implications:

Warning Sign	When to Act	Possible Indication
Early Pregnancy Hair Loss	Accompanied by loss of pregnancy symptoms	Potential miscarriage ^[18]
Severe Itching	Especially on palms and soles of feet	Intrahepatic cholestasis of pregnancy (ICP) ^[7]
Tender, Red Spots	Appearing on legs	Requires immediate evaluation ^[17]
Persistent Hair Loss	Along with other unusual symptoms	Possible thyroid issues or iron deficiency ^[9]
Itchy Rashes or Bumps	Developing anywhere on the body	Could indicate PUPPP or other pregnancy-related conditions ^[17]

If you notice any of these signs, contact your healthcare provider right away.

Pregnancy-Safe Treatments

Safe and effective treatments are available if concerning symptoms arise. For relief from itching or skin discomfort, try fragrance-free soaps, oatmeal or baking soda baths, cool compresses, and heavy moisturizers ^[17].

If you're considering hair treatments or working with chemicals as a cosmetologist, ensure proper ventilation and use protective gear to limit exposure. While many hair treatments are generally considered safe during pregnancy, experts suggest opting for alternatives like highlights or vegetable-based dyes. It's also a good idea to wait until after the first trimester - or even until after pregnancy - if possible ^[19].

For uncommon skin conditions, such as pruritic urticarial papules and plaques of pregnancy (PUPPP), prurigo of pregnancy, or pemphigoid gestationis, consult your doctor immediately. These conditions require a prompt diagnosis and appropriate care to ensure both your well-being and your baby's health ^[17].

Conclusion: Managing Hair and Nail Changes

Key Points to Remember

Pregnancy often brings noticeable changes to your hair and nails. The good news? Most of these changes are temporary and tend to resolve after childbirth ^[7].

During pregnancy, higher estrogen levels can make your hair feel thicker by extending its growth phase ^[6]. However, some women may notice extra hair growth on their face and body ^[7]. If this happens, you might consider safe hair removal methods:

Method	Safety Level	Notes
Tweezing	Very Safe	Precise but time-intensive
Waxing	Safe	May cause skin sensitivity
Shaving	Safe	Quick but offers short-term results
Chemical Depilatories	Not Recommended	Best to avoid during pregnancy ^[4]

For nail care, protecting brittle nails and focusing on nutrition are essential. The American College of Obstetricians and Gynecologists advises wearing rubber gloves during chores to shield your nails from potential damage ^[4].

Here’s some expert advice to keep in mind:

Go ahead, pamper yourself with pretty nails! Using these cosmetic products as part of routine nail treatments should not cause you any concern, as there are no known increased risks for your pregnancy or your breastfed baby. ^[22] - Alfred Romeo, RN, PhD, MotherToBaby Utah

To maintain healthy hair and nails during pregnancy, focus on these three steps:

Nutrition: Include enough protein, iron, and biotin in your diet ^[6].
Protection: Stick to gentle products and avoid harsh chemicals ^[6].
Hydration: Drink plenty of water and moisturize regularly ^[6].

If you notice anything unusual or work with chemicals, it’s always a good idea to check in with your healthcare provider ^[20]^[21].

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