Hair loss: treatment and medication

The healthy condition of the hair depends, to a very large extent, on the intake of sufficient amounts of essential nutrients in the daily diet. Hair is made of keratin, a protein, which also makes up the nails and the outer layer of our skin.

One of the primary cause of hair loss is a high amount of the male hormone, dihydrotestosterone (DHT) within the hair follicle. DHT is produced from testosterone in the prostate, various adrenal glands, and the scalp. After a period of time, an over abundance of DHT causes the hair follicle to degrade and shortens the active phase of the hair.

Another important cause of falling hair is stress, such as worry, anxiety and sudden shock. Stress leads to a severe tension in the skin of the scalp. This adversely affects the supply of essential nutrition required for the healthy growth of hair.

The most familiar hair loss pattern is where the hair begins to recede in the hairline and the crown at roughly the same time. The hair in the mid-scalp or anterior scalp is often the last to go. But go it will, eventually leaving a man with the horseshoe of hair that is the telltale sign of typical male pattern baldness.

For women, hair loss is different. There is no set pattern for womens androgenic hair loss, which like MPB, occurs in the overwhelming majority of cases. Women can suffer from alopecia totalis and alopecia universalis just like men. Women can experience patch baldness for the same reasons as men (stress, poor nutrition, etc.), as well as due to hormonal changes from pregnancy and certain eating disorders. However, like men, the hair will generally grow back.

The chief difference in womens androgenic hair loss from mens (both are hormone related) is that women tend to experience thinning that occurs in no particular pattern or part of the scalp. Unlike men, the scalp may not actually be totally denuded of hair, just thin to the point where the scalp is visible. Like men, however, the resulting hair loss is generally irreversible.

Finasteride (Propecia). This prescription medication to treat male-pattern baldness is taken daily in pill form. Many people taking finasteride experience a slowing of hair loss, and some may show some new hair growth. Positive results may take several months. Finasteride works by inhibiting the conversion of testosterone into dihydrotestosterone (DHT), a hormone that shrinks hair follicles and is an important factor in male hair loss. Rare side effects of finasteride include diminished sex drive and sexual function. As with minoxidil, the benefits of finasteride stop if you stop using it.

Finasteride is not approved for use by women. In fact, it poses significant danger to women of childbearing age. If you're a pregnant woman, don't even handle crushed or broken finasteride tablets because absorption of the drug may cause serious birth defects in male fetuses.

Hair transplantation apply for women too!

Hair transplantation is done under local anesthesia as an outpatient procedure. Hair and follicles are removed from the "donor area" of permanent hair along the back and sides of the head. This area is immediately camouflaged by the surrounding hair.

Since hair transplantation is a surgical procedure, all patients must be in good health. Hair transplantation is an office procedure that takes approximately four to eight hours depending on the extent of the planned procedure. Most people return to work two to five days after the surgery.

The hair is your own, and just like all of your hair it grows, can be washed, curled, cleaned, permed and styled as desired. Once the transplants are completed, no special maintenance is required.

Women with localized thinning on the top of their heads or thinning around the temples often make good candidates for hair transplantation. Prior to evaluation for hair transplantation, it is important for women to discuss your thinning hair with a dermatologist and/or endocrinologist to make sure there is no other treatable reason for the hair loss.

Hair transplantation is a cost-competitive solution for hair loss. Other hair replacement alternatives require additional maintenance over the years. The cost depends on the amount of bald area that will need to be transplanted, and the desired thickness. More grafts are necessary to cover more bald or thin area and to maximize hair density. Because the procedure is individual, costs are usually determined individually.

Many women today are proactive about seeking hair transplantation. They are unwilling to accept hair loss as an unavoidable fact of life. Scalp hair is a major component of the image women project to the world and they do not wish to have hair loss detract from that image.

Hair loss is not "an inevitable sign of getting older". It has been reported in studies that about 80% of women experience some degree of hair loss before menopause. Much of this hair loss has a hereditary basis-female pattern hair loss.

Hair basics

Hair is composed of Keratin, a special protein that also produces our fingernails and toenails the nails and forms the protective outer layer of our skin. Each strand of hair consists of three concentric layers, the cuticle, the cortex and the medulla.

There are two kinds, eumelanin which creates brown or black hair, and pheomelanin which makes hair appear red. Blonde hair is a result of very low amounts of melanin, the shade of the blonde again depends upon which type of melanin you have. Gray hair is a result of a lack of melanin which is often caused by age but can also be caused by stress and illness.

Whether you have straight or curly hair depends on the shape of the cortex. If the cross section of the cortex is round you will have straight hair, if the cortex is oval shaped you will have curly or wavy hair.

Hair that is dark and very visible is known as Terminal hair. Terminal hair is the hair that we refer to when talk about hair. Whether a hair is a fine vellus hair or a thick dark hair depends entirely on the follicle that is producing the hair. In balding men thick terminal hair is often replaced by fine vellus hair. This is a result of the hair producing equipment, the follicle, suffering physical damage and being unable to produce terminal hair.

Hair care tips and advises

It is good to shampoo your hair--we recommend at least three times a week. This helps to remove dirt and buildup on the hair that can deteriorate the condition of your scalp. When shampooing, it is very important that you pay attention to cleansing your hair, your scalp and your hair line.

Did you notice that when you shampoo your hair the amount of lather often varies? Usually, the more lather you have, the less buildup you have on your hair. It's also important to fully rinse out the shampoo to eliminate any residual detergents--they can damage the hair shaft and scalp.

Frequently shampooing can dry out your hair and, therefore, must be followed by the use of a moisturizing conditioner. It is very important to work the conditioner through all of your hair and leave it in for three to five minutes. Again, many people misapply and misuse conditioner by not working it through to the ends of the hair and not leaving it on long enough.

Excessive exposure to the sun can damage your hair by inducing oxidation of the sulfur molecules within the hair shaft, leaving the hair weak, brittle, dry and faded. People who bleach or lighten their natural hair color may also notice slight color changes in their hair when it is exposed to sun.

Excessive hair loss causes

Hair loss and thinning hair can be brought on by a variety of different conditions. Although, many researchers still pin most of the blame on genetics. The most common type of hair loss is referred to as "pattern hair loss" (androgenic alopecia). Many natural hair loss treatments exist that can help deal with pattern hair loss. Listed below are other conditions which can cause hair loss and thinning hair.

Do you feel that you are the only one losing hair? You're not! The most common form of hair loss, Androgentic Alopecia, or pattern baldness, is experiences by 50-80% of Caucasian men. The number of Chinese males affected are half of the Caucasian counterparts while African Americans have a lower incidence of the condition as well. For women androgenetic alopecia occurs between 20-40% of the general female population. In summary, it is safe to say that pattern baldness is experienced by the norm of the population, you're not alone, but actually in the majority.

Thyroid Disease - Both an over-active thyroid and an under-active thyroid can cause hair loss. Your physician can diagnosis thyroid disease with laboratory tests. Hair loss associated with thyroid disease can be reversed with proper treatment.

Low Serum Iron - Iron deficiency occasionally produces hair loss. Some people don't have enough iron in their diets or may not fully absorb iron. Women who have heavy menstrual periods may develop iron deficiency. Low iron can be detected by laboratory tests and can be corrected by taking iron pills.

Hair Pulling (Trichotillomania) - Children and sometimes adults will twist or pull their hair, brows or lashes until they come out. In children especially, this is often just a bad habit that gets better when the harmful effects of that habit are explained. Sometimes hair pulling can be a coping response to unpleasant stresses and occasionally is a sign of a serious problem needing the help of a mental health professional.

Terms and definitions

Alopecia Areata

• Alopecia areata is a hair loss condition which usually affects the scalp. It can, however, sometimes affect other areas of the body.

Hair loss

• A progressive, diffuse loss of scalp hair in men that begins in the twenties or early thirties, depends on the presence of the androgenic hormone testosterone, and is caused by a combination of genetic and hormonal factors. Also called androgenetic alopecia.

Hair transplantation

• Hair transplantation is a surgical procedure used to treat baldness or hair loss (alopecia). Typically, tiny patches of scalp are removed from the back and sides of the head and implanted in the bald spots in the front and top of the head.

Protein

• Important building blocks of the body, composed of amino acids, involved in the formation of body structures and controlling the basic functions of the human body.


• Complex organic molecules made up of amino acids. Proteins are basic components of all living cells and are therefore among the principal substances that make up the body.

Ringworm

• The term "ringworm" refers to fungal infections that are on the surface of the skin. The early belief was that the infection was due to a worm, which it is not, although the name has stuck. Some of these fungi produce round spots, but many do not.

Thyroid

• A gland in the throat that produces hormones that regulate growth and metabolism.


• A large gland in the neck that functions in the endocrine system. The thyroid secretes hormones that regulate growth and metabolism.

Alopecia

• A hair loss, baldness, and epilation.


• Alopecia, also called hair loss, baldness, and epilation, is a common side effect of chemotherapy and radiation therapy.

Baldness

• A progressive, diffuse loss of scalp hair in men that begins in the twenties or early thirties, depends on the presence of the androgenic hormone testosterone, and is caused by a combination of genetic and hormonal factors. Also called androgenetic alopecia.

Biotin

• Also know as Vitamin H.

Follicles

• A follicle (from the Latin folliculus) is a term to describe a small spherical group of cells containing a cavity.

Grafts

• To transplant or implant surgically into a bodily part to replace a damaged part or compensate for a defect.

Hormone

• A substance, usually a peptide or steroid, produced by one tissue and conveyed by the bloodstream to another to effect physiological activity, such as growth or metabolism.

Scalp

• The skin covering the top of the human head with its attached hair.

Stress

• Importance, significance, or emphasis placed on something.


• The relative force with which a sound or syllable is spoken.


• Accent or a mark representing such emphasis or force.


• An applied force or system of forces that tends to strain or deform a body.


• A mentally or emotionally disruptive or upsetting condition occurring in response to adverse external influences and capable of affecting physical health, usually characterized by increased heart rate, a rise in blood pressure, muscular tension, irritability, and depression.


• A state of extreme difficulty, pressure, or strain.


• A physical and psychological response that results from being exposed to a demand or pressure.

Testosterone

• A white crystalline steroid hormone, C19H28O2, produced primarily in the testes and responsible for the development and maintenance of male secondary sex characteristics. It is also produced synthetically for use in medical treatment.

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