Hair loss: treatment and medication

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.

There are many surgical procedures which will help to restore the hair from falling. Surgical restoration is the only permanent solution to baldness. It involves a series of operations that extract plugs of scalp from the sides and back of your head, where hair grows densely, and implant them on top and in front, where you are going bald.

Scalp reduction is performed on patients with well-defined bald spots in the crown area of the scalp. It is sometimes done in conjunction with hair transplantaion to reduce the size of the bald scalp, especially in patients who do not have enough donor hair to cover the bald areas.

Male pattern baldness that is the condition responsible for over 98% of all hair loss in men. It gets its name from the pattern of hair loss, which ultimately results in a horseshoe of hair that resides on the sides and back of the head, while the top of the head is completely bald. Some men begin MPB by losing the hair in their hairline. Others start in the crown.

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.

The effectiveness of medications used to treat alopecia depends on the cause of hair loss, extent of the loss and individual response. Generally, treatment is less effective for more extensive cases of hair loss.

Minoxidil (Rogaine). This over-the-counter medication is approved for the treatment of androgenetic alopecia and alopecia areata. Minoxidil is a liquid that you rub into your scalp twice daily to regrow hair and to prevent further loss. Some people experience some hair regrowth or a slower rate of hair loss or both. Minoxidil is available in a 2 percent solution and in a 5 percent solution.

Corticosteroids. Injections of cortisone into the scalp can treat alopecia areata. Treatment is usually repeated monthly. Doctors sometimes prescribe corticosteroid pills for extensive hair loss due to alopecia areata. Ointments and creams can also be used, but they may be less effective than injections.

Normal hair

The innermost layer of hair is called the medulla and reflects light giving hair the various color tones it has. That's why hair color looks a lot different in sunlight than it does in the shade.

The physical thickness and length of hair depends on what type of hair it is. Vellus hair is the fine fuzz type of hair that's often called peach fuzz. Its very fine and colorless and often almost invisible to the naked eye.

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.

The average Caucasian person has 5 million hairs of which 100,000 - 150,000 are on the head. Blondes not only have more fun, they also have more hair, about 140,000 more than average, Brunettes have slightly higher than average hair about 105,000 hairs, and redheads have a little less than average about 90,000 hairs.

Hair transplantation as way fight with hair loss

Hair transplantation has come a long way from the days of "hair plugs" and a pleasing, natural result is now routine. It is an excellent option for treatment of hereditary hair loss in many men and women.

The removed hair follicles are then divided into individual grafts of varying sizes. The smallest grafts contain 1-2 hairs and are often referred to as "follicular units" or "micrografts". Larger minigrafts may contain up to 6 hairs and can provide more density per graft. Choice of number and type of graft is made taking into account the patient's hair type, quality, color and the area to be transplanted. Once prepared the grafts (hair and its roots) are then inserted into the thin area.

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.

Most people require more than one session, each spaced at least six months apart each to complete the hair restoration in an area. The timing and number of transplants depends on the amount of hair you have when you start, how much is anticipated that you will continue to lose without transplanting and how much hair density you desire.

Hair transplantation can be done both on patients with advanced baldness and earlier thinning. Newer treatments for men like Propecia or for both men and women, like Rogaine should be considered as well especially in patients with earlier thinning as these medications often slow significantly the progression of hair loss. In general, hair transplantation is not considered for patients younger than their mid 20s because of difficulty in predicting ultimate extent of hair loss.

Hair transplantation is universally accepted as a treatment for hair loss. While it was developed and first offered as a hair-loss treatment for men, women have increasingly found hair transplantation a viable option to correct the cosmetic deficit of thinning hair. Advances in hair transplantation techniques and better understanding of the biology of female hair loss contributed to the evolution of hair transplantation got women.

Almost worse than hair loss in some cases is hair miniaturization-the fine-caliber, wispy hair that grows out a follicle when the follicle is no longer able to produce hair of normal size. Miniaturized hair is hard to style and difficult to conceal. It begins to appear in the course of female pattern hair loss, the female form of the most common type of hair loss in men.

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.

Steps to healthier hair

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.

Correct use of conditioners containing light proteins, such as hydrolyzed human hair keratin proteins, can help strengthen your hair. A good conditioner with these proteins can easily penetrate the hair shaft to replenish nutrients. These proteins can also repair split ends. Split ends develop after the protective cuticle has been stripped away from the end of hair fibers as a result of harsh chemicals or even vigorous brushing.

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.

The main causes of hair loss

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.

Alopecia Areata - In this type of hair loss, hair usually falls out, resulting in totally smooth, round patches about the size of a coin or larger. It can, rarely, result in complete loss of scalp and body hair. This disease may affect children or adults of any age. The cause of alopecia areata is unknown. Apart from the hair loss, affected persons are generally in excellent health. In most cases, the hair regrows by itself. Dermatologists can treat many people with this condition. Treatments include topical medications, a special kind of light treatment, or in some cases pills.

Androgenic alopecia develops when the hair follicle (the place under the skin where hair grows from) experiences a reduction in size, as well as a time reduction in the active growth phase. this translates into a simple fact: more and more of the hair follicles will spend time in the resting state where hair is shed once the state is completed. Fortunately, androgenic alopecia does not develop in all hair follicles at the same time. This is why some part of the scalp seems to be losing more hair than the other.

High Fever, Severe Infection, Severe Flu - Illnesses may cause hairs to enter the resting phase. Four weeks to three months after a high fever, severe illness or infection, a person may be shocked to see a lot of hair falling out. This shedding usually corrects itself.

Birth Control Pills - Women who lose hair while taking birth control pills usually have an inherited tendency for hair thinning. If hair thinning occurs, a woman can consult her gynecologist about switching to another birth control pill. When a women stops using oral contraceptives, she may notice that her hair begins shedding two or three months later. This may continue for six months when it usually stops. This is similar to hair loss after the birth of a child. See products which may help hair loss.

Major Surgery/Chronic Illness - Anyone who has a major operation may notice increased hair shedding within one to three months afterwards. The condition reverses itself within a few months but people who have a severe chronic illness may shed hair indefinitely.

Fungus Infection (Ringworm) of the Scalp - Caused by a fungus infection, ringworm (which has nothing to do with worms) begins with small patches of scaling that can spread and result in broken hair, redness, swelling, and even oozing. This contagious disease is most common in children and oral medication will cure it.

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.

Definition interpretation

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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