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Introduction
air loss in men could be argued to be the one thing that
causes more anxiety, than anything else in their lives. A receding
hairline or the arrival of a bald patch can have a dramatic effect on
men's confidence and self-image.
In fact, Androgenetic alopecia, or
common male pattern baldness (MPB) accounts for more than 95% of hair
loss in men. This can happen at any age. For some this can start in their
teenage years. On average it happens in their late 20s and early 30s. A
little thinning of the hair may be noticeable first, followed by wider
hair loss allowing more of the scalp to become visible.
Some men aren't psychologically
affected by this process at all and say its a considerable advantage. No
more lost hours cutting, grooming, washing, maintaining.......and as a
bald friend once remarked, he's just got the one style to worry about! Others, however,
suffer great emotional distress associated with a lack of
self-confidence and sometimes depression.
Why?
There are many possible reasons for men (and women) losing hair. These
include serious disease, reaction to certain medications and sometimes
in extremely stressful events.
In MPB, which tends to be inherited, the hair is
usually lost at the temples and the crown of the head. It is generally agreed that
this happens because of an
excess of a chemical which causes
the hair follicles to make thinner and thinner hair, until they
eventually stop growing completely. So, most hair loss is men can be
blamed on heredity.
But what are they inheriting? Well it
appears they are actually inheriting hair follicles with a genetic
sensitivity to the chemical Dihydrotestosterone (DHT) and perhaps an
over-abundance of the male hormone DHT within the hair follicle. Hair follicles
that are sensitive to DHT begin to get smaller. This shortens the
lifespan of each hair follicle affected. Eventually, these affected
follicles stop producing cosmetically acceptable hair in the areas of
classic MPB. Balding hair gradually changes from long, thick, coarse,
pigmented hair into fine, unpigmented vellus sprouts.
A Japanese researcher has reported a relationship between more than
normal sebum in the scalp and hair loss. Excessive sebum is often seen
with thinning hair and it is thought to be due to enlargement of the
sebaceous gland. The researchers believe this excessive sebum causes an
high level of 5-alpha reductase and pore clogging, leading to
malnutrition of the hair root.
They understood this condition could be passed through generations but
put forward the view that it was mainly a diet related cause. They
commented that generally Japanese hair strands were thick, with a small
gland and little scalp oil. This changed with a change of diet after
World War 2, when the Japanese started to eat more animal fat. Amongst
other things, they believe this change has led to an average height
increase in the Japanese population and more Japanese men losing hair.
Some commentators say their observations make sense, in that problems
with greasy hair have been noted around 6 months to a year prior to when
thinning hair becomes noticeable. On the other hand, this may be just
one of the symptoms, rather than an underlying cause and clearly much
more research is needed. Having said that it is now generally agreed
that shampooing can reduce surface sebum, which contains high levels of
testosterone and DHT, that may re-enter the skin and affect the hair
follicle.
What can I do about it?
Typical MPB can be diagnosed based on appearance and the pattern of
the hair loss along with medical history and questions about hair loss
in your family. Consult a qualified dermatologist or other suitably
qualified professional who should examine the scalp under
magnification to assess hair follicles. See what's currently available
by clicking the index tabs to the left of this article
Remember, when considering treatment,
you need to understand how far your hair loss has progressed, to guard
yourself against misdiagnoses of your condition. There will be times
when you will have to relay this information via telephone or the
internet to practitioners. It important to get this right. A method used
by many practices is the Hamilton-Norwood
scale
The key to hair loss is to find out
what the underlying reason is, and to then evaluate your options in
dealing with it. Go to your doctor or specialist to diagnose your
condition.
Further Reading
1. Wikipedia http://en.wikipedia.org/wiki/Baldness
2. Wikipedia http://en.wikipedia.org/wiki/Dihydrotestosterone
3. IN
SUPPORT OF BALDNESS http://baldrus.com
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