Hair Loss
Types of Hair Loss
Reasons for Hair Loss Hair loss is sometimes a normal seasonal occurrence, but losing too much hair probably means there is a problem. Stress, pregnancy, chemotherapy, certain diseases, and various different medications, can all cause you to lose hair. All these forms of hair loss can be treated or prevented by a change in lifestyle or by avoiding whatever is causing the hair to fall out. Usually, the hair will eventually grow back.
Alopecia Areata Alopecia Areata is a type of hair loss that is caused by problems with the immune system and is most common in people under 20 although it can occur at any age. Most often it rights itself, but very occasionally the person loses all their hair on the head and elsewhere and the hair never grows back. Experts have not yet figured out why the immune system attacks the hair follicles. There are several treatments for this type of alopecia, which we will not go into here, as it is not common with aging. However, as with other types of hair loss, the patient should be examined as soon as possible so that a diagnosis can be made before the condition deteriorates.
Androgenic Alopecia Androgenic Alopecia, or male pattern baldness, is a condition that can affect both men and women as they age. There is no cure, and researches have not yet found out why this condition occurs, although they do know that it is caused by androgens, transforming within the body and attacking the hair follicles.
Age Related Hair Loss
Male Pattern Hair Loss
Male pattern baldness affects millions of men. Adults lose over 10,000 hairs from their scalp on a daily basis and this hair is not always replaced. With male pattern baldness this continues until gradually parts of the scalp become bald. This can happen quickly or may take a number of years and the age in which the man starts to lose his hair has no impact on at what age he will become totally bald, if at all.
Normal Hair Loss As we have seen above there are a number of reasons why men lose their hair, but the most common reasons for males between the age of 20 to 45 to start to lose scalp hair is male pattern baldness. In fact this will be the case in 95 per cent of cases. As the term suggests, male pattern baldness follows a typical sequence or pattern. Hair loss can start in different areas but is usually at the temples and/or on the crown of the head. Initial thinning of hair progresses over a number of years and may lead to total baldness but more typically loss of hair over the top surface of the head.
The Cause of Male Pattern Baldness
Most men are genetically predisposed to male pattern baldness. It is the effect of hormones on the hair follicle that produces male pattern baldness. Testosterone, a hormone that is present in high levels in males after puberty, is converted to dihydrotestosterone (DHT) by an enzyme called 5-alpha reductase. DHT has an adverse affect on the hair follicles. Acting on a hormone receptor on the hair follicle it slows down hair production and produces weak, shorter hair, sometimes it stops hair growth from the follicle completely. This process gradually depletes your stock of hair and is normal hair loss.
Hair loss, Illness or Disease Go to your doctor if:
- You lose hair suddenly
- If your hair loss is in clumps or significant enough that you notice large amounts on your pillow, covering the back of your clothes or when you wash your hair.
This type of hair loss does not represent typical male baldness, but it does require a diagnosis. Don't worry. Hair loss can occur for a number of reasons and can often be treated successfully. (Source for this section is about.com).
Baldness in Men is Considered Attractive
While it can be very distressing for a man to lose his hair, many young people nowadays have made a fashion of the bald scalp, including singers and actors. Perhaps these men have managed to turn something negative into a positive. However, there are many women who find bald men very attractive. A bald head is considered by almost every woman I know as vastly more attractive than the attempts which some men go to to pull their remaining strands of thinning hair across the bald areas to disguise the fact they are going bald. It doesn't work and neither does the wearing of cheap, ill-fitting toupees. One of the first men who gave the concept of balding a positive reputation was Yul Brynner, who starred in the King and I among other successful films. Another successful and attractive actor who became bald in later life was Albert Finney. Many enjoyed his portrait of Daddy Warbucks in the film Annie, and considered him as attractive in an older way as he was at the beginning of his acting career.
Male Pattern Baldness also Effects Women
Although it has been seen to be a strictly male disease, male pattern baldness can also affect some women as they age. Although men occasionally take the loss of their hair very badly, this condition is much more distressing for women as they know that their hair is considered as part of their femininity. In fact in many cultures women are not encouraged to cut their hair, as this is not accepted as feminine behaviour. Even in developed countries, men will ask their wives and girlfriends not to cut their hair. Hair loss in women is not given enough attention by researchers and health professionals do not always seem to sympathetic to a condition which is a blow to women’s self image and esteem.Permanent hair loss is considered normal in males, there are even people who claim that bald men make better lovers. It is also considered attractive, judging by the number of men who shave their heads as a fashion statement, and indeed a lot of men do look attractive to certain women with this “hair” style. However, society is more severe in their judgement of women and what is or not feminine and acceptable. There does appear to be a slow realisation in the medical profession, that the emotional damage caused by feeling unattractive because of hair loss can be just as devastating to a woman’s well-being as many more serious illnesses. The condition is known as Androgenic alopecia or male pattern baldness, and as in men, is believed to be caused by a derivative of the male sex hormone, testosterone called DHT that attacks the hair follicles. Women have far less testosterone, but even a small amount can cause hair loss. Even though women have only small amounts of testosterone, the loss of female hormones after menopause can upset the hormonal balance, leading to several problems, including hair loss. A blood test can show hormone levels in your blood, which will give you a diagnosis, but for the moment if this condition runs in the family, there is no way of preventing this form of alopecia.
Diagnosis
A dermatologist or a hair specialist will normally make the diagnosis based on the pattern of the baldness, and a detailed medical history, with information on the prevalence of family hair loss. The scalp will be examined to assess the state of the follicles to enable the correct diagnosis and treatment.
Prevention, Treatement and Cure
Depending on the reason for the hair loss, it might be possible to prevent, slow down or cure the problem. For example, by avoiding the medications that have been identified as the cause, or by reducing stress if this is the reason your hair is falling out. Eating a healthier diet, especially if your hair loss is caused by lack of protein or other nutrients. And taking supplements of iron if you are diagnosed with anaemia can prevent further hair loss and the hair will eventually grow back, if your hair loss is caused by any of the above problems.
If you suffer from thinning hair, try to avoid styles which do not damage your hair, avoid using a hair dryer, and avoid hair curlers or curling or straightening devices which all have a damaging effect on the hair. Using elastic bands to tie hair back is also to be avoided. Cutting your hair might help it look thicker and hairdressers usually have experience with this problem and can offer you advice on how you can best camouflage areas where the hair is thinnest.Normally, at least for women, the treatment for male pattern baldness is a topical preparation to be applied to the scalp, which has a negative effect on the androgens that are destroying the hair follicles. It will have to be used permanently or the hair loss will recommence. There are pills that can also treat this condition, but doctors prescribe them to men and are wary of prescribing them for women for safety reasons. (Source: http://www.webmd.com)
For further information on hair loss treatements and hair restoration for both men and women please visit the
Med MD web site.
A Word of Advice
N.B. If you are suffering from hair loss, please consult a dermatologist or a hair specialist at your local hospital or ask for a referral by your family doctor. The sooner the better as you may continue to lose hair without treatment.

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