Hair Loss in Men
Most men as they age, 80-90% men start losing hair in some form or the other. In most men, the most common causes of hair loss are genetics and the male hormone testosterone. Other factors including quality of water, nutritional deficiency, smoking, dandruff, drugs, stress, any ongoing diseases(anemia/thyroid disorders) and autoimmune phenomenon also have a significant effect on hair growth. It is a complex interplay of many factors which maintain the hair cycle and its growth. Not everyone develops hair fall with the above mentioned factors and it should be examined properly by a trained doctor preferably a trichologist.
The most common cause of hair loss in men is“androgenetic alopecia” or commonly called as “Male pattern baldness”. “Andro” refers to androgens (testesterone and the active form dihydrotestesterone) and “genetic” means genes inherited necessary for hair loss. Hair loss can begin anytime afafter puberty (around 11 to 14 years of age) when levels of male hormone testesterone rises in men. Men start loosing their hair from temples and developing a typical “M” shape hairline.Also simultaneously it can involve the crown portion.
Reason for hair loss
Dihydrotestosterone (DHT) causes hair follicles to shrink in size(miniaturization), both in thickness and length. Slowly over a period of few months to years these turn into fine hair and eventually disappear giving a bald appearance.
Testosterone ------> DHT-----------> Hair loss
This is an autoimmune phenomenon where patients develop smooth round to oval clean patches either on scalp, beard, eyebrows or body areas most commonly. For a broad classification, depending upon the extent of the disease it is classified as Localized/totalis(involving full scalp)/universalis(involving full scalp and body areas also). The hair loss in not permanent and can be made better with medical treatment. A detailed examination by the doctor/trichologist is recommended.
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Few (0-20) hair loss per day is normal and considered as a part of normal hair cycle. Hair loss in bunches or more than this which becomes evident on combing, on your pillows and everytime you brush your hair might not be normal and needs an assess-ment by a doctor/trichologistFew (0-20) hair loss per day is normal and considered as a part of normal hair cycle. Hair loss in bunches or more than this which becomes evident on combing, on your pillows and everytime you brush your hair might not be normal and needs an assess-ment by a doctor/trichologist.
Yes. Patients who have an early phase of hair thinning and decrease in density can be made better by use of medicines sonly. If the extent is more ,then non surgical modalities like PRP or Micro-needling can be added.
If the extent of hair loss is significant and most of the hair have been lost, then hair transplant becomes an important choice of treatment alongwith artificial means such as wigs or hair weaving..
Not really. It has been found that even with good eating habits and high protein intake hair fall continues. Supplementing better nutrition is an adjuvant, but not enough to cause hair regrowth.
No. There are always additional factors associated ,though people may think that it the main cause of there hair loss since it is happening at the same time.
Hair fall for few days can happen in a normal individual also, but gets back to normal within few weeks. If its not getting back to normal then its time to find a cause behind it and you shall visit a doctor/trichologist
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