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Dihydrotestosnere (DHT), a hormone found in the scalp, skin, and prostate gland, plays a major role in male-pattern baldness. It acts on the hair follicle and can reduce the length of the anagen phase, or growth phase, of the hair cycle, causing poor hair growth and hair loss. DHT can also cause hair follicles to shrink (known as miniaturization), leading to the follicle producing thinner hairs. The follicle continues to shrink over time and eventually becomes inactive. Keeps offers a wide variety of products for hair loss and hair thinning, including prescription medications and OTC products.
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Studies looking at twins estimate that genetics account for about 80 percent of male pattern baldness. Some small, limited studies have found that certain supplements and shampoos could be helpful, dermatologists say. However, your best bet if you’re suffering from hair loss is to see a board-certified dermatologist who can determine what’s causing your alopecia and then recommend a treatment plan. Alopecia areata is an autoimmune disease that causes hair to fall out in nickel- or quarter-size patches. “Your body’s immune system is attacking the hairs,” Brodell says.
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Wigs can cover thinning hair, receding hairlines, and complete baldness. For a natural look, choose wig colors, styles, and textures that look similar to your original hair. Professional wig stylists can help style and fit wigs for an even more natural look. Male pattern baldness can begin in your teenage years, but it more commonly occurs in adult men, with the likelihood increasing with age.
More on Hair Loss
Variations in certain genes may cause an excessive response to androgens that then leads to hair loss. The most common cause of male pattern baldness is genetics. Male pattern baldness tends to run in families, and having a relative with patterned hair loss is thought to be a risk factor.
The receding sides and the bald patch on the top (the crown) gradually enlarge and join together, leaving a patch at the front. Genetics is the main reason some men lose their hair while others don’t. If you have a close relative with hair loss, you’re more likely to also experience it. The occurrence and development of androgenetic alopecia depends on the interaction of endocrine factors and your genetic predisposition. So if your dad or uncle are bald, chances are good you can’t escape a similar fate. The sections below list some of the treatment options available for hair loss.
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“The condition is thought to be hereditary and while it doesn't usually cause baldness like in men, it can still affect self-esteem and confidence. If you're concerned about female pattern baldness, talk to your doctor who can advise you on possible treatment options. Baldness is often hereditary, and is activated by a shift in your hormones.
Hair loss is a potential side effect of several medications for diseases such as cancer, depression, gout, heart disease, and arthritis. The genetic component of FPB is still widely unknown, but like with MPB, it’s thought to involve many different genes. One of these pairs of chromosomes, called the “X” and “Y” chromosomes, determine your biological sex. Women have two “X” chromosomes while men have one “X” and one “Y” chromosome. You may have heard the myth that men inherit the gene for baldness solely from their mother’s father.
What causes thinning hair in women?
Several genes are involved, accounting for differing age of onset, progression, pattern and severity of hair loss in family members. The susceptibility genes are inherited from both mother and father. At this time, genetic testing for prediction of balding is unreliable. Finasteride (Propecia, Proscar) is an oral medication that slows hair loss in some men.
What treatments are available for male pattern hair loss?
Well, hair follicles that are sensitive to DHT have a tendency to shrink over time. As the affected hair follicles get smaller, the life span of each hair becomes shorter. Eventually, the affected follicles stop producing hair, or at least the type of hair you’re used to. Low-level laser therapy is of unproven benefit in pattern balding; one device has been approved by the FDA for marketing.
It is an 5-alpha reductase inhibitor that works by blocking the formation of dihydrotestosterone (DHT), an androgen that plays a role in male pattern hair loss. Low-level laser therapy can be used to help invigorate circulation in the scalp and to stimulate hair follicles. Although this is a fairly new treatment option, it has been deemed safe and tolerable. It is also a less invasive option compared to hair transplant surgery. With male pattern baldness, you typically don’t have other symptoms aside from thinning hair. But with other hair loss causes, you may notice you have other symptoms, too.
Platelet-rich plasma (PRP) therapy has been shown to reduce hair loss and increase the number of hairs on your head. Your dermatologist will draw your blood and place it in a machine called a centrifuge, which separates the components of your blood. The platelet-rich plasma part of your blood is removed and then injected back into your scalp, which stimulates the follicle to grow hair. The good news is that finasteride is usually very well tolerated, and most men who take it don’t experience side effects. Side effects of finasteride include erectile dysfunction, decreased sex drive, increased breast size (gynecomastia), and depressed mood. But it’s still important to talk to your doctor about your medical history and any concerns you have before starting this medication.
It typically isn’t covered by insurance, and it can be expensive, Mirmirani says. Dozens of over-the-counter supplements and products purport to reverse hair loss, making it tough for patients to know which ones work and which don’t. Generally speaking, the sooner you start treatment, the more options you have and the better your results, dermatologists say. Stage Norwood 2, on the other hand, can be referred to as the stable stage.
This could also be termed as front baldness or thinning at the crown among males. Here, your forehead becomes wider and your temples more visible. Though this is still mostly unnoticeable, the hair loss around the forehead creates an M-shaped hairline. Whether sleep deprivation can cause hair loss by some other mechanism is not clear.
This procedure reduces regions on your scalp with no hair and brings the hair growth areas together. This procedure can be clubbed with a hair transplant to give you a fuller-looking scalp. By this stage of male pattern hair loss, one has large bald patches.
Early treatment with topical medications like minoxidil (Rogaine) or oral finasteride (Propecia) can slow hair loss and promote hair growth. Male pattern baldness is easy to recognize, so you don’t necessarily need a healthcare provider to diagnose it. However, your healthcare provider can confirm it during a physical exam of your scalp. They’ll ask you about your medical history, including when you started noticing hair loss and whether you have a family history of male pattern baldness. They’ll note the shape of your hairline and any areas showing signs of thinning or balding.
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