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. Women require 60 grams, men 80 to 90 grams, adolescent boys and girls 80 to 100 grams of protein. It is supplied by milk, buttermilk, yogurt, soyabean, eggs, cheese, meat and fish. A deficiency of some of the B vitamins, of iron, copper and iodine may cause hair disorders like falling of hair and premature greying of hair. 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. The most familiar hair loss pattern is where the hair begins to recede in the hairline and the crown at roughly the same time. The hair in the mid-scalp or anterior scalp is often the last to go. But go it will, eventually leaving a man with the horseshoe of hair that is the telltale sign of typical male pattern baldness. 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. 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. Anthralin (Drithocreme). Available as either a cream or an ointment, anthralin is a synthetic, tarry substance that you apply to your scalp and wash off daily. It's typically used to treat psoriasis, but doctors can prescribe it to treat other skin conditions. Anthralin may stimulate new hair growth for cases of alopecia areata.
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. Low Serum Iron - Iron deficiency occasionally produces hair loss. Some people don't have enough iron in their diets or may not fully absorb iron. Women who have heavy menstrual periods may develop iron deficiency. Low iron can be detected by laboratory tests and can be corrected by taking iron pills. 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.
Hair transplantation is done under local anesthesia as an outpatient procedure. Hair and follicles are removed from the "donor area" of permanent hair along the back and sides of the head. This area is immediately camouflaged by the surrounding hair. 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. The site from where the hair is taken is usually a fine scar line which is hidden by the permanent hair in that area. After the procedure there are tiny marks where the grafts have been placed. Initially there is some crusting over these areas (5-14 days) but after this, these areas are usually not detectable. Women with localized thinning on the top of their heads or thinning around the temples often make good candidates for hair transplantation. Prior to evaluation for hair transplantation, it is important for women to discuss your thinning hair with a dermatologist and/or endocrinologist to make sure there is no other treatable reason for the hair loss. Many women today are proactive about seeking hair transplantation. They are unwilling to accept hair loss as an unavoidable fact of life. Scalp hair is a major component of the image women project to the world and they do not wish to have hair loss detract from that image. Whether hair transplantation is a viable option for a woman with mild to moderate hair loss is a question to be answered by close consultation between the woman and the physician hair restoration specialist. Into that determination will go the patient's medical history, hair loss history, family medical and hair loss history, physical examination, scalp examination and laboratory tests as indicated by other examination results.
Terms interpretationAlopecia 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
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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