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Does Steroids Or Minoxidil Cause Many Side Effects In Alopecia Areata?

Dr.Rohit Shah 91% (434ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS) And Naturopath (ND)
Ayurvedic Doctor, Surat
Does Steroids Or Minoxidil Cause Many Side Effects In Alopecia Areata?

Hair loss occurs for a variety of reasons, which include physiological, environmental and genetic factors. Alopecia areata is an autoimmune condition that results in hair loss. In most cases, hair loss occurs in patches across the scalp. If you lose complete hair from your head due to it, you suffer from alopecia totalis. Moreover, if you lose hair from all over the body, this extreme case is known as alopecia universalis.

How is alopecia areata treated?

Doctors have two options when it comes to the treatment of alopecia areata. The first is to reduce the immune response of the body causing the hair loss. For this, your doctor will prescribe immunosuppressants in the form of corticosteroids. You may need to take it orally or in the form of injections.

The second form of treating alopecia areata is through medication that promotes hair growth. The goal is to increase the rate of growth more than the rate of hair fall. Minoxidil is a popular drug that prevents the formation of new bald patches on your head.

However, both these forms of treatment are dangerous and can lead to serious side effects when used in the long-term.

Side effects of corticosteroids-

Here is a look at some of the dangers that corticosteroids pose to your health if you use them as a form of treating alopecia areata.

Side effects of minoxidil-

Even though side effects from minoxidil are not as severe as those you suffer from corticosteroids, they are still problematic for your overall well-being. Common side effects from the drug include

Therefore, the conventional treatment for alopecia areata is too dangerous and the side effects from the drugs can lead to severe complications for you in the future.

Ayurvedic treatment for alopecia areata-

Ayurveda terms hair loss as Khalitya and its treatment not only helps stop hair fall but also ensures that hair regrows naturally. Shiroroga, a branch of medicine under Ayurveda greatly helps in this process.

If you seek ayurvedic treatment for alopecia areata, you will undergo treatment with various oils, powders and packs. These are prepared with the help of classical Ayurvedic texts. Panchakarma treatment will also greatly rejuvenate your hair quality and help it grow back. Additional, Ayurvedic experts will also ask you to undergo lifestyle and dietary changes to reduce the effects of the disorder.

8497 people found this helpful

Medical Hair Restoration Treatment Before The Surgical Hair Restoration!

Dermatologist, Noida
Medical Hair Restoration Treatment Before The Surgical Hair Restoration!

There are several medical hair loss remedies available for hair loss restoration. Most of the hair transplant surgeons recommend that one should always try medical hair restoration before one decides to undergo hair restoration surgery.

In fact, continued medical treatment well before the surgery often results in a better growth for the hair transplants. Similarly, medical hair treatment after the surgery always provides superior benefits from hair loss solutions.

But when you are preparing for the hair transplant surgery there are some precautions with medical hair restoration which are to be observed so that you don't have any adverse effect due to the hair loss medications.

Medical hair restoration with Rogaine

Minoxidil sold with the brand name Rogaine is not able to grow hair on completely bald scalp but is still considered as an affordable hair restoration treatment as it is able to retard hair loss and stabilize it by slowing down the miniaturization process. Medical hair loss treatment with Rogaine is a widely accepted treatment of all the hair loss solutions. that is even recommended by the FDA both as a hair loss treatment for men and a hair loss treatment for woman. Minoxidil acts by prolonging the growth phase of the hair. But for medical treatment with minoxidil to be fully effective requires prolonged use. It may take a long time, around 6 to 12 months, to predict a noticeable improvement in hair growth. Within 2 to 3 months of discontinuing the medication, the increase in terminal hair density and growth resulting from the use of medicine can suddenly vanish.

Another drawback of Rogaine is that while it is effective in the crown or top of the head, it is much less effective in the frontal area, so overall it is not as effective as a balding solution for men for whom the front of the scalp and the hairline are the important areas for hair loss restoration.

Rogaine especially is the drug of choice for many female hair loss remedies where the hair loss is often characterized by diffuse thinning. The prolonged use of the drug is sometimes able to bring about the complete reversal of thinning, seen even after stopping the drug, but in men, stopping the medication results in a complete reversal of the benefits.

Medical hair restoration (Rogaine) as a combination treatment

Some hair restoration surgeons highly recommend the use of Rogaine before and then immediately after the hair transplant surgery especially when the grafts have been placed in and around existing hair. The idea behind combining the medical hair restoration and hair restoration surgery is to help prevent the temporary loss of healthy, preexisting hair due to the shock of the hair restoration surgical procedure.

The use of topical minoxidil both before and after hair restoration surgery is often recommended for patients undergoing hair transplant procedures as it has been seen that Minoxidil reduces hair shedding due to transplant trauma and shortens recovery from surgery.

Precaution before the hair transplant surgery

Most of the surgeons do feel that the medical hair restoration treatment with minoxidil should be stopped prior to the surgery to minimize skin irritation and the risk of dilation of the blood vessels, which might result in increased bleeding. The treatment of patients with 2% topical minoxidil is generally stopped 4 weeks before surgery.

The effectiveness of the application of topical minoxidil prior to hair restoration surgery is also well documented. It was seen that hair loss due to telogen effluvium observed 2-4 weeks after surgery was more pronounced in placebo-treated patients (52%) as compared to minoxidil-treated patients (22 %).

Precaution after the hair transplant surgery

It is not advised to use minoxidil on the transplanted areas immediately after surgery until the incisions have been allowed to heal. Most surgeons prefer to start the use of topical minoxidil at least a week or so after the hair transplant surgery. This allows time for the epithelium to heal and minimizes the potential for theoretical damage to the transplanted grafts from propylene glycol-based minoxidil. However, the use of special glycerin-based minoxidil solutions can take care of this potential problem and can help to get better growth after the surgery.

Where minoxidil is used before surgery, it is stopped until up to 3 weeks after the surgery, and then again started and continued. It has been observed that around 70% of grafts grew into hair when minoxidil was continued; otherwise, most of the hair transplants are usually shed after 2-4 weeks of transplantation. There are several reports available on medical trials that suggest that topical minoxidil is a useful adjunct after hair transplantation.

The reported benefits of regular topical minoxidil administration following hair transplant surgery include:

1. An increase in the number of anagen hairs

2. Promotion of hair growth in the transplanted grafts and surrounding areas

3. Reduction of post-surgical shock and telogen effluvium

Medical hair treatment with Finasteride

Many hair transplant surgeons find Propecia (finasteride) to act as an excellent adjunct to hair restoration surgery. There are several benefits to this kind of combination therapy. As the Medical hair restoration with Propecia brings about a hair re-growth in the crown area, it has a complementary action; it allows the surgeon to have more donor hair to be available for frontal hair transplant and design the hairline at his own will. Since finasteride has no effect on the frontal area of the scalp, it does not have any interference male hair loss treatment with surgical hair restoration which is generally done in the hairline and frontal area.

If you are experiencing pattern baldness, it makes the best sense to use medical treatment in conjunction with your hair transplantation surgery you are sure to have your hair transplants grow well but keep in mind that non-transplanted hairs will continue to fall. Medical hair loss treatment also helps to have surrounding hairs on your head while the transplants grow and so will allow you to have even more hair on your scalp.

1 person found this helpful

Medical Hair Restoration - Things To Know!

Dermatologist, Kolkata
Medical Hair Restoration - Things To Know!

Medical hair restoration in the literal sense includes the hair loss treatment which depends upon the use of medicines.

Unusual hair loss both in men and women is caused by the alterations in the androgen metabolism. Androgen is a male hormone which has a major role to play in the regulation of hair growth or hair loss. The dermal papilla is the most important structure in a hair follicle which is responsible for hair growth. It is the dermal papilla, the cell of which divides and differentiates to give rise to a new hair follicle. The dermal papilla is in direct contact with blood capillaries in the skin to derive the nutrients for the growing hair follicle. Research has shown that dermal papilla got many receptors for androgens and there are studies which have confirmed that males have more androgenic receptors in the dermal papilla of their follicles as compared to females.

The metabolism of androgen involves an enzyme called 5 alpha-reductase which combines with the hormone androgen(testosterone) to form the DHT (Dihydro-testosterone). DHT is a natural metabolite of our body which is the root cause of hair loss.

Proper nutrition is critical for the maintenance of the hair. When DHT gets into the hair follicles and roots (dermal papilla), it prevents necessary proteins, vitamins, and minerals from providing the nourishment needed to sustain life in the hairs of those follicles. Consequently, hair follicles are reproduced at a much slower rate. This shortens their growing stage (anagen phase) and or lengthens their resting stage (telogen phase) of the follicle. DHT also causes the hair follicle to shrink and get progressively smaller and finer. This process is known as miniaturization and causes the hair to ultimately fall. DHT is responsible for 95% of hair loss. 
Some individuals both men and women are genetically pre-disposed to produce more DHT than normal individuals. DHT also creates a wax-like substance around the hair roots. It is this accumulation of DHT inside the hair follicles and roots which is one of the primary causes of male and female pattern hair loss.

Blocking the synthesis of DHT at the molecular level forms the basis for the treatment of MPHL ( male pattern hair loss) and FPHL female pattern hair loss). There are many natural DHT blockers and a number of drugs which are used for medical hair restoration.

Let us see the main drugs which are available for medical hair restoration in men and women.

1. Minoxidil -

Minoxidil has the distinction of the first drug being used for promoting hair restoration. This medical hair restoration treatment drug was used earlier as an oral antihypertensive drug, but after its hypertrichosis (excessive body hair) effects were noticed, a topical solution of the drug was tested for its hair growth potential. Minoxidil was then approved as medical hair restoration treatment drug for men by the US Food and Drug Administration (FDA) in 1988 as a 2% solution, followed by a 5% solution in 1997. For women, the 2% solution was approved in 1991. Though 5% solution is not approved for women, it is used as a medical hair restoration treatment by many dermatologists worldwide. Both solutions are available without a prescription in the US.

Mechanism of action -

Minoxidil is thought to have a direct mitogenic effect on epidermal cells, as has been observed both in vitro in vivo. Though the mechanism of its action for causing cell proliferation is not very clear, minoxidil is thought to prevent intracellular calcium entry. Calcium normally enhances epidermal growth factors to inhibit hair growth, and Minoxidil by getting converted to minoxidil sulfate acts as a potassium channel agonist and enhances potassium ion permeability to prevent calcium ions from entering into cells.

Thought the exact action of minoxidil preventing the formation of DHT has not been shown but the drug has been shown to have a stabilizing effect on the hair loss. The result of the drug takes about a few months time to be evident since it is the time which is necessary for restoring the normal growth cycle of hair fibers.

Use of Minoxidil has approved by the FDA for men (Norwood II-V) and women (Ludwig I-II ) older than 18 years. It is used as a medical hair restoration treatment either for frontal or vertex scalp thinning. It brings about an increase in density which is mostly caused by the conversion of miniaturized hairs into terminal hairs rather than a stimulated de novo re-growth. The hair loss becomes stabilized after continued use of the drug, which takes about a year's time for the medical hair restoration treatment to show its complete results.

Hair loss restoration treatment with 0.05% betamethasone dipropionate and 5% topical minoxidil are found to be superior to minoxidil alone. 
Topical minoxidil is very well tolerated and adverse effects are mainly dermatologic. The most frequent adverse effect is an irritant contact dermatitis.

Though minoxidil does not have any effect on blood pressure, it should be used with caution in a patient with cardiovascular diseases. It is also contraindicated in pregnant and nursing mothers.

2. Finasteride -

The drug finasteride was earlier used as a treatment for prostate enlargement, under the medical name Proscar. But in 1998, it was approved by the FDA for the Medical hair loss restoration in MPHL.

Mechanism of Action -

Medical hair restoration treatments with Finasteride depends upon its specific action as an inhibitor of type II 5α-reductase, the intracellular enzyme that converts male hormone androgen into DHT (Dihydro Testosterone). Its action results in a significant decrease in serum and tissue DHT levels even in concentration as low as 0.2mg. Finnasteride is able to stabilize hair loss in 80% of patient with Vertex hair loss and in 70% of patients with frontal hair loss. Most of these patients are able to grow more hair or retain the ones they have. The peculiar thing about Propecia is that its effect is more pronounced in the crown area than in the front. The hair that grows after the medical hair restoration treatments are better in texture and are thicker, more like the terminal hair.

The best thing about medical hair restoration treatment with the finasteride is that it is well-tolerated and has minimal side effects. Sexual dysfunction (decreased sex drive, erectile dysfunction, and decreased semen volume) are observed in about 3.8% of cases. But these side-effects subside within few months of Medical hair restoration treatments or disappear within a week's time as soon as the treatment is stopped.

It generally requires about 6 to 12 months for the medical hair restoration treatment to be apparent but the side effects appear earlier. So even after the medicine is stopped, there is no possibility of losing the hair that has been gained, but the side effects are sure to disappear. 
Many hair restoration surgeons find Propecia (finasteride) to act as an excellent adjunct to the surgical hair restoration. There are several benefits to this kind of combination therapy. As the Medical hair restoration with Propecia brings about a hair re-growth in the crown area, it has a complementary action; it allows the surgeon to have more donor hair to be available for frontal hair transplant and design the hairline at his own will. Since finasteride has no effect on the frontal area of the scalp, it does not have any interference with the surgical hair restoration.

3. Combination Therapy -

There are reports which say that use of finasteride and topical minoxidil combination therapy as a Medical hair restoration treatment is of more advantage in cases of mild to moderate MPHL. Further studies are in progress. Many hair restoration doctors have already started the use of combination therapy in order to obtain better hair growth.

4. Anti Androgen Therapy -

For women with hyperandrogenism( with increased levels of androgen) who do not respond well to minoxidil, antiandrogen therapy is another option of Medical hair restoration. In the UK the most commonly used anti-androgen for women is CPA (cyproterone acetate), which is used in combination with ethinylestradiol.

However, in the United States, where CPA is not available, the aldosterone antagonist spironolactone is the alternative choice of hair restoration doctors.

5. Flutamide -

Medical hair restoration with flutamide has shown improvement as hair loss restoration treatment in women with hirsutism. For hyperandrogenic premenopausal women, flutamide is a better medical hair restoration agent than both the CPA or finasteride.

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Managing Hereditary Related Baldness Or Androgenic Alopecia

Dr.R.Brahmananda Reddy 90% (11ratings)
Diploma In Dermatology, Fellowship In Aesthetic Medicine
Dermatologist, Hyderabad
Managing Hereditary Related Baldness Or Androgenic Alopecia

Hair loss is a common problem affecting a vast majority of the population. A receding hairline may not always be an outcome of pollution, unhealthy lifestyle or lack of proper hair care. Hair loss can also be a hereditary trait. Of late, hereditary related baldness (in males and females) is on an exponential rise. The problem is no longer related to old age. You will come across many young men and women (below 30) suffering from hereditary linked progressive baldness. The condition can, however, be postponed and managed if diagnosed and treated at an early stage.

On an average, a person loses between 50-100 (150 in some cases) hair strands per day. As part of a normal growth cycle of the hair, new strands of hair replaces the hair that you lose. In hereditary related baldness, also known as Androgenic Alopecia, the hair loss is at an alarming rate with little or no hair growth. The problem may be a male pattern baldness or a female pattern baldness (Androgenic Alopecia in males and females respectively).

In female pattern baldness, the hair in the front mostly remains unaffected. It is the hair on the crown of the head that starts thinning progressively.
In male pattern baldness, the hair thinning starts at the hairline. Soon, bald patches appear on the crown of the head.

Unlike in males, these bald spots seldom appear in females.

Managing Androgenic Alopecia
In Androgenic Alopecia, the male hormone, dihydrotestosterone (DHT) is present in elevated amounts. DHT often interferes with the growth cycle of the hair, thereby shortening it. The follicles of the hair also grow shorter than usual. As a result, the hair may become short and thin, losing its natural shine and color.

Treatments and medications are available to treat androgenic alopecia.

  1. Propecia (Finasteride) is used to treat androgenic alopecia in men. The prescription drug inhibits the conversion of testosterone to dihydrotestosterone. In the absence of the hormone Dihydrotestosterone, the hair growth follows the normal cycle, thereby arresting the hair fall and other associated symptoms considerably.
  2. The Minoxidil Topical Lotion comes in handy in case of hair loss from the scalp (mainly back and top of the scalp). Effective for both men and women, the lotion should, however, be avoided by pregnant and lactating women. Minoxidil lotion arrests the progressive balding, thereby preventing further deterioration. However, there may not be a 100% hair growth. Minoxidil in tablet form is often used to treat high HP. Thus, the medication should never be used without consulting the doctor. Make sure that your scalp is dry before applying the lotion (usually twice a day). One should be patient with Finasteride and Minoxidil lotion as the medications may take time (up to 4 months) to produce the desired results.
  3. One can also opt for Hair Transplantation to camouflage the bald patches and hair thinning. However, get the procedure done only by an expert surgeon.
  4. In addition to these medications, take care of your diet. Replenish the diet with foods rich in proteins, vitamins, and minerals (eggs, walnuts, almonds, salmon, spinach, avocado, blueberry, guava, apple, orange, papaya, oats, to name a few.)

In case you have a concern or query you can always consult an expert & get answers to your questions!

4915 people found this helpful

Modern Day Hair Loss Treatments

MBBS, MD-Skin,VD & Leprosy, Hair Transplant Surgeon
Dermatologist, Mumbai
Modern Day Hair Loss Treatments

Everyone loves healthy shiny hair. But in today's world many people are suffering from hair loss. Hair loss could be because of number of reasons such as aging, too much stress, smoking, hormonal imbalance, infections, use of wrong hair products, genetic factors and nutritional imbalances.

Our scalp consists of about 100,000 strands of hair and it is normal to lose 50 to 100 strands a day. It is only when you start losing more than that some medical intervention is required.

PREVENTION OF HAIR LOSS

First of all, it is very important to detect the root cause of your hair loss at an early stage. Once it is detected, it becomes easy to treat it. Following home remedies can be tried to prevent it at first stage:

  1. Avoid excessive or chronic stress or at least learn to release your stress.
  2. Avoid "crash diets" for rapid weight loss.
  3. Quit excessive smoking.
  4. In case of any hormonal imbalance see your doctor immediately who will then advise you to undergo proper treatment.
  5. Observe if any medicine you are taking is leading to hair fall. Call upon your doctor to replace it with some other medicine.
  6. Eat a healthy diet with enough proteins, carbohydrates, essential fatty acids, vitamin, and minerals to support healthy hair growth.
  7. Make sure you receive enough iron to avoid symptoms causing anaemia. Avoid overdose of vitamin A.

HAIR FALL TREATMENT

There are a couple of treatments available for hair loss which includes medications, surgery, laser therapy, and wigs or hairpieces.

Medication-

There are only two medications available to treat pattern baldness which are FDA approved. These medicines are:

  1. Minoxidil (Rogaine). Minoxidil is an over-the-counter liquid or foam that you need to apply onto your scalp. This is to be applied twice a day to grow hair and to prevent further hair loss. It takes at least 16 weeks to show the effects. However you can have scalp irritation and unwanted hair growth your face and hands while taking this medicine.
  2. Finasteride (Propecia). This medicine is prescribed if you don't respond to minoxidil. This medicine is to be taken daily in the form of a pill. You need to keep taking it to retain benefits. However, there are some side effects of taking this medication which include diminished sex drive and sexual function and an increased risk of prostate cancer.

Surgery-

In case you don't respond to any of the above mentioned medicines your dermatologist might advise you to undergo hair transplant or restoration surgery. During this procedure, the surgeon removes a part of your skin and then implants it on your scalp. Such procedures are generally expensive. There is also a risk of infection and scarring.

Wigs and Hairpieces-

You can also use a wig to hide your baldness if you do not want to undergo any surgery or are irresponsive to above medications. If you wish to discuss any specific problem, you can consult a dermatologist.

2724 people found this helpful

Hair Transplant By FUE method!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, MCh - Plastic & Reconstructive Surgery
Cosmetic/Plastic Surgeon, Mumbai
Hair Transplant By FUE method!

Hair tansplant

1) what is a hair transplant?
Hair transplant is a surgical procedure which covers the bald areas of the scalp by patient’s own hair. In this surgery, hair follicles are taken out from the back of the scalp, or beard and planted in the bald areas of the scalp. Slowly, these roots sprout new and naturally growing hair. It is a minimally invasive day care procedure but need to be done in sterile set up. 

2) does a hair transplant hurt during or after the procedure? 
Hair transplant is done under local anaesthesia. Needle prick pain gives very mild discomfort. Patient is allowed to take breaks in between the procedure and analgesic injections are given to reduce overall pain. 

3) does hair transplant leave scar?
It leaves a minor scar and, if the surgery is done properly, that is not visible to the naked eye. The procedure is safe and result-oriented under experienced hands with good technology/infrastructure.

4) what is fue hair transplant treatment? is it permanent? 
Fue is the most popular hair transplant technique. It stands for follicular unit extraction. Individual unit is harvested from back of scalp and implanted in frontal bald area. Patient has to apply topical minoxidil for longer period. Results are long lasting depending upon the compliance of patient. 

5) how many sessions are required for a hair transplant procedure?
Usually one or two sessions are required to cover bald area. A typical session of approximately 2000 hair covers frontal and temporal area. Second session can be done according to need such as thicker density or vertex baldness

6) does a hair transplant have any side effects?
It is a fairly safe procedure. Minor complications like swelling arround eyes and mild pain might be there in the first week.

7) for how many days does one need to be away from work? is it safe to go outside immediately after the treatment?
Patient goes home on the day of procedure. It is mandatory that patient stay away from work for at least two days, as the wounds are fresh and head has to be covered by a surgical cap. After three days, a normal cap might be used and the person could resume office. Work from home is possible from the next day itself. It is best to stay indoors for two days after the transplant 

8) does medical treatment play any role? 
Topical minoxidil once a day helps in maintaining hair growth and preventing further hair fall. Tab finasteride 1 mg does not cause any side effect. Both drugs can be used for longer time without any side effects. 
 

1 person found this helpful

Non Surgical Hair Treatments That Can Help!

MD - Skin,VD & Leprosy
Dermatologist, Chandigarh
Non Surgical Hair Treatments That Can Help!

Most of us take our thick hair for granted in our youth and fail to care for them. Not many notice the receding hairline or thinning of hair until it is too late. A hair restoration can bring back the fuller and thicker locks without any invasive surgical treatment. If hair loss bothers you, and you want a treatment that is safer, you can go for nonsurgical treatments.

The great advantage of these procedures is the increase in the density of hair that reverses your age clock back to 10 years. Non - surgical hair restoration treatments are becoming more popular as they are less invasive and safer than the surgical treatments. 

There are three common FDA treatments performed for hair restoration: finasteride, minoxidil and low-level laser hair therapy.

  1. Finasteride: This is an oral treatment, and it is available only by prescription. This medicine can be incorporated into your daily routine as supplement. This medication blocks male-type baldness. If taken consistently, this can slowly improve hair thickness and regrowth of hair in the bald area wherever the hair follicles are still active. The overall success rate has been reported as 65 percent. Lesser than 2 percent people experience side effects. The general side effects include erectile dysfunction and low libido. In such cases, the patient will be advised to take half the dosage.
  2. Minoxidil: This is an over-the-counter medication and does not usually requires the prescription. Almost 50 percentage of the users experience regrowth of hair that is shortened due to damage or thicker hair in a few months when applied consistently. This treatment is available in liquid as well as in the form of foam. The liquid form is quite popular as it dries quickly. The patient should apply the liquid on the crown or affected areas once or twice a day.
  3. Laser Therapies:
    • Laser comb: There are many low-intensity laser therapies available that can be done by oneself. The most common being the comb type laser instrument. Most of these work similarly, and they only differ in the number of laser diodes they are built with. The user is directed to use the brush for 15- 20 minutes every day over the affected areas. These instruments cost between Rs. 5000 to Rs.50,000 depending on its effectiveness.
    • Helmet: Many hair loss studios have the laser helmet facility where they have 100 laser diodes built in the instruments. This treatment cost between Rs. 60,000 - Rs. 1,50,000 depending on the effectiveness of the machine. In this, the person is made to sit comfortably for 30minutes to an hour during the treatment. The person can watch TV, read books or rest while the treatment is going on.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2538 people found this helpful

Male Pattern Baldness: What You Need To Know?

ISAAC
Dermatologist, Delhi
Male Pattern Baldness: What You Need To Know?

Male pattern baldness is hair loss due to underlying susceptibility of hair follicles to shrink owing to the influence of androgens. It is the most common cause of baldness in men. Typically, hair loss occurs at the vertex and the temples for men, whereas women usually lose hair all over their scalps.

Causes

  1. Male pattern baldness is related to your genes and male sex hormones. It usually follows a pattern of receding hairline and hair thinning on the crown, and is caused by hormones and genetic predisposition.
  2. Generally, baldness occurs when the hair follicle shrinks over time, resulting in shorter and finer hair. Eventually, the follicles do not grow new hair. The follicles remain alive, which suggests that it is still possible to grow new hair.
  3. The typical pattern of male baldness begins at the hairline. The hairline gradually moves backward (recedes) and forms an" m" shape. Eventually the hair becomes finer, shorter, and thinner, and creates a u-shaped (or horseshoe) pattern of hair around the sides of the head.

Treatments

The cheapest way is to hide it by wearing a wig. Medicines that treat male pattern baldness include:

  1. Minoxidil (rogaine) - it is a solution that is applied directly to the scalp to stimulate the hair follicles. It slows hair loss for many men, and some men grow new hair. Hair loss returns when you stop using this medicine.
  2. Finasteride (propecia, proscar) - it is a pill that interferes with the production of a highly active form of testosterone that is linked to baldness. It slows hair loss. It works slightly better than minoxidil. Hair loss returns when you stop using this medicine.
  3. Dutasteride is similar to finasteride, but may be more effective.
  4. Hair transplant - this process consists of removing tiny plugs of hair from areas where the hair is continuing to grow and placing them in areas that are balding. This can cause minor scarring and possibly, infection. The procedure requires multiple sessions.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4302 people found this helpful

Male Pattern Baldness: What Should You Know?

Dr.Jolly Shah 89% (1085ratings)
MBBS, DNB (Dermatology)
Dermatologist, Mumbai
Male Pattern Baldness: What Should You Know?

Male pattern baldness is hair loss due to underlying susceptibility of hair follicles to shrink owing to the influence of androgens. It is the most common cause of baldness in men. Typically, hair loss occurs at the vertex and the temples for men, whereas women usually lose hair all over their scalps.

Causes

  1. Male pattern baldness is related to your genes and male sex hormones. It usually follows a pattern of receding hairline and hair thinning on the crown, and is caused by hormones and genetic predisposition.
  2. Generally, baldness occurs when the hair follicle shrinks over time, resulting in shorter and finer hair. Eventually, the follicles do not grow new hair. The follicles remain alive, which suggests that it is still possible to grow new hair.
  3. The typical pattern of male baldness begins at the hairline. The hairline gradually moves backward (recedes) and forms an" m" shape. Eventually the hair becomes finer, shorter, and thinner, and creates a u-shaped (or horseshoe) pattern of hair around the sides of the head.

Treatments

The cheapest way is to hide it by wearing a wig. Medicines that treat male pattern baldness include:

  1. Minoxidil (rogaine) - it is a solution that is applied directly to the scalp to stimulate the hair follicles. It slows hair loss for many men, and some men grow new hair. Hair loss returns when you stop using this medicine.
  2. Finasteride (propecia, proscar) - it is a pill that interferes with the production of a highly active form of testosterone that is linked to baldness. It slows hair loss. It works slightly better than minoxidil. Hair loss returns when you stop using this medicine.
  3. Dutasteride is similar to finasteride, but may be more effective.
  4. Hair transplant - this process consists of removing tiny plugs of hair from areas where the hair is continuing to grow and placing them in areas that are balding. This can cause minor scarring and possibly, infection. The procedure requires multiple sessions.
3453 people found this helpful

Hereditary Baldness - How It Can Be Treated?

MBBS
Dermatologist, Bangalore
Hereditary Baldness - How It Can Be Treated?

A balding scalp is one of the most common things men inherit from their fathers. Male pattern baldness is also known as androgenic alopecia. This condition affects up to 50% of all men. It is triggered by the effects of the male hormone, androgen. This makes the hair follicle become smaller and makes the strands finer and shorter. As time progresses, the hair follicle stops producing strands of hair. Though this condition does not harm your physical health, it can affect your emotional and psychological health. Thankfully, there are ways to combat it. This can be categorized as medicinal and surgical.

Medicinal Treatment for Hereditary Balding
Minoxidil and Oral finasteride are two drugs that can help treat balding. Minoxidil prevents further hair loss and stimulates hair growth. This needs to be massaged into the scalp twice a day. The strength of this solution varies for men and women. Do not expect all your hair to grow back but bald spots should be covered with new hair growth. As compared to your natural hair, the new growth will be lighter in colour and density.

Oral finasteride needs to be consumed in the form of one pill a day. This can be taken only by men. If taken by women it can result in birth defects. This medicine works by blocking the production of hormones such as dihydrotestosterone. This hormone is responsible for the shrinkage of hair follicles.

Surgical Treatment for Hereditary Balding
A hair transplant surgery can help cover bald spots. This involves the harvesting of hair follicles from a donor site such as the nape of the neck and transplanting these follicles to the bald spots. This surgery may need to be repeated multiple times over 2-3 months.

The second form of surgical treatment for balding is known as scalp reduction. This is especially effective in cases where the front of the scalp is balding. This surgery involves stretching the skin on the head and removing some of it. In this way, it reduces the bald area. A patch of skin with hair on it may then be transplanted over the bald patch. This procedure is known as a flap. In many cases, scalp reduction may be combined with a hair transplant surgery.

In addition to this, you should also focus on strengthening your hair follicles. To do this, massage your scalp regularly with warm oils and eat a well-balanced diet rich in proteins, iron, and zinc.

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