Hair Loss

Hair Loss Information

What causes hair loss?
Alopecia is the general medical term for hair loss, and it has many different causes. Normal human hairs can be classified according to their phases of growth. Anagen is the growing stage of hair, while telogen is the sleeping stage of hair. About 80 percent of the hairs in the human scalp are growing hairs and about 20 percent of them are sleeping hairs. It has been estimated that the scalp normally contains about 100,000 hairs. Therefore, the average number of hairs that can be lost in a day is about 100. Contrary to popular belief, neither shaving nor hormonal changes, such as menstruation, has any effect upon hair growth.

Hair loss can be broken down into several different types, including alopecia areata (temporary hair loss in a coin-shaped patch), telogen effluvium (temporary hair loss secondary to a stressor on the system), and androgenetic alopecia (male-pattern hair loss). For the purposes of our discussion, we will focus on male-pattern hair loss. It generally shows itself in the 20s or early 30s by gradual loss of hair, chiefly on the top of the head and in the angles at the frontal hairline. There are several different patterns to this hair loss, but male-pattern hair loss is the most frequently encountered type. The exact mechanisms are still unknown. We have no doubt, however, that inherited factors and the effect of androgens (male hormones) on the hair are most responsible.

What is DHT and how is it involved in hair loss?
DHT stands for dihydrotestosterone. This is the active form of the male hormone testosterone. It has been suggested that high DHT levels in genetically predisposed hair follicles initiate baldness. It is this chemical conversion from testosterone to dihydrotestosterone that is blocked by hair restoration products, such as finasteride, which is a prescription medicine and the active ingredient in Propecia, the leading prescription medication to treat hair loss. Finasteride blocks the formation of active testosterone and allows those hairs predisposed to inactivity to become active again and make new hairs.

How effective is finasteride?
Finasteride (Propecia) has been shown effective in the treatment of mild to moderate male-pattern hair loss. These results were based on two 24-month studies of men ages 18 to 41. About 80 percent of the men in the study maintained their base hair count (versus 28 percent on placebo), while 66 percent had visible regrowth as rated by independent observers (versus seven percent with placebo). Most of the men in the study reported an increase in the amount of hair, a decrease in their hair loss, and an improvement in their appearance.

Hair Loss Medication

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Propecia is an androgen hormone inhibitor used to treat male pattern hair loss.

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