Hair Loss Men’s
- Hair is an important structure cosmetically. It forms framework of face, how we look is largely decided by the appearance of hair.
- Hair loss causes significant psychosocial problems and impacts the men severely.
- Fall of hair up to 100 per day is a natural phenomenon, but when these hairs not grow again because of some reason it result into baldness.
Causes of hair Alopecia in Men –
There are various causes for fall of hair, important one are as follows-
1) Androgenetic – This is the most common cause of hair loss in men.
- Men carry genes for hair loss from either or both parents. Hormone testosterone activates the genetic sequence which is responsible for hair loss.
- The age of onset, its rate of fall and grade of baldness depends also on some other factors and may be different in different persons.
2) Other causes are Severe illness, Malnutrition, Vitamin deficiency, improper life style, stress and pollution.
- Vitamin deficiency is very common in today’s time. Defective eating habits and Pesticides in the food also reduces essential nutrients in the food. Vitamin B12 and D are specially needed for hair growth.
- Improper life style and Stress causes release of harmful chemicals like P substances and damages hair.
- Diseases like typhoid, Jaundice, viral fever or Operations because of any reason may also induce acute hair fall. (Telogen effluvium).
- Chemotherapy/Radiotherapy also induces Sudden hair fall. (Anagen effluvium)
Male Pattern Hair loss (MPHL)
Male pattern Hair loss is an inherited condition. It can be there even if Androgens are in normal range. It is aggravated if genes for baldness are inherited from mother or father.
In men who develop MPHL the hair loss may begin any time after puberty. Severity of MPHL increases with age and is a progressive condition.
Clinical appearance is typical first thinning starts, recession of temporal area followed by hair loss in the crown. Norwood and Hamilton classified this pattern in to grades.
Grade 1-No hair loss.
Grade 2 – Minor recession of frontal hairline
Grade 3 – cosmetically significant frontal hairloss.
Grade 3 vertex- Significant frontal recession coupled with hairloss from the vertex.
Grade 4 to 6 – further frontal and vertex hairloss.
Grade 7 – Only the occipital scalp region maintaines significant amount of hair.
Diagnosis – Some basic blood investigation – vit B12 ,Vit D, Serum Ferritin ,TSH(thyroid ) and blood sugar level should be done to know the nutritional status or an hormonal imbalance in the person.
Differential Diagnosis – Alopecia areata,Traction alopecia, Telogen effluvium,scarring Alopecia.
Treatment of MPHL –
Surgical vs Nonsurgical-To prevent or decrease the rate of hair fall medical treatment is must.but for lost hair hairtransplant is needed.
US FDA approved Medical Treatment for men is-
- Finesteride 1mg per day-It prevents effect of Hormone DHT on the hair by blocking the enzme 5 alpha reductase.It takes a year to show its result.Side effects of finesteride are rare and reversible for more detail you should consult yor doctor.
- Minoxidil 5%-It pramotes hair growthby increasing the duration of hair follicle growth cycle (Anagen).It is most effective if applied twice a day on the scalp.It takes 6-12 months before results are visible.
- LLLT-Low light laser therapy is also usefull for hair growth.It works by photo bio modulation at cellular level.
Surgical Treatment of baldness in men-
Depending upon the grade of baldness or required density,We can use any one or combination of different techniques of hair transplant to get the best result .