MALE ALOPECIA

MALE ALOPECIA

Definition

It is an autoimmune disease where the own immune system (white cells) attacks mistakenly the hair follicles taking them as an invader and prevents them from growing. The follicles just become very small and grow no visible for years or months. With alopecia areata, the affected people lose their hair in patches and often it recovers in a period of a year even without treatment but sometimes it falls all from the scalp (alopecia totalis) or from all body (alopecia Universalis). Even if all hair is lost the follicles remain alive and the hair could reappear even after many years once the immune system stops qualifying them as danger. 

Effect on people’s overall health

The affected people do not feel any pain. The process has got more psychologically negative effect such and the sufferers to feel sadness and depression. 

Causes

It is believed that alopecia areata is an autoimmune disease and it happens when the body feels discomfort and a big amount of stress when a sad accident occurs or the body has been suffered too long from a great nutrition deficiency.  

It could be also related to heredity (it has happened to other family members) or it is related to autoimmune disorders such as diabetes type 1 (people are born with it) or rheumatoid arthritis, and celiac disease. The latter is caused by eating gluten ( bread, pasta, crackers, beer, etc). 

Treatment 

As I mentioned before people do not ever need treatment as it regrows on its own in a year. But there is plenty of products that could help to speed the process and they are: 

Non-traditional

Garlic 
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It removes the toxins from the hair and it has to be applied directly, topically to the hair or as a part of a diet. It should become a part of your daily routine. ALOPECIA 5The problem with garlic is the unpleasant odor, but luckily there are odorless products on the market we can use: ALOPECIA 6

Onion 
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A  small study published in the Journal of Dermatology involved participants who had alopecia areata and it has been found that hair growth started after 2 weeks of using onion juice, which was applied to the scalp twice daily. The regrowth continuously occurred in the next four and six weeks.

The best would be to use onion in its natural look chopped or minced and directly applied to the scalpALOPECIA 9

But if that’s not manageable there already prepared products we can purchase on Amazon.

Gingko Biloba

It stimulates the blood flow hence circulation that is crucial in hair regrowth at the root level. It is used as a daily drink in the form of a tea or topically as a herbal tonic.

ALOPECIA 10ALOPECIA 11According to a study posted on the International Journal of PharmTech Research, this herb leads to “hair regrowth, through combined effects on proliferation and apoptosis of the cells in the hair follicle thus suggesting potential as a hair tonic.”

Aloe Vera

Aloe Vera is known to dermatologists for years. It is a part of a variety of cosmetics. It restores the pH balance, nourishes and moisturizes the hair roots and follicles. The International Journal of PharmTech Research reports that aloe vera “gel is used traditionally for hair loss and for improvement in hair growth following alopecia.”
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Peppermint

This herb also has got a moisturizing, soothing and stimulating hair regrowth follicles effect. It could be used topically applied directly to the hair roots or used as a part of a drink.

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Rosemary

It helps blood circulation at the roo level, premature greying, moisturizing of the roots and thus helping follicles to grow hair.

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Horsetail

Thanks to one of its ingredients silica it helps strengthen the hair and bones. It has to be taken with a lot of water as it is a diuretic. It helps to make hair less brittle which helps to decrease the reasons for hair loss.
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Lavender

The lavender is very well known as a bacterial cleaner. It removes fungus, parasites, toxins from the scalp and thus helps hair regrowth. It is used topically on the scalp in a form of oil and applied by massaging.

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Burdock

This herb is known for its fatty acids and phytosterol that help to soothe the irritated scalp and thus promote a healthy scalp and hair regrowth. It is also used in treating psoriasis.
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Nettle

The most important ingredients of nettle are agglutinin and lectin and it blocks the excessive production of DHT and helps the restoration of hormone balance. It also cleans the scalp from any kind of bacteria and fungus.

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Ginseng

It helps to blood circulation that is needed for hair regrowth and strengthens the hair texture.

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Saw Palmetto

Same as nettle it helps the excessive production of DHT and restoration of hormone balance. If combined with nettle could result in amazing regrowth support.
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Acupuncture

study published on the pages of  Spring Link made by Journal of Acupuncture and Tuina Science reports that: “Seventy-eight patients were randomly divided into two groups. 43 cases in the treatment group were treated by acupuncture and pricking of plum-blossom needle therapy. 35 cases in the control group were treated with oral administration of Cystine tablets, Vit B1, and topical wash with Minoxidil Solution. The therapeutic effects were assessed after 4-month treatment in the two groups. (.. )The curative effect and total effective rates were 58.1% and 97.7% in the treatment group, and 34.3% and 77.1% in the control group respectively, with statistical differences in the curative rate and total effective rate between the two groups (both P<0.05)”

This terrific outcome leads to the fact that acupuncture mixed with herbs is better than medications in the treatment of alopecia areata.

Medical

Intralesional Corticosteroid Injections

Corticosteroids that are injected into bare patches of skin with a tiny needle. These injections are repeated about every four to six weeks and are usually given by a dermatologist. The hair regrows in a month but there is no guarantee that it won’t fall again. It is not very painful or if there’s a pain it’s just temporary and disappears after the procedure is done.

Topical Minoxidil

Minoxidil was first found as a cure for high blood pressure but ultimately noticed that it promotes hair regrowth. Traditionally women use a less percentage of 2% but recently this has increased to 5%. With alopecia areata, the effect is been achieved only in a combination with topical corticosteroid medications. I (the author) have heard that there is a dependency on it once started but doing most recent research found in the National Alopecia Areata Foundation made me thinking that it could be stopped.

Anthralin Cream/Ointment

It is applied to the bald patches for 30-60 min or more and afterward washed. It is also been used for psoriasis. The new hair regrows within three months. The disadvantage is the changed skin color to brownish therefore some people use it a shorter period of time that doesn’t affect the outcome.

Topical Corticosteroids

They come in any type or form: gel, lotion, cream, foam, solution and help hair regrowth at 25 %, reduce the hair loss.

Medical  Cosmetics

Ducray

I (the author) am dedicating a lot of attention and space to Ducray as I personally used all of the series and they helped my hair regrowth ( I had a patch above the neck) and improved the texture of my hair overall. It is true that the hair becomes a bit dry, hence use the shampoos in a combination with a conditioner.

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Acupuncture

study published on the pages of  Spring Link made by Journal of Acupuncture and Tuina Science reports that: “Seventy-eight patients were randomly divided into two groups. 43 cases in the treatment group were treated by acupuncture and pricking of plum-blossom needle therapy. 35 cases in the control group were treated with oral administration of Cystine tablets, Vit B1, and topical wash with Minoxidil Solution. The therapeutic effects were assessed after 4-month treatment in the two groups. (.. )The curative effect and total effective rates were 58.1% and 97.7% in the treatment group, and 34.3% and 77.1% in the control group respectively, with statistical differences in the curative rate and total effective rate between the two groups (both P<0.05)”

This terrific outcome leads to the fact that acupuncture mixed with herbs is better than medications in the treatment of alopecia areata.

Medical

Intralesional Corticosteroid Injections

Corticosteroids that are injected into bare patches of skin with a tiny needle. These injections are repeated about every four to six weeks and are usually given by a dermatologist. The hair regrows in a month but there is no guarantee that it won’t fall again. It is not very painful or if there’s a pain it’s just temporary and disappears after the procedure is done. 

Topical Minoxidil

Minoxidil was first found as a cure for high blood pressure but ultimately noticed that it promotes hair regrowth. Traditionally women use a less percentage of 2% but recently this has increased to 5%. With alopecia areata, the effect is been achieved only in a combination with topical corticosteroid medications. I (the author) have heard that there is a dependency on it once started but doing most recent research found in the National Alopecia Areata Foundation made me thinking that it could be stopped.

Anthralin Cream/Ointment

It is applied to the bald patches for 30-60 min or more and afterward washed. It is also been used for psoriasis. The new hair regrows within three months. The disadvantage is the changed skin color to brownish therefore some people use it a shorter period of time that doesn’t affect the outcome.

Topical Corticosteroids

They come in any type or form: gel, lotion, cream, foam, solution and help hair regrowth at 25 %, reduce the hair loss.

 

Medical  Cosmetics

Ducray

I (the author) am dedicating a lot of attention and space to Ducray as I personally used all of the series and they helped my hair regrowth ( I had a patch above the neck) and improved the texture of my hair overall. It is true that the hair becomes a bit dry, hence use the shampoos in a combination with a conditioner.

Here is the story that started a long time ago and written by the French entrepreneur Albert Ducray in 1931.

Cicatricial Alopecia

This is the rarest form alopecia and it is caused by radiation, poisoning. It occurs in a form of rashes, itching, inflammation, burns. It is not a genetic or autoimmune disorder, it is caused by external factors. It could occur not only on the scalp but also on the whole body. Unfortunately, this all leads to permanent hair loss. 

Telogen Effluvium

It is a form of temporary hair loss that usually happens after stress, a shock, or a traumatic event. It usually occurs on the top of the scalp. The hair on the hairline starts shedding for more than 6 months and becomes really thin. The hair goes through 1. Anagen (growth phase); 2. Catagen (transitional phase); 3. Telogen (resting phase). With telogen effluvium, the anagen slows down and just 30% of the hair goes to the next stages.

The causes are severe stress, poor diet, sudden weight loss, surgery, metal toxicity, poor health 

It is reversible by lowering down the stress levels, improving the diet, eliminating protein and iron deficiencies.

A person with this condition does not lose all their hair, although it may become noticeably thin.

Involutional Alopecia

It is a natural condition in which the hair gradually thins with age. More hair follicles go into the resting phase, and the remaining hairs become shorter and fewer in number.

Tinea Capitis (scalp ringworm)

This is the only type of alopecia that is contagious and happens to the children from elementary school. It is spread by clothes children wear and the symptoms are rashes, itching, inflammation, burns, scarring. It is treatable and hair loss is restored. 

Trichotillomania

 Trichotillomania (TTM), also known as a hair-pulling disorder, is a mental disorder characterized by a long-term urge that results in the pulling out of one’s hair. This occurs to such a degree that hair loss can be seen. … It occurs more commonly in those with obsessive-compulsive disorder

Androgenic Alopecia

Definition

It is also known as male-pattern baldness. It is a process happening due to hormonal and genetic reasons. Another factor is the presence of sensitive to dihydrotestosterone hair follicles that shrink and grow thinner. The hair loss starts from form the head and goes further to the crown in an M-shape pattern. The hair becomes weaker, thinner and disappearing. 

Most of the men on the planet (80%) go through the process of losing their hair, half of all men lose it through male-pattern baldness. 

Effect on people’s overall health

The affected people do not feel any pain. Men take baldness differently than women as the number of them losing hair is very high but still, some could feel sadness and depression. 

Causes

The causes might be various, but in most cases are genetic, poor nutrition, experiencing high levels of stress, taking some particular type of medications.

Hair transplantation

This image is called The Norwood Scale and it helps determine the level of hair loss starting at one. The hair loss between three and six ais qualified as ready for hair transplantation. 

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As there is a lot of new clinique nowadays that do these procedures patients should be careful about what is offered. There are two types of completion:

      1. old fashioned and not looking natural (cheaper): removing a strip of scalp from the back of the head and using it to fill in a bald patch. 

      2. follicular (the new trend) – “surgeons remove a narrow strip of scalp and divide it into hundreds of tiny grafts, each containing just a few hairs. Each graft is planted in a slit in the scalp created by a blade or needle in the area of missing hair. Hair grows naturally this way, in small clusters of one to four follicles, called follicular units” (Harvard Medical School)

Propecia

‘Propecia’ is the brand, ‘finasteride’ the generic version of the drug.

This medication is used in androgenetic alopecia to regrow the hair at the crown and in the middle of the scalp. It blocks the excessive amount of natural body hormone DHT. It takes at least three months to take effect.

 

Rogaine (Minoxidil, generic versions)

‘Rogaine’ is the brand, ‘minoxidil’ the generic version of the drug.

Minoxidil was first found as a cure for high blood pressure but ultimately noticed that it promotes hair regrowth. Traditionally men use a percentage of 5%. Research studies confirmed that minoxidil applied directly to the scalp could stimulate hair growth. The results could be seen after two months of treatment, even four, to be certain to see a positive outcome plan on a trial of 12 months. With alopecia androgenic, the case must be different so in order to maintain and sustain the result it should be used regularly. It should be applied directly to the thinning spots with a dropper or spray pump and then leave in the hair for at least 4 hours. It should be paid attention to drops outside the treated areas as they could result in undesired hair growth (cheeks, forehead, neck). 

Rogaine is the brand of Minoxidil but the market offers less known brands with the same products. Try to check what they do contain as you need a pure form of minoxidil. 

FAQ:

When does the process of hair loss typically start? 

Same as with the women at the age of 12, the beginning of teenage years. Its’ development and progression depend on a lot of factors: nutrition, stress levels, hereditary predisposition, poor lifestyle, smoking, excessive drinking.

How does smoking inflict hair loss? 

Smoking blocks the hair from proper oxygen absorption and thus inflicts the normal blood circulation that is vital for hair growth. Preventing the hair from quality blood circulation leads to preventing it from receiving nutritions in particular proteins and losing its vitality first and then the whole structure. 

Is diabetes a factor in hair loss? 

This insufficient supply of insulin or poor distribution of insulin in the bloodstream leads to preventing the blood from a sufficient amount of proteins and nutrients to the hair follicles and the same as the smoking cause hair loss. 

What factor is stress in hair loss? 

Stress is a factor with Alopecia Areata as it triggers the immune system to treat the hair follicles as an invader.  The reason for the mental disorder called trichotillomania is also high levels of stress. The high levels of stress can also determine a prolonged resting hair phase and ultimately the type of alopecia called telogen effluvium.

Which type of testosterone causes hair loss?

It is called dihydrotestosterone (DHT) and its’ overabundance leads to shrinking of the hair follicles. This hormone is a natural part of the human body and is in charge of rendering typical for men features as deep voice, genitalia, body hair but in excess leads to alopecia. 

Is hair loss reversible?

Most men do not get bothered by alopecia androgenetic but in some cases by cosmetic reasons look for solutions to restore their hair growth.

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