Causes of hair loss, diagnosis
Hair loss can be a problem affecting both sexes. Hair is one of the most important elements of a person’s appearance – be a man or a woman. Hair determines the characteristics of the face to a great extent, and by carefully choosing and taking care of a hairstyle it can make you more attractive, making you more confident.
When should we worry about our hair loss? – reasons, explanations
The loss of 100-150 hairs a day is considered to be normal, this is a natural change of hair. So while follicular units, that is, hair groups, are healthy and intact, there is no reason to worry. However, on average, at a hair loss over 150 hairs per day, there is a problem waiting for treatment.
Hair loss can be a temporary or a long-term process. Temporary hair loss is easy to treat if we recognize the causes.
Hair loss beyond the normal range indicates that an abnormal process is taking place in the body. The hair loss may be due to lack of hormonal balance, disease, external influence – for example medicine or poisoning.
Causes of hair loss:
The most common cause for hair loss, hair thinning, and baldness is genetic, that is, an inherited predisposition to male or female hair loss. The additional effect of lifestyle and nutritional factors is not negligible either, but hair loss can also be a complex effect of the presence of several diseases. Hair loss can be a symptom of an event that occurs during a short time, after which the hair grows back. Some examples of this are stress, pregnancy, or a side effect of a particular medicine.
Various hormones, drugs and diseases are capable of changing hair growth, condition and loss by themselves. After discovering and treating the causes, the hair returns to normal growth and fall rates. The cause of hair loss can be quite simple, such as an inflamed follicle or allergen – medicine base.
What are the treatment options?
The causes of certain types of hair loss, including the most common hormonal androgenic baldness, are already partly known. For this reason, there are formulations with proven clinical trials that address the actual causes of hair loss, but none of them provide a complete solution and their effects may vary from person to person.
Generally speaking, in our clinic, externally used hair lotions, shampoos, vitamins, and internal medicine, as well as regenerative therapies, prp therapy, mainly slow down or stop hair loss in both sexes. The therapies we recommend are also suitable for partial hair restoration, but for the more extensive hair loss caused by androgenic baldness only properly performed hair Transplantation yields a real, natural result for the time being.
Androgenic, so sex-hormone-based hair loss – in everyday speech, masculine balding – is responsible for 90-95% of male hair loss. This affects approx. 40% of 35 year old males, but the number of men at the beginning of their fifties is already 55%.
Affected hair follicles are sensitive to a particular sex hormone, dihydrotestosterone – DHT. The hair follicles go through miniaturization due to the presence of the hormone. This shortens the cycle of hair follicles and hence the hair.
As a result, follicular units that grow the terminal hair start producing vellus hair or baby hairs. These hair follicles do not produce normal hair at all in the end stage.
Its characteristic feature is the typical retraction of the hairline – according to the Norwood scale –, and the thinning of the scalp at the same time. The end result of the process, which also depends on the individual’s hormone sensitivity, is often just a horseshoe-shaped area close to the neck and nape, where the hair remains.
Why is hair never falling out of this area?
Hair does not fall out of this horseshoe-shaped area because the hairs here are resistant to DHT. Therefore, this genetic feature is used in hair transplantation.
Female hair loss:
Female hair loss is about 80-85% due to hormonal causes. Events affecting the female hormones, like ovarian cancer, taking male hormone-containing contraceptives, pregnancy, menopause or temporary hormonal changes can cause this. In the case of the remaining 15-20% of women, stress, inflammatory and immune-based causes can lie in the background.
Similar to men, in women with androgenic sex-hormone-type hair loss, the dihydrotestosterone, the DHT, is responsible for the miniaturization of hair follicles. Most women do not bald, but they suffer from so-called diffuse hair loss on their whole head. So, the entire head of the ladies is affected by hair loss, but sparse areas are relatively rare, it thins everywhere. This is caused by androgens – male hormones – although they are only found in small amounts in the female body.