Pattern Hair Loss | Health And Wellness Tips

The Drug Propecia and Hair Loss

The drug propecia is a prescription hair loss medication designed mainly for men with mild to moderate hair loss. The effects of hair loss and propecia were studied in several clinical trials, and propecia was found to be better than a placebo.

The men in the studies, aged between 18 and 41, took propecia daily for a year. Some men took a placebo. Of the men who took the propecia, 86% either did not suffer further hair loss, or actually increased the amount of hair in the affected areas. Only 14% of men had continued hair loss.

The drug propecia has been found to be ineffective for women. This, combined with the potential danger of abnormalities to a male fetus, means that propecia is not prescribed for female pattern hair loss. Propecia has not been studied in older men, or men with complete baldness, and it has not been proved to work with a receding hairline. Propecia is not suitable for children, no doubt due to its negative effect on developing male genitals.

Generally, propecia is a very safe drug for hair loss. Most men taking it did not have any side effects, though some reported:

* erection difficulties

* reduced amount of semen

* less sexual desire

These were not permanent changes, and when those affected stopped taking propecia, their symptoms disappeared. Some men who reported these side effects were also able to continue taking propecia without the side effects continuing. The report I saw did not say whether the side effects just stopped, or if other treatment was undertaken to counteract them.

The drug propecia has only been studied on men for up to two years, and these men had no problems taking it for this period. However, based on research over a period of 32 years on men who are deficient on the enzyme that propecia suppresses, 5-alpha reductase, the mechanism by which propecia works seems to be quite safe for long term use.

Disadvantages of Taking Propecia

Propecia is not a cure for hair loss. Propecia works by interrupting the conversion process of testosterone to its metabolite, dihydrotestosterone (DHT for short). It does this by effecting the enzyme catalyst, 5-alpha reductase, that is involved in the conversion process.

In male pattern hair loss, there is an excess of DHT in the part of the scalp where hair loss occurs. So, by reducing the amounts of DHT in the scalp, propecia effectively works to prevent new hair loss, and allows hair to regrow. However, to continue the benefits of propecia, you’ll need to take it for the rest of your life. Once you stop taking propecia, the DHT levels will rise again in the scalp, and hair loss will return to pre-propecia levels.

The Drug Propecia and Pregnancy

Women should be very careful not to handle propecia if they are pregnant, as it can affect the development of the sex organs in a male fetus. So, it would be wise not to touch any open packets, or broken tablets. If you must, use a glove. Unbroken tablets are safety coated, so the active ingredient of propecia, which is the potential problem, is not present on the outside of the tablet.

For men taking propecia, if your wife is pregnant, there is no risk to her unless she is exposed to the active ingredient from a broken tablet. She, or the baby, won’t be harmed when her partner is taking it.

However, given that in some men propecia affects the amount of semen produced, if you are trying to conceive this may pose a problem. This side effect does not affect all, or most, men. But check with your doctor if you think this may be a concern.

New Research Links Causes Of Hair Loss To Nutritional Deficiency

Whilst it may be comforting to know that humans are not alone in suffering hair loss (primates such as monkeys also experience thinning on their head) – understanding the causes of hair loss means we can take proactive action. Even though genetics does play a part, new research has uncovered a nutritional deficiency link in both men and women. And other factors, such as stress, and poor hair care, are well within our capacity to change.

The genetic link in hair loss has been well studied. It is associated with male and female pattern hair loss, or alopecia. In these individuals there is an increased sensitivity to the sex hormone, DHT. DHT stands for dihydrotestosterone, and is a powerful metabolite of testosterone. It contributes to men’s unique gender characteristics, as well as facial and body hair, and the deepening of men’s voices at puberty.

DHT causes the growth cycle of hair follicles to shorten, which in turn reduces the size of the hair shaft. Increasingly narrower hair is grown, sometimes as fine as fluff, and in more extreme cases, there is complete hair loss in that area.

In women, estrogen usually counteracts the effects of testosterone. But when women go through menopause, or suffer hormonal imbalances, the reduction in estrogen can lead to female pattern baldness. Fortunately, this is not as drastic in its hair loss effects as male pattern baldness. Instead the hair tends to thin, and the crown parting becomes wider.

But a very interesting study by L’Oreal has linked an iron deficiency to hair loss, in both men and women. This was a placebo controlled, double blind study in which 13,000 healthy men and women took a supplement, and had the ferritin (iron) levels in their blood measured and cross referenced with information on their hair loss.

The results showed not only a link between hair loss and iron deficiency, but they were able to estimate the risk of hair loss in a certain level of iron deficiency. For example, women whose blood ferritin levels dropped from a normal 70g/l to 40g/l, had a 28% higher chance of severe hair loss. The post menopausal women in the study who had severe hair loss all had much lower levels of iron than the women who didn’t have severe hair loss.

The problem with iron supplementation, however, is that excess iron builds up in the body’s tissues and becomes toxic. It has been associated with an increased risk of developing chronic illnesses. Iron levels can be tested by a doctor, so if hair loss is a concern, its best to get your iron levels tested first before taking iron supplements.

Other potential causes of hair loss – or at least, contributing factors are stress and poor hair care practices. Not brushing hair regularly, or washing it regularly, can affect the normal hair growth cycle.

When hair that is naturally at the end of its life cycle is removed through brushing, it allows another hair to grow underneath it. Regular brushing naturally removes dead hair that is ready to fall out. Not removing that hair means new growth cannot occur, as the old hair smothers the new growth. Dirt and oil build up can have a similar effect, so its important to wash hair regularly.

Stress can affect the circulation of nutrients and oxygen to the scalp, by causing the muscles in the scalp to tighten. If this happens over a long period of time, premature hair loss can occur. This cause of hair loss is distinct from male pattern baldness (which is hormonal), but it can certainly exacerbate the condition. And stress reduction techniques are simple things that can be added to a daily routine, to prevent hair loss, and improve the overall quality of life.

References:

1. Nutraingredients

2. Wikipedia Health

Female Pattern Baldness: Diagnosis and Treatments

Clinical features of pattern baldness in women usually occur during early teens and late middle age. This is shown by the gradual thinning of hair over the frontal area. Usually, pattern baldness in women is not accompanied by increased shedding of hair, but unlike telogen effluvium, hair loss may be seen from the start. The scalp becomes more and more visible as the disease progresses.

Most of the time, the central part of the head widens due to diffused reduction of the hairs density, which involves the frontal scalp and crown. Some women may experience hair loss on some small areas of the frontal scalp while others may experience the effect on the entire scalp including the areas of parietal and occipital. During hair loss, women usually retain a rim of hair along the frontal hairline.

In some cases, hair volume may still appear normal but the hair would stop growing to its previous length and normally results to thin distal ends. Female pattern hair loss is seen on women by visual decrease in hair density while in men, it is by baldness on the affected areas.

Treatment of Androgenetic Alopecia

Hair loss is a result of abnormal hair cycle. Because of this, it is theoretically reversible. However, the current treatment options have limits in their performance and in some cases, only small improvements in hair density can be seen. Advanced pattern baldness may already be difficult to treat because irreparable damages may have already taken place on the follicular stem cell when inflammation surrounded the bulge area of the follicle. Some systematic treatment plans for this case include:

The current treatment for pattern baldness is Minoxidil. The exact mechanism by which Minoxidil works is not known but the treatment appears to affect the hair follicle in three ways: it increases the span of time follicles spend in anagen, it rouses follicles that are in catagen and it enlarges the actual follicles. In effect, vellus hairs enlarge and are converted to terminal hairs, and shedding is reduced.

Finasteride has been effective on men with pattern baldness but definitely it was risky on women. This regimen is not advisable for women who are still in their childbearing age because of the presence of 5a-reductase inhibitors that may cause external genitalia abnormalities in male fetuses.

Hairstyling, teasing, coloring, permanents, and the use of hair spray are means of coping with the cosmetic effects of pattern baldness. However, when the hair loss is grave, the affected person may opt to use wigs.

Hair transplantation is another option since it has already been accepted in treating pattern baldness on men. Now, it is also being used to treat female hair loss although only a very few women go for this type of treatment because of the cost and the possible trauma that may go with it.

For those women who have encountered ineffective and unsuccessful treatments for hair loss, surgery may be another option and thus, the most suited method for them.