Treatment and prevention of androgenic alopecia in men
Table of contents
- Causes of the disease
- Symptoms of the development of alopecia
- Diagnosis of the disease and the cause of development
- Treatment and prevention of baldness in men
Hippocrates said that eunuchs never grow bald. In fact, Aristotle wrote about this in due time. As it later turned out, the cause of the appearance of an early bald spot in representatives of the strong half of humanity is the excessive concentration of male sex hormones in the blood. Alopecia can still be associated with factors of predisposition, transmitted genetically. This form of alopecia is called androgenic alopecia in men. Let's consider in detail how to diagnose and treat this disease, as well as simple methods of preventing such a disease, as androgenetic alopecia.
Alopecia in men is characterized by a pathological loss of vegetation of the scalp, which leads to the formation of a bald patch. Under the influence of negative factors hair falls out and on all sites of a trunk where growth of hair is observed. Androgenic baldness has become a significant problem for men all over the world, regardless of national or other criteria. Thinning of the hair with this disorder begins with the parietal and frontal lobes and spreads over the remaining parts of the hairline over time. The culprit in all cases is the male sex hormone.
Causes of the disease
To stop the development of alopecia in men and then to prescribe adequate treatment, you need to thoroughly understand the causes of alopecia.
Most of the reasons for the development of this disease are at the level of genetics. These factors are expressed in that the active form of the male hormone, the hormone dehydrotestosterone, adversely affects the hair follicles. The intermediate link in this chain is the enzyme 5-alpha-reductase, which is initially found in hair bulbs (follicles). Therefore, dehydrotestosterone, penetrating the hair follicles, causes in them the phenomena of dystrophy and, consequently, the dystrophy of the hair that grow with their participation. It must be said that hereditary alopecia is found in the overwhelming majority of cases of androgenetic alopecia.
With this form of alopecia development, the hair on the affected areas remains, but they become thin. These are the so-called pushkovye hair. This type of vegetation can not cover the skin, and a bald spot is formed. With the further development of the pathogenic process, after ten to twelve years, the mouth of the hair follicles is tightened with fibrin, and even the hair of the hair disappears. This development of the disease is a fairly frequent picture among men.
The sensitivity of the hair follicles to this hormone depends mainly on genetic causes, that is, it is a hereditary mechanism of the development of the disease. That is, we can talk about androgenic alopecia in men as an inherited disease. It is this hereditary factor that will be sensitive to sex hormones.
Symptoms of the development of alopecia
Depending on the stage of the development of androgenetic alopecia, its symptomatology is determined. The stages of androgenic alopecia development and its symptoms are listed below.
- 1 stage - the appearance of small exposed areas along the front line of hair growth with a special expression in the frontotemporal areas;
- 2 stage - the initial formation of the area of alopecia of triangular shape and deepening of the zone of alopecia by 2 cm;
- 3 stage is divided into two branches of the process: 3-A - intermediate stage is characterized by the appearance deepened frontotemporal empty prorecines, 3-B - an intermediate stage characterized by a distinct loss of hair on the vertex;
- 4 stage - the appearance of characteristic areas of alopecia in the frontotemporal and parietal zones;
- 5 step - has a clear symptom of erasing the boundaries between the previously formed zones of hair loss on the head and areas with sparse hair; a form of horseshoe is characteristic for this stage of alopecia;
- 6th stage - even more aggravated hair loss, widened head region, frontal and temporal areas of hair loss;
- Step 7 - alopecia in a form resembling a horseshoe.
Diagnosis of the disease and the cause of development
In order to determine the true cause of the development of baldness in men, scrupulous complex diagnostics with the involvement of specialists - trichologists, geneticists and doctors of other narrowly focused specializations. It is with the involvement of doctors of broad specializations that androgenic alopecia in men is diagnosed. Clinically significant diagnosis of androgenetic alopecia is based on laboratory and special studies. After the diagnosis is made, complex treatment is prescribed.
Laboratory diagnostic methods include:
- analysis of thyroid hormone levels in peripheral blood;
- general blood analysis;
- biochemical blood test to determine the level of vitamins and microelements in the blood;
- a blood test to determine the level of ferritin;
- analysis of Wasserman's reaction;
- an immunogram for determining the level of B and T lymphocytes;
- genetic examination for determining the factor of hereditary alopecia.
Special diagnostic methods include the following methods:
- phototrichogram for determining the parameters of hair growth, the number of hair follicles and the stage of their development;
- trichoscopy for the study of the hair shaft, skin of the scalp, indicators of sebum production;
- research for the presence of fungal infection;
- investigation of the peeling substrate using potassium hydroxide.
Together, these methods allow you to accurately determine the cause of the development of androgenetic alopecia and to develop the most effective strategy for further treatment.
Treatment and prevention of baldness in men
At the present stage of the development of medicine, baldness in men can be treated by such methods as:
- medicamental therapy - treatment with the use of medicines;
- laser therapy for alopecia is a modern way of treating red laser;
- autotransplantation of hair follicles is the most effective way of treating androgenetic alopecia at any stage of the disease;
- non-traditional methods of treatment of androgenetic alopecia.
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And if we talk about the treatment of male pattern baldness, then we are talking, first of all, about hormonal correction with a view to restore the normal level of dehydrotestosterone and reduce the level of susceptibility of hair follicles to this sex hormone. Also, the medicinal effect on the activity of the proprietary 5-alpha-reductase is recognized as effective, since this substance is the trigger in the development of androgenic alopecia. And, hence, this mechanism of the development of the disease should be initially treated.
The hereditary factor of the disease is not subject to correction and treatment.
If the androgens in the body are a factor of baldness, then, on the contrary, estrogens contribute to an increase in the degree of hair density. The reverse side of the coin is that with an excess of estrogens in men begin to develop secondary female sexual characteristics - such as gynecomastia, changes in the timbre of the voice and other similar signs.Therefore, prescribe medicinal, and even more hormonal, drugs should only a doctor.
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The most effective method of treating alopecia is autotransplantation of hair follicles. What is autotransplantation? This is a transplant of your own hair follicles. The follicles are usually transplanted from the occipital part of the head to the frontal-parietal zone. The disadvantage of the method is only one - high cost. This makes the application of this method of treating alopecia inaccessible to many sufferers.
As prevention of baldness in men, you can recommend wearing a headdress in the cold season, a complete refusal to smoke and drink alcohol. It is important not to abuse hair washing with hot water
And then the man to the deep gray will retain a thick head of hair.