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Diagnostic tests that may be performed (but are rarely needed) include: Microscopic examination of a plucked hair
Skin biopsy (if skin changes are present)

Baldness is not usually caused by a disease, but is related to aging, heredity, and testosterone. In addition to the common male and female patterns from a combination of these factors, other possible causes of hair loss, especially if in an unusual pattern, include: Hormonal changes (for example, thyroid disease, childbirth, or use of the birth control pill)
A serious illness (like a tumor of the ovary or adrenal glands) or fever
Medication such as cancer chemotherapy
Excessive shampooing and blow-drying
Emotional or physical stress
Nervous habits such as continual hair pulling or scalp rubbing
Burns or radiation therapy
Alopecia areata -- bald patches that develop on the scalp, beard, and, possibly, eyebrows. Eyelashes may fall out as well. This is thought to be an immune disorder. Tinea capitis (ringworm of the scalp) 

Typical male pattern baldness involves a receding hairline and thinning around the crown with eventual bald spots. Ultimately, you may have only a horseshoe ring of hair around the sides. In addition to genes, male-pattern baldness seems to require the presence of the male hormone testosterone. Men who do not produce testosterone (because of genetic abnormalities or castration) do not develop this pattern of baldness.

 

Each individual hair survives for an average of 4 1/2 years, during which time it grows about half an inch a month. Usually in its 5th year, the hair falls out and is replaced within 6 months by a new one. Genetic baldness is caused by the body's failure to produce new hairs and not by excessive hair loss

 

For hair loss due to heredity, age, and hormones, the topical medication Rogaine (minoxidil) can be helpful for both male and female pattern baldness. Expect to wait 6 months before you see results. The oral medication Propecia (finasteride) is effective in some men. This medicine can decrease sex drive. When either medication is stopped, the former baldness pattern returns.  

Hair weaves, hair pieces, or changes of hair style may disguise hair loss. This is generally the least expensive and safest approach to hair loss. Hair pieces should not be sutured to the scalp because of the risk of scars and infection.  


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