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Hereditary Hair Loss

By far the most common type of hair loss is Alopecia Androgenetica which affects mainly men between twenty and fifty years of age. This is hereditary hair loss. Alopecia Androgenetica accounts for about 95% of hair loss worldwide. The word androgenetica is made up of two words, 'androgens' meaning hormones and 'genetica' meaning genetic (hereditary). In males with hereditary hair loss/genetic hair loss, the male hormone testosterone comes into contact with an enzyme (known as 5 alpha reductase) which is present in the hair follicles on the top and crown of the head. Testosterone is then converted to dihydrotestosterone (otherwise commonly referred to as DHT) and it is this DHT that shrinks the hair follicle causing hair loss. What actually happens is that as the hair follicle shrinks, the hair grows thinner and its life span is shortened and even the rate of growth is reduced. Hair normally grows at the rate of an average of ½ inch per month. Furthermore as the hair thins, the colour of the hair gets lighter. Once the hair root shrinks completely and disappears, then no hair can grow any further. The only way to re-grow hair would be by hair root replacement/hair transplant. 

Hereditary hair loss or alopecia androgenetica is different from alopecia androgenica. The latter is not hereditary hair loss and mainly affects men and women in later years usually after the age of 50 and is caused by a combination of the hormone DHT and age. Hereditary hair loss is passed down just as much from the father's side of the family as the mother's side and could in some cases skip a generation. Alopecia androgenetica and alopecia androgenica are not classed as illnesses. Research has produced two medical products for stopping hair loss, minoxidil and finasteride. There is no permanent cure for stopping hair loss. Both these products delay baldness and are effective with most types of alopecia. As mentioned above, hereditary hair loss is the most common type of hair loss. It may start at an early age, even in the teenage years or later. Patients suffering from hereditary hair loss or alopecia androgenetica may experience some anxiety and distress especially if the patient is still very young. In some cases this distress could turn to depression and may cause complications.

Persons suffering from hereditary hair loss are advised to wash their hair daily. This is not a cure but it is important to do so since some of the hormone, DHT may be expelled through the sebum(oil) duct and settle on the scalp. If not washed away regularly, this DHT could re-enter the hair follicle and shrink the hair root even faster. Some hairdressers believe that one should not wash the hair daily but experts believe that in cases of hereditary hair loss it is advisable to do so. Some patients believe that by cutting or shaving the hair, the hair would grow stronger. Unfortunately this is not a cure for hair loss and will never stop the production of DHT. What is very important is to try as much as possible to keep the pores open. Therefore the use of gel is not really recommended. Some patients tend to use a lot of gel and even sleep with gel on their scalp. This practice is discouraged since the pores are blocked and the hair root will get choked. A minimum amount of gel should be used or none at all. Wash the gel off before night-time and always keep a clean scalp. Eat and sleep well. If you are suffering from week finger nails this would indicate the your need vitamins A.D. & E. The material of the finger nails is keratin and so is the hair. So vitamins A.D.&E would also strengthen week hair but would not stop thinning hair.

The rate of hair shedding in androgenetic alopecia is speeded up by an inherited tendency. The inherited factors in hereditary hairloss usually come from the maternal side. Other physiological factors might cause hair loss. Contrary to some beliefs, hair loss is not related to poor blood circulation, frequent hair washing or the wearing of hats. The most common type of hair loss amongst men (and some females) is the hereditary hair loss.

Individuals genetically predestined to develop hereditary hairloss (male pattern baldness) have normal hair follicles in the horseshoe - shaped fringe area of the scalp. However, the hair follicles in the areas destined to become bald have a genetically predetermined sensitivity to a normal body compound called DHT. When exposed to DHT, genetically sensitive follicles shrink and as they become smaller, their hair-growing cycles shorten and their resting phases lengthen. The hairs themselves become increasingly thinner, shorter and less deeply rooted. Eventually, hair growth ceases.

Whilst there are several treatments, which exist today in stopping hair loss, all treatments have their limitations. Some treatments are quite effective in stopping hairloss while others unfortunately could add to the patient's distress. It is therefore very important that one understands fully what is currently available for dealing with the problem of hair loss, what options are open to the patient to cure his problem, the advantages and disadvantages of certain hair loss treatments and what sort of guarantees are attached to these treatments.

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