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Why do men have a greater chance of suffering from hair loss?

Why do men have a greater chance of suffering from hair loss?


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If we look around we'll find that men are more likely to suffer from hair loss when compared to women. Is there is any specific reason for this?


As per my comment above, some types of hair loss is androgenic, and therefore related to testosterone levels. This is why eunuchs can be resistant to some forms of hair loss.


Hair loss hot spot: Most bald men come from THIS country - and it might surprise you

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Has the cure for hair loss has finally been found?

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Baldness is most common in the Czech Republic, with almost half these men going bald at 42.79 per cent.

The UK has the fifth highest count of smoothed-headed men, with 39.23 per cent of males losing their crowning glory.

Spain has the second highest number at 42.6 per cent. Germany is next with 41.2 per cent followed by France with 39.24 per cent, according to website Quora.

Unsurprisingly up next after the UK is the US, followed by Italy, Poland, Netherlands, Russia and Canada.

Baldness is most common in the Czech Republic, with almost half these men going bald

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So it seems that Europeans are the most likely to go bald of all.

Ladies, if you can&rsquot stand the thought of running your hands over your partner&rsquos balding head then you should consider moving to China, where the least number of men go bald.

Japan, Hong Kong, Malaysia, Thailand, Taiwan, and South Korea also have low levels of male pattern baldness.

According to a study called Psychological Effect, Pathophysiology, and Management of Androgenetic Alopecia in Menm said: &ldquoApproximately 30 per cent of white men are affected by age 30, at least 50 per cent are affected by age 50, and 80% are affected by age 70.

This map shows where in the world the most bald men can be found

Top celebrity hair transformations


Alopecia is the medical term for the loss of hair from the head or the body - sometimes to the extent of baldness. Symptoms of hair loss include hair loss in patches usually in circular patterns, dandruff, skin lesions, and scarring. Alopecia areata (mild/medium level) usually shows in unusual hair loss areas e.g. eyebrows, backside of the head or above the ears where usually the male pattern baldness does not affect.

Hair Loss

Also known as alopecia or baldness, is defined as the loss of hair from the head or body. Baldness can refer to general hair loss or male pattern hair loss. Some types of hair loss can be caused by alopecia areata, an autoimmune disorder. The extreme forms of alopecia areata are alopecia totalis, which involves the loss of all head hair, and alopecia universalis, which involves the loss of all hair from the head and the body.

There is a widely held misconception that hair is alive, and, therefore, its condition can be "permanently" altered by using some newly discovered commercial potion. The truth is that hair is only living matter at its base below the surface of the scalp. Like the tip of one's finger nail, hair is dead matter, and can be clipped shorter and discarded.

Normally about 100 hairs reach the end of their resting phase each day and fall out. When more than 100 hairs fall out per day, clinical hair loss (telogen effluvium) may occur. A disruption of the growing phase causes abnormal loss of anagen hairs (anagen effluvium).

The severity and nature of baldness can vary greatly it does range from male and female pattern alopecia, alopecia areata, which involves the loss of just some of the hair from the head, and alopecia totalis, which involves the loss of all head hair, to the most extreme form, alopecia universalis, which involves the loss of all hair from the head and the whole body.

Male-Pattern Hair Loss

(Ndrogenic alopecia or Male pattern baldness (MPB)), is defined as hair loss that occurs due to an underlying susceptibility of hair follicles to androgenic miniaturization. In male-pattern hair loss, loss and thinning begin at the temples and the crown and either thins out or falls out. Female-pattern hair loss occurs at the frontal and parietal. It is the most common cause of hair loss and will affect up to 70% of men and 40% of women at some point in their lifetimes.

Male Pattern Baldness will affect a lot of men, and is a result of a combination of factors including age, hormones, and genes. The gene is said to be passed from mother to child, so if a man wants to ascertain his chances of hair loss, it would be more indicative to look at his mother's father rather than his own father.

The hair loss calculator was created for entertainment purposes only. While results are generated from research and data provided by several doctors, the result is not a guarantee of if or when you will lose your hair. Always consult your doctor or physician for a professional assessment of any medical or hair loss condition.

Treatment for Hair Loss Includes

Anthralin (Dritho-Scalp)

Available as a cream or ointment that is applied to the scalp and washed off daily.

Corticosteroids

Injections of cortisone into the scalp can be used to treat alopecia areata. This type of treatment is repeated on a monthly basis.

Finasteride (Propecia)

Used in male-pattern hair loss it a pill form taken on a daily basis. Finasteride is not indicated for women and is not recommended in pregnant women. Treatment is effective within 6 to 8 months of treatment.

Hair transplant

A dermatologist or cosmetic surgeon takes tiny plugs of skin, each which contains a few hairs, and implants the plugs into bald sections. The plugs are generally taken from the back or sides of your scalp.

Hormonal Modulators

Oral contraceptives or spironolactone can be used for female-pattern hair loss associated with hyperandrogenemia.

Minoxidil (Rogaine)

A non-prescription medication approved for androgenetic alopecia and alopecia areata. Minoxidil comes in a liquid or foam that is rubbed into your scalp twice a day. This is the most effective method to treat male-pattern and female-pattern hair loss.

Scalp Reduction

This process is the decreasing of the area of bald skin on your head. As time goes, the skin on our head becomes flexible and stretched enough that some of it can be surgically removed.

Surgical Options

Treatment options such as follicle transplant, scalp flaps, and alopecia reduction are available.

As an alternative to medical and surgical treatment, some patients wear a wig or hairpiece. They can be used permanently or temporarily to cover the hair loss. Quality, and natural looking wigs and hairpieces are available.

Help for Baldness on the Way

A new research report appearing in the April 2014 issue of The FASEB Journal (www.fasebj.org) explains why people with a rare balding condition called "atrichia with papular lesions" lose their hair, and it identifies a strategy for reversing this hair loss. Specifically the report shows for the first time that the "human hairless gene" imparts an essential role in hair biology by regulating a subset of other hair genes. This newly discovered molecular function likely explains why mutations in the hairless gene contribute to the pathogenesis of atrichia with papular lesions. In addition, this gene also has also been shown to function as a tumor suppressor gene in the skin, raising hope for developing new approaches in the treatment of skin disorders and/or some cancers.

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Male Pattern Baldness

The male pattern baldness (MPB) form of androgenetic alopecia (there is also a female pattern baldness) accounts for more than 95% of hair loss in men. By age 35, two-thirds of American men will have some degree of appreciable hair loss and by age 50 approximately 85% of men have significantly thinning hair. About 25% of men who suffer from male pattern baldness begin the painful process before they reach 21.

Contrary to societal belief, most men who suffer from male pattern baldness are extremely unhappy with their situation and would do anything to change it. Hair loss affects every aspect of their life. It affects interpersonal relationships as well as their professional life. It is not uncommon for men to change their career paths because of hair loss. Learn about the different male pattern baldness treatment options currently available.

The American Hair Loss Association recognizes how devastating male pattern baldness can be for men of all ages and has created resources for men to get completely objective answers to their hair loss questions.

We strongly advise against researching your options through the Yellow Pages or commercial websites. Hundreds of products and services are sold to the vulnerable hair loss consumer, but currently only two FDA-approved products have been clinically proven to stop or prevent hair loss. Also, there are only a handful of surgeons performing surgical hair restoration to state-of-the-art standards.


Minoxidil (Rogaine)

Minoxidil was the first drug approved by the FDA for the treatment of male pattern baldness. For many years, minoxidil, in pill form (brand name Loniten), was widely used to treat high blood pressure. Just like finasteride, researchers discovered a very interesting side effect of the drug. People taking the medication were growing hair in unexpected places, such as on their cheeks and the back of their hands. Some people grew hair on their foreheads.

Some enterprising researchers had the notion that applying minoxidil topically, directly on the head, might grow hair on balding areas. It did, to varying degrees depending on the extent of the hair loss, but at the time it was revolutionary.

While minoxidil has been clinically proven to slow the progression of hair loss and regrow some hair, most experts see it as a relatively marginally effective drug in the fight against hair loss. Since minoxidil has no effect on the hormonal process of hair loss, its positive effects are at best temporary and usually yield somewhat disappointing results.

The American Hair Loss Association still recommends the drug for those who have not responded favorably to finasteride treatment or for those who would like to add another product to their regimen. The AHLA does not recommend minoxidil as the first line of attack for men suffering with male pattern baldness, but does recognize it as an effective treatment for a small percentage of its users.


Testosterone, prostate cancer, and balding: Is there a link?

We can thank the Greeks for the name doctors apply to male hormones. Androgen comes from the words meaning "man-maker," and it's a well-chosen term. Testosterone is the most potent androgen, and it does make the man. It's responsible for the deep voice, increased muscle mass, and strong bones that characterize the gender, and it also stimulates the production of red blood cells by the bone marrow.

In addition, testosterone has crucial, if incompletely understood, effects on male behavior. It contributes to aggression, and it's essential for the libido or sex drive, as well as for normal erections and sexual performance. Testosterone stimulates the growth of the genitals at puberty, and it is one of the factors required for sperm production throughout adult life.

Finally, testosterone also acts on the liver. Normal amounts are harmless, but high doses can cause liver disease and boost the production of LDL ("bad") cholesterol while lowering the amount of HDL ("good") cholesterol.

Although testosterone acts directly on many tissues, some of its least desirable effects do not occur until it is converted into another androgen, dihydrotestosterone (DHT). DHT acts on the skin, sometimes producing acne, and on the hair follicles, putting hair on the chest but often taking it off the scalp. Male-pattern baldness (androgenic alopecia) is one thing, prostate disease quite another — but DHT also stimulates the growth of prostate cells, producing normal growth in adolescence but contributing to benign prostatic hyperplasia (BPH) in many older men.

Scientists have taken advantage of the link between male pattern baldness and BPH to develop a single medication for both conditions. Finasteride blocks the conversion of testosterone to DHT when taken in a 5-mg dose (Proscar), it helps some men with BPH, and in a 1-mg dose (Propecia), it helps some men with androgenic alopecia. Another drug, dutasteride (Avodart), has a similar effect on BPH but is not approved for baldness.

Is there another dark side to the DHT connection? Since DHT drives both hair loss and the growth of prostate cells, do men with androgenic alopecia have an increased risk of prostate cancer? Perhaps, according to scientists in Australia. They evaluated 1,446 men who were diagnosed with moderate to high-grade prostate cancer before age 70 and compared them with 1,390 men of the same age who were free of the disease. Even in the era of molecular biology, the research tool was simplicity itself. The researchers looked at each man's scalp, then used sophisticated statistical methods to see if there was a link between hair loss and prostate cancer. They found that men with bald spots at the top of their heads (vertex baldness) were one and a half times more likely to have prostate cancer than those without bald spots. The association was particularly strong for men who were diagnosed with high-grade prostate cancer at 60–69 years of age. In contrast, there was no link between a receding hairline (frontal baldness) and cancer. Although it may seem far-fetched, there are precedents for an association between vertex baldness and disease in men. Harvard's Physicians' Health Study found that men with bald spots were more likely to develop coronary artery disease than men with full heads of hair. Mild vertex baldness was linked to a 23% increase, moderate baldness to a 32% rise, and severe baldness to a 36% increase in risk. As in the Australian study of prostate cancer, frontal baldness was not associated with risk.

Although testosterone and DHT are the leading suspects, doctors don't know what accounts for the apparent associations between vertex baldness and prostate cancer and heart disease. Although explanations are on the thin side, there is no reason to think that hair loss itself is harmful to the prostate or heart — though it may take a toll on some men's self-image.


Other Reasons for Hair Loss

When your locks fall out suddenly, instead of gradually thinning over time, it’s usually from something other than male pattern baldness. Other causes include:

  • Diseases like anemia or a thyroid problem
  • Radiation or chemotherapy treatments
  • Medications, such as blood thinners, high doses of vitamin A, and steroids that some men take to help build muscle, called anabolic steroids
  • Scalp infections
  • Problems with your diet, like getting too little iron or too much vitamin A
  • Stress
  • Keeping hairstyles like tight ponytails, cornrows, or braids for many years

For most of these issues, your hair will grow back once you take care of what’s causing it.


Causes of Male Pattern Baldness

Androgenetic alopecia or common male pattern baldness (MPB) can become the bane of existence for any man who takes pride in his appearance or shares a Jesse Katsopolis-affinity for their locks. Doesn&rsquot help that we live in a society where people often perceive our inner beauty and character by our looks. But if you&rsquore one who lets his insecurities get the better of him after spotting some minor bald patches on your dome, then it might be time for a crash course in balding.

According to the American Hair Loss Association, male pattern baldness &ldquoaccounts for more than 95% of hair loss in men.&rdquo Soul crushing to hear, we know. And like any other body condition, the older you are, the worse it can get. Studies show that two-thirds of American men suffer some form of hair loss by the age of 35, with 85% of men experiencing &ldquosignificantly thinning hair&rdquo at the age of 50. Ain&rsquot that a bitch.

Dr. Terrence Keaney, board certified dermatologist and SkinCeuticals expert, states that the &ldquoexact operation of male pattern baldness is not understood,&rdquo which encourages most of us to inquire about the common causes of male pattern baldness. Is it really genetic? Bad grooming? Or what about our dieting plan? Brace yourself because, unfortunately, it&rsquos a variety of determinants, some more impactful than others.

Hormones
A male hormone called Dihydrotestosterone (DHT) is known to trigger baldness. This byproduct of the breakdown of testosterone shrinks hair follicles and replaces old strands on the head with thinner ones. Dr. Sejal Shah, dermatologic surgeon and RealSelf contributor, touches on the development saying, &ldquohair follicles begin to enter a dormant phase and stop producing hair.&rdquo The inclusion of androgens initiates MPB as well.

Androgens, which regulate hair growth, are another hormone linked to male pattern baldness. An increased level of these hormones in hair follicles can delay hair growth, creating a shorter cycle and producing thinner strands. With an increase in age, androgens are capable of stimulating facial hair, while on the other hand depleting hair on the temple and scalp. Such hormonal changes will affect and occur during the aging process, intertwining with genes to fully expose your melon.

Genetics
Your family history plays a pivotal role in male pattern baldness. In fact, it&rsquos said that genetic factors account for nearly 80 percent of the condition. &ldquoThe genetic susceptibility can be inherited from either parent and the condition is thought to be polygenetic, or involving more than one gene,&rdquo says Dr. Shah. It&rsquos believed that having an immediate family member who is balding increases your chances of getting it by 50%.

Scientists say age sets off the &ldquoandrogen paradox,&rdquo a condition that decreases a number of factors in the human body: including 5-alpha reductase, androgen receptors, and testosterone, to name a few. The inheritance pattern of MPB is a code that hasn&rsquot been cracked yet.

External Causes
Outside of hormones and genetics, many of the other mainsprings of baldness practically fall under the myth category. That&rsquos not to say there aren&rsquot any to be conscious of. &ldquoExternal causes play less of a role in causing hair loss but may accelerate its development,&rdquo says Dr. Keaney. Here are three in particular.

  • Stress &mdash Familiar with Telogen effluvium? Oh course not. It&rsquos a form a hair loss that Dr. Shah describes as a &ldquoa disruption in the growth cycle of hair usually as a result of an extreme stress.&rdquo This can be provoked by a number of things such as illnesses, major surgeries, medications, severe psychological stress, thyroid diseases, and other chronic diseases.
  • Malnutrition &mdash Some experts speculate that stress doesn&rsquot entirely result in hair loss, but can attribute to speeding up the process of the body&rsquos genetic predisposition. In other words, follicles that are deprived of blood, nutrients, and oxygen can&rsquot produce good hair due to the drainage of B12 levels. Crash diets or nutritional deficiencies only make matters worse.
  • Poor grooming &mdash Most of the market&rsquos popular hair styling products don&rsquot contain harmless ingredients that promote MPB. This is a huge plus. However, you&rsquore still required to practice proper hair cleaning etiquette. By that we mean shampoo and condition regularly. Reason for that is, not doing so will deprive your scalp of the nutrients needed to produce healthy fur, producing sebum that results in a high level of the 5-alpha reductase enzyme &mdash clogging pores and converting testosterone into DHT.

Target Areas
Those suffering from the hair loss disorder might curiously wonder why certain areas of their head are balding more than others. Here is what Dr. Emily Wise shared with us: &ldquoThe classic pattern in men is to see gradual thinning and receding of the frontal hairline and the temples and usually this will gradually evolve to include the top of the head (crown) as well.&rdquo

Dr. Keany adds to the conversation: &ldquoMen are unique in that the androgenetic alopecia (male pattern hair loss) occurs in the frontal and vertex (crown) of the scalp. This hair is susceptible to hair miniaturization while hair on the sides and back of the scalp are not.&rdquo

Who Are Most Affected?
One can only beg to ask the question: Which ethnicity is most affected by MPB? Answer: Caucasian. Yes sir. &ldquoCaucasian men are at greatest risk, with over 50% experiencing hair loss by their 50s,&rdquo claims Dr. Keany. Other ethnic groups such as Asian, American Indian, and African Americans are more likely to maintain a full head of hair.

Stepping outside of race, Dr, Keany also mentions that patients with curly or wavy hair are at an advantage, being that they&rsquore blessed with the luxury of covering any spots suffering from hair loss. Guess you have to master the art of the comb-over sooner rather than later. Either that or go the Trump route and break the bank on hair transplant surgery.

The Hazards Of Male Pattern Baldness
Inherited male pattern baldness doesn&rsquot necessarily lead to medical side effects. Still, it can have more serious causes normally triggered by anabolic steroids, medications, thyroid conditions, and various cancers unbeknownst to the subject. Researchers are investigating the connection between alopecia and other medical conditions (coronary heart disease, prostate cancer), as they think such disorders are linked through elevated androgen levels.

No matter the issue, we highly recommend visiting a hair specialist or doctor to determine whether you suffer from any fungal scalp conditions or nutritional disorders. A medical history, bloods tests and a skin biopsy just might save you from joining the Hair Club For Men.


What to Expect

Hair may fall out in clumps or seem like it is thinning as you lose a few strands at a time from all over your scalp. Depending on the type of chemotherapy used, you could lose the hair on your head only, or also on all parts of your body, including the eyelashes and eyebrows, arm, legs, underarms, and pubic area.  

Other symptoms you may experience include:  

  • Your scalp may feel itchy, tender, dry, or have increased sensitivity due to the effects of chemotherapy. A gentle cream or lotion may help.
  • Chemotherapy can make your skin more sensitive to the sun. Wear sunscreen with at least sun protection factor 30, including on your scalp, and wear a hat when outdoors.
  • You may note red or darkened skin or other pigmentation changes.
  • Your remaining hair may be dull or dry.

Male pattern baldness: What you need to know

Male pattern baldness refers to a loss of hair on the scalp in men. It happens as hormone levels change over a man’s lifetime, and especially in the later years.

It is thought to affect 50 million men in the United States, and half of all men by the age of 50 years.

Although a natural part of the aging process for millions of men, hair loss can be psychologically distressing.

Sudden or unexpected hair loss can sometimes indicate a more serious health condition that may need medical attention.

Share on Pinterest Male pattern baldness affects half of all American men over the age of 50 years.

Men normally lose their hair when three main factors interact: genetics, age, and hormones.

Also known as androgenetic alopecia, male-pattern baldness happens as hormone levels change over the course of a man’s life.

Genetic factors also affect the likelihood of male-pattern baldness.

These factors contribute to the gradual shrinkage of the tiny cavities in the skin at the base of hairs, known as scalp hair follicles. Hair grows progressively shorter and finer until no new hairs grow.

Most white men develop some degree of baldness, according to their age and genetic makeup. Male pattern baldness affects up to half of all white men by the age of 50 years and up to 80 percent of men in the same group by the age of 70 years. Other ethnic groups, such as Chinese and Japanese, are less affected.

Men with more first- and second-degree relatives who lose their hair have a higher chance of losing hair themselves.

According to Genetics Home Reference, hair loss in men has been linked to prostate cancer, diabetes, obesity and high blood pressure, or hypertension.

It can occur as a reaction to stress or after an illness or major surgery, or as a side effect of some medications, such as anticoagulants, or blood thinners, and vitamin A supplements.

Hair loss can also indicate a health condition, such as lupus, a fungal infection, or a thyroid problem.

Other possible causes include:

  • Iron deficiency
  • Excess vitamin A, possibly as a result of retinoid drugs
  • Severe chronic illness, such as diabetes or lupus
  • Use of anticoagulants, or blood thinners
  • Telogen effluvium, a disturbance of the hair growth cycle

A number of genetic changes have been linked to male pattern baldness, but only one has been confirmed by research, the androgen receptor (AR) gene.

Other research has suggested that an abnormal quantity of a protein called prostaglandin D2 in the scalps of some men could link to hair loss.

Anyone who is concerned that hair loss may be a symptom of a health problem should see a doctor.

Many men see hair loss as a natural part of growing older, and they do not perceive the need for treatment.

However, hair loss can trigger negative psychological effects, such as low self-esteem. In some, it can contribute to depression.

Some treatments are available that may help reduce hair loss.

Medication

The U.S. Food and Drug Administration (FDA) has approved two types of drug treatment for male pattern baldness.

Minoxidil

Minoxidil, or Rogaine, is a topical treatment applied to the scalp. It is available over the counter (OTC) at pharmacies, usually as a lotion or foam. It is reported to work best on the crown of the head.

Minoxidil was originally tested to treat blood pressure, but some people noticed additional hair growth as a side effect while using it. It is unclear exactly how it helps prevent hair loss.

It may take 3 to 6 months for results to appear, and the medication must be used indefinitely to preserve effects.

Adverse effects include skin problems, such as itching and irritation, hives, swelling, sensitivity, and contact dermatitis.

More rarely, the user may experience blurred vision, chest pain, a fast or irregular heartbeat, flushing, headache, lightheadedness, and numbness or tingling in the face or the extremities. Rapid weight gain may result.

Finasteride and dutasteride

Finasteride, or Propecia, is an oral treatment available only on prescription.

Finasteride is a 5-Alpha Reductase Inhibitor. It prevents dihydrotestosterone (DHT), a male hormone that plays a role in shrinking the scalp hair follicles. The drug blocks the formation of this hormone in the scalp, slowing the progression of baldness related to DHT.

The effects can take more than 6 months to appear. The 1 milligram (mg) tablet must usually be taken once a day for at least 3 months.

If the pill is stopped, the effects will be reversed.

In rare cases, finasteride can cause sexual dysfunction. This may include reduced libido, difficulty achieving an erection, and ejaculation disorders.

Other adverse effects include:

  • breast tissue tenderness or enlargement
  • skin rash
  • swelling of the lips, tongue, or face
  • abdominal pain
  • dizziness
  • headache

Dutasteride is similar to Finasteride. It is also a 5-Alpha Reductase Inhibitor.

Shampoo treatments

Two other treatments are available for male pattern baldness, both without prescription, in the form of shampoo:



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