Hair Loss

Hair Loss: How does the disease progress? – 2022

hair loss

How does the disease progress?

The common hair loss usually begins at the age of 30-50. Hair loss usually becomes more pronounced with age and leads many men to baldness.

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Has My Hair Started Thinning? | Men’s Hair Loss


What is Hair Loss?

Hair loss (androgenic alopecia) is a phenomenon that most men will experience. It is not an actual disease, but some men feel so bothered by hair loss that they want treatment for it. The hair first becomes thin in the temple and forehead region. Later, the thinning spreads to the ice, and the hairline moves from the forehead further and further back.

In women, hair loss is more diffuse and it is not as pronounced as in men. Hair loss in women is most localized to the top of the head. It is also quite common and shows up as a thinning of the hair in front and in the middle of the head.

Blot baldness (alopecia areata) is a morbid form of hair loss, which is caused by an inflammatory reaction around the hair follicles, and which causes the hairs to perish. Typically, one or more round or oval areas occur where the hair falls out. The bare spot can occur anywhere on the head. In rare cases, all the hair falls off the head (alopecia totalis).

How does the disease progress?

The common hair loss usually begins at the age of 30-50. Hair loss usually becomes more pronounced with age and leads many men to baldness. As a rule, however, a wreath shaped like a horseshoe with normal hair in the neck and at the ears is left. In women, normal hair loss is less pronounced and usually does not lead to baldness. Unlike hair loss in men, women often maintain the anterior hairline and do not develop high temples.

In about half of patients with baldness, it just disappears on its own within a year. However, it may happen that new bare spots appear on the scalp.

Who gets the disease?

Common hair loss usually begins at the age of 30-50 and is most common among men.
Spot baldness often starts in the 20s-40s, and this form is equally common among men and women.
You can also temporarily lose hair if you are being treated with chemotherapy.

What is the cause of hair loss?

Ordinary hair loss is hereditary and is due to an influence on the male sex hormone testosterone, which causes the hair follicles to shrink and shortens the hair growth phase. The hair becomes thinner and thinner, and later the hair growth stops completely.

The cause of spotty hair loss is probably due to the fact that the body produces an antibody that targets the hair follicles. Hereditary conditions are important, and there is an increased risk in close relatives.
In some cases, spotty baldness can occur due to fungal infection of the scalp.
In patients undergoing chemotherapy, hair loss may occur as a side effect of the treatment. This type of hair loss is temporary, ie. hair growth returns when the treatment is over.

Studies on hair loss

Usually, there is no need to make any special studies on hair loss.

In case of baldness, you should always contact your doctor to be examined further. This type of hair loss can be due to a fungal infection of the scalp.

Treatment of hair loss

Hair loss is a normal phenomenon and should not normally be treated with medication. In some people, however, it becomes a major cosmetic problem, and then one can try medical treatment.

Medical treatment

Medical treatment for hair loss can be either as tablet treatment with finasteride or as topical treatment of the scalp with minoxidil:

  • Finasteride works by inhibiting the effect of testosterone on the hair follicles, and this treatment is reserved for men. You should start treatment in the earliest stages of hair loss before the hair follicles have completely disappeared. Some men will achieve new hair growth, and the majority will find that hair loss is stopped. You must continue treatment without breaks for the effect to remain. If you stop treatment, you will lose your hair again.
  • Both men and women can be treated locally on the scalp with minoxidil, which works by increasing the blood supply to the hair follicles. After 2 months, 8 out of 10 people will experience that the hair loss is stopped. Approx. 4 out of 10 people experience a cosmetically satisfactory effect after treatment for 4-12 months. If you stop treatment, you will lose your hair again.


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