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Androgenetic alopecia: common baldness -
Androgenetic alopecia: common baldness
What is it? The
androgenetic alopecia, also called common baldness in men and
hereditary loss in women, is a common feature from the point of view
genetic, produced by androgens in men, and women sensitive to them.
It is the most common cause of hair loss, both in men and in
Alopecia, or baldness, has
Different patterns of appearance.
starts in the
adolescence or early adulthood in both
sexes and is often fully expressed around 40 years of
According to several statistics, it would affect around
from 25% of men between the ages of 25 and 35, to 40% of those over 40
years and 50% of those over 50, increasing the percentage as
that we consider more advanced age groups. In women they could be seen
affected around 28%, although there are no large studies at
In the past, baldness used to be considered
something unfortunate or unwanted. However, this attitude has changed with the
years and, at present, a shaved head is usually considered even as
Something modern and attractive.
See in our
section 'The skin' others
frequent problems like
What is the cause and how is it
produces? In androgenetic alopecia, the phenomenon
fundamental, both in men and women, is miniaturization
Progress of the hair follicle in certain areas of the scalp, which
ends up transforming from terminal hair (own hair of
scalp from 3-4 months of age, which
results from the transformation of body hair after the effect of
androgens) until hair, and finally disappears. its about a process
spontaneous and irreversible and that usually starts from adolescence, due to
to the increase in the numbers and activity of androgens. There are several
androgens that can act on the follicle with a degree of activity
different, the most active being the hormone dehydrotestosterone.
The areas sensitive to androgen activity are the zone
half above the forehead and the crown of the man, and the entire area
upper and central head in women, the degree of sensitivity being
and, therefore, the tendency to develop androgenetic alopecia,
determined by an inheritance that is transmitted from parents to children with a
variable intensity (the famous family tradition).
Androgenetic alopecia pattern in males varies from the accentuation of
the entries, going through the diffuse loss in the middle zone above the
forehead and / or crown, until the loss of all hair except the
located in the posterior and lateral margins of the head. The difference
fundamental with women is that they don't get to stay completely
bald Women have diffuse hair loss, often with more
involvement in the upper central region, without receding the line of
hair implantation, and the scalp may be visible.
Therefore, in androgenetic alopecia there is a
shortening and thinning of hair, which are called hair
miniaturized These hairs show a significant loss of diameter and
length and are the defining feature of androgenetic alopecia. Baldness
transforms long, thick and pigmented hair into thin, lighter hair
How is it diagnosed?
To carry out a proper diagnosis
and successful of androgenetic alopecia, it is essential that your doctor perform
a correct interrogation about possible family history and
You should also take into account the
possibility that androgenetic alopecia appears associated with others
There may be other forms of
alopecia that appear next to androgenetic alopecia.
Other types of alopecia that may pose confusion with alopecia
Androgenetic are: telogen effluvium, anagen effluvium, traction alopecia,
loose anagen syndrome, alopecia produced by
drugs, diffuse alopecia areata, etc.
See in our section 'Ask the doctor' some questions
of our users:
Hair loss and
What is the treatment of androgenetic alopecia?
The treatment of alopecia is one of the great challenges of the
humanity. It is paradoxical that a process with dyes fundamentally
cosmetics, arouse such a deep concern among the genre
The most frequently used treatments
placebo We understand by placebo that substance that,
lacking therapeutic action by itself, it produces some curative effect if
he who receives it is convinced that the substance really possesses such
action. Although they are not placebos in the strict sense, the market is
saturated preparations based on
vitamins and immediate principles that tend to
strengthen hair Its usefulness is more than doubtful, since it really only
those alopecia secondary to a deficit would benefit from its use
Minoxidil Acts by increasing the thickness of the stem
hair, as well as reducing the percentage of hairs in the fall phase. Used
in different concentrations and sometimes associated with other substances to
Increase its effectiveness.
Finasteride is a drug administered by route
oral that blocks the passage of testosterone to dehydrotestosterone, which is the
hormone responsible to a greater extent for androgenetic alopecia. Used
also in the treatment of
benign prostatic hyperplasia. It has been shown that
stops alopecia to a large extent and, in a significant proportion of men,
Stimulates the growth of new hair.
In women, oral antiandrogens can be used:
cyproterone acetate or flutamide. Reduce fall and seborrhea.
Surgical hair transplants can be performed,
in which hair from the back areas are implanted or
side of the head in the same patient. There are also other techniques
variables according to the extent and location of alopecia.
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