Male Hair Loss

The most common type of hair loss in males is male androgenetic hair loss which results in the typical thinning or balding associated with a family history of male hair loss.

It is also commonly assumed that a man with hair thinning is experiencing the onset of male androgenetic alopecia. At Pulford Medical Centre we never make such an assumption, choosing instead to eliminate other possible causes first which can include:

• Dietary deficiency
• Diabetes
• Thyroid dysfunction
• Endocrine dysfunction
• Autoimmune disease

If, however, these potential causes are eliminated by blood testing, it is then possible to advise the patient on an appropriate course of action.

Male Androgenetic Alopecia

Both sexes have both androgens (male hormones) and estrogens (female hormones). At puberty the levels of these specific hormones increase to induce sexual maturity.

The process is very complex and involves many different hormones to effect many different responses.

In simplistic terms, the male hormones (androgens) induce body and facial hair growth along with sexual maturation.

It is the activity of androgens however that causes both male and female androgenetic alopecia (hereditary hair loss).

At puberty, testosterone is converted into a potent hormone called dihydrotestosterone or DHT.

In males this conversion is triggered by the 5alpha-reductase enzyme. After conversion this particular enzyme subsequently binds on hormone receptors in the hair follicle and over a period of time it miniaturises the hair follicle and the hair it is producing. This process can occur in any hair follicle that is genetically pre-determined to this effect.

In some men this can result in a large balding area whilst in others the thinning may be very minimal even with advancing age. As a consequence, it is very important for a sufferer to obtain professional appropriate advice as to the most suitable treatment for their individual problem.

For example, a male who has advanced thinning is unlikely to adequately benefit from the use of oral Propecia. Similarly, a young male with only slight changes to his hairline is not a suitable candidate for hair replacement surgery.

Seeking professional advice can ensure patients do not waste valuable time and money on inappropriate solutions.