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You are suffering from male pattern baldness you syudied it s due to DHT s it true will it affect your sexual life or it ll create any problem later?

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2008-05-19 10:35:51

What is male pattern baldness? Male pattern baldness is

the common type of hair loss that develops in most men at some

stage. It usually takes 15-25 years to go bald. However, some men

go bald in less than 5 years. Typically, at first the hair begins

to recede (thin) at the front. At the same time, the hair usually

becomes thin on the top of the head. A bald patch gradually

develops in the middle of the scalp. The receding front and the

bald patch on the top gradually enlarge and join together. A rim of

hair is often left around the back and sides of the scalp. In some

men, this rim of hair also thins and goes to leave a completely

bald scalp. Who gets male pattern baldness? Nearly all men

have some baldness by the time they are in their 60s. However, the

age the hair loss starts is variable. About three in ten 30 year

olds, and half of 50 year olds are quite bald. Some women also

develop a similar pattern of hair loss. What causes male pattern

baldness? Hair is made in hair follicles which are like tiny

pouches just under the skin surface. A hair normally grows from

each follicle for about 3 years. It is then shed, and a new hair

grows from the follicle. This cycle of hair growth, shedding, and

new growth goes on throughout life. The following is thought to

occur in men as they gradually become bald. * Affected hair

follicles on the scalp gradually become smaller than normal. * As

the follicle shrinks, each new hair is thinner than the previous

one. * Before falling out, each new hair grows for much less time

than the normal 3 years or so. * Eventually, all that remains is a

much smaller hair follicle and a thin stump of hair that does not

grow out to the skin surface. Male hormones are involved in causing

these changes. The level of testosterone, the main male hormone, is

normal in men with baldness. Hair follicles convert testosterone

into another hormone called di-hydro-testosterone. For reasons that

are not clear, affected hair follicles become more sensitive to

di-hydro-testosterone, which causes the hair follicles to shrink.

It is also not clear why different hair follicles are affected at

different times to make the balding process gradual. There is some

genetic (hereditary) factor involved. It is also not clear why only

scalp hairs are affected and not other areas such as the beard or

armpits. What are the treatment options for male pattern


Currently there are two medicines that help - finasteride (trade

name Propecia) and minoxidil (trade name Regaine). Neither is

available on the NHS, so you need to pay the full price for them.

Finasteride was launched in the UK in 2002, although it has

been available in the US since 1997. It works by blocking the

conversion of testosterone into dihydrotestosterone. The hair

follicles are then not affected by this hormone, and can enlarge

back to normal. Some hair re-growth occurs in about 2 in 3 men who

take a finisteride tablet each day. In about 1 in 3 men there is no

hair re-growth, but most do not have any further hair loss whilst

taking finasteride. It has no effect in about 1 in 100 men. So, if

you take finasteride, you have a good chance that hair will

re-grow, or at least stop any further hair loss. Some points about

finasteride include the following. * It takes about 4 months for

any effect to be noticed, and up to 1-2 years for full hair growth.

* The balding process returns if treatment is stopped. Therefore,

if successful, you need to carry on treatment to maintain the

effect. * Side-effects are uncommon. The most common is that about

2 in 100 treated men report loss of sex drive (libido). * It does

not work in women with male pattern baldness. * It is expensive,

costing around £30 per month (December 2003). You need a private

prescription to get it from a pharmacy. Minoxidil lotion is

a rub-on treatment that you can buy at pharmacies without a

prescription. It is not clear how it works. The higher strength

solution (5%) is more effective than the 2% strength. There is

debate as to how effective it is. Probably about half of men who

use minoxidil delay further balding. About 15 in 100 users have

good hair re-growth. There is continued hair loss in about a third

of users. However, some reports claim much higher success rates. It

seems that it is best used to prevent further hair loss, but hair

re-growth occurs in some users. Some points about minoxidil include

the following. * It needs to be rubbed on the scalp every day. * It

usually takes 4 months or more for any effect to be noticed. *

Treatment needs to be continued indefinitely. Any new hair that

does re-grow falls out two months after treatment is stopped * It

is quite expensive. * It may work in some women who have male

pattern baldness. * Side-effects are uncommon. For example, skin

irritation or a rash sometimes occurs.

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