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For example, if you’re male and your father experiences male pattern balding, it’s likely that you’ll show a similar balding pattern as you age. If you’re already inclined to male pattern baldness, the follicle-shrinking effect of DHT tends to be more pronounced. The front hairline recedes, especially at the sides, forming an M shape. The crown of the head, also known as the vertex, becomes bald as well.
What Causes Baldness?
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DHT is produced when testosterone binds to the 5-alpha reductase enzyme, and higher testosterone levels often lead to higher levels of DHT. As such, low testosterone levels are not directly related to hair loss. Hair loss can be extremely frustrating and distressing for patients, causing many to seek a hair regrowth treatment option. Luckily, Dr. Green has several treatment options available at her New York City dermatology office to help restore strength to the hair follicles, thicken the hair, and promote new growth. One such treatment is oral Minoxidil, which was initially FDA-approved to treat high blood pressure but has since been used to treat male and female pattern baldness.
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Getting enough protein in your diet is essential as it provides the building blocks for proper hair growth; meat, tofu, eggs, beans, grains, nuts, and fish are all good protein sources. Some studies suggest that telogen effluvium can also be connected to low levels of iron, so include iron-rich foods like leafy vegetables, lentils and liver where you can. If you like the idea of adding supplements to your routine, there are some which are specifically formulated to contain ingredients that increase hair thickness and health. Studies suggest that pumpkin seed oil can improve hair loss in men with male pattern baldness (5). Pumpkin seed oil is a DHT blocker, thereby preventing hair loss and hair thinning. It is made by an enzyme called 5-alpha reductase and DHEA (more common in women) (1).
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The hair within a follicle typically goes through a growth cycle that lasts about two to six years. Even if you shave or cut your hair, the same hair will grow back out of the follicle from the root of the hair contained within the follicle. About 10 percent of testosterone in all adults is converted to DHT with the help of an enzyme called 5-alpha reductase (5-AR). Another 5-alpha reductase inhibitor called dutasteride (Avodart) is currently being looked at as a potential treatment for MPB.
To learn what we do to deliver the best health and lifestyle insights to you, check out our content review principles. High testosterone treatment programs are available, which may have an effect on hair loss over time. All hormonal changes will have side effects like mood swings and weight gain. The severity depends on your family history, personal biology, and past experience with hormone supplements. While DHT isn’t exactly the same as testosterone, it is similar enough it can be blocked much the same with products like Biotine or Rogaine.
While androgenetic alopecia is more common in men than women, female pattern balding can be distressing for more than 30 million women who experience the condition. People assigned female at birth have lower levels of androgens, such as testosterone, but still enough to experience androgenetic alopecia. Increased testosterone levels in women can cause various side effects, such as weight gain, acne breakouts, growth of chest hair or facial hair, and a potential loss of hair on the crown of the hair. There are several forms of the androgen, or male sex hormone, testosterone, that are found in the body. People assigned male at birth have higher levels of testosterone naturally than those assigned female at birth, though everyone has some form of testosterone in the body. One type of testosterone is called “free testosterone” and is not bound to a particular protein.
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The present cross-sectional, population-based study revealed no associations between sex hormones and hair loss in men from the general population. Previous studies with smaller sample sizes and selected participants yielded similar negative findings with regard to androgenetic alopecia grade severity and premature balding. Menopause causes declining estrogen levels and increased androgen circulation, which can cause hair follicles in the scalp to miniaturize. This means after natural shedding occurs, there is no regrowth of lost hair.
What does DHT do to you?
Testosterone replacement therapy and the use of anabolic steroids can also impact hair loss by influencing testosterone and DHT levels. This is true regardless of why you experienced hair loss in the first place (naturally high testosterone levels, TRT, or steroids). Overall, using TRT or even steroids further increases the risk of hair loss. This does NOT mean that all men on these protocols will experience hair loss.
In males, testosterone functions include the regulation of libido, bone and muscle mass, and the production of sperm. In females, testosterone assists in the growth and maintenance of female reproductive tissue and bone mass. T typically occurs in much higher levels in people with penises, but it’s also present in the bodies of people with vulvas in much lower concentrations. And having balanced T levels is necessary for optimal health and growth, regardless of sex. A doctor can help determine the best course of treatment, which may include medications and lifestyle changes.
In addition to increased hair growth in certain areas, high testosterone levels can also affect hair loss and retention. When the balance of hormones is disrupted, hair follicles may become more sensitive to DHT, a derivative of testosterone. DHT can miniaturize hair follicles, leading to thinning hair and eventual hair loss.
Sometimes, this tricky hormone can reach areas it’s not meant to, such as your hair follicles, and shrink them down until they’re no longer producing the hair you want. High levels of DHT have long since been connected to male pattern baldness and are found to be mostly genetic, to boot. If you have family members with premature bald spots, it’s more than likely this is the cause of your problem.
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