Genetic Male Hair Loss
We call this genetic type of hair loss as Andro Genetic Alopecia (AGA) where ANDRO refers male hormone –testosterone- and GENETIC refers your present and past family member’s genetic legacy. It is quite understandable that mostly the patients tend to complain about their bad luck mentioning that they are the only family member suffering from hair loss that is why I prefer to call the issue as a genetic lottery!
DHT (di-hydro-testosterone) is the main cause for AGA; it is derived from serum testosterone and affects the entire scalp except the back of the head called as donor region. As the donor region hair follicles do not contain receptors to bind DHT hormone, they don’t fall entire life.
AGA could be progressive but the severity of your case is mostly determined by DHT sensitivity and your genetic tendency; it could be more active during hormone active ages 18-40. Generally, we do not expect further-intensive hair loss after ages 40-45 comparing your twenties. Any situation increasing the male hormone -testosterone- levels such as body building, increasing muscle size and using artificial proteins (protein shakes, protein bars etc.) could trigger further hair loss. If you are using artificial proteins please inform your surgeon before the operation.
Stress is one of the important issues which could affect the course of genetic hair loss. So, genetic hair loss has no predictable course. Due to your mood, hair loss may increase/decrease or even stop for a while till a triggering cause triggers the hair fall again.
The usual course of Andro Genetic Hair Loss is as seen in Norwood Classification:
Norwood Classification
If you have early stages of hair loss like type 2&3 and planning to have hair transplantation on these areas, you might also need additional procedures as this type of hair loss could be progressive. So, after the hair transplant surgery we advise maintenance therapies to take care of your existing hairs.
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Dr. Cagatay Sezgin
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