The influence of various factors on the health of a man causes the appearance of different types of baldness, the manifestations of which also differ somewhat. There is no uniform classification of alopecia in doctors, but nevertheless it is common to distinguish several types of baldness in men.
Despite the fact that different types of baldness can have different manifestations, the first sign of pathology can be considered hair loss above normal, which can be seen from the increase in the number of hairs on clothes, hairbrush, while washing the head. And you can just not wash your head for 3-4 days, and then gently pull the hair on your head. If a decent bundle of 5-10 hairs appears in your hand, this is an occasion to be examined for the danger of baldness.
The appearance of bald patches on the temples or zones with sparse hairs on the vertex is observed somewhat later. And this allows you to determine the type of alopecia, because the localization of zones of pathological hair loss also has great diagnostic value. However, this is already a question for specialists, and we will talk about what types of baldness a man can be diagnosed by a doctor with what they are related and how they manifest themselves.
As prevalence among the male population, this type of baldness has no equal. Androgenic alopecia is called male pattern baldness, since this type of pathology is peculiar to men. This is just the case when problems with hair are not associated with a particular disease. And the reason for this condition lies in the form of the male hormone - dihydrotestosterone
The level of dihydrotetstosterone in different men is not the same. And it's not even always in pathological processes that promote increased production of testosterone or an enzyme that converts it into a hydrolyzed fraction. The fact is that certain features of the endocrine system, responsible for producing sex and other hormones, are inherited. And it is not surprising that some people are given a thick head of hair, and others suffer from a lack of hair from a young age.
It should be understood that with androgenic baldness, the hair on the head of a young man falls out not in a single moment. This process is gradual, it just starts prematurely. First, a change in the appearance of the hair is observed: they become thinner and lighter, stop their growth, eventually turning into an almost imperceptible fluff. After such hairs finish their life cycle and drop out, their place remains empty, because dihydrotestosterone does not allow the follicle to accumulate enough nutrients to reproduce the new hair.
Since not all bulbs are simultaneously affected, then first the hair is thinning, and then a full-fledged bald spot is formed. The process usually begins with the forehead and temples, gradually moving towards the parietal region. It is these zones that are most affected by the male sex hormone, so it is not surprising that most men of the bald spot begin to appear on the forehead. But for different men the picture may be slightly different, so consider several types of androgenic alopecia:
- Horseshoe type, when the process of formation of the bald areas affects the zone of the temples, gradually moving deeper into the frontal-parietal zone.
- Nest type, when hair loss in men is noted in different places, but on the vertex necessarily forms a bald patch of round shape, resembling a bird's nest. It must be said that this form of the bald spot is temporary, because gradually all the lesions fuse and converge in the form of a horseshoe, just the first line of hair growth in the parietal zone, like the frontotemporal zones, is more sensitive to testosterone than the rest of the head.
- Mixed type (in this case, hair loss on the temples, forehead and crown is simultaneous and begins with a simple thinning of the hair, which turns into a bulk bald head).
A variant of androgenetic alopecia can be considered as baldness, caused by genetic factors, i.e. Transfer of the gene Sox 21, which significantly increases the risk of baldness. The carriers of the gene in the X chromosome can be both women and men, because this kind of chromosome is in the chromosome set of any person. That's only for women X-chromosomes two, so if the second m does not have a gene for alopecia, the compensatory mechanism works and the risk of alopecia becomes small. In men, there is nothing to compensate for this defect, because there is only one X-chromosome in their set, which means that it can be of decisive importance.
But even the presence of such a gene does not necessarily lead to early baldness in men. No wonder, androgenetic alopecia is often called androgenetic. The fact is that very often the genetic factor is superimposed on the endocrine, associated with the content of testosterone in the body, and this combination greatly increases the risk of baldness.
It must be said that in men with androgenetic alopecia, partial loss of hair is observed in men, i.e. Hair falls not on all head, but mainly on the temples, frontal and parietal zone, while on the nape and on the sides of the head of the head of hair is rather thick.
, , , , , 
Alopecia of this kind has completely different roots. Here we are talking not about genetics or features of the endocrine system, but about the effect on the body of certain internal and external conditions. Among the reasons for this balding consider:
- intoxication of the body with harmful and poisonous substances,
- negative impact of ionizing radiation,
- drug therapy:
- often baldness occurs after chemotherapy, because antitumor drugs can kill active cells of hair follicles,
- the cause of increased loss of mature hair can be anticoagulants, interferon preparations, retinoids, interferons, beta-adrenoblockers,
- but the loss of growing hair is associated with the use of bromocriptine, allopurinol and drugs used to treat cancer.
- lack of vitamins and trace elements due to chronic diseases or malnutrition,
- various pathologies of health, affecting the metabolism in the tissues of the scalp,
- stress factor.
At the last moment, it is worthwhile to dwell in more detail, because it's not a secret for anyone that it is precisely stresses and experiences caused by most of the various health disorders in a person. In our body, everything is interconnected, therefore it is not surprising that the load on the nervous system causes malfunctions in the work of other organs, depresses the immune system, leads to the development of neuropsychic disorders, one of the first signs of which can be hair loss for no apparent reason.
The fact that men react to stressful situations is not as emotional as women, does not mean that they remain indifferent. There are situations that knock out a strong gender, which can subsequently lead to loss of hair.
The psychosomatics of baldness in men, although expressed to a lesser extent than women, but can still act as a major and secondary factor in hair loss:
- A strong nervous shock, especially sudden, can provoke increased hair loss by itself. The sensation of stirring hairs on the head and body is not accidental, they cause a spasm of blood vessels and muscles. Even at this point, the hair becomes less stable, so it's easy to break out under any mechanical action. If the situation does not happen again, the restoration of the hair will not last more than 4 months.
- Chronic stress acts more secretly. Hair loss in this case will be gradual. If a person is constantly in a state of nervous tension, this leads to malfunctions in the work of various systems, including the circulatory system. The cause of hair loss is a violation of blood circulation, resulting in hair follicles do not get enough nutrients to grow a healthy and strong hair. The more a person is in a state of stress, the harder it will be afterwards to restore the scalp on his head.
- But even if we are talking about situational experiences, against the background of a male gene for alopecia, they also become a risk factor for premature hair loss.
How to understand that baldness has become a psychosomatic disorder? I will point to this:
- Long periods of hair loss, i.e. They fall out gradually, but the deeper the person is immersed in their experiences, the longer the depression, the more hair falls every day.
- Along with hair loss, there is a deterioration in their appearance and condition of the scalp: the skin is quickly greasy, and the hair begins to look greasy and dull, the haircut loses its former volume, and the fragility of the hair intensifies. Blame for all the hormonal disruptions, which also draws a constant nervous tension.
- The place with hair and scalp begins to change the nails (become brittle), the skin of the rest of the body (acquires an unhealthy color, it becomes more dry and less elastic).
It must be said that symptomatic baldness can equally be observed in both men and women. And the reasons for this pathology can be different.
The influence of the above external and internal factors, not related to the hereditary predisposition, leads to the fact that the hair thinens and falls over the entire head, i.e. Diffuse hair loss occurs in men and women. In this case, the success of treatment depends on how quickly it will be possible to remove the cause of hair loss, but the situation rarely turns into a hopeless one.
Nesting (focal) baldness in men
It is considered the opposite of diffuse alopecia, because total hair loss in this case is not noted. On the head of the patient, limited foci of alopecia of different localization are formed. Such foci most often have the form of a circle or oval and are relatively small in size.
The cause of focal alopecia in men (and a similar pathology can also occur in women and children) is the malfunctioning of the immune system, which begins to perceive its hair as something alien, pushing them out like a splinter. It is clear that such violations in the immune system are not accidental. They can cause chronic stress, nervous exhaustion, pathologies of an infectious nature, and other factors. Sometimes the inadequate response of the immune system is associated with the effects of anesthesia and autoimmune diseases.
The problem of nest baldness in men is that over time foci can increase, appear in other parts of the head, merge with each other, move, which indicates the progression of pathology and presents difficulties in the treatment of alopecia.
A sharp strong hair loss in men is observed in the generalized form of nested alopecia. This is possible with the progression of pathology, causing a malfunction in the immune system. This form of the disease can be called the terminal stage of focal alopecia in men. Hair loss in this case is rapid and for a couple of months a man can completely grow bald.
This type of baldness is associated with inflammatory-degenerative processes in the scalp. Skin diseases, infectious processes, mechanical and thermal damage to the skin, head injuries and surgical interventions, malignant tumor processes can cause inflammation of the hair follicle tissues, as a result of which fibrous tissue is formed at the site of injury, the function of which does not include the cultivation of the hair. At the site of scars and scars, hair usually does not grow.
Cicatrical baldness is equally found in men, women and children, however diffuse and focal. According to statistics, such variants of alopecia are quite rare (no more than 3% of those who see a doctor with a problem of hair loss), but like androgenetic alopecia they are a serious problem for young men whose head does not look bald at all.
, , ,