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Causes of Baldness
In the Western world, both males and
females attribute significance to the hair loss. It is probably a combination of the mass-
Publicity attributed to the desirability
of beautiful hair together with the sinistic
fear lurking in the minds of most that
hair loss is something to be avoided at all.
However, there are many reasons for
loss. Here arc the main ones.
Normal hair loss. Losing from 20 to 100
hairs a day is normal. It merely represent
hairs going into the resting phase,
these will regenerate and produce a
hair in a few months.
Heredity. The tendency to lose hair can be passed down through families.
Is is by far the most common type of
illness. However, the tendency is quite
ous - it may skip a generation, or
more than one generation. It may come
from either the father's or mother's.
Aging years. Almost every male
hair as his age advances. The bald
-aged male usually began to lose hair in
his late teens or early 20s. This is
male pattern baldness.
However, this is usually a very slow
ass. Experts believe the presence
of dandruff is quite irrelevant to
fact that is contrary to popular
Male sex hormones (testosterone). There
is a definite relationship between hair
loss and the hormone testosterone. Early
scalp loss of hair is often related to excessive
growth of hair on other parts of the
body that seem to be stimulated by the
same hormone. This is true also in
women who produce male hormone as
well as female hormone. Baldness among
women is more common than is generally
realised. However, what produces
facial hair in women who have gone
through the "change of life" (after which
sex hormone production halts) is unknown
at present.
Diet. Many people incorrectly believe
hair loss is intimately related to diet, or
the lack of a specific vitamin arid other
similar dietetic causes. Profound and
longstanding malnutrition (especially of
protein) over a prolonged period can predispose
to baldness. But it is quite wellestablished
that no single vitamin, general
food or mineral deficiency will
initiate hair loss.
Illness. Disease arid illness are notorious
for causing hair loss. The growing
cells in the hair root are very sensitive to
sudden changes in general health of the
system. Many hairs can suddenly be
brought into the resting phase, and be
subsequently shed. Therefore excessive
numbers come away, and a general thinning
of the scalp occurs. But when a return
of normal health recurs, the hairs
promptly regenerate and commence to
grow normally once more. However, as
the hair loss may be only one symptom of
a serious disorder, prompt medical attention
should be sought with this type of
sudden. hair loss. Thyroid disorders, severe
anaemias, and other constitutional
diseases are in this category. An
underactive thyroid is probably the most
common and most important one.
Childbirth. Hair loss in the mother following
the rigours of childbirth is wellknown.
The stress of pregnancy, and the
efforts involved in confinement predispose
to this temporary state of affairs.
The roots are merely in the resting phase,
and soon regenerate and normal hair
production is resumed. Hair loss with the
newborn babe is common also in the first
few months of life, and is normal.
Chronic emotional stress. This similarly
produces premature loss of hair. It is
merely due to a reduction in the usual
growing phase. It is temporary only, and
after the usual resting period, normal
regrowth of the hair will recommence.
Tensions, stresses, anxieties, family upsets,
domestic crises and work dilemmas
all come into this category.
Continual pressure. Another common
cause is continual pressure. Many nervously
inclined young women continually
pull at their hair. Ultimately, the bulb simply comes adrift. Other hairconscious
people regularly wear rollers
that are far too tight. This can exert an
enormous pressure on the bulb. Finally, it
comes away, and falling hair results. In
both cases (as with plucking) regeneration
occurs, and a normal return of hair
can he expected.
Chemicals. Certain chemicals have a
predilection for the hair and cause it to
fall. Thallium is the most notorious, and
books of intrigue are filled with stories
about this dangerous product.
Scarring. Under certain circumstances
the hair follicle is irreparably damaged.
In some scarring diseases the follicle is
permanently destroyed, and no further
hair growth will occur.
Alopecia (Alopecia areata). This is the
sudden shedding of hair in circumscribed
areas of the scalp. It often occurs in
middle age, producing bald patches for
no apparent reason. Anxieties, tensions
and stresses appear to play a major parr
with some women. The outlook for this is
good, and the hair usually grows again.
with no treatment at all.
If the condition starts in early life, an
progresses, the outlook for a cure is poor.
Sometimes it is so extensive that all the
hair of the body is affected and comes
away. This form of hair loss is often
amenable to treatment, although the results
vary from person to person.
In recent years, another potent cause
for hair loss has again crept into prominence.
With the increasing advance of
the permissive society, the sexually transmitted
disease syphilis is becoming more
common. Alopecia is a well-known hair loss
until recently little seen form of the secondary
stage of syphilis. Most doctors are
alert to this, and will search for this as the
underlying cause. Prompt treatment of
this serious disease is essential to preventlong-
term disasters occurring.
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