Welcome to Ask Physician Zac, a weekly column from information.com.au.
This week, Dr Zac Turner explains why some males go bald and others don’t.
Query: Hello Dr Zac, I’m married to a really macho man. He has carpet as a substitute of hair on his chest, huge muscle tissue and a libido that will put a Roman emperor to disgrace!
In spite of everything these years of marriage I nonetheless suppose he’s the sexiest man on this planet. Nevertheless it’s his confidence that I really like greater than something.
I’ve seen up to now few months although his hair has begun to skinny, and I’m unsure if he has realised but. He takes nice pleasure in his manliness, and I worry him going bald will tear down his self-confidence that I discover his most engaging attribute.
I’ve been instructed by my girlfriend it’s his excessive testosterone that’s thinning his hair, is that this true? Is there the rest that may very well be inflicting his hair to skinny? – Rosie, 44, Melbourne
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Reply: Hello Rosie, there’s a number of issues to unpack right here so let’s undergo it step-by-step. I’ll offer you a solution to your testosterone query however first let’s get again to fundamentals.
Now, what’s hair? Hair is made almost totally of Keratin, which is a tough protein synthesised by the physique from amino acids circulating in our blood. We have now greater than 100,000 hair follicles on our head, and consider it or not, thousands and thousands throughout our physique. Some are so tiny they will’t be seen with the bare eye, and others simply don’t develop any hair.
The one residing a part of a strand of hair is the basis (generally generally known as the bulb), which is connected to the bottom of the follicle. The follicle provides oxygen and vitamins to the basis, and lubricates the hair shaft with an oily substance known as sebum.
There’s a distinction between pure hair loss and balding, and it’s essential to make the excellence.
Everybody loses hair as a part of their hair’s pure development cycle. We lose as much as 50 – 100 strands of hair every day!
The pure hair-loss cycle happens in three levels
The primary a part of the cycle, the Anagen stage, refers to when hair is actively rising and lasts two to eight years. The Catagen stage is a brief transition part when the hair stops rising and prepares to shed. The telogen stage is the final stage the place the hair is expelled from the follicle. After this the follicle stays dormant for round three months earlier than a brand new hair begins to sprout.
Within the case of your husband, if the thinning continues for longer than a number of months, he could also be balding and never within the final stage of pure hair loss.
Now onto your testosterone concept, which I assume your girlfriend learn off the web one time and took it as gospel. I can’t stress sufficient for folks to placed on their important considering caps in terms of medical analysis they learn on the web.
Researchers have advised high-levels of testosterone would possibly result in baldness. The key phrase in that sentence is, ‘would possibly’. No different research has backed up this bogus declare, and plenty of others have proven it has nothing to do with testosterone ranges and all to do with genetic and environmental elements.
Castrated males, who’ve nearly no testosterone, have been proven to retain their hair or go bald. So let’s put that fable to mattress for as soon as and for all!
Age, stress and different elements can affect whether or not you expertise hair loss however genes play the numerous position, and males who’ve shut male relations with Male Sample Baldness have a a lot increased threat of growing it themselves.
A number of genes are considered concerned, all linked to hair follicles turning into delicate to circulating testosterone – that is the place that misinformed concept will get its foundation from! It’s not concerning the degree of testosterone, however your hair follicles’ dihydrotestosterone (DHT) receptors being genetically extra predisposed and delicate to testosterone!
It’s the androgen receptor (AR) gene that causes this hair mayhem. It’s liable for priming the DHT receptors in hair follicles that work together with testosterone. In case your receptors are significantly delicate, they’re extra simply triggered by even small quantities of the hormone, and hair loss happens extra simply consequently.
I like to recommend you examine your husband’s household tree with him and take a look at some previous photograph albums at his grandparents’ house. If you happen to see balding relations, you might have your reply.
If you happen to consider it is a level of rivalry in your husband’s vanity, ensure you deal with the state of affairs very delicately. Sit your husband down and let him know you’ve seen his hair has been thinning and that he ought to search the recommendation from his physician.
We now have entry to a large number of hair remedies which may reverse balding very efficiently. I like to recommend your husband go to his physician to get a referral to a trichologist (hair specialist).
Dr Zac Turner has a Bachelor of Medication and Bachelor of Surgical procedure from the College of Sydney. He’s each a medical practitioner and a co-owner of telehealth service, Concierge Doctors, and can be a professional and skilled biomedical scientist | @drzacturner