testosterone has nothing to do with it, all possible causes and remedies

In Italy, 39% of men suffer from baldness. Treatments exist and are also particularly effective, but the time factor is one of the most important for the treatment of this problem. Professor Piraccini explains everything.

Interview with Teacher. Bianca Maria Piraccini

Dermatologist and trichologist, associate professor at the University of Bologna

In first place there is the Czech Republic, in the middle of the table Great Britain and Italy, what is it about? From the ranking of countries with the highest number of bald men. According to data from a study by the International Society of Hair Restoration Surgery, in our country 39% of men have lost their hair, while the country with the lowest percentage is China with only 20%. Excess testosterone? Hereditary factors? What are the main causes of baldness? “Let’s start by debunking a false myth – explain it dermatologist and trichologist Bianca Maria PiracciniTestosterone has nothing to do with it. The scientific name for baldness is androgenetic alopecia: you were born with a genetic predisposition to hair loss. To understand this, it suffices to look back, to observe the situation of the father, the mother, the uncles, the grandparents. If there are relatives in your family who don’t have hair, we too would probably sooner or later be affected by the same problem, albeit at different ages and with different severities.”

Why does hair fall out

If testosterone is not the cause of androgenetic alopecia, there is still a hormonal motivation. “In reality, the circulating hormones are absolutely normal, the problem lies in the hair follicles of the areas of the head affected by baldness – Accurate Piraccini – cIt is too sensitive to androgen hormones. So it happens that the follicle produces thinner and thinner and weaker hair that cannot cover the scalp.” Contrary to what one lets believe the gels, the care, the too aggressive shampoos do not have any influence on the baldness. “There are no bad habits that can make the disease worse. External treatments act on the hair and not on the follicle, so they cannot influence the development of androgenetic alopecia. But neither does lifestyle or nutrition affect how our hair looks. “ However, there are two things to watch out for, warns the dermatologist: “Very often patients with baldness also suffer from seborrheic dermatitis, or dandruff, and this can actually make the situation worse, so it is also good to intervene in this type of problem with specific products and treatments. The other aspect concerns exposure to the sun, those who lose their hair have a more exposed scalp, which is why it is very important to use sunscreen both to prevent skin diseases and to avoid sunburn. ‘appearance of inflammation’.

Remedies for baldness

As always in healthcare, punctuality is essential. “Preventing baldness is impossible. It usually occurs between the ages of 18 and 25, again depending on genetic predisposition. But what we can do is intervene at the first signs. When we see that the hair begins to fall out, which in certain areas begins to thin out, we can immediately make an appointment with a dermatologist. Indeed, today there are drugs and treatments capable of both blocking the progression of baldness and inducing an improvement in hair growth. In particular, there are drugs based on two active ingredients, the minoxidil and the finasteride which are particularly effective. “Both are AIFA approved and now the costs are also very low. Minoxidil is applied directly to the scalp and has an effect on the follicles, thickening the size and extending the life of the hair. Finasteride, on the other hand, can be administered orally or locally and acts precisely on the hormonal mechanism, reducing the strength of hormones in the scalp, and blocks the progression of baldness. The two drugs seem to date to be particularly effective, with percentages of effectiveness hovering around 70 to 80%. “Obviously, you have to intervene in time and take into account that these are long therapies, so you need patience. Maximum effectiveness is seen after one year. Those who start this treatment should know that after two months they will not be able to see significant results. If after 12 months the results are there (and in most cases there are) the treatment can continue. Be careful, this is a remedy that will last a lifetime. If you want to avoid baldness, you won’t have to stop it anymore. There are no risks or contraindications, these are therapies designed specifically for the long term”. However, despite the results in terms of effectiveness, as the statistics tell us, bald people (careful to say bald, in the UK, is tantamount to sexual harassment) are still numerous. “I believe that qthis is due to three factors – concludes Piraccini – The first is resignation, many men make up their minds and do not seek cures and remedies for baldness. The second concerns poorly conducted therapies: it should always be specified that these are long treatments, which should not be suspended after three or four months. And the third concerns the opportunity: if you go to the dermatologist when you already have advanced baldness, it will be impossible to obtain a restitutio ad integrum of the situation, the treatments work as soon as they are put in place.

The information provided on www.fanpage.it is designed complement, not replace, the relationship between a patient and his doctor.

Leave a Comment