The most common reason in men is androgenic alopecia, sometimes called male pattern baldness because of the characteristic shape of the hair line. But loss also occurs in both sexes because of drug interactions, through physical or emotional trauma, poor nutrition, and other less common reasons. At this point, it is necessary to step outside the bounds of political correctness. In many contexts, it is considered inappropriate or, even, offensive to make distinctions based on race. The general rule is to assume that everyone is equal. However, in this case, there are significant differences between the races. Japanese men have less loss than caucasian men. Black men are four times more likely than their caucasian counterparts to suffer hair loss. Women of all races also suffer loss in the same proportions but, because of the difference in hormones, it is loss in the volume of hair rather than its physical distribution or patterning. This makes women's hair more difficult to plat or braid, ponytails hang more limply, and so on. These differences are noted by those who market hair loss products and changes how different brands are sold into their target markets.


What should everyone see when they look in the mirror - apart from someone "good looking", of course? Whether consciously or not, people monitor their appearance. It results from the way parents bring up their children and how children relate to each other. Parents impose their choice of clothes on their children, directing the choice of hairstyle, dictating the "look". The children compete with each other to break the parental mold, to impose their own choices and assert their individuality. The majority retain this interest in their appearance as they advance into adulthood. Those who are most into style and fashion are the most vulnerable to unexpected changes.


Most people will notice any change in their hair when they look in the mirror. They may also start finding more hairs caught up in a comb or brush. When hairs turn up on the pillow overnight or on the favorite chair, the list of symptoms is complete. There is a problem. For women, the first question is whether this is no more than damage caused by the excessive use of heat through curling tongs or the drier. Perhaps there have been too many applications of chemicals to dye or straighten hair. The style may also be slowly pulling the hair out by the roots so allowing the hair to be free rather than under traction may be the answer. For men who do nothing more than run a comb through their hair once every morning, the cause is most likely androgenic alopecia and the remedy is propecia. This applies regardless of race. The earlier men start taking this drug the better. It slowly restores the balance of hormones and prevents further loss. Over time, some hair will regrow. Propecia helps to maintain the same look over the years until age makes loss unavoidable.

Hair loss happens naturally to everyone. On average, the ordinary, healthy person loses between 50 and 100 hairs every day. This is the way the head is designed to work. Hairs grow, they rest, they drop out and new hair grows from the roots. In animals, hair loss is seasonal with hair getting thicker when winter comes, followed by shedding in spring. Humans lose and replace hair continuously. As people age, the hair grows thinner each time it regrows and the root system slowly dies back. By the age of fifty, more than half the world's population has lost the thickness and shine in the hair they had when young. From fifty onwards, the hair will slowly recede. In men, this happens more than in women. Its progress is as unstoppable as the passing of the years. Whether older people find this bearable depends on their attitude to ageing. For those who see every wrinkle as something to be fought, hair loss is a further symptom that has to be hidden. Women wear wigs or hair pieces to hide the loss. Men are forced to more drastic measures such as surgery.


For younger people, hair loss comes as a natural disaster like an earthquake, shaking their self-confidence and making them look different and, possibly, older. This hair loss would be easier to bear if it was the result of a disease. Everyone knows that cancer patients who go through chemo- or radiotherapy lose all their hair. But the usual explanation is genetic. Instead of a heroic struggle against a killer disease, people lose their hair because they inherited the trait. Cruel people, intent on causing pain, suggest that balding people have genetic defects affecting them in other ways and so morale is worn down.


So what can younger people do when they notice hair loss? Well, the first and most obvious question to ask, "Is this normal loss?" When you stand in the shower and see hair building up in the drain, this is not a cause for panic. People lose their hair naturally every day. Only when the volume of loss increases and a change in physical appearance begins to show itself is there a need for action. Try a simple test. Have someone take a photograph of your head every week from the same angle. This makes it easier to identify real problems. Once a definite trend is established, it is off to see the doctor. There may be a simple explanation and a quick and easy remedy.


For example, it may be the side-effect of a drug. Changing to a different drug may reverse the hair loss. In the cases where the reason is andogenic alopecia, the so-called male pattern baldness, the answer is propecia.


This is a drug designed to correct the hormonal imbalance that causes hair loss. Taken once-daily over significant periods of time, it can prevent further loss and, in some cases, promote regrowth. The earlier in the cycle men begin using propecia, the better the results.


Clinical tests show it is less effective when the hairline has significantly receded.

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