Treatment and diagnosis of hair loss

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Before the treatment of Hair Loss, stands the diagnosis of hair loss.

First of all, genetic hair loss is irreversible, while hair loss caused by other factors has a good chance of growing back!

That is why it is especially important in cases of genetic hair loss, so quick as possible act, to preserve the remaining hair or strengthen the thinning hair.

Many drugs claim to maintain the current condition of the hair. The other side of the coin are the possible - of course, undesirable. Side effects like potency problems. Therefore, it is important to use products that are as natural as possible (no chemicals).

Most medications seem to have one common characteristic: When you stop taking them, the hair loss immediately begins again. Everyone should be aware that all of these medications are primarily intended to prevent or reduce hair loss. Although in some cases hair can grow back (in the case of diffuse or patchy hair loss), in each individual case it is very difficult to predict whether and to what extent hair will grow back.

Unfortunately, it is possible for hair loss to recur after treatment has ended. Androgenetic hair loss often begins with the formation of depressions or bald patches on the head and later reaches complete baldness.

In principle, even with complete baldness, there is a chance to reactivate the roots, because a bald person has just as many hair roots as a person with a full head of hair. The hairs are only so weakened that they are no longer recognizable as such.

Sometimes it is possible to regrow lost hair (especially in diffuse and patchy hair loss), but this is a long-term process and requires some patience. Hair cannot grow back within 4 weeks - if at all - because only the resting phase (Telogen phase) of the hair lasts up to 4 months.

The success of a hair growth or hair loss treatment can therefore only be realistically assessed after 4 to 6 months.

Ways to detect hair loss

Ways to diagnose hair loss:

The following methods are commonly used to diagnose (abnormally severe) hair loss:

  • Scalp Biopsy
  • Trichogram
  • Trichoscan

Scalp Biopsy

During a scalp biopsy, a small piece of the scalp is removed and examined.

Trichogram

The trichogram is a microscopic examination of the hair roots. It allows the doctor to determine the proportion of growing hairs (anagen hairs), hairs in the resting phase (telogen hairs) and hairs in the transitional phase (catagen hairs).

This makes it possible to determine how far hair loss has progressed at the time of the examination. Up to 100 hairs are needed for a trichogram. The hair sampling points are determined by the doctor depending on the degree of hair loss. Usually, one to two points, one on the front and one on the back of the head, are necessary to obtain a reliable result. The growth phase of each hair can be determined under the microscope by the shape and colour of the hair roots examined.

Trichoscan

A variant of the trichogram is the trichoscan. The trichoscan uses photography to determine hair density and the ratio of growing to non-growing hairs on the scalp. The purpose of the trichoscan is to obtain data on hair density and the condition of the hair follicles. Since it is a photographic procedure, the trichoscan, unlike the trichogram, provides all the important data in one step.

During the trichoscan examination, a small piece of the scalp is first shaved. After 3 days, this piece is stained, revealing both the hairs that have grown and those that have not. An image magnified about 20 times is then taken. Since anagen hairs normally grow about 0.3 mm per day and telegenic hairs do not grow at all, the number of hairs per cm² and the ratio anagenic/telegenic hairs can be calculated.

Hair loss in old age

The same processes that are responsible for decreased production of growth hormones and sex hormones are ultimately responsible for hair loss later in life. From the age of 20, growth hormone production decreases. Thereafter, production decreases by about 14 % every 10 years. Roughly speaking, it is said that every cell in the body renews itself every 7 years. This can lead to drastic physical changes.

As early as age 60, a loss of 75 % of the original amount of growth hormone is often measured. The oral intake of Amino acids (especially arginine and ornithine) in a suitable composition can increase the production of growth hormones. This noticeably improves both the skin structure and hair growth and quality.

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