Hair loss - what to do?
Your own hair is important for self-confidence. If the hair becomes less, most people suffer, specifically women. Hair loss often causes this condition. In women, this can lead to increased hair loss during and after menopause. First, a broad middle parting is formed and instead of strong hair, a soft fluff grows here. Then hair falls out all over the head.
This leads to thinner hair, a diffuse thinning of the hair. In men, congenital hair loss occurs much more pronounced and also earlier, sometimes in adolescence. It begins with secret rats' corners and bald spots on the back of the head and spreads to a bald head until only one resistant ring of hair is left. These men have sensitive hair follicles that react to androgens, the male sex hormones.
With congenital hair loss, there are effective aids for men and women. On the one hand, it is the active ingredient Minoxidil, which is applied to the affected hair areas twice a day as a 2% solution for women and a 5% solution for men. The physicians assume that the active ingredient which has been used to treat hypertension for a long time, expands the fine blood vessels around the hair follicle. In addition, there is also the active ingredient finasteride for men, which is taken daily in tablet form. Finasteride inhibits a certain enzyme that converts the male hormone testosterone into the hair root damaging dihydrotestosterone, or DHT for short. With both these products, hair loss is stopped or slowed down and the proliferation of more and stronger hair is promoted.
There are no other effective hair growth agents available even though many promising miracle cures are offered in Internet and drugstores. Even the two above-mentioned drugs only have an effect if thinner hair or at least fuzz can be seen on the thinner areas. However, the effect diminishes if the medication is no longer taken. Since the medications are not paid for by the health insurance companies, men from a certain age on often renounce it and stand by their changed appearance. But young men and women find it more difficult to come to terms with the loss of their hair. However, you should consult your dermatologist before taking medication to check whether the condition is caused by hair loss and not by illness. Thyroid diseases and some infections such as herpes zoster or fungal diseases can also lead to hair loss. Important: In this case, hair loss is only the symptom, not the disease. If the underlying disease is detected and treated, the hair will grow back again. Some medicines, such as beta-blockers for high blood pressure, some blood lipid reducers, anti-thyroid under- or over-function drugs, and blood thinners can also promote hair loss.
Another form is circular hair loss, the Alopecia areata. Coin-sized bald spots can form at any point on the scalp and spread from there. The cause is an inflammatory process in the sense of an autoimmune disease: there is no causal therapy here, but in over 50 percent of cases spontaneous healing occurs within two years.
Another option for hair loss in the with advanced hair loss is to undergo a hair transplantation - like celebrities, such as a soccer coach Juergen Klopp. But as the hair is only redistributed and not reproduced by transplantation, it is advisable to seek serious and comprehensive advice beforehand. Even if hair loss continues to progress, the result of the hair transplantation should still look reasonable.
Hair loss is often also associated with cancer as a stressful side effect of chemotherapy. The risk of hair loss depends on the dose administered and the chemotherapeutic agent administered. Radiation therapy also damages hair root cells, but only if the radiation dose hits the scalp. Radiation therapy in other regions, e.g. breast or prostate, does not cause hair loss in the head. Combined with cancer, hair loss is so stressful for patients because it works like a stigma. The affected person is not only ill, but recognizable sick for his environment. There are two ways of dealing with the situation: Either you don't care about the opinion of others and you concentrate on the most important thing, getting well again. Or you want to decide who will know about your illness and wear a scarf or a wig. Remember that your hair will grow back - stronger and fuller than before. It can be helpful if you get a wig before chemotherapy. This is possible on prescription against health insurance of about 200 euros. If you have private supplementary health insurance, it can reimburse the remaining costs. Make sure you have a well-fitting and good looking wig, one with real hair. Today, there are such products for every type and every taste. And it can be worn in all situations, in everyday life, during sports, swimming, celebrations or in the sauna.
Text: Dr. Beatrice Wagner, Editor: Marielle Becker