What Is It?

Hereditary baldness is the most common cause of hair loss. Hereditary baldness is not actually a disease, but a natural disease caused by a combination of genetic factors, hormone levels and the aging process.

Almost all men and women will notice hair loss or loss when they grow older. However, up to 40% of men and women will experience a more noticeable form of this disease. Hair loss usually begins in the ’20s and’ 30s, although in women, changes are more evident after menopause. This condition is also known as androgenetic alopecia and, in humans, male pattern baldness.


Hereditary baldness begins with thinning hair and often progresses to complete hair loss in some parts of the scalp. Hair on the pillow, in the bathtub or on the comb is not a reliable symptom of hair loss. The average person without losing baldness 100 hairs a day and more hair may fall under certain circumstances, such as postpartum or a serious illness.

In women, hair loss tends to be more widespread but better hidden. The upper part of the head in the middle is more often touched, often in “Christmas tree”. Unlike men, the hairline on the forehead and on the temples usually remains normal in women. The complete loss of hair on the scalp is unusual and may suggest that the cause may be a different problem, such as alopecia areata (a disorder of the immune system that causes bald spots), a fungal or other disease infection.



Minoxidil is a solution, now available without a prescription. It is applied to the scalp twice a day. This can help reduce hair loss in some people and, within four or eight months, new hair may appear. In men, a higher force (5%) works better. In women, the effect of 2% strength and strength of 5% seems to make little difference, and there is a risk of developing facial hair with a force of 5%. One word of warning: if you stop using minoxidil, you will probably lose your hair that may have been stored or restored by the drug.


In some people, hair loss can be caused by some hair treatments (sanding, coloring), hairstyles (tight braids) or pulling hair. These do not cause hereditary baldness, but they can contribute to hair loss and should be discontinued.


Minoxidil and finasteride can prevent hair loss and promote the growth of new hair. This effect, however, is quite unpredictable from one person to another.

You can use hair fabrics, wigs and hairpieces. Furthermore, various surgical techniques can be used, including:

* Scalp reduction: the bald skin strips are surgically removed to reduce the size of a bald spot.

* Hair: a strip of skin with good hair growth can be moved from a smaller field from an aesthetic point of view to a larger one.

* Hair transplantation: small patches of the skin containing a hair 15 retreat or on the sides of the scalp to a bald area. The “micro-grafts”, the last one, which contain very few hairs, give the best results, but they are more expensive and require more time than old types of transplants. Up to 700 individual transplants may be required to complete a treatment. It may take up to two years to see the benefits of hair replacement surgery.

When to Call a Professional

Call a health professional if you have any of the following symptoms: it may suggest a different problem from hereditary baldness:

  • Hair falling suddenly or in a group
  • Irregular hair loss (“chopped” appearance)
  • Redness, desquamation or scarring of the scalp in the area of ​​hair loss
  • Hair loss in women under the age of 30.

Signs of abnormally high testosterone levels in women, including abnormal menstruation, deepening of the voice, acne, hair loss in a man or hair growth in unusual places (face, chest)

Most doctors or dermatologists prescribe finasteride to men who want to use it. If you are interested in cosmetic surgery, consult a cosmetic surgeon or a dermatologist specialized in hair restoration.


Unless preventive treatment is used, hereditary hair loss becomes more pronounced over time. In general, as soon as hair loss begins, the more serious it becomes. Minoxidil or finasteride, if used, should be continued indefinitely to maintain the results.

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