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Male pattern baldness (MPB) is principally caused by two main factors - possibly assisted by some other more minor ones. The two factors are: Presence of a substance called Dihydrotestosterone (DHT) in the vicinity of the hair roots. This substance is produced from the male hormone testosterone by the action of a particular enzyme called 5-alpha reductase. Inherited genetic information. When a man inherits the necessary gene for some of his hair roots to become susceptible to attack by DHT he will lose hair. MPB therefore has nothing to do with the amount of male hormone a man has - merely the fact that he has any at all is enough to cause the hair loss provided he has also inherited the necessary genetic detail. Only those hair roots which have been programmed will be attacked by DHT. Normally these will be somewhere through the top region of the scalp with at least those hair roots around the sides and back of the scalp not being susceptible to attack by DHT. Hence, many men are left with a ‘monks fringe’ of hair at the sides and back. The chart below outlines the normal progression of male pattern baldness:Serenoa repens (Saw Palmetto) An excellent natural DHT blocker. Can be in capsule or lotion form.
Toupees, Wigs and Systems Some are very good but can be unnecessarily expensive. Many retailers simply buy in from a wholesaler and put on very large mark ups. Bear in mind with any form of toupee system (whatever the retailer calls it) if it is attached by means of anchoring to your existing hair, you will probably need to keep going back for servicing - sometimes even just to wash your hair. Q) Do hair transplants really work? A) Yes they do. In fact modern techniques performed by skilled specialists give extremely natural results. However, don’t expect too much. How much hair you gain depends upon how much donor hair you have available. Also, the surgeon should ensure that there is a sufficient reserve of donor hair to keep things looking natural should you lose more hair in the future.