Does Estrogen Protect Women from Developing Male Pattern Hair Loss?

Doctor, I was thinking of something today. Females lose hair genetically too like female pattern baldness, but how come its not as common like men to lose hair? I mean there are females with bald fathers, grandfathers, uncles and brothers, but they never lose hair genetically?

If a man has so many bald relatives, there is a strong chance he will lose hair too, but the women tend to still keep their hair when the men in their family are all bald. Is it the estrogen that protects the hair?

There is no evidence that estrogen protects women from developing hair loss in the standard male patterns. The reason for female pattern baldness is not well understood.

Male pattern baldness is just what it says — it is a male problem and it occurs in patterns that can be visually seen, as graded on the Norwood scale. Women with genetic hair loss do not generally develop patterned balding, or if they do, the patterns do not usually follow the Norwood scale for men. Genetic hair loss in women, also called female androgenic alopecia, can at times be seen in a pattern that is graded on the Ludwig scale. Other times, the hair loss is diffuse.

Fortunately for men, finasteride is a good medication… but for women, the only decent medication is topical minoxidil.


2013-07-02 17:30:58Does Estrogen Protect Women from Developing Male Pattern Hair Loss?

Reddit Reader Comments on a Baldingblog Post

The post he commented on is the following: https://baldingblog.com/new-report-that-finasteride-does-not-cause-sexual-side-effects/

Comment: This survey method is so flawed that its ‘findings’ are not just unhelpful, but actually misleading. It’s really quite simple actually.

They just surveyed a bunch of guys who had been taking Propecia for hair loss and compared it to presumably random guys who were not on Propecia. If you develop side effects from Propecia, which often happens fairly early on, you are going to stop the drug quickly. 85% of the guys surveyed had taken Propecia > 12 months so you can be sure they didn’t have side effects. Even the other 15% would have likely filtered out most of the guys with side effects.

That’s why the authors erroneously conclude finasteride use resulted in no connection to sexual dysfunction. Their own data doesn’t even show that. Their data shows the finasteride group had a lower incidence of sexual dysfunction but that is only after you naturally exclude people who quit due to side effects. To say this study is controversial would be to give it way too much credit. It’s just flawed.


2019-11-05 10:13:16Reddit Reader Comments on a Baldingblog Post

Does finasteride lose effectiveness over time?

Some people say that finasteride looses effectiveness over time, some say 4 years while other say 10 years or even 15 years, is that the case usually ? Because I’M 24 with a NW2 and if I start finasteride now and have hair transplant and it looses its effectiveness in next 10 years when i’m 34 would that be a problem if the hair loss starts again ? and I’m aware that we have a limited donor hair

Finasteride remains effective over time. What changes is your balding pattern which progresses as you age. Without finasteride, it will progress faster.

Does FUE permanently remove grafts for future procedures?

I have had FUE procedure 2 months ago and was thinking of having another for my beard. Was curious how long I’d have to wait before another one, and whether the back of my hair could be used again for my beard. I came across some articles that really concerned me, mainly about most people have a limited amount of grafts they could use in their lifetimes, usually around ~4-6k

Some remarks that I’ve read from doctors on this topic:

You can have many FUE procedures over your life time as long as you keep your total donor hair supply in mind. If your donor hair supply is 6000 grafts You can have six 1000 graft surgeries or three 2000 graft surgeries.

I really don’t understand the science of this works. The hair on my donor area is completely full now after 2 months. Is this in spite of some hair follicles permanently removed, and the full hair is due to remaining follicles after 2k grafts taken from there? I was under the impression that what was taken from the back would grow back. Is this not true?

FUE removes grafts from your permanent zone forever. You have a limit of donor graft supply and a good doctor will measure that limit and should quantify what your total available, lifetime graft supply will be. For many people, large FUE sessions will cause a balding, see-through donor area as shown here: https://baldingblog.com/collection-victim-photos-internet-harvested-depleted-donor-areas/ As you can see, either these men had incompetent operators, or greedy ones who left some of them balding forever in the back of the head. For the advanced balding patterns, strip surgery (called FUT) is a better option as well as for most women expect for those who have very small procedures.


2021-08-14 08:12:00Does FUE permanently remove grafts for future procedures?

Removing SMP with a Laser?

A while back you mentioned a new SMP pigment that might be reversible with one laser treatment. Sorry if I missed your follow up on that. How did that turn out?

The pigment we use for Scalp MicroPigmentation (SMP) is reversible with laser pigment removal; however, it may require more than one treatment. There is also a risk for hair loss with the laser pigment removal.

A while back, we were made aware of an ink that was reportedly able to be removed with one laser treatment, but the company that produced the product apparently was sold and the ink hasn’t been made available.

Research on hair growth at UCI

With male pattern baldness, large (terminal) hairs convert into small (vellus) hairs. This is the negative effect of testosterone and DHT, a potent testosterone derivative, on hair follicle stem cells. Despite lack of visible hair growth, hair stem cells remain largely intact in the bald scalp skin!

Human hair loss conditions result from abnormalities in the so-called hair growth cycle, the recurrent process of hair production separated by periods of inactivity. Current anti-hair loss treatments modulate only part of this cyclic process e.g., Finasteride lengthens hair production phase leading to longer hairs, but it cannot activate re-entry of dormant hairs into new growth phase. Because of this, such treatments show extremely slow and incomplete recovery from hair loss, especially when the condition is advanced. Additionally, the efficacy of new hair regeneration via stem cell therapy or the so-called hair cloning was never conclusively demonstrated in the clinical settings. Inspired by the naturally occurring human condition of excessive hair growth, UCI researchers have discovered that re-entry of dormant hairs into active growth cycle can be efficiently stimulated when hairs are exposed to a specialized type of pigment-producing cell or to the signaling molecules that this type of cell actively makes. This suggests that either transplanting cells into the skin or simply injecting their bioactive molecules is sufficient to drive new hair growth on the scalp.

UCI scientists also found that hair growth-inducing effect of pigment-producing cells is potentiated by other naturally occurring cells derived from blood. Moreover, they investigated the profile of secreted signaling molecules and determined that a wide range of skin specific cells, beyond pigment producing cells, can be coaxed to make them due to shared profiles of secreted factors. Injecting a synthesized cocktail of signaling molecules in to an area with dormant hairs in vivo in animal model induced rapid new hair growth. Prospective plans involve testing these effects on human skin. Targeting a signaling pathway for naturally robust hair growth in humans presents a promising approach for treating hair loss conditions.

The hairy nevus is a common, benign birthmark where vellus hairs convert into the terminal hairs normally found on the scalp. UCI scientists believe that this occurs because of a protein signaling molecule that is produced by the hairy nevus and UCI has identified key proteins that they believe is responsible for the hair growth.

The way UCI scientists will Microinject hair-growth promoting molecules, derived from the hairy nevus birthmark, into the scalp skin affected by male pattern baldness. The hope is that these molecules will act as a signal to dormant stem cells (as it happens in the vellus hair follicles of the hairy nevus). It is hoped that this will result in vellus-to-terminal hair transformation and a cosmetically desirable hair growth restoration in the balding male

 

Does One Side of the Hairline Recede Faster in a Maturing Hairline?

You mentioned one time in a post that it is common for on side of a balding hairline to recede faster than the other. Is this also common in a hairline that is just maturing? The right side of my hairline seems to have been stable for a while now, but the left side is catching up.

Yes, it is very common to have one side recede faster than the other when forming mature hairline. But rest assured (as you are starting to notice)… the other side usually catches up.