The common causes of hair loss explained

Hair loss can be a deeply distressing experience for many people and the cause of a huge loss of self-esteem, even resulting in depression and severely impacting a person’s social life.
Although primarily attributed to men, hair loss can happen to both men and women. Many do not realise, but there are actually around 8 million women in the UK alone who are suffering with some degree as hair loss.

Even celebrities are prone to suffering with hair loss, with Manchester United footballer Wayne Rooney forking out thousands of pounds on multiple hair transplants in the last two years in a rather costly and apparently futile bid to fight his thinning hair.

Medical Specialists Pharmacy have previously looked at some of the best foods for healthy hair, but what a large number of our patients want to know is why they have lost hair in the first place.
Obviously there is a familial aspect when considering causes of hair loss as baldness tends to be hereditary. Looking at parents, grandparents, etc. can usually give you a good idea regarding your chances of keeping hold of a strong and healthy head of hair. You only have to look at Prince William, his father Prince Charles, and Prince William’s grandfather Prince Philip to see how genetics plays its part in hair loss.

In many cases, there are numerous ways to treat male hair loss and female hair loss such as Propecia (for men), Dianette (for women) and Regaine (for men and women), just to name a few.
However, here Medical Specialists list some of the common causes of hair loss:

. Male pattern baldness (MPB)

So common that many would barely bat an eyelid upon seeing a male who is experiencing MPB.  By the age of 60, two thirds of men will have experienced hair loss which is typified by the hair receding at the temples and leaving behind an ‘M’-shaped hairline. Fortunately, topical treatments such as Minoxidil (Regaine) and oral medications such as Finasteride (Propecia) can halt the process and even regrow hair in some cases.

. Physical stress

Physical trauma such as surgery, a car accident or severe illness can cause temporary hair loss. This type of hair loss is known as telogen effluvium and usually involves widespread thinning of the hair on the scalp rather than bald patches. The hair may feel thinner than before but then begin to grow back properly within around six months.

. Polycystic ovary syndrome (PCOS)

PCOS is a common condition affecting millions of women in the UK and alters the way in which a woman’s ovaries function. The three main features are having high levels of ‘androgens’ (male hormones), ovaries that do not regularly ovulate (release eggs), and cysts that develop within the ovaries.  Just two of these lead to a diagnosis of PCOS. Whilst PCOS can cause facial hair growth, it may also result in thinning hair and hair loss. Many cases of PCOS are treated through birth control pills such as Dianette or Yasmin, both of which block testosterone via its potent anti-androgen. Should you be unable to take birth control pills, you may be prescribed Spironolactone by your doctor.

. Pregnancy

Hair loss related to pregnancy normally occurs after delivery of the baby, instead of during pregnancy. Whilst a woman is pregnant, many hairs enter into a resting phase – part of the normal hair cycle.  The average head can lose around 100 hairs a day, but not all at once, so it is not noticeable. Pregnancy results in your hormones preventing those hairs from falling out, resulting in thicker and fuller hair. However, when the hormones return to normal, the extra hairs will start shedding.  You are not balding – your hair is just beginning the process of getting back to how it was in your pre-pregnancy state. Hair loss during pregnancy is much less common and should be discussed with your doctor as it could be the result of a vitamin or mineral deficiency.

. Lack of protein

Although there is little scientific evidence to definitely state a particular diet has a direct impact on hair growth, it is generally believed that if you are not getting enough protein in your diet, this can be bad for hair growth as hair itself is mostly made of protein. Therefore, a protein deficiency could cause dry or brittle hair, or hair loss in certain cases. Some foods rich in protein which are great for healthy hair include: eggs, nuts, salmon, chicken, whole grains and beans.

. Lack of iron

If you are losing hair, there is a chance you may have an iron deficiency.  Iron helps to create red blood cells and these work at transporting oxygen around the body. If there is not enough oxygen, the hair bulb may be unable to generate new hair cells, resulting in much slower hair growth. Some foods rich in iron which could help against hair loss include: dried fruit, beans, red meat, liver, egg yolks, molluscs, spinach, nuts, dark chocolate, tofu and whole grains.  If you suspect you may be suffering from anaemia and this is causing your hair loss, you should be first diagnosed by your own doctor, who can carry out a simple blood test. Although your iron levels may not be low enough that is deemed anaemic, ferritin levels need to be increased quickly and 72mg of iron is needed for up to 6 months. For a significant number of women, this level of iron intake will not stop the hair loss unless they also take L-lysine plus Vitamin C and B12 to aid absorption of iron. Florisene has been specially developed to provide these nutrients at the specific level, which will overcome this type of hair loss problem(1).

. Lupus

The autoimmune disease Lupus causes the body’s own immune system to attack healthy tissue. The hair loss could be mild and happen whilst shampooing or brushing your hair. If the hair loss is more severe, it may fall out in patches and there is usually a rash that appears on the scalp.
1. J Invest Dermatol. 2003 Nov;121(5):xvii-xviii

Hair loss: A bigger fear than impotence for men

Hair loss and suffering with impotence are probably amongst men’s biggest worries and the cause for a great deal of anxiety.

However, a new study suggests that hair loss could actually surprisingly be a bigger concern to men than their performance in the bedroom. It could be that hair loss degrades confidence to the extent that many men feel this will affect their ability to find a partner in the first place.

The survey of 2,000 males found that an incredible 94% feared going bald, compared to 89% who feared about experiencing erectile dysfunction and losing their ability to perform in the bedroom.
Other things that caused fear for the men survey included going grey, feared by 75% of the men (although becoming a ‘silver fox’ never did George Clooney any harm!), whilst 64% were concerned about putting weight on. This is perhaps unsurprising when health experts have stated that by 2050 obesity is predicted to affect 60% of adult men, 50% of adult women and 25% of children.

In addition, 61% were terrified of losing their teeth, 45% had a fear of needing to wear glasses at some point, 31% were worried about losing their hearing and suffering with bad breath was feared by 24% – although the revolutionary and massively popular CB12 mouthwash has now helped with this problem for both men and women.

None of these fears compared to hair loss however. Psychotherapist Toni Mackenzie was not shocked by the survey’s findings.

She said: “Hair loss can be genuinely distressing for men. It can’t be easily disguised and people think its fair game for jokes, unlike things like putting on weight or going grey. Men who lose their hair are expected to take insults with good humour. The pressure this causes can have a huge effect on men’s self-confidence, which has knock-on effects on their physical and mental wellbeing.”

Ian Watson, of HIS Hair Clinics, commented: “Going bald is just too personal to be funny. I lost my hair in my 20s. I’ve had countless people rub my head like a lucky Buddha and been called everything from baldilocks to Fester. It soon becomes downright upsetting.”

The findings back up other surveys carried out this year, such as one recently commissioned by pharmaceutical and cosmetics company Alpecin, producers of the hugely popular Alpecin caffeine shampoo for hair loss. Their survey discovered that losing hair is an increasingly bigger concern for 21-30 year old men. There are countless studies, articles, and media stories that portray attractiveness as being a key factor in success and for many people hair is associated with attractiveness.

The fact that there are an estimated 6 million men in the UK suffering from hair loss, this equates to a huge amount of stress and fear. However, Medical Specialists Pharmacy are able to offer the prescription-only medication Propecia (finasteride), which is commonly used to treat male pattern baldness and works by blocking the conversion of testosterone to DHT, which thought to cause hair loss.  It is obtainable following a quick and easy 4 step process which includes an online consultation with one of our in-house doctors. Propecia is priced from as little as £47.58 per month.

Other options in addition to Propecia include Regaine Foam and Regaine Lotion, as featured in numerous television adverts. Obtainable from Medical Specialists Pharmacy from as little as £49.95 and £59.95 respectively, Regaine products contain the active ingredient Minoxidil which is clinically proven to help prevent further hereditary hair loss, showing success in 4 out of 5 men. It works by increasing the blood supply to the hair follicles which helps to strengthen existing hair and stimulate secondary hair growth.

Would you get a head tattoo to cover baldness?

Male pattern baldness is the most common type of hair loss in men, afflicting an estimated 6.5 million men in the UK and for many it is noticeable by the time they reach the age of 35.

In recent times there has been countless celebrity hair loss stories in the media. For instance, we have seen celebrities such as Wayne Rooney and Calum Best opt for expensive hair transplants, and even pop superstar Justin Bieber has come out and said that Prince William needs to take hair loss medication Propecia.

Other effective and proven hair loss treatments for men include Regaine Foam, Regaine Lotion and Alpecin caffeine shampoo. However, how about covering up your diminishing hair with a tattoo?

Yes, you read that correctly, a tattoo! British men are now able to benefit from a procedure which involves tattooing tiny dots on their scalp, helping to mask receding hairlines and hair loss.
The new technique will set men back quite a hefty amount however, between £500 – £3,000, providing them with what will seem like a full head of hair – all in just a couple of hours. Men will end up with a ‘buzzcut’, which may or may not be to everyone’s liking, but has been made popular in the last decade by celebrities such as Wentworth Miller and David Beckham.

A hair expert will apply differing shades of specifically blended pigments into the patient’s scalp, mimicking the size, shape and density of micro hairs, creating the buzzcut appearance.

The idea was formulated by Ian Watson, 42, founder of HIS (Hair-Ink-Skin) Hair. Mr Watson was in his mid-twenties when he suffered with alopecia, brought on by the loss of his brother to cancer.
In an attempt to cover the hair loss, Mr Watson asked his brother’s widow to use a fine ink pen and draw tiny black dots onto his scalp. Although the ink washed off in the shower, the whole premise got Mr Watson thinking and his idea gathered pace from there.

The treatment is suitable for varying types of hair loss, whether it be alopecia, cancer, and baldness. No anaesthetics, incisions or adhesives are used during the procedure, leaving the patient without any scars on their head. Adjustments can also be made in the future if there is further hair loss suffered, or style preference is changed.

The downside is the price as not many people in the current financial climate can afford to pay between £500 and £3000 for treatment, plus no actual hair is regrown or prevented from being further lost, as opposed to the previously mentioned Propecia.

Medical Specialists Pharmacy are able to offer the prescription-only medication Propecia (finasteride) to suitable males, which works by blocking the conversion of testosterone to DHT, responsible for hair loss.  It is obtainable following a quick and easy 4-step process which includes an online consultation with one of our in-house GMC-registered doctors, priced from as little as £47.58 per month.

Wayne Rooney undergoes a ‘top-up’ hair transplant

Almost two years to the day since he underwent his first hair transplant, 27-year-old Manchester United footballer Wayne Rooney has had a second, ‘top-up’ procedure at the same private London Harley Street Hair Clinic that he first visited in 2011.

The technique performed to combat Rooney’s baldness two years ago was Follicular Unit Extraction (FUE), an excruciatingly long operation that involves the surgeon extracting thousands of hair follicles from an area where they are in abundance – usually the back of the head – and then re-planting them into the areas where they are most needed.

Various reports had suggested Rooney paid anywhere between an incredible £15,000 – £30,000 amount for his initial hair transplant, following endless jibes from teammates about his premature balding. At the time, he stated: “Just to confirm to all my followers I have had a hair transplant. I was going bald at 25 why not. I’m delighted with the result.” Rooney had previously touched upon the subject of his hair loss in his autobiography. He said he looked at himself in the mirror and thought: “Bloody hell, you’re going bald and you’re only a young lad.”

Rooney has been pictured numerous times in recent months with seemingly much thinner, wispier hair, calling into question the long-term effectiveness of such expensive hair transplants – often costing up to tens of thousands of pounds. Just last month at an England training base, onlookers were shocked to see his hair thickness had diminished considerably and his scalp was clearly visible.

However, Clinic director Nadeem Uddin Khan delivered the news of Rooney’s second hair restoration operation, which lasted nine hours, saying: “He visited us for pre-planned second-stage treatment of his successful transplant. This was scheduled when he began in 2011. It’s standard.” A separate source told The Sun newspaper: “It was very successful. He’s as pleased as punch with the results and can’t wait to unveil his new look.”

The pre-planned top-up transplant could not have come at a better time for Rooney after hair loss expert Dr Asim Shahmalak spoke last month about thinning areas appearing on the footballer’s head and even advised another transplant before baldness strikes again.

Dr Shahmalak, a hair transplant surgeon on Channel 4′s Embarrassing Bodies, had seen recent pictures of Rooney and commented: “It’s very clear from the pictures that Wayne has kept hold of the hair from his first transplant at the front of his head. But he has continued to lose his hair further back on his head and on his crown. It has given him two noticeable bald patches. The best way to remedy this is with a second hair transplant. He also needs to start using the drug Propecia, which footballers can take quite legally without failing any drug tests…”

Visit the Men’s Health or Women’s Health area of the Medical Specialists Pharmacy website to find out more information on how to obtain hair loss treatments such as the previously mentioned Propecia, and other popular products such as those featured on television – Regaine and Alpecin caffeine shampoo.

Is Wimbledon hero Andy Murray losing his hair?

As he held the gold, glistening Wimbledon trophy aloft to thousands of adoring and hysterical fans, Andy Murray could look back on a staggering 12 months in which he won gold at the London 2012 Summer Olympics, claimed his first ever Grand Slam – the US Open, won at The Queen’s Club Championship, before winning his second Grand Slam and in the process becoming the first British winner of the Wimbledon men’s singles title since Fred Perry’s 1936 victory.

However, maybe the pressures of finally capturing his first ever Grand Slam and the annual huge pressure placed on him by the media before each Wimbledon tournament has got to him. More specifically, his hair.

As the sweat ran from the top of his head and dripped down his face, it was evident to millions around the world that Murray, 26, is not quite as thick on top as he used to be. In his early 20’s the Scottish tennis superstar sported a wide variety of wacky hairstyles, even resembling the Simpson’s character Sideshow Bob at one point…although Chelsea footballer David Luiz seems to have now taken over that mantle!

We suspect Murray may already be aware of his possible impending male pattern baldness problems as both his father William Murray and his mother’s father Roy Erskine have experienced significant hair loss themselves. It is worth remembering that even if both parents have retained a full head of hair, men may still carry the gene for male pattern baldness and loss of hair may come from further back in the family tree than your parents.

In addition, in a TV interview conducted in September 2011, his former doubles partner Ross Hutchins raised the subject of Murray’s diminishing mane. Hutchins explained how the two British players enjoyed making fun of each other.

He said: “It’s about getting at each other’s faults and getting to Andy’s is pretty easy”, pointing to the Scot’s hairline and added: “It’s around this sort of area we like to pick up on.” Murray jokingly laughed: “It’s because I’m starting to lose my hair. That’s one of his good ones.”

When asked, leading UK Trichologist David Bailey said, “Andy has been losing his hair for some time now. Over the last few years his frontal hair line has changed and he has receded at the temples, but on Sunday his thinning crown area was clearly visible. He may now have the crown at Wimbledon, but he is definitely losing it hair wise.”

Fortunately for Murray and the other over 6 million men in the UK suffering from hair loss, Medical Specialists Pharmacy are able to offer the prescription-only medication Propecia (finasteride), which is commonly used to treat male pattern baldness and works by blocking the conversion of testosterone to DHT, which thought to cause hair loss.  It is obtainable following a quick and easy 4 step process which includes an online consultation with one of our in-house doctors, priced from as little as £47.58 per month.

Other options in addition to Propecia include Regaine Lotion and Regaine Foam, as featured in numerous television adverts. Obtainable from Medical Specialists Pharmacy from as little as £49.95 and £59.95 respectively, Regaine products contain the active ingredient Minoxidil which is clinically proven to help prevent further hereditary hair loss, showing success in 4 out of 5 men. It works by increasing the blood supply to the hair follicles which helps to strengthen existing hair and stimulate secondary hair growth.

There are also emerging over the counter products that have been released in recent times. Alpecin Caffeine C1 Shampoo stimulates hair growth directly at the roots, strengthens weakened hair roots and prevents hereditary hair loss. In just in 2 minutes, the active ingredient travels along the hair shaft directly into the hair follicles. If the shampoo is left on for longer, the caffeine will also penetrate into the scalp.