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Causes of bald patches on the head in men

Loss of strands is the norm, if it does not turn into a pathology. A rare man will be anxious to consider the amount of hair falling off, but it is simply impossible not to notice the appearance of bald spots on the head. As a rule, bald spots in the form of spots are the most important sign of focal (nesting) alopecia. The disease can be preceded by various reasons, which men sometimes do not even guess about. That is why when detecting bald spots it is so important to conduct a comprehensive and complete medical examination. Not only the beauty of the hair, but also health in general depends on this.

Features of the disease

A short haircut, which is preferred by many representatives of the stronger sex, gives certain advantages, and one of them is the illusion that the hair almost does not fall out. A long strand in the sink or on the pillow is more noticeable and catches your eye faster than a small hair, which has grown by 1-3 cm. It is possible to reassure yourself that the hair is in excellent condition and does not need treatment until the signs of impending baldness become too pronounced.

Attention! Doctors say that the disease is difficult to treat, especially among the stronger sex. Even transplanting strands does not guarantee that you will forget about the problem forever.

Alopecia areata (Alopecia areata) got its name because of the nature of hair loss: foci or nests that resemble circles or ovals in shape and may resemble lichen. This is a chronic ailment that affects the hair follicles, and sometimes also the nails. The peculiarity of nesting baldness is that baldness in the hair can appear in a short time, literally in a week. In some forms, the problem affects the eyelashes, eyebrows, and vegetation on the chest.

People of different ages can suffer from the disease, therefore 4 types of focal alopecia are distinguished:

  1. The disease begins to develop in the prime of life of a man: 20–40 years. Scaffolds overgrow in about six months, the likelihood of complete baldness is extremely small. According to statistics, this variety is most common.
  2. The beginning falls on children's age. A person can suffer from the disease for more than 10 years, risking eventually becoming completely bald. The baldness is covered with new hair long and hard, it takes more than a year. This type of focal alopecia is diagnosed in 10% of patients.
  3. The rapid development of the disease at a young age can lead to complete baldness in 50% of cases, but a minority of patients suffer from this.
  4. The problem hurts people who have crossed the 40-year milestone, and lasts for years. However, absolute baldness is observed only in isolated cases.

It is noted that blondes are less susceptible to focal alopecia than owners of dark hair.

Symptoms and stages

In most cases, even a person who is far from medicine will be able to correctly determine the development of focal alopecia. Too eloquent main symptom: rounded bald spots on the head or parts of the body covered with hair.

They may become larger or appear in new places. Recently formed baldness has a reddish tint, itching, burning sensation are not excluded. The hair at the edges of the foci breaks, the strands showered in bunches. Scaffolds can grow, merging and forming one large bald spot.

If, in addition to everything, the disease affects the nails, they become more dull. Longitudinal grooves, dents appear on the plates, the edges are deformed.

Alopecia areata has several forms. They took into account the degree of spread of the disease and the severity of damage to the scalp, body:

  • limited (local) - one or more bald patches on the hair or beard. In this case, treatment may not be required if the areas do not increase, and new bald spots do not appear,
  • offiasis (ribbon-like) - a bald spot appears on the back of the head, then moves to the ears and temples. Like a tape, it encircles the lower part of the head, although it happens in a different way: the first hair to fall out on the frontal zone (frontal Alopecia areata). This is due to the different sensitivity of the hair follicles,
  • subtotal - about half of the hair becomes bald,
  • total - due to focal alopecia, there is no hair left on the head,
  • universal - after the strands eyebrows, eyelashes, and also hairs fall out over the whole body (partially or completely).

Some experts additionally distinguish 2 more types of focal alopecia: pinpoint, as well as Nikolsky's ringworm.

The first is characterized by small, literally millimeter bald spots in the hair on the head. The second is associated with pathologies of the nervous system: epilepsy, schizophrenia and other diseases.

One form can pass into another. It is possible that a total or universal variety immediately arises, bypassing the lighter phases. Despite this, in the development of focal alopecia, 3 stages are always distinguished:

  1. Active. In this phase, there is a manifestation of all the main symptoms: itching, burning, hair loss and breaking off.
  2. Stationary. The bald head ceases to grow. The skin has a normal appearance. Hair does not loosen when pulled with your fingers.
  3. Regressive. The baldness is covered with a light fluff.

Attention! Despite the pronounced picture of focal alopecia, it is worth undergoing a complete examination to exclude the likelihood of a fungal infection and determine the presence of concomitant ailments.


There are different versions of why male baldness occurs in men. One of the main reasons doctors unconditionally call a genetic predisposition. It is believed that heredity is the “culprit” of the problem in 5–20% of cases.

In addition, during the examination of patients with focal alopecia, doctors noticed that these people are more likely than others to suffer from autoimmune ailments (that is, associated with impaired immune systems). Such an observation gave grounds to associate diseases of this category (lupus erythematosus, diabetes mellitus and others) with nesting alopecia.

Also The following factors can provoke profuse hair loss and the formation of rounded bald spots:

  • frequent stressful conditions, including those due to overwork,
  • diseases of the digestive tract,
  • skull injuries
  • infections
  • diseases of the skin associated with the activity of fungal microorganisms,
  • the influence of toxic substances that are used in professional activities (alkali, acids and others),
  • deficiency of vitamins and minerals, affecting the condition of the hair.


Correct determination of the cause of focal alopecia will help you choose effective therapy, stop hair loss and slow down the course of the disease. If you deal with the treatment of an ailment at an early stage, there is a good chance of regaining a healthy and thick head of hair.

Assign tests and examination can a dermatologist or trichologist. If necessary, you should contact a neurologist, endocrinologist and other specialists to establish a complete picture of the state of health.

The primary diagnosis is to pull out several hairs from the affected area. At the same time, you don’t even need to use force or take tweezers: the shattered strands crumble almost without assistance. According to this test alone, an experienced doctor will determine the stage of development of nesting baldness.

Under a microscope or a magnifying glass, a specialist will examine the roots of the torn hair and evaluate their condition. A visual examination of the skin, nails will also contribute to the diagnosis of the form and severity of the disease. In addition, the doctor can prescribe blood tests: clinical or general, for sugar, hormones and various viruses, as well as a biopsy of the scalp, other studies of the dermis and hair.


Even with the timely and correct diagnosis of focal alopecia, one should not hope that new hair will grow quickly. The process of getting rid of bald spots requires patience and some effort. Doctors advise patients not to despair and believe in optimistic results.

Alopecia areata is treatable, albeit with great difficulty. Even if it is due to genetics, you can partially stop baldness, affect the duration of periods of remission for the better, and give your hair a beautiful, well-groomed look.

Tip. With focal alopecia, it is necessary to treat the entire scalp, and not just those parts of the hair where bald patches have formed.


It is not out of place during the treatment of focal alopecia to take multivitamin preparations. Antihistamines or drops, antiviral and immunomodulators, as well as drugs that accelerate hair growth will also benefit. If corticosteroid therapy is required, then when choosing them it is better to listen to the opinion of the doctor and strictly follow all the recommendations.

In the fight against focal alopecia, the doctor may prescribe you such medications:

  • Beloderm. Contains Betamethasone. Available in the form of cream, ointment, spray. Cost - from 130 rubles.

  • Diprospan. Ampoules with a suspension, the active substance of which is betamethasone. It relieves inflammation and has an anti-allergic effect. With focal alopecia, the drug is administered subcutaneously. The price of 1 ampoule is about 220 rubles.

  • Isoprinosine. An immunostimulant with antiviral effect. Available in tablets of 20, 30 and 50 pieces, the price is from 600 to 1300 rubles.

  • Kutiveyt. The cream relieves inflammation and has an anti-allergic effect. You can buy it at a price of 330 rubles.

  • Sandimmune Neoral. It belongs to the category of immunosuppressants - drugs that artificially suppress the immune system. With focal alopecia, it is useful in that it weakens autoimmune processes (if they are diagnosed, of course). As a result, follicles are not perceived as foreign bodies that must be fought. Hair does not fall out. The product is available in capsules of 50 pieces (there are different dosages: 25, 50 and 100 milligrams), as well as in the form of bottles with a solution for oral administration. Cost - from 1100 to 5100 rubles.

  • Finasteride. It contains special hormones, therefore it can be used for focal alopecia exclusively in men. The price of 30 tablets starts from 200 rubles and depends on the manufacturer (domestic or import).

  • Celestoderm B. Hormone can be bought in the form of ointment or cream. Cost - from 230 rubles.

With focal alopecia, it is useful to use Dimexidum and drugs with minoxidil. All this will accelerate hair growth.

Folk methods

Home recipes are a good help in the treatment of focal alopecia, but only if they are not used independently and in isolation from medicines. Folk methods will help activate hair regrowth, wake hair follicles, improve the structure of strands and strengthen them. Such help is indispensable in a situation where the causes of nesting baldness are diagnosed, therapy is prescribed and it is necessary to further stimulate the growth of bald spots with new hairs.

Important! The main contraindication is an allergy to any component from the prescription.

Try to eliminate the manifestations of focal alopecia home remedies:

  1. Pepper tincture. Improves blood supply to the scalp and nutrition of the bulbs. To prepare, grind a large red pod and pour it with 100 grams of vodka. Clean in a dark and cool place. After a day, the tincture is ready for hair treatment. Rub it into areas affected by focal alopecia twice a day.
  2. Nettle rinse aid. 2-3 tablespoons of dry grass pour a liter of water. Put on a slow fire and after boiling hold on the stove for 7-10 minutes. To strengthen the hair, rinse the hair every other day.
  3. Decoction of coltsfoot. Boiled almost the same way as a nettle rinse. Only the boiling time on low heat should be reduced to 5-7 minutes. Means wash or rinse your head. The course of treatment is a month. During this period, the hair should become much stronger.
  4. Ginger tincture. To quickly overcome the effects of focal alopecia and stimulate healthy hair growth, mix 2 ingredients: crushed ginger (a little more than half the average root) and a glass of vodka. Close tightly and clean for 14 days in a dark and cool place. Shake the container regularly. Moisten the areas that have suffered from focal alopecia with a tincture while making a soft massage with your fingertips.
  5. Infusion of hop cones. It’s easy to prepare: pour 100 grams of raw materials with a liter of boiling water. Wrap and leave for 15-20 minutes. Rub into places bald due to focal alopecia, or rinse hair after washing.
  6. Burdock ointment. 20 grams of burdock root (dry or fresh) must be poured with 200 milliliters of water and put on fire. When the volume of the contents is halved, add 1 tablespoon of pork fat to it and cover the container with a lid. It can be removed from the fire after the fat has melted. In the fight against focal alopecia, it is necessary to treat 3-4 times a day with this ointment the places from which the hair fell.
  7. Egg-oil mask. Combine the chicken yolk with a tablespoon of olive oil. Mix well and rub into the scalp. You do not need to warm your hair. The mixture is washed off after half an hour, and the procedure is repeated once a week.

Also, with focal alopecia, it is useful to rub aloe or garlic juice into bald areas, make mustard hair masks.

Alternative ways

The easiest option for additional treatment of focal alopecia is the use of vitamin preparations. It should be a balanced complex, where there is a place for calcium, zinc, magnesium and other substances useful for hair.

Moreover, Physiotherapeutic procedures are called upon to help cope with baldness:

  1. Galvanization. The effect on the vessels of weak discharges of current improves the blood circulation process.
  2. Darsonvalization. A special drug treats focal alopecia with a high frequency current. Hair grows stronger, follicles get more nutrition.
  3. Laser Therapy The use of ultraviolet and infrared rays helps to cope with nesting baldness and fungal microflora on the skin.
  4. Massage. It activates the metabolism, improves blood circulation, which is useful for alopecia areata.
  5. Mesotherapy Nutrient injections deliver vitamins and minerals directly to the scalp.
  6. Ural Federal District. Ultraviolet irradiation acts directly on those areas where hair fell out, improving the condition of follicles.
  7. Phonophoresis. Saturation of the dermis cells with oxygen activates the hair follicles, stimulates blood circulation.
  8. Electrophoresis Injections of drugs against focal alopecia are performed with simultaneous exposure to current.
  9. Other methods.

Note! For treatment, you need to undergo a full course of procedures prescribed by a doctor. But with intense hair loss and advanced focal alopecia, they can be ineffective.


Some experts believe that the mechanism and causes of focal alopecia are not fully understood, therefore, the prevention of the disease is impossible. But still most doctors advise you to follow certain rules that will help reduce the likelihood of nesting baldness.

To do this, you must adhere to the regime of the day, alternate work with rest, avoid stress and monitor the quality of food. It must be balanced, contain vitamins and minerals, including folic acid, magnesium, zinc. It is necessary to abandon bad habits, to allocate time for sports and daily walks.

Particular attention in the prevention of focal alopecia should be given to caring for hair. Shampoo should be suitable for the type of hair and not irritate the skin. Many manufacturers produce separate products for men, so there should not be any problems with choosing a product.

In addition, it is important to protect the strands from temperature extremes, to protect them from the sun and frost.

It cannot be unequivocally stated that even if these conditions are met, any representative of the stronger sex will be 100% protected from focal alopecia or even its relapse after a successful cure. However following simple rules, you can significantly increase your immunity, saturate the body with micro and macro elements, increase resistance to negative factors, and in case of illness, speed up recovery.

Causes of bald patches on forehead and temples

Any disease requires a complete examination, examination of the clinical picture, as well as determining the causes and provoking factors. Trichologists emphasize that baldness is a long and cumulative process against a background of disorders within the body or exposure to external factors. Depending on the reasons, doctors distinguish the following types of alopecia - focal, androgenic, diffuse, cicatricial, total.

Androgenic alopecia

Androgenic alopecia, the most common form of the disease, which is associated with hormonal disorders in the body. The fact is that the hair follicles and follicles are overly sensitive to sex hormones. Therefore, most often, the causes of the receding hairline lie in violations of the endocrine system. With this type of baldness in men, hair loss occurs in the scalp area (in the shape of a horseshoe), while the zone of the mustache and beard, eyelashes and eyebrows remains the same.

Jumps in testosterone and its active aggressive form of dihydrotestosterone can lead to hair loss. If most of the sex hormone is expressed not in the form of testosterone, but in its form, dihydrotestosterone, this hormone constricts blood vessels, blocks the nutrition of follicles. As a result of this effect, the follicles are killed, after which bald spots form on the head.


However, alopecia does not always begin with the crown of the head and, unfortunately, is not always limited to this area.

Trichologists distinguish several stages of baldness: mild, moderate and severe - depending on the degree of hair loss, as well as several forms. Forms of alopecia depend on where the man first falls hair (in the forehead, temples, crown).

When visiting a trichologist, the doctor, examining the patient and combining information about the form and stage of baldness, will identify a model of alopecia. For representatives of the stronger sex, this model is determined by the Norwood-Hamilton scale.

Norwood-Hamilton scale (table)

So, for example, if a man just began to thin his hair on the top of his head and small bald patches appeared in the forehead (the so-called “widow's triangle”) - this is an easy, second, degree. And if only the hair on the back of the head resembles the old thick hair - the degree of baldness is severe and only a hair transplant can help in this case.

It is interesting

Recently, brutality is increasingly associated with a smoothly shaved skull. Remember Vin Diesel, Jason Statham or Gosha Kutsenko - this is the personification of masculinity. Moreover, this identification has scientific roots - often baldness is associated with increased production of the male sex hormone dihydrotestosterone itself.


Androgenic (caused by hormonal factors) alopecia is the most common cause of bald patches in the crown of the head. Up to 90% of all cases are associated with androgenic causes. The situation is further complicated by the fact that the predisposition to this type of baldness is often inherited (then we are talking about androgenetic alopecia). The treatment of this disease has not yet been invented.

Other causes of hair loss include:

  • Severe diseases, especially those associated with effects on the immune system: diabetes mellitus, oncology, the formation of kidney stones, gall bladder,
  • severe stress, vitamin deficiency,
  • loss due to the operation of any organs of the digestive system, for example, the adrenal glands. As a result, the body loses the ability to synthesize vitamins, which are necessary, including for the nutrition of hair follicles),
  • seborrhea (with this disease, the secretion of the sebaceous glands is impaired, both increased sebum secretion and decreased severity can occur), which indirectly negatively affects the development and growth of hairs,
  • radiation exposure
  • burns and injuries. It is worth noting that most often with mechanical and burn injuries, the hair follicles are not just damaged, but die, so it is almost impossible to restore hair using any methods other than transplantation.

Since the problem of baldness is facing the entire male population of the globe for a long time and is eternally acute, there are many methods to combat alopecia.

Male pattern baldness: a problem or a given?

Male pattern baldness is so common that many even consider it something inevitable. At the age of 40-50 years, about 40% of men in one way or another face this trouble. In general, 66% of men are familiar with alopecia firsthand - this is the scientific name for baldness.

Alopecia in itself does not pose a risk to life and health. However, hair loss in men significantly affects their mental state. Researchers from the University of Norfolk (USA) conducted a survey of 145 people of different ages with a diagnosis of alopecia and found that hair loss significantly changed their lives. 69% admitted that hair loss made them feel older, 78% said it had a bad effect on self-esteem. 66% tried to change the hairstyle so as to hide their bald head, 45% bought overlays and wigs, many tried to hide their bald head under hats and caps. Half of the respondents doubted their attractiveness, 34% found themselves envious of people with thick hair. This survey clearly shows how fatal baldness can become for male self-esteem. Things can even go as far as neurosis or depression.

Nevertheless, most men continue to regard baldness as a curse of the masculine gender, against which any means are powerless. However, it is not. In the arsenal of modern medicine and pharmacology there are tools that can prevent and slow down the process of baldness. And surgical methods, such as hair transplants, can help even those who have lost their hair for a long time.

Causes and types of baldness

There is no single cause for male pattern baldness. A variety of conditions and pathologies, as well as their combinations, lead to hair loss.

  • Genetic predisposition. If your father, grandfather and great-grandfather began to lose hair at a relatively young age, you should prepare for the same. The baldness gene can be inherited from both the father and the mother (and to a greater extent).
  • Stress. The stress reaction includes spasm of blood vessels, including those that nourish the hair follicles. Hair deprived of blood flow dies and falls out, and the growth of surviving hair slows down. It is important to remember that in this case, the hair begins to fall out not during a stressful situation, but several weeks or months later, and they fall out more or less evenly throughout the head. This type of baldness is called diffuse alopecia.
  • Hormonal imbalance. Hair follicles are sensitive to male sex hormones. And not all, but only those that are located in the parietal and frontal areas. Excess dehydrotestosterone often leads to the fact that the hair follicles atrophy and the hair falls out. Baldness caused by an overabundance of certain hormones is called androgenic alopecia.
  • Unbalanced diet. A lack of minerals and vitamins such as A, B2, B5, B12, C, E, iron, potassium, calcium, phosphorus, iodine, zinc and copper can lead to hair loss and diffuse alopecia.
  • Metabolic disorders. Problems with metabolic processes also adversely affect the condition of hair follicles.
  • Chronic diseases - Psoriasis, systemic lupus erythematosus and many other diseases lead to hair loss. Focal alopecia is characteristic of this condition - hair falls out in small areas scattered throughout the head.
  • Infectious diseases. They cause general intoxication, and hair loss is one of its consequences.
  • Skin diseases. In particular, seborrhea, lichen, as well as pustular inflammation of the scalp.
  • Injuries. Hair does not grow on scars from deep wounds and burns. This type of baldness is called cicatricial alopecia.

What to do when detecting the first signs of baldness

If you notice that the hair began to fall out and thin out, you should immediately consult a doctor. But which one?

The issues of hair health are handled by a trichologist. However, in practice, he becomes not the first, but the last specialist to whom the patient is referred. The fact is that hair loss in men occurs for a variety of reasons and can be caused by dangerous diseases that require the attention of relevant specialists.

Therefore, at the first signs of baldness, it makes sense to make an appointment with the therapist. He will listen to complaints and refer you to a specialist - most often he becomes an endocrinologist, dermatologist, neuropathologist, nutritionist, andrologist, gastroenterologist, venereologist and even a psychotherapist. It all depends on the general state of the patient’s health, his complaints, lifestyle features, type of baldness.

To establish the cause of baldness, you will have to go through some research. In particular, donate blood:

  • for general and biochemical analysis (they will show the presence of inflammation and give information about the work of internal organs),
  • hormones
  • parasites (helminthic infestations often cause a lack of vitamins and, as a result, baldness),
  • on serum iron (anemia is a common cause of baldness).

What can modern medicine offer for the treatment of baldness? The method of treatment depends on the cause of hair loss, but, in any case, the doctor will first treat the underlying disease.

As a local therapy, external agents that improve blood microcirculation and follicular nutrition are widely used, as well as physiotherapeutic methods that have a similar effect. With the help of physiotherapy (darsonvalization, cryotherapy, massage, galvanization, compresses), it is also possible to normalize metabolic processes at the cellular level, strengthen follicles and stimulate hair growth.

Medications also help to improve blood circulation - angioprotectors and drugs to improve microcirculation.

If hair loss is caused by problems with hormones, antiandrogen therapy is prescribed, this helps to significantly slow down the process of baldness.

In case of baldness in men caused by a lack of vitamins, multivitamin complexes are prescribed, and if the root of the problem is stress, then sedatives and antidepressants are prescribed.

With advanced alopecia, the only way out is a hair transplant. During this operation, the surgeon extracts fragments of skin with follicles from the part of the head where the hair is still preserved, and transplantes them to the affected area. Modern methods of hair transplantation are less traumatic and give a completely natural result.

It is necessary to treat hair loss in men, and the sooner therapy is prescribed, the higher the chances of saving hair. Combinations of different methods of treating baldness almost always give a good result. Therefore, do not waste time on folk remedies, advertised shampoos and cosmetic tricks, but immediately go to the doctor.

The following factors can cause baldness:

  • stress,
  • lack of vitamins
  • malnutrition
  • hormonal disorders.
How to deal with alopecia?

Patients from other regions can receive additional bonuses: compensation for the cost of tickets, accommodation, etc.

Hair in places of scars and scars can be created only with the help of hair follicle transplantation.

The survival rate of transplanted hair can range from 60 to 98 percent.

Hair transplantation can help increase the density of existing hair.

Modern clinics can offer various hair transplantation services.

Modern technologies allow transplantation of scalp hair with virtually no pain.

Interest-free installments for 6 and 12 months for hair transplantation.

  • 1 http://spbk100.narod.ru/enciklopedii/Oblysenie_Tonkosti_hitrosti_i_sekrety_pdf.pdf
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In case of hair loss, you can wash your hair as often as you need, but it is undesirable to use too cold or hot water for this - it should be warm. It is also important to use a pH neutral shampoo.

Alopecia areata

What does the appearance of a center of baldness of a round or oval shape in the area of ​​the scalpel, only an experienced trichologist will tell. Most often, this manifestation indicates the development of focal alopecia, which can subsequently affect other hair areas on the head.

There may be several reasons for focal or as it is also called alopecia areata, for example:

  • weakened immunity and malfunctions of the immune system (immunity perceives follicles as foreign bodies, destroying them),
  • various mechanical damage to the scalp,
  • skin and infectious diseases,
  • cardiovascular pathology,
  • hereditary predisposition
  • poor nutrition and deficiency of important substances in the body,
  • intoxication with harmful and chemical substances,
  • prolonged use of medications.

Focal alopecia can also be a consequence of constant stress, psycho-emotional stress, depression and neurosis. But according to statistics, most often focal hair loss is the result of autoimmune reactions and malfunctions.

Other forms of alopecia

In addition to androgenic and focal alopecia, cases of diffuse alopecia in men are often found. If the patient has a uniform and intense hair loss throughout the entire head area, they speak of a diffuse form of baldness. The causes of this violation may be the following factors:

  • psycho-emotional stress,
  • infections in the body
  • deficiency of protein and other substances in the body,
  • prolonged use of potent drugs,
  • toxic and radioactive exposure.

This form of the disease is easily treatable if its causes and provoking factors are precisely identified. If we talk about cicatricial alopecia, the causes of bald patches in this case are associated with the formation of a scar or scar on the scalp after injuries. Such an effect on the scalp leads to the fact that hair follicles are damaged, and it will be almost impossible to restore normal hair growth. Infectious skin lesions, burns, inflammations and injuries can lead to scarring.

Causes of baldness in men

The causes of baldness can be many, but most often in men there are two: active hormones and heredity. Male hormones affect the hair follicle in such a way that it gradually loses the ability to produce new hair and, in the end, dies. And if a man has a hereditary predisposition to hair loss, then a bald head is almost inevitable. Moreover, it is interesting that in 75% of cases, baldness is inherited on the maternal side and only in 20% - on the paternal side. The remaining percentage are people whose baldness appears first in the genus.

In addition, the causes of male pattern baldness include:

  • Hormonal disorders
  • Metabolic disorders
  • Some diseases (Addison’s disease, Down syndrome, systemic lupus erythematosus, and others),
  • Stress and malnutrition, lack of vitamins.

Depending on the cause and focus of spread, there are different types of baldness (or alopecia).


Having determined what bald patches and bald spots appear from, the doctor selects a course of medications to neutralize negative factors. With androgenetic alopecia and endocrine pathologies, hormonal drugs are appropriate, autoimmune pathologies require drugs that suppress the activity of immunity.

If the causes of alopecia are rooted in infections, antibiotics and antimycotics are prescribed. To consolidate the results, you can take multivitamins that make up for hair loss. In case of neurosis, stress and psycho-emotional disorders, a man can be sent to a health resort or boarding house for relaxation and conservative treatment.


Local treatment, in the form of masks, also shows excellent efficacy in the treatment of alopecia. Baldness can be eliminated with cosmetics and recipes of traditional medicine. In addition to medical shampoo, a man needs to choose a mask to increase the effectiveness of local therapy. If they are cosmetic masks, they should contain nutrients, vitamins, minerals and plant extracts. In folk medicine, masks from herbs, oils, mustard and pepper, eggs, honey, onions and other products are widespread.

Androgenetic Alopecia (AHA)

This type of alopecia accounts for 95% of the total male population. This is exactly the type of baldness that is affected by the work of hormones and genes. Localization occurs in the parietal and frontal areas. The process of baldness begins with thinning of the hair, then they become short, like a fluff, and after a while they completely disappear.

Androgenetic alopecia has several stages. According to the Norwood-Hamilton classification, during the first two stages, hair begins to thin in the area of ​​the temples and forehead, forming a receding hairline. In the following stages (third through sixth), a hair loss zone also appears on the crown of the head. And at the seventh stage, the main zones of hair loss merge into one.

In addition, several types of baldness can be distinguished:

  • Type "Horseshoe": baldness starts from the frontal part closer to the temples, then passes to the entire frontotoparietal region, forming a hair loss zone that looks like a horseshoe.
  • Type "Nest": baldness zones appear randomly in different areas of the head, and a nest-like area forms on the crown of the head. In the end, this type of hair loss takes the shape of a horseshoe.
  • Mixed type: Hair loss occurs simultaneously at the temples, in the parietal region.

Diffuse alopecia

In this case, some external factors influence baldness - from stress and taking antibiotics to radiation. It is believed that pure diffuse alopecia does not happen and always in one degree or another, AHA is mixed with it. With the telogen form, the follicles enter the sleep stage, but with the anagen form it is almost impossible to restore the hair, since the follicles die in severe chemical poisoning. Women are more likely than men to suffer from this type of alopecia, but if you have undergone this type of baldness, remember that with a telogen form you have a chance to restore hair growth.

Cicatricial alopecia

Cicatricial alopecia occurs in 1-2% of cases, represents irreversible damage to the hair follicles and the formation of connective (scar) tissue. The cause may be infections of various etiologies (bacterial, viral or fungal), which cause inflammatory reactions around the follicles, resulting in the formation of connective tissue in this area. With adequate and timely treatment of infection, hair can be saved. A common cause of cicatricial alopecia is physical injury - thermal and chemical burns, injuries.


Physiotherapy allows you to accelerate the healing process by deep and maximum absorption of drugs in the foci of alopecia. To date, several types of physiotherapy against male pattern baldness are practiced, namely:

  • electrical stimulation
  • darsonvalization
  • iontophoresis,
  • cryotherapy
  • microcurrent therapy,
  • vacuum massage
  • laser treatment.

In addition, a new method of treating alopecia, mesotherapy, during which the doctor introduces vitamin shakes into the center of hair loss, demonstrates high effectiveness. This method shows first of all fast and maximum results, if there are no strict contraindications.

Total alopecia

It represents the extreme stage of alopecia areata, due to which hair loss occurs on the entire surface of the scalp. A variation of total alopecia is universal alopecia, or total hair loss throughout the body. It affects both adults and children. As a rule, it begins with a sharp abundant hair loss, which after 2-3 months can lead to complete baldness.


Baldness is the scourge of modern society, which terrorizes even young men over the age of 20 years. Trichologists associate such disappointing statistics with the fact that various external and internal factors, and sometimes even a whole set of them, can lead to hair loss. Therefore, first of all, the treatment of alopecia requires the elimination or neutralization of the causes, and only after that - corrective procedures to stimulate hair growth.

Is it possible to stop baldness and how to do it

Of course, if you just survived stress and lost some hair, then restore their active growth will be quite realistic. But today we are talking about a more serious problem of male pattern baldness, in which the hair becomes thinner and, in the end, disappears. Unfortunately, this process is irreversible, and no vitamins, burdock oils and masks can stop it. However, fortunately, there is still a solution to the problem of baldness.

The solution to the problem of baldness

HFE hair follicle transplantation (Hand follicul extraction) is the best solution for those who have problems with baldness and want to restore their hair, including in the area of ​​eyebrows, beards, mustaches, as well as in place of scars and scars. Today, HFE is the only clinic in the Russian Federation where this procedure is carried out by trichologists using unique micro-tools in just a few hours. Hair restoration in HFE is almost painless, leaves no scars and swelling, and the healing process is only 3-5 days. The result is the restoration of the natural density of hair (up to 80 hair per 1 cm 2 with a natural density of 100-120 hair). To learn more about the clinic, HFE technology and hair restoration procedure, visit www.hfe-hfe.ru.

The license for medical activity LO-77-01-017926 dated April 19, 2019 was issued by the Moscow Department of Health.


Conventionally, all methods can be divided into medical and non-medical. Of course, trichologists advise to pay attention, first of all, to the first, but we will briefly consider everything.

Wig and Hair

Maybe this sounds pretty naive, but to this day, many men (both old and young) try to hide the emerging bald spot by combing hair from “uninjured” places, such as the back of the head. And when hair loss becomes catastrophic, use wigs (often expensive, made from natural hair). Some try to mask their bald heads with hats, bandanas, etc. However, no matter how high-quality the wigs are, no matter how beautiful the hats are, the secret will sooner or later become apparent, and you have to either deal with the problem by other methods or come to terms with it.

Folk remedies and methods

In the arsenal of traditional medicine, there are many tools to stop hair loss and enhance hair growth, and some of these recipes have successfully migrated to classical medicine: for example, masks and rubbing with extracts of burdock root, nettle, red pepper. However, there is one “but”: in the case of androgenetic alopecia, all these methods are powerless, because they can only strengthen and “wake up” the hair follicles affected by stress or vitamin deficiency, but the hormonal causes of baldness can not be overcome with folk remedies.


All kinds of shampoos, serums, masks, balms, advertised and not very, sold both in ordinary supermarkets and exclusively in pharmacies. Here, some manufacturers emphasize fidelity to folk recipes, others - the use of the latest formulas and technologies. However, as in the previous case, almost no cosmetic product is able to combat androgenetic alopecia, which, as we said, is the most common cause of male pattern baldness. By the way, modern cosmetologists have found an alternative way: recently a special powder imitating short bristles has appeared on sale.

Beauty treatments

Beauty salons offer a wide range of procedures designed to activate hair growth and stop hair loss: iontophoresis, plasmolifting, mesotherapy, myostimulation and completely exotic cryo- and ozone therapy. The effectiveness of all these procedures is not yet clinically proven.

According to various sources, the greatest effect is shown:

  • mesotherapy - the introduction to the scalp of a special complex of preparations and vitamin “cocktails”,
  • myostimulation - exposure to pulsed current.

It is impossible not to notice that in the fight against androgenetic alopecia, all these methods will be useless.

Vitamin complexes and microelements

Strengthening the immune system is useful in any case, so you should not neglect multivitamin preparations. If alopecia was caused by a weakening of immunity, vitamin deficiency or the inability of the body to synthesize a particular vitamin - outside help will come in handy, including hair.


Modern pharmacology offers two drugs that are effective in the treatment of androgenetic alopecia: Finasteride (which, by the way, is prescribed only for men) and Minoxidil - an external product that can partially stop hair loss and stimulate new growth. Both that and other medicine should be taken only on the recommendation of a trichologist.

Very popular is the American remedy "Regein" (Rogaine). According to user reviews, it really helps. However, the drug has a lot of minuses. Firstly, it must be used regularly, otherwise the hair will fall out even more. Secondly, you can order the drug only in the online store, and often it comes to delivery from the United States (do not forget about the sanctions). Thirdly, Regein is a very expensive pleasure.


Unfortunately, most often androgenetic alopecia leads to a situation where no medicinal, cosmetic or other means can no longer help. Even if it was possible to eliminate the cause of baldness, it is almost impossible to restore already lost hair. Then the doctor may suggest a hair transplant. To do this, the patient takes healthy hair follicles from the donor zone (most often the nape) and transplant them into the baldness zone. I can transplant in three ways: the Strip method, the FUE method and, finally, the HFE method.

  • The Strip technique involves surgical intervention: the doctor cuts a flap of skin from the donor area with a scalpel, then divides it into small grafts, which are implanted into the prepared incisions in the recipient area. This method is quite traumatic, scars remain after the operation, and repeated transplantation is impossible.
  • The FUE method (Follicular Unit machine Extraction) is less invasive: here, grafts are used to remove grafts with a diameter of up to 5 mm, leaving small round scars on the donor area. There will also be scars in the transplant area, as incisions are made to implant the follicles.
  • The best method is considered HFE (Hand Follicular Exstraction), when using which each graft is removed separately and manually using microsurgical instruments. No cuts are made in advance on the recipient area: the follicles are implanted directly into the skin, and a puncture is done with a special implant. This procedure is almost not invasive, it minimally injures the skin of the donor zone. HFE allows you to achieve almost 100 percent efficiency in the survival of hair in the bald area. If necessary, you can re-transplant.

In Russia today, only one clinic practices the HFE transplantation technique. This is the HFE Clinic, where specialists with extensive experience in the field of hair transplantation work. The best trichologists consult here, and operations are performed by certified transplant specialists. In our clinic, each client will help you find thick beautiful hair.

Dropout FAQ
hair in men

I am involved in weightlifting and now I am in pre-competition training. It will go on for about 2 months, so I would not want to postpone this issue for so long. How long will I need after the operation, and in general will I need to take a break in sports?

Good afternoon, tell me, after a hair transplant, you can continue to use minoxidil, perform a head massage to preserve your hair. And how this will affect transplanted hair.

Patient Reviews

Svetlana, September 23, 2019 Transplanted 1.5 years ago. There were deep triangular bald patches on the left and right sides.

Ivan, July 17, 2019 Cool clinic. Thanks for the help and advice.

Head Physician
dermatologist-trichologist, consultant

Watch the video: Alopecia: causes and treatment of hair loss explained (February 2020).

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