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What is Dihydrotestosterone DHT and how does it affect hair loss

DHT (dihydrotestosterone) is a hormone that plays a key role in hair loss, particularly male pattern baldness.
In women, DHT-related hair loss typically manifests as diffuse thinning across the scalp rather than the receding hairlines or bald spots more common in men.

 Here are the key points about DHT and its effects on hair:

1. DHT is an androgen (male sex hormone) derived from testosterone. About 10% of testosterone is converted to DHT by an enzyme called 5-alpha reductase.

2. DHT can bind to receptors on hair follicles in the scalp, causing them to shrink and become less capable of supporting healthy hair growth.

3. This leads to a shortening of the hair growth cycle and eventual miniaturization of hair follicles, resulting in thinning hair and baldness.

4. DHT is considered the primary cause of male pattern baldness (androgenetic alopecia), which affects about 50% of men over age 50.

5. While DHT is necessary for some functions like body hair growth, excessive DHT activity in the scalp leads to hair loss in genetically susceptible individuals.

6. Treatments for DHT-related hair loss include:

  • DHT blockers like finasteride and dutasteride, which inhibit the 5-alpha reductase enzyme

  • Minoxidil, which improves blood flow to hair follicles. (Found in one of the most common brand names Regaine.)

  • Low-level laser and red light therapy

  • Hair transplant surgery

  • Saw Palmetto is a natural supplement widely used to treat hair loss, particularly androgenetic alopecia (male and female pattern baldness)

    7. Natural DHT blockers like saw palmetto are sometimes used, but have less scientific evidence supporting their effectiveness compared to medications like finasteride.

    8. Genetics play a major role in determining sensitivity to DHT's effects on hair follicles.

    In summary, DHT is a potent hormone that can cause hair follicle miniaturization and hair loss in susceptible individuals, but there are treatments available to help counteract its effects.

    Related pages: How to treat male pattern baldness naturally

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