What are the causes of male seborrheic alopecia?

Written by Liu Gang
Dermatology
Updated on September 18, 2024
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Male seborrheic alopecia is also called androgenetic alopecia, which is related to excessive secretion of endogenous androgens leading to vigorous secretion of sebaceous glands. Excessive secretion of sebaceous glands makes the hair follicles loose and buoyant, so the hair roots are not firm and will fall out. It is also related to family genetics; most men in the same family will exhibit similar symptoms of hair loss. Once this condition occurs, formal treatment can bring about some improvement. However, most men may experience recurrent hair loss as they age into their 40s or 50s, and this hair loss is irreversible. Generally speaking, it becomes difficult to completely cure with age.

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When does postpartum hair loss begin?

Postpartum hair loss generally begins three months after childbirth and is a normal physiological phenomenon. In medicine, it is also known as telogen effluvium postpartum. The main reason for hair loss is related to changes in estrogen levels in the body after pregnancy. During pregnancy, the increased levels of estrogen slow down the rate of hair loss and extend the life of hair. However, after giving birth, hormone levels gradually decrease and the hair loses hormonal support, leading to hair loss. This condition typically starts around three months postpartum and can gradually improve around six months after childbirth.

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Written by Liu Gang
Dermatology
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How to treat seborrheic hair loss?

Seborrheic alopecia, also medically known as androgenetic alopecia, is associated with excessive secretion of sebum by the sebaceous glands, consumption of spicy and stimulating foods, or frequent staying up late. Most patients have a certain genetic predisposition, with parents also displaying similar hair loss. Upon encountering this condition, it is necessary to treat it with medication. The most commonly used medications include Vitamin B6 tablets, finasteride tablets, and anti-grease hair growth tablets. These medications require long-term usage, and the treatment period is relatively long, lasting at least one to three months or more, to potentially control the condition. Topical medications can include the use of minoxidil solution. It is important to maintain a proper diet and lifestyle, strengthened exercise, avoiding spicy and stimulating foods, and persisting long-term to possibly prevent the recurrence of the condition.

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Written by Qu Jing
Dermatology
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How to deal with seborrheic hair loss and itchy scalp?

Scalp itching associated with seborrheic hair loss can arise from two possible scenarios. One is that the itching is due to seborrheic dermatitis accompanying the hair loss. The other possibility is that the scalp, being greasy, provides a conducive environment for the proliferation of microbes, leading to a fungal infection of the scalp, which then results in itching and increased dandruff. In cases of seborrheic dermatitis, the affected area may show erythema and papules with oily scales or crusts, and there may even be exudation, crusting, and erosion, resembling eczema. The local treatment should primarily focus on degreasing, anti-inflammation, and itch relief. When fungal infection is also present, antifungal treatment becomes the priority. Ketoconazole shampoo can be used in such cases, applied three times a week for a period of 6-8 weeks.

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Dermatology
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Causes of Hair Loss

Hair loss can cause us many troubles, not only affecting our life and work, but also bringing us significant mental stress. So, what are the general causes of hair loss? 1. Endocrine disorders: Hair growth is affected by various hormonal influences. The pressure from routine work, life, and studies can cause disruptions in physical functions, as well as conditions like postpartum and menopause, leading to endocrine disorders. 2. Nutritional deficiencies: Nutritional deficiencies and abnormal metabolism can lead to hair loss, with severe malnutrition even causing diffuse hair loss. 3. Genetic factors: Typically, males are more prone to hair loss due to genetic traits that manifest under the influence of androgens. 4. Physical illness: Some medications taken for diseases can cause side effects, including hair loss. 5. Physical and chemical hair loss: Frequent perming and hair dyeing, long hours in front of computers, and frequent use of mobile phones can all lead to hair loss.

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Can seborrheic hair loss grow back?

Seborrheic alopecia, also medically known as androgenic alopecia, is generally more common in men, with a relatively lower incidence rate in women. The occurrence of this disease is mostly related to vigorous secretion of sebaceous glands, or it can be said to have a certain relation to family genetics. The condition can be improved with standard treatment, but it may not fully recover, especially for patients with severe symptoms, such as receding hairlines or baldness, who find treatment rather challenging. Generally, standard treatment at a dermatology department of a formal hospital can restore about 80% of the original condition, which is considered quite effective. Complete recovery is generally difficult to achieve clinically. Treatment can include oral and topical medications, and can also be complemented with long-term conditioning using traditional Chinese medicine.