The diagnosis is androgenetic alopecia. Symptoms and complex treatment.

Androgenic alopecia ( AGA ), like any other alopecia, is still at the stage of study by specialists. Therefore, it is so difficult to find out the reasons and prescribe proper treatment, although every year more and more people are affected by alopecia. Most often, androgenetic alopecia in women is accompanied by a genetic predisposition and a high concentration of the male hormone testosterone. All the same, men are more prone to androgenetic alopecia, it affects up to 80% of men and up to 50% of women during their life.

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Symptoms of androgenetic alopecia
Depletion of hair with androgenetic alopecia occurs gradually, intensifying with age and leading to baldness of the parietal and frontal areas. How does hair fall out during AGA ? Each hair on the head goes through three phases of development: active growth (anagen phase), rest phase (catagen) and loss (telogen), and then a return to the anagen phase. With androgenetic alopecia, the growth phase (anagen) is shortened several times (in comparison with healthy hair) and very quickly goes into the resting phase and, accordingly, loss. That is, the hair falls out, a new one grows in its place, but already thinner and shorter, because it does not have time to grow and falls out again, then in its place there is even thinner (like fluff) hair and shorter, and so on until until the hair follicle atrophies at all.

With androgenetic alopecia, genetically predisposed hair follicles under the influence of androgen stimulation are prone to miniaturization, which results in the replacement of terminal pigmented hair with barely visible depigmented hair. This leads to a progressive decrease in the density of visible hair on the head, depending on the age and gender of the pattern.

The diagnosis of androgenetic alopecia can only be made by a specialist, after a series of tests. The main dermatoscopic signs of androgenetic alopecia:

The difference in hair diameters is a characteristic diagnostic sign of AHA, affecting more than 20% of hair in androgen-dependent zones. Under the influence of androgens, hair follicles undergo progressive miniaturization, the hair produced gradually becomes thinner and less pigmented. In severe forms of AGA , miniaturization diffusely affects the follicles, uniform thinning of the hair is observed.

The phenomenon of empty follicles characterizes the presence of yellow dots on the skin of the scalp, which correspond to empty follicles. The yellow color is due to the fact that the follicular mouths, expanded to a greater or lesser extent, are filled with sebum, produced by the sebaceous glands.

Pigmentation is a non-specific sign of AGA, however it is common, especially in severe forms. This is a mesh, cellular pigmentation of the interfollicular epidermis, clearly visible at a 40-50-fold increase. Such dark pigmentation is caused by increased exposure to sunlight on the scalp, not sufficiently covered with hair.

The peripilar signs, also called the peripilar rings, look like a dark halo about 1 mm in size around the follicular mouth, from which the hair comes out. Deloche in 2004 trichoscopically demonstrated the presence of peripilar signs in AGA and their correlation with superficial perifollicular inflammation in this condition.

Inflammation: the scalp of patients with AGA is often (to a greater or lesser extent) erythematous, hyperemia can be diffuse or in the form of foci. In most cases, erythema is caused by inflammation due to seborrheic dermatitis. With a large increase (40x), erythema corresponds to the dilated vessels of the capillaries of the surface layers of the dermis, which with seborrheic dermatitis usually form irregular loops.

AGA in women can be early, already in adolescence, or late onset, coinciding in time with the period of menopause.

Complex therapy in the treatment of androgenetic alopecia
The treatment of anrogenic alopecia is very long, one can say life-long, and this is a difficult task and requires a systematic approach. We will consider those methods of treatment of AGA that are clinically confirmed.

It is not possible to cure androgenetic alopecia, you can only slow down this process and maintain hair in a “normal” state.

With androgenetic alopecia, traditional medicine is absolutely useless, home masks, rubbing and other grandmother’s recipes will not help you in this problem, and sometimes they can even hurt you, especially with oils that can clog pores on the scalp and aggravate the situation even more. Try not to smear your scalp with any folk remedies.

Before taking any medications, you should always consult a doctor.

Plasma lifting for hair with AGA
One of the promising methods for the treatment of AGA is plasmolifting, plasma therapy enriched with platelets. This procedure is absolutely safe, blood is taken from a vein from a patient and platelets are separated from red blood cells using a centrifuge and then platelet-rich blood is injected subcutaneously throughout the scalp.

The inclusion of plasmolifting in complex therapy with a solution of minoxidil is accompanied by a more significant increase in the diameter of all hair, a decrease in the proportion of terminal and vellus hair.

Mesotherapy for hair
Mesotherapy for hair loss and hair growth is a modern technique for restoring blood circulation in the hair follicles and nourishing the hair with essential nutrients. During the procedure, injections of nutritious medicinal mixtures are made into the scalp. The composition of the mixtures is selected individually depending on hair problems.

Mesotherapy is not a panacea for androgenetic alopecia, but still it improves the general condition of the hair and even slightly reduces hair loss, especially if the AGA is still combined with diffuse hair loss.

Darsonvalization of the scalp
Physiotherapy is often used for all types of hair loss, including androgenetic alopecia. Darsonval is a device that improves blood circulation, has several different nozzles and is powered from the network. It acts on the scalp with high-frequency pulse currents. It is used for all types of baldness, as with the help of Darsonval you can strengthen and stimulate hair growth.

It also perfectly disinfects the skin, reduces the oily scalp, increases the overall tone and promotes deeper penetration of cosmetics.

Our hair constantly needs amino acids, vitamins, microelements and polyunsaturated fatty acids, so do not forget about complex vitamins for hair.

Surgical hair restoration with AGA
Surgery as a method of treating AGA is usually used very rarely; few decide on such drastic measures as hair transplantation. Typically, transplants of 1–2 follicular units from the occipital part of the head are transplanted to thinning areas using a hypodermic needle or scalpel.

Transplantation of follicular units can give very good results, however, the success of the operation depends on careful selection of patients and the skills of surgeons.