Most hair diseases are genetically determined. Thus, androgenetic alopecia, known as AGA, is the most common cause of hair loss in men and women, but it develops only in patients with genetic predisposition.
These predispositions are caused by multi-gene inheritance, which involves the interaction of a large number of genes, each of which contributes little to the overall health of the hair. And the combinations of these genes are completely unpredictable, they are so numerous that they cannot replicate the genotype of the parents (otherwise we would all be clones of our ancestors). The influence of environmental factors, the presence of stress, eating habits and environmental circumstances, past diseases and their treatment, as well as many other factors make the prognosis for the development of androgenetic alopecia completely unpredictable. By the way, unfortunately, it is still impossible to completely and forever get rid of androgenetic alopecia. It is possible to improve the condition of the hair, to one degree or another restore lost hair and to maintain it, but it requires regular efforts, discipline and treatment tailored to the individual situation of the patient.
Of course, there are situations when hair problems arise from a disease background. These can be endocrine and somatic diseases, such as polycystic ovary syndrome (PCOS), diseases related to thyroid dysfunction, hormonal tumors, malabsorption state in diseases of the gastrointestinal tract, etc. Hair loss can be a reaction to stress, a disease with high fever, strict diet – this is usually called reactive telogen hair loss, which does not depend on the genetic characteristics of the human body. But, unfortunately, only 5% of cases can be attributed to hair problems to disorders in the body. This is evidenced by international medical scientific statistics. The prevalence of most hair diseases is predetermined in 95% of cases by factors whose causes are programmed at the level of certain combinations of nucleotides that encode multiple proteins , enzymes, cell receptors, growth factors, cytokines, etc.
In addition to androgenetic alopecia, there is scarring alopecia, alopecia areata (in various forms) and several others. This means that the problem mainly exists at the level of numerous biochemical processes within the cells of the hair follicle, and not elsewhere in the body.
Therefore, in most cases of hair diseases, treatment from within is either not required at all or is required as an adjunct therapy. Most experienced specialists are well aware that only local therapy (preparations and local treatments) is most often the most effective method of treating hair diseases with minimal side effects. The task of a dermatologist or trichologist is to accurately diagnose or, more often, exclude certain diseases of the patient, recommend tests and refer the patient to other specialists, such as endocrinologist, gastroenterologist, gynecologist. And then prescribing treatments and preparations that the patient will use, if necessary, in parallel with local treatment. At Hairmitage, you will get local therapy help, most specialist consultations, laboratory tests, and treatment recommendations. And all without a need to visit many medical facilities!