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Everything You Need To Know About DHT
Everything You Need To Know About DHT
Hormonal factors appear to play a role, and especially a male sex hormone
known as dihydrotestosterone (DHT).
DHT has also been linked to hair loss in women, but this article will focus
on male pattern baldness.
Fast facts on
dihydrotestosterone
DHT is an androgen and helps give males their male characteristics.
DHT is thought to cause hair follicles to miniaturize, and this
contributes to male pattern hair loss.
By the age of 50 years, over half of the men in the U.S. will probably
experience hair loss mediated by DHT.
Treatments that block DHT may help prevent hair loss.
What is DHT?
Male pattern baldness affects around half of men aged over 50 years in
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the U.S.
DHT has many roles. Apart from hair production, it is linked to benign
prostatic hyperplasia, or enlarged prostate, and prostate cancer too.
The exact reason why this happens is unknown, but genetic, hormonal, and
environmental factors are all thought to play a role. DHT is believed to be a
major factor.
Hair growth is split into three phases: anagen, catagen, and telogen:
Anagen is the growth phase. Hairs remain in this phase for 2 to 6 years.
The longer it lasts, the longer the hair grows. Normally, around 80 to 85
percent percent of the hairs on the head are in this phase.
Telogen is the resting phase. The follicle lies dormant for 1 to 4 months.
Normally between 12 and 20 percent of hairs are in this phase.
After this, anagen begins again. The existing hair is pushed out of the pore
by the new growth and naturally sheds.
Hair loss
Male pattern hair loss happens when the follicles slowly become
miniaturized, the anagen phase is reduced, and the telogen phase
becomes longer.
The shortened growing phase means the hair cannot grow as long as
before.
As the follicles become smaller, the shaft of the hair becomes thinner with
each cycle of growth. Eventually, hairs are reduced to vellus hairs, the type
of soft, light hairs that cover an infant and mostly disappear
during puberty in response to androgens.
Effects
The hair on the head grows without the presence of DHT, but armpit hair,
pubic hair, and beard hair cannot grow without androgens.
Individuals who have been castrated or who have 5-AR deficiency do not
experience male pattern baldness, but they will also have very little hair
elsewhere on the body.
For reasons that are not well understood, DHT is essential for most hair
growth, but it is detrimental to head hair growth.
DHT is thought to attach to androgen receptors on hair follicles. Through an
unknown mechanism, it then appears to trigger the receptors to begin
miniaturizing.
It is known that DHT binds to follicle receptors five times more avidly than
testosterone, but the amount of DHT in the scalp is tiny compared with the
levels in the prostate.
How levels are controlled and why they change are not yet understood.
If 5-AR levels increase, more testosterone will be converted into DHT, and
greater hair loss will result.