Propecia: The Psychology of Hair Loss

Androgenetic alopecia (male pattern baldness) is a type of disfigurement that can affect a person’s sense self-identity. It gives rise to serious psychological problems, such as anxiety and depression. Propecia, a non-topical prescription treatment for alopecia, can restore hair, but the psychological effects may linger well beyond the cure.

To determine the psychological consequences of alopecia, a clinical review was carried out in late 2006. The review excluded any references that did not focus on the psychological impacts of alopecia. The review also excluded formerly bald patients who were using Propecia.

Baldness and Psychological Makeup

Most studies showed that people with alopecia have lower self-esteem, poorer quality of life, higher levels of both anxiety and depression, and poorer body image than the control groups. An effective deterrent to these might be support groups, and physicians should recognize the psychological impact of alopecia as a mandate for some sort of therapy. Prescribing Propecia is a good first step, but since the ultimate benefits of Propecia are not seen for several years, therapy is also in order.

Baldness and Predispositions to Disease

Androgenetic alopecia (hereditary baldness) has been associated with a higher risk of serious cardiovascular disorders (including high blood pressure and fatal ischemic heart disease), a tendency toward diabetes (hyperinsulinemia and dislipidemia, or high cholesterol, and obesity), as well as a link with hypothyroidism.

Too little is known about genes to associate these disorders in any conclusive way. It is known that men with pattern baldness exhibit a greater tendency toward all these disorders. Additionally, all these disorders exhibit varying degrees of depression and anxiety. Harvey Cushing (20th century American neurosurgeon), for whom Cushing’s Syndrome is named, underscored the role of psychoses in pituitary disease, specifically thyroid disorders. Others have documented the ‘Type A’ personality and its attendant anxiety with regard to heart disease. The prevalence of both depression and anxiety are well documented in association with diabetes.

In time, gene therapy may ameliorate a whole host of symptoms (whose root may lie in the endocrine system), relieving us of heart disease, diabetes, thyroid malfunction, and hair loss. In the meantime, there is Propecia to alleviate the psychological stress of hair loss.

Propecia Defined

Propecia is the first, non-topical prescription treatment developed to retard hair loss in men, as well as reverse hair loss over time in males whose scalp follicles remain active. Propecia is not recommended for women. In a 5-year study, Propecia was shown to significantly (65%) increase hair count in men of all ages. In a recent Japanese study, hair re-growth or retention was demonstrated in 90% of users.

Propecia was released in Japan in December of 2005. Sales for 2006 approached $11 million U.S. dollars, which is an amazing record in a country where baldness was uncommon before the 1940s. Some speculate the increasing baldness of Japanese males and the soaring sales of Propecia reflect a more Americanized lifestyle, with increasing levels of stress and greater reliance on animal protein. Diet may play a significant role in male pattern baldness. For those American males whose diet and lifestyle have led to irreversibly barer heads, there is Propecia, which over time retards hair loss and actually does grow more hair.

Cutting back on red meat and eating more vegetables would also be beneficial, but given the American men I know, that would be like expecting snow in July. Thankfully, they can have their Propecia, and eat red meat too.

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