How to start hair loss treatment for the first time in your life?

Hair loss can start in your early 20s. If you are losing more hair than before or if your hair seems to be thinner, you may have alopecia. You may be worried about hair loss that started at a young age, but if you detect hair loss early and start treatment early, it is advantageous to maintain your current hair.

At this time of year, men in their 20s, who are college graduates and job seekers, are increasingly concerned about hair loss. You have to make a good first impression at an interview, but you are concerned that your hair loss might be a blemish.

These concerns are confirmed by the fact that the percentage of young people who visit the hospital for hair loss is high. According to data from the Health Insurance Review and Assessment Service, as of 2020, there were 234,780 patients who visited the hospital for hair loss, of which 44% were in their 20s and 30s. In particular, the number of patients in their 20s increased significantly by 15% compared to 2016.

The problem is that many of the young patients are managing their hair loss with non-medical methods such as shampoo or nutritional supplements. In a survey conducted by the Korean Hair Society for men and women in their 20s and 40s who experienced hair loss symptoms, only 26.9% of those who tried to ‘visit a hospital’ to overcome hair loss. On the other hand, ‘using shampoo and ampoules’ accounted for 66.4% and ‘taking nutritional supplements’ accounted for 40.7%, indicating that many hair loss patients were managing their hair loss in such a way that lacks medical evidence.

Although hair loss occurs temporarily due to diet, childbirth, or drug use, male pattern hair loss, which accounts for more than 90% of domestic hair loss, is a ‘progressive disease’ caused by genetic factors. If left untreated, symptoms continue to worsen. Fortunately, it is also a disease that can improve symptoms if properly treated at an early stage.

So, how should young men in their 20s begin their first hair loss treatment?

If you have any suspicious symptoms, you should see a doctor as soon as possible.

Male pattern hair loss, which accounts for the majority of domestic hair loss, appears only in people with a genetic predisposition. Testosterone, a male hormone, meets 5-alpha reductase and is converted to dihydrotestosterone (DHT).

These genetic factors cannot be improved through shampoo or health food. Although these means can be used as an adjunct, it is not a fundamental treatment.

As with all diseases, an accurate diagnosis is the first priority in order to receive proper treatment. If you have a family member with symptoms of hair loss, or if you lose more than 100 hairs every day, or if you have thin and light hair on your forehead and crown, your hair is getting softer, but your chest hair and beard are getting thicker, If symptoms such as being pushed back and the scalp on the top of the head appear better than before, male pattern hair loss is suspected and you should visit a hospital as soon as possible.

The most basic medical treatment is ‘taking medication’

If you have been diagnosed with male pattern baldness, you should seek medically proven treatment. Currently, the most basic treatment that has been medically verified is taking ‘oral hair loss treatment’.

Another medical treatment is hair transplantation, which is considered for hair loss that has progressed more severely than initially, and it is common to combine drug treatment to prevent further hair loss even after hair transplantation.

Oral hair loss pills have a mechanism to inhibit the 5-alpha reductase that produces DHT, which is the main cause of male pattern hair loss. There are two main types, finasteride and dutasteride, and among patients, the product names ‘Propecia’ and ‘Avodart’ are well known. Among them, major global guidelines such as the Asian Consensus Committee, the European Dermatological Association, and the Japanese Dermatological Association recommend finasteride as the first-line treatment.

Leaders Dermatology Clinic Mokdong Trapalace Branch Director Lee Deuk-pyo

“It may vary depending on the situation, but finasteride is usually recommended for patients starting hair loss treatment for the first time,” said Lee Juk-pyo, director of Mokdong Trapalace Branch of Readers Dermatology Clinic. This is because it is the only oral hair loss treatment.”

He added, “Finasteride is a drug that has been used for the longest time in the world, so there is a perception that it is a drug with a relatively long-term therapeutic effect and well-proven safety.”

Finasteride is a male-type hair loss treatment first released in Korea in 2000. It is the only male pattern hair loss treatment that has a long-term clinical study of 5 to 10 years. It is an oral hair loss treatment. Dutasteride was first released as a treatment for benign prostatic hyperplasia in Korea in 2006, and was approved by the Ministry of Food and Drug Safety as a hair loss treatment in 2009.

Director Lee said, “As a hair loss treatment drug is a drug that needs to be taken continuously, not eaten for a while, we have no choice but to be cautious about side effects and efficacy. I advise you to start treatment with

By Moon Se-young, staff reporter [email protected]

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