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Less
Beard & Moustaches
(Watch Dr BK
Roy )
How
hair grows on face & body: Every boy has same
number of soft light colored hair on face in beard moustache area &
other part of body. These are called vellus
hair they are soft & light in
colour ,
so that they are less easily visible. At the time of puberty i.e.
beginning of genital development male hormone testosterone, adrenal
hormone androstenidione, 17-oh Progesterone, DHEAS, Growth hormone,
LH, FSH, DHT increases & SHBG decreases, THYROID Hormone also plays
the role. These hormones changes lead to increased concentration of
Free Testosterone, DHT & some more hormones. These hormones then act
on the various sensors (called
receptors) in the air roots of face & other parts of body. After the
interaction of hormones & receptors
certain changes occurs in the functioning of cells of hair roots so
that hair starts growing in thickness & length, more black pigments
(i.e. melanin) is produced so that hair becomes more dark also the
blood supply in the hair root increases leading to more availability
of growth factors to the hair roots resulting in faster, darker &
stronger hair. These hormones growth factors are in high
concentration during peak of secondary genital characters development
i. e. puberty leading to persistent
stimulation of hair growth for next two to three years
i. e. up to completion of genital
development. Thus in normal boys in two to three years full beard &
moustache develops.
Causes
of Less Beard & Moustaches: In boys the less
beard & moustache can be due to following causes:
1)
Male Hormone Deficiency:
In which any of the male hormone as testosterone, androstenidione
etc. may be low due to causes as hypothalamic disease, delayed and
absent puberty, Kallman syndrome,
idiopathic hypogoandotropic,
hypogonadism, hypergonadotropic,
hypogonadism, primary or secondary testicular failure,
Klinefelter’s syndrome & testosterone
biosynthetic defect ,Growth factor
deficiency, systemic disesases etc.
2) Growth hormone deficiency due to
hypopituiarism, pituitary disorders
3) Growth factor deficiency
4) Zinc Deficiency
5) Testosterone biosynthetic defects
6) Congenital adrenal hyperplasia
7) Absent development of hair roots
8) Alopecia
universalis
9) Ninth Cause is
resistance of hair roots to normal
level of male hormones, in this disorder male hormone is
normal in blood even then hair root do not grow because in hair root
there is less male hormone receptor (i.e. sensor of male hormone) so
that male hormone is unable to work & hair do not grow well. But
when male hormone level is further increased by male hormone
replacement treatment & certain more medicines are given so that
male hormones becomes more effective on hair roots, then hair roots
starts growing. Beard & moustaches then fully normalizes in six
months to one-year time.
10) Absence of androgen receptors in
hair roots.
11) Progeria
12)
DRUGS: Cytotoxic
Agents, Cyclophoamide,
Vincristine,
Ionising radiation, Azathioprine
13)
Trichotelomania
14)
Structural Defects
Of Hair Shaft With Increased Fragility
15)
Diffuse Nonscarring Alopecia
Investigations & Diagnosis: We take detail history
to pinpoint the possible causes of this problem. After this we do
certain blood tests to diagnose the possible cause of less facial
hair in that particular patient. We do hormone
tests , growth factors & other biochemistry all these tests
are done by taking a single blood sample. Then there are tests to
know whether male hormone is working on hair root or not
i. e. to diagnose hair root resistance.
At our diabetes & thyroid center we have most advance state of the
art laboratory with all the modern facility for all above tests.
After these tests we reach the final diagnosis.
Various tests
needed are as follows:
complete
male hormone profile: This profile includes all the male
hormone tests which affects testosterone
production
& other genital functions.
- Serum testosterone is either below normal range or on the
lower side of normal.
- Similarly free testosterone is either low or on lower side
of normal.
- SHBG
- Adrenal Hormones
- Thyroid test
Other tests which may be required depending on likelihood of the any
of above causes.
Tests may show low testosterone. L.H. & F.S.H. may be decreased or
may be normal. But for interpretation of all above tests one need to
be expert of hormone diseases with good experience. Based on above
test result diagnosis of cause of andropause
is made, once the cause is found treatment becomes very simple.
One need to do detailed investigations
for other causes of low testosterone so that one does not misses any
serious underlying diseases.
Treatment: First of all we investigate the patient
& find the cause of less beard & moustache. The treatment consists
of hormone therapy which is given in form of oral tablets or
injections or local application as androgen cream. By this
treatment the deficient hormone is replaced & blood level of male
hormones normalizes. When there is hormone resistance then we give
certain medicine to increase the effectiveness of male hormone on
hair roots leading to normal growth of beard & moustache. Then some
additional drugs are given to increase the blood flow to hair roots.
When more blood is available to the hair roots then more nutrients,
vitamins, growth factors, & male hormone is delivered to the hairs
then they start growing fast. These medicines are prescribed to the
patient which can be bought from any good
medical store. These medicines are available in all the good cities
of India & other major cities of the world. These medicines have no
side effects as these drug regimens are developed by many years of
scientific studies by various research authorities & has not shown
any side effects.
1.)
Male Hormone
Replacement: The
various preparation of testosterone
& route of administration are:
a) Oral preparation that is
available in capsule form. It needs to be given one to three
capsules daily. These have no side effects.
b) Transdermal Testosterone given as
testosterone gel preparations. It need to be applied any part of
skiin once a day. It is very effective & has no side effects.
c). Transdermal
Testosterone scrotal patch are also available which are very
effective even if used in small doses. It is very effective & has no
side effects.
d) Sublingual Testosterone
cyclodextrin is now available which is
very fast acting & very effective is fast & better
hair development on face. It is used as one
tablet daily to be kept under the tongue for few minutes. It has no
side effect and it is very effective.
e) Local application of D.H.T. gel
available as Andractim gel is a new
preparation for male hormone replacement.
f) Injection Testosterone esters
these includes Testosterone enanthate &
testosterone cypionate given
intramuscular
injections every 10 to 14 days.
g) Long acting testosterone as
testosterone bucilate given once in 4
months.
h) Testosterones implants are now available which once injected
remain effective for up to six months.
2)
Medicines to increase blood supply to hair root (Oral & Local Gels):
Medical treatment (i.e. prescription of various drugs to increase
blood supply to hair root & their rejuvenation etc are given to
correct the basic cause found on investigations. These drugs
increase the blood supply to hair root so that they if the hair
roots are already present they start growing as in normal persons(as
they are present in most cases of less beard moustache but are not
growing due to various reasons mentioned above). These drugs dilate
peripheral small arteries of beard & moustache area so that blood
flows into hair root increases. There are various drugs, which are
effective to increase blood supply to hair root. The particular drug
needed in particular patient depends on the cause of Hair fall. Some
time two or more drugs may be needed to be used in resistant cases.
These drugs have no side effects. They arte not costly also, the
total cost of per month treatment is Rs
300/= per month.
3) G.H. Therapy
4) IGF Therapy
5) Medical Growth Factors Therapy
5) Minerals & other micronutrient therapy
6) Ant microbial therapy when needed
7) Hair Transplant
8) Gene Therapy
Why
doctors don’t take this problem seriously: The
problem of less beard & moustache is psychologically very painful
for the patient who is suffering with this problem. It makes them
feel less manly among the friends. Similarly due to younger looks
they are not given big responsibility at workplace. Sometimes even
the prospect of promotions decreases. All this creates lot of mental
stress in the patients. Unluckily majority of doctors do not take
this problem seriously, because they think it to be more of cosmetic
problem. Many patients come to our center from different corner’s of
Indian cities including many from abroad too, all patient complained
to me that majority doctors got there male hormone tested & if it
is normal they did not took this problem seriously & advised some
vitamins & hormone if ever they gave it was not given in enough
doses to overcome hormone resistance. Because most doctors do not
take this problem seriously, thus do not read the scientific
material available in detail due to lack of importance given by
them. At our center because we are specialize in exclusive
treatment of hormone disorders we take this problem as seriously as
any other hormone disease investigate this problem properly, reach
to the root cause of less beard moustache has not come in that
particular patient the we start the treatment.
Response of treatment: At our center we have
treated successfully thousands of patients from different states of
India & other parts of world. After start of treatment hair roots
start growing after three week. But because hair root is deep inside
the skiin & subcutaneous fat, it takes approximately 3 months to see
any significant hair growth on the skiin surface. In next three
months almost all hair starts getting darker & thicker & coarser as
happens in adult male. It takes full one year to develop adult like
dark & dense beard & moustache.
Side
effects of treatment: The treatment has no side
effects because we give hormone & medicines in prescribed amount &
these drugs are safe.
For
consultation & treatment (by appointment / or online) click How
to Consult Us
||
Small
Testis ||
Absent
Penis / Genital development || Less
Beard & Moustache || Hypogonadism
||
|| Testosterone
Deficiency ||
Small
Penis & Penis Enlargement || Andropause
|| Male
Infertility ||
|| Breast
Enlargement in Male || Less
Body Muscles and Under-weight ||
Testimonials
(Click the testimonial to read in Enlarged View)
(Note: Name & Place mentioned in the testimonials have
been changed by the patient to hide the identity but treatment
response mentioned by him/her is real.)
Testimonials in book format
(Click to enlarge and turn as pages to read)
|
Testimonials in English |
Testimonials in Hindi |
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