SSRI's and male pattern baldness

Bryan

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docj077 said:
I agree that androgen levels in high enough concentrations should cause balding in any individual. However, I do think that they increase hair growth and diameter in whatever follicle is subject to their action up to a certain androgen response. After that, they seem to be very much an inhibitory entity in human hair pathophysiology.

I'm going to assume that you're referring exclusively to scalp hair follicles.

So are you saying that you think there is a biphasic effect of androgens on human scalp hair? That they stimulate scalp hair follicles up to a certain minimal level, but then begin to suppress them at higher levels? If so, that's a very interesting claim that I've not heard anyone else make. Neither can I think of any evidence out there that would support that idea. Can you?

docj077 said:
Obviously, hair grows without the influence of high potency androgens.

In fact, scalp hair seems to thrive in the total ABSENCE of androgens (I'm referring to subjects with CAIS). Until I see any scientific evidence to the contrary, I'm going to continue to assume that androgens can only have either a (nearly) neutral effect on scalp follicles, or a negative one.

docj077 said:
Bryan, I've been doing some looking around recently and I'm wondering if you've done any research into how estrogen affects hair growth. It seems as though the follicle requires particular forms of estrogen (17alpha estradiol) for normal growth and in the presence of 17beta-estradiol, hair growth is actually delayed.

Docj, we talk about so many hairloss studies and articles on these Web sites, it's hard to remember what's been discussed with whom! :wink: Have you read that relatively recent short article titled "Estrogens and Human Scalp Hair Growth -- Still More Questions than Answers"? If not, here's a PDF file of the whole thing, which is only about 2 1/2 pages long:

http://www.geocities.com/bryan50001/Topical_E2.pdf

The topic of estrogens and scalp hair has been a rather hot issue for years, going all the way back to alt.baldspot. While some individuals believe that estrogens have a negative effect on scalp hair, I have always supported the view held by Dr. Proctor, which is that sex hormones (including estrogen) generally have opposite effects on body hair and scalp hair, with estrogen being beneficial overall for scalp hair. The small in vitro experiment described in the article above clearly seems to support that idea; in fact, I'm a little surprised that THEY seem surprised by their results, considering that it's definitely not the first in vitro experiment showing a hairgrowth stimulation of scalp follicles by estrogen (see Kiesewetter et al study below).

Out of all the studies I've seen over the years having to do with estrogens and human scalp hair, the preponderance of the evidence is that estrogens do appear to be beneficial for it. There was only one oddball Japanese study that I can recall seeing that got a conflicting result, so the evidence seems to be reasonably consistent, but not perfect.

docj077 said:
I also find it interesting that estrogens can stimulate pubic hair growth; this occurs not only in females, but males, as well. If you apply estrogen containing creams to male or female infants, you will get pubic hair growth and estrogen containing shots can be used to grow pubic hair in women with primary ovarian insufficiency.

Hmmm...I vaguely recall your saying something about that before, but I forget the details. That's quite interesting.

docj077 said:
Scalp hair does contain estrogen receptors (more than one type actually), so it seems like a waste for us to be so concerned with only the actions of androgens.

Agreed. Like the authors said in that article above, we need to settle the estrogen/scalp hair issue once and for all.


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J Invest Dermatol. 1993 Jul;101(1 Suppl):98S-105S.

"Sex hormones and antiandrogens influence in vitro growth of dermal papilla cells and outer root sheath keratinocytes of human hair follicles." Kiesewetter F, Arai A, Schell H.

Department of Dermatology, University of Erlangen-Nürnberg, Germany.

Anagen hair bulb papillae, interfollicular dermal fibroblasts, and interfollicular keratinocytes isolated from fronto-parietal scalp biopsies as well as outer root sheath keratinocytes from plucked anagen hairs were separately grown in subculture for 14 d. The effect of different concentrations (2.4 nM-17.3 microM) of testosterone, dihydrotestosterone, and the antiandrogens cyproterone acetate or 17 alpha-propylmesterolone on growth behavior of the mesenchymal and epithelial cell types of the hair follicle were comparatively studied by means of growth curves, cell doubling times, and 3H-thymidine incorporation. For control, all cell lines were subcultured in hormone-free medium. Testosterone and dihydrotestosterone (345 nM) significantly reduced proliferation of papilla cells compared with dermal fibroblasts (p < 0.01) and outer root sheath keratinocytes compared with interfollicular keratinocytes (p < 0.01), as well as compared with cells cultured in control medium. Low concentrations of 17 beta-estradiol were ineffective, whereas doses of 180 nM 17 beta-estradiol increased the growth velocities of all cell types, especially of papilla cells, compared with dermal fibroblasts. Low doses of either cyproterone acetate (24 nM) or 17 alpha-propylmesterolone (29 nM) induced a growth enhancement, especially of papilla cells and outer root sheath keratinocytes, whereas high doses of cyproterone (1.20 microM) and 17 alpha-propylmesterolone (1.45 microM) had opposite effects. These changes were significant between papilla cells and dermal fibroblasts as well as between outer root sheath keratinocytes and interfollicular keratinocytes. Applying increasing doses of androgens to cyproterone acetate (24 nM)- or 17 alpha-propylmesterolone (29 nM)-containing media neutralized the growth-stimulating effect of antiandrogens, particularly in papilla cells and outer root sheath keratinocytes. However, minor differences between testosterone and dihydrotestosterone effects on cell growth were found. The data clearly demonstrate that the changes of in vitro growth of hair follicle cells depend on the concentrations of androgens and antiandrogens, as higher doses of both antiandrogens tested retarded the cell proliferation similar to testosterone or dihydrotestosterone. The papilla cells and outer root sheath keratinocytes reacted more sensitively to the hormones tested, thereby confirming the concept of a distinct androgen sensitivity of these specialized hair follicle cells.
 

michael barry

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Bryan,


I think I may have something to add to your "estrogens might even be beneficial" line of reasoning.


After the news about tea tree oils and lavendar body washes causing gyno in young boys came out, I bought some lavendar oil and put it on my big-toe's hair for three months in the mornings after my shower. I was hoping to find an anti-androgen.


Guess what I found? I found a stimulant. The hair grew longer and darker than the other (control) toe at three months. The difference is still quite noticeable now over a month since Ive stopped. Longer and darker. WE know lavendar can cause gyno, so it must bind with receptors that use estrogen to an extent, and perhaps not sit to well with androgen receptors.


BTW----------------Im pretty much wrapping up the last few things I thought I might be able to test. Topical green tea extract (having some anti-androgenic effect on one side of my neck), peppermint oil (ouch, even severely diluted it can burn............but it DOES seem to be anti-androgenic so far only a couple of weeks in----on one side of my chin), and revivogen on the other cheek.


Im pretty much out of "household" ideas after this................
 

Bryan

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Michael, I find your home-brew experiments with applying various substances to sections of body hair interesting, but I can't imagine how you could really interpret the results with any degree of confidence. If an area of body hair is being suppressed, is it because of a true antiandrogenic effect, or is it because of some toxic effect of the substance that has nothing at all to do with androgenicity? Complicating matters further is the fact that various areas of body hair almost certainly have varying levels of sensitivity to androgens. Do hair follicles on your big toe need MORE or LESS androgenic stimulation for good growth than, say, hair follicles on your arm or leg? Do we really know the the answers to those questions with any degree of confidence? :)

Personally, I'd feel a LITTLE more confident in attempting to judge the effect of a putative topical antiandrogen by measuring its effect on sebum production, but even then I'd be cautious. I'd be more confident still if I were able to get the expected results in ALL THREE areas of testing that are available to me: decreased sebum production, decreased body hair growth (preferably with beard hair, which we know is definitely sensitive to androgens), and increased scalp hair growth.
 

michael barry

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Bryan,

Like I said.....................IM pretty much outta stuff to test.


Keep in mind however, lavendar sure shows up in alot of old hairloss remedies as does rosemary, sage, chamomille, barley, lemon grass, and cedarwood oil.

It was more than just a little effect aslo. It really is quite a big difference. I frankly wouldn't expect as much of a change from minoxidil.


Peppermint oil is in Tricomin Shampoo, AMerican Crew thickening shampoo, and Jasons Thin to Thick shampoo. It has also been shown to have a strong anti-androgenic effect in rats and men who drink peppermint tea complain of low libido. We already know about the spearmint tea and hirsutism study....................................................................so Ive reasoned "what the hell", I'll try it for a few weeks on my beard.


Pine oil, I guarantee you with 10-19% beta sis (lot of beta sis in revivogen) would be helpful. It lowered hair growth more than Crinagen did, but a bit less than revivogen did. Im pretty sure I found something there.
 

zak84

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this topic is a bit moot in my opinion

even if ssri's have some hand in hairloss (i don't believe they do), what's more important, your mental health or your hair?

i'm all for fighting off baldness but there are some places where you have to draw the line
 

docj077

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zak84 said:
this topic is a bit moot in my opinion

even if ssri's have some hand in hairloss (i don't believe they do), what's more important, your mental health or your hair?

i'm all for fighting off baldness but there are some places where you have to draw the line

Unfortunately, for many guys here the reason that they are taking antidepressants is their hair, because their hair loss is creating clinical depression due to the stress. So, it seems quite pointless to me to take a medication that will worsen a condition that can aggrevate the very disease that seems to paralyze their social lives in the first place.

That is why this discussion is not moot in any way.
 

killbill123

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What I'm still trying to glean from this forum is:

Are we contending SSRIs trigger/cause male pattern baldness or just cause you to lose hair?

And secondly, is it contended that this effect continues AFTER you discontinue the drugs?
 

tomas99

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docj077 said:
youngbaldie said:
Thanks for that info Doctor. I trust your judgement over that website. I will admit, the site seems a little shady, maybe trying to sell something.


It would not be unreasonable to think that perhaps the reason people get T.E. and shedding on antidepressants is because of the increase in prolactin. The increase in prolactin reduces DHT and testosterone production. In men without male pattern baldness, those two hormones are probably pro-growth signals for the hair instead of growth inhibitory signals.

So, by removing or decreasing one of the "normal" growth signals, it is quite likely that the hair is forced into entering the catagen phase and that is where the shedding and possibly even some thinning could come from.

That's merely speculation, but it looks good on paper.


Well I have elevated Prolactin to very high levels and I have developed small temples. I have also faced continuous Telogen Effluvium. How would you explain this that Prolactin inhibit 5AR? If it is true, than I would have just Telogen Effluvium and did not lose hair on temples. No Prolactin level is OK, Telogen Effluvium stopped probably and temples are not receeding as before.
 

docj077

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tomas99 said:
docj077 said:
youngbaldie said:
Thanks for that info Doctor. I trust your judgement over that website. I will admit, the site seems a little shady, maybe trying to sell something.


It would not be unreasonable to think that perhaps the reason people get T.E. and shedding on antidepressants is because of the increase in prolactin. The increase in prolactin reduces DHT and testosterone production. In men without male pattern baldness, those two hormones are probably pro-growth signals for the hair instead of growth inhibitory signals.

So, by removing or decreasing one of the "normal" growth signals, it is quite likely that the hair is forced into entering the catagen phase and that is where the shedding and possibly even some thinning could come from.

That's merely speculation, but it looks good on paper.


Well I have elevated Prolactin to very high levels and I have developed small temples. I have also faced continuous Telogen Effluvium. How would you explain this that Prolactin inhibit 5AR? If it is true, than I would have just Telogen Effluvium and did not lose hair on temples. No Prolactin level is OK, Telogen Effluvium stopped probably and temples are not receeding as before.

What? You're not making any sense to me. Why are you linking prolactin to 5AR now?
 
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