Monday 20 February 2012

When Baldness Takes Its Course

You may have heard that baldness is caused from an overabundance of testosterone in the body and that bald men have higher levels of testosterone. Neither of these statements is true. A form of testosterone called DHT is to blame, however. It is a powerful sex hormone that promotes facial and body hair growth while leading to hair loss on the scalp. In genetically prone individuals, DHT starts the process of shrinking the hair follicle. Each time it sheds, it grows back smaller and smaller.

Eventually the scalp is left with “peach fuzz” or just barren. Way back when, Aristotle noticed that neither eunuchs nor women grew hair on their chests and he correctly surmised this was due to the lack of testes. DHT also affects prostate tissue and leads to noncancerous prostate enlargement.

You may also have heard that baldness comes from your mother’s side of the family. If only it were that simple. This myth can be traced back to a paper published in 1916 and has been propagated throughout the medical and lay literature since. There is no single way to get hair loss from your parents, as it is a complex genetic trait most likely coming from both sides.

Balding is not unique to humans. Gorillas, chimpanzees and orangutans all show some different degrees of baldness. Some psychologists have even proposed that a gorilla’s high forehead (simulating baldness) creates a larger show for the face, and hence a more powerful social standing.

Being bald used to mean you were either seriously ill, a religious freak, a slave or maybe the loser of a bet. Then suddenly Michael Jordan and Andre Agassi made it acceptable for men to shave their heads. They unlocked a new world for bald guys. No longer would balding men be compared to Telly Savalas or Mr. Clean.

So one day I woke up at 2 a.m. and shaved my head for the first time. I then climbed back in bed with my wife. I should mention here that I didn’t discuss it with her beforehand, so one can imagine her surprise waking up next to a Hare Krishna. Fifteen years later, I’m still shaving it (only there is less and less to shave each year). An interesting psychological point is that it took about three years of being bald in the real world to see myself as a bald person when I dreamed. I think it took that long for my ingrained self-image to adjust.

In conclusion, I’d like to share an amusing Biblical reference I came upon in preparing this article. Kings 2:23: “From there, Elisha went to Bethel. As he was walking along the road, some youths came out of the town and jeered at him. ‘Go on up, you baldhead!’ they said. ‘Go on up, you baldhead!’ He turned round, looked at them, and called down a curse on them in the name of the Lord. Then two bears came out off the woods and mauled 42 of the youths.

I guess even holy man can be sensitive about their hair loss! And God obviously loves bald men.