Although castration is now considered barbaric, until as recently
as 1950, in Kansas and 27 other States, institutionalized males
who were labeled mentally retarded were often castrated - a holdover
from 1920s eugenic laws. Castration was also supposedly used to
control aggression. Statistics show that these unfortunate castrated
Kansas inmates, like the neutered cats, lived longer than "matching"
groups of male inmates who didn't get the knife and even lived
longer than female inmates.
In 1942 a Dr. James B. Hamilton, a Yale anatomist, studied the
castrated inmates. The story is that one day Hamilton noticed
an identical twin of one of the inmates who came to visit his
brother. The castrated inmate brother had a full head of hair.
His twin, with the family jewels intact, was quite bald. This
gave doctor Hamilton an idea. He experimented with the castrated
brother by giving him testosterone. It is rumored that the poor
inmate's voice got deeper, he developed acne, large muscles and
a sex drive. Dr. Hamilton tells us that he became bald. His hair
never grew back.
The "population" of institutionalized, castrated males
provided Dr. Hamilton with a means of demonstrating the relationship
between baldness and hormones. Testosterone was orally given to
104 castrated inmates; they were compared to 312 "normal"
men. When given testosterone, the castrated inmates grew bald,
if baldness was in their family history. There was a direct connection
between the length of time that testosterone was given and the
degree of baldness that occurred: the longer the treatment, the
more baldness. Echoing Hippocrates Dr. Hamilton concluded "Men
who failed to mature sexually did not become bald".
Dr. Hamilton established the cause of baldness. Hamilton's classification
of degrees of baldness was updated in the 1970's by O'Tar Norwood,
a noted hair replacement surgery innovator. The Hamilton-Norwood
Scale is remains the standard in medicine.