Male-Pattern Baldness

Male-pattern baldness, also known as androgenetic alopecia, is a common condition that affects millions of men worldwide. It is characterized by hair loss on the scalp, typically starting from the temples and crown, and progressing to more extensive areas.

What is Male-Pattern Baldness?

Male-pattern baldness is a genetic condition that is inherited from one's parents. It is caused by the conversion of testosterone into dihydrotestosterone (DHT), a potent form of testosterone that contributes to hair loss. DHT causes the hair follicles to shrink, leading to thinner and shorter hair, and eventually, baldness.

Symptoms of Male-Pattern Baldness

The symptoms of male-pattern baldness may vary from person to person, but common signs include:

  • Thinning hair on the scalp, particularly on the temples and crown
  • Receding hairline, with the hairline moving backwards
  • Bald patches or spots on the scalp
  • Excessive hair shedding, especially after washing or combing
  • Slow hair growth, with new hair growing in thinner and shorter than before

Stages of Male-Pattern Baldness

The Norwood-Hamilton scale is a widely used classification system to measure the extent of male-pattern baldness. The stages are:

  1. Stage I: Minimal hair loss, with a slight recession of the hairline
  2. Stage II: Moderate hair loss, with a more noticeable recession of the hairline and thinning on the crown
  3. Stage III: Significant hair loss, with a pronounced recession of the hairline and extensive thinning on the crown
  4. Stage IV: Advanced hair loss, with large areas of baldness on the scalp
  5. Stage V: Severe hair loss, with only a narrow strip of hair remaining on the back and sides of the head
  6. Stage VI: Complete baldness, with no hair remaining on the scalp
  7. Stage VII: Total baldness, with no hair remaining on the scalp or body

Treatments for Male-Pattern Baldness

Treatment options for male-pattern baldness include:

  • Minoxidil (Rogaine): A topical solution applied to the scalp to stimulate hair growth and slow down hair loss
  • Finasteride (Propecia): An oral medication that blocks the production of DHT, slowing down hair loss and promoting hair growth
  • Hair transplantation: A surgical procedure that involves transplanting healthy hair follicles from the back and sides of the head to bald areas
  • Low-level laser therapy (LLLT): A non-invasive treatment that uses low-level laser or light-emitting diodes to stimulate hair growth
  • Platelet-rich plasma (PRP) therapy: A treatment that involves injecting platelet-rich plasma into the scalp to stimulate hair growth
  • Hair systems and wigs: Non-surgical options for covering bald areas, available in various styles and materials

Lifestyle Changes to Manage Male-Pattern Baldness

In addition to medical treatments, making certain lifestyle changes can help manage male-pattern baldness:

  • Maintaining a healthy diet rich in vitamins and minerals, particularly those that promote hair growth such as biotin, vitamin D, and omega-3 fatty acids
  • Reducing stress through techniques like meditation, yoga, or deep breathing exercises
  • Avoiding harsh chemical treatments, excessive heat styling, and tight hairstyles that can damage the hair and scalp
  • Getting regular exercise to improve overall health and reduce stress

Article last updated on: 11th April 2025.
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