Hair Loss

Hair Loss

Male pattern baldness, also known as androgenetic alopecia, is the most common type of hair loss in men. It usually begins with a receding hairline or thinning at the crown and can gradually progress to more extensive baldness over time.

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What is Hair Loss?

Male pattern baldness, also known as androgenetic alopecia, is the most common type of hair loss in men. It usually begins with a receding hairline or thinning at the crown and can gradually progress to more extensive baldness over time.

This condition is largely genetic and linked to male hormones (androgens), particularly dihydrotestosterone (DHT), which causes hair follicles to shrink. While male pattern baldness isn’t harmful to physical health, it can affect confidence and self-esteem.

Symptoms of Hair Loss
  • Receding hairline – often starting at the temples
  • Thinning hair – especially on the top of the head (crown)
  • Bald spots – gradually appearing as hair becomes finer
  • Slow, progressive hair loss – over months or years
  • Shorter, finer hair growth – before the follicle stops producing hair entirely

Hair loss usually follows a typical pattern and varies in how quickly it progresses from person to person.

Medical Treatment of Hair Loss

There is no cure for male pattern baldness, but some treatments can slow hair loss or stimulate new growth:

  • Minoxidil (Regaine) – a topical treatment that can help slow hair loss and promote regrowth
  • Finasteride (Propecia) – a tablet that reduces DHT levels and may help retain or regrow hair
  • Hair transplant surgery – relocating hair follicles from other parts of the scalp
  • Scalp micropigmentation or hair systems – cosmetic alternatives to restore appearance
  • Counselling or support – if hair loss affects self-image or wellbeing

It’s important to speak to a healthcare professional before starting treatment, as results vary and side effects may occur.

Author

Dr Adam Kirk

Revision 1.0 - 04/08/2025

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Causes of Hair Loss

The condition is primarily caused by a combination of:

  • Genetics – a family history of hair loss increases the likelihood
  • Hormones – especially increased sensitivity to dihydrotestosterone (DHT)
  • Age – the chance of hair loss increases with age

It is not caused by wearing hats, shampooing too often, or poor circulation, despite common myths.

Preventing Hair Loss

Although male pattern baldness cannot be prevented, the following steps may help manage or slow the process:

  • Start treatment early – minoxidil or finasteride are more effective when used early
  • Avoid harsh styling – such as tight hairstyles or heat tools that may damage hair
  • Be gentle when washing or brushing – to avoid unnecessary hair breakage
  • Eat a healthy diet – including protein, iron, and vitamins that support general hair health
  • Manage stress – as stress can sometimes worsen hair loss
  • Talk to a professional – to explore treatment options or cosmetic solutions

Many men choose not to treat hair loss, but support is available for those who find it distressing.

References for hair loss

(1) https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/hair-loss/

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