Male Pattern Baldness: Stress, Habits, and Treatment Options - Dermatology

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Questions related to male pattern baldness?


Hello Doctor,
I would like to ask if there is a correlation between male pattern baldness and stress or habits.
Recently, when I got a haircut, the stylist mentioned that my hairline is slightly receding and suggested that I see a doctor.
I visited two clinics for consultation.
The first doctor diagnosed me with stage one male pattern baldness and recommended that I take Finasteride or use Minoxidil.
The second doctor said that at 29 years old, it is quite normal for men to experience this condition and that my current situation is acceptable.
He also mentioned that if I am concerned, I could take medication, and prescribed me to take a quarter of a tablet daily.
I would like to ask the doctor about my hair type, which is fine and soft.
Additionally, I have been under a lot of stress lately due to exam preparations, and I have a bad habit of constantly pushing my hair back from my forehead when I am deep in thought.
My sleep schedule often has me going to bed around 1 to 2 AM.
I also have ulcerative colitis and tend to be a nervous person.

I want to know if changing my routine and supplementing with relevant nutrients could improve or restore my hair condition.
If I should supplement, what nutrients should I focus on? Or should I just proceed with medication or topical treatments? Although I am currently hesitant to use medication, hearing about my situation has made me quite anxious.
I would appreciate any advice and feedback you could provide.
Thank you.

Nick, 20~29 year old female. Ask Date: 2016/06/24

Dr. Wu Yuxin reply Dermatology


Male pattern baldness is a hereditary condition, and factors such as stress and lifestyle can exacerbate it, including smoking and lack of sleep.
As for treatment, it is difficult to determine without a proper examination of the affected area.
If it is causing significant distress, please seek medical attention promptly.

Reply Date: 2016/06/24

More Info


Male pattern baldness, also known as androgenetic alopecia, is a common condition that affects many men as they age. It is characterized by a gradual thinning of hair, typically starting at the temples and crown of the head. While genetics play a significant role in this condition, factors such as stress, lifestyle habits, and overall health can also contribute to its progression.

Stress and Hair Loss:
Stress is often cited as a potential factor in hair loss. While it may not directly cause male pattern baldness, it can exacerbate the condition or lead to temporary hair loss conditions such as telogen effluvium. This occurs when stress pushes hair follicles into a resting phase, causing hair to fall out more easily. In your case, preparing for exams and experiencing increased stress levels may contribute to your hair concerns. Managing stress through relaxation techniques, exercise, and adequate sleep can be beneficial not only for your mental health but also for your hair.

Habits and Hair Health:
Your habit of frequently pushing your hair back can also affect hair health. This repetitive action can lead to traction alopecia, a form of hair loss caused by pulling on the hair. It’s essential to be mindful of how you handle your hair, as excessive pulling can weaken hair follicles over time. Additionally, maintaining a regular sleep schedule is crucial. Sleep deprivation can lead to increased stress and hormonal imbalances, both of which can negatively impact hair growth.

Diet and Nutrition:
Nutrition plays a vital role in hair health. A balanced diet rich in vitamins and minerals can support hair growth and overall well-being. Key nutrients for hair health include:
1. Biotin: Often recommended for hair health, biotin is a B vitamin that helps strengthen hair and nails. Foods rich in biotin include eggs, nuts, and whole grains.

2. Zinc: This mineral is essential for hair tissue growth and repair. Foods high in zinc include meat, shellfish, legumes, and seeds.

3. Iron: Iron deficiency can lead to hair loss. Incorporating iron-rich foods such as spinach, lentils, and red meat can help.

4. Omega-3 Fatty Acids: These healthy fats promote scalp health and can be found in fish, flaxseeds, and walnuts.

5. Vitamin D: Low levels of vitamin D have been linked to hair loss. Sun exposure and foods like fatty fish and fortified dairy products can help increase your vitamin D levels.

Treatment Options:
Regarding treatment, both oral medications like finasteride (often referred to by its brand name, Propecia) and topical treatments like minoxidil (Rogaine) are commonly prescribed for male pattern baldness. These treatments can help slow hair loss and promote regrowth in some individuals. However, they may come with side effects, and it’s essential to discuss these with your healthcare provider.

If you are hesitant about starting medication, consider consulting with a dermatologist or a trichologist (a specialist in hair and scalp health) who can provide personalized advice based on your specific situation. They may also suggest alternative treatments such as low-level laser therapy or platelet-rich plasma (PRP) therapy, which have shown promise in promoting hair growth.

Conclusion:
In summary, while male pattern baldness is primarily influenced by genetics, stress, lifestyle habits, and nutrition can play significant roles in its progression. By managing stress, adopting healthier habits, and ensuring a balanced diet, you may improve your hair health. If you choose to explore medical treatments, consult with a healthcare professional to find the best approach for your needs. Remember, it’s essential to be patient, as hair growth takes time, and addressing these factors holistically can lead to better outcomes.

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