Male Pattern Baldness: Symptoms, Causes, and Concerns

Male pattern baldness?

Hello, doctor.
Recently, I noticed that some of the hair I’ve lost has become finer and seems to be falling out more than before.
After researching online, I found that it could be a case of androgenetic alopecia.
I took some photos of my crown area, and it does appear to be thinning.
The visible scalp area seems larger than what is typical for my crown.
However, I read that losing fewer than 100 hairs a day is considered normal.
Since I started paying attention, I haven’t exceeded 100 hairs lost daily; it’s mostly around 50-70 or 80.
So, I would like to ask if it’s possible to have androgenetic alopecia while losing fewer than 100 hairs a day? Additionally, my scalp has been itchy, particularly around the temples, the back of my head, my hairline, and my forehead.
Could this indicate androgenetic alopecia? Regarding shampoo, I’ve been using the same one at home for about a year or two, and I didn’t have any issues with it before; I didn’t notice any particular itching (though I’m not sure if I just wasn’t paying attention).
Last year, I stayed in a dorm and used a different shampoo there.
After moving out, I brought the leftover shampoo home and continued using it.
For the past couple of months, I’ve been using the original shampoo from home again.

Ivan, 20~29 year old female. Ask Date: 2020/09/27

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to determine the issue.
If you are very concerned, please seek medical attention as soon as possible.
Only after an examination can the problem be identified and addressed.

Reply Date: 2020/09/27

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, leading to a receding hairline and bald spots. Understanding the symptoms, causes, and concerns associated with this condition can help individuals navigate their options for treatment and management.

Symptoms of Male Pattern Baldness
The primary symptom of male pattern baldness is hair loss, which can manifest in several ways:
1. Thinning Hair: This often begins at the crown or temples and may progress to more extensive areas of the scalp.

2. Receding Hairline: The hairline may gradually move back, creating an "M" shape.

3. Bald Spots: Over time, bald patches may develop, particularly at the crown of the head.

4. Itching or Irritation: Some individuals may experience itching or irritation in the areas where hair is thinning or falling out.

Causes of Male Pattern Baldness
The exact cause of male pattern baldness is not entirely understood, but it is believed to be a combination of genetic and hormonal factors. Here are some key contributors:
1. Genetics: A family history of baldness can increase the likelihood of developing this condition. If your father or grandfather experienced hair loss, you may be at a higher risk.

2. Hormones: Dihydrotestosterone (DHT), a derivative of testosterone, is thought to play a significant role in hair loss. DHT can shrink hair follicles, leading to thinner hair and eventual baldness.

3. Age: The risk of male pattern baldness increases with age, with many men experiencing some degree of hair loss by their 30s or 40s.

Concerns Related to Male Pattern Baldness
While male pattern baldness is not a medical condition that poses health risks, it can have psychological and emotional impacts. Many men feel self-conscious about their appearance, which can lead to decreased self-esteem and confidence. Additionally, the presence of itching or irritation on the scalp may indicate other underlying issues, such as dermatitis or an allergic reaction to hair products.

Addressing Your Concerns
From your description, it seems you are experiencing some hair thinning and scalp itching. It is important to note that losing fewer than 100 hairs a day is generally considered normal, and your reported loss of 50-80 hairs daily falls within this range. However, if you are noticing changes in the texture of your hair (becoming finer) and increased visibility of your scalp, it may be indicative of male pattern baldness.

The itching you are experiencing could be related to several factors, including:
- Product Sensitivity: If you switched shampoos or hair products, your scalp may be reacting to new ingredients. Consider whether the itching started after changing products.

- Scalp Conditions: Conditions like seborrheic dermatitis or psoriasis can cause itching and flaking. If the itching persists, it may be worth consulting a dermatologist.

- Stress: Stress can exacerbate hair loss and scalp issues. If you are under significant stress, it may be contributing to your symptoms.

Recommendations
1. Consult a Dermatologist: Given your symptoms of itching and hair thinning, it would be beneficial to see a dermatologist. They can assess your scalp condition and determine if there are any underlying issues that need to be addressed.

2. Consider Treatment Options: If male pattern baldness is confirmed, there are treatment options available, including topical minoxidil (Rogaine) and oral finasteride (Propecia). These treatments can help slow hair loss and promote regrowth in some individuals.

3. Monitor Your Hair Health: Keep track of any changes in your hair and scalp health. If you notice increased itching, redness, or flaking, seek medical advice promptly.

In conclusion, while male pattern baldness is a common condition, it is essential to address any accompanying symptoms like itching and to seek professional guidance for appropriate management. Understanding the nature of your hair loss and scalp health can empower you to make informed decisions about your treatment options.

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