Male Pattern Baldness: Early Signs and Treatment Options - Dermatology

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Balding at the age of 16?


Hello Doctor, I recently noticed that there are prominent triangular areas on both sides of my forehead, but the crown of my head has a normal hair whorl.
Since I was a bit concerned, I went for a consultation, and the doctor said I have male pattern baldness, but did not specify the severity.
After researching online, I assessed it to be around stages 2 to 3.
However, when I looked back at old photos from when I was in sixth grade to junior high, I noticed that the sides of my forehead had already started to recede a bit.
I also remember hearing from barbers when I was younger that I had indentations on the sides and should avoid cutting them.
I would like to ask the doctor if this means I have had a higher hairline since childhood and later developed male pattern baldness? Can I just use a topical hair growth solution on the receding areas, or do I still need to take medication to prevent further hair loss? Thank you for your guidance.

Danxin de xiao gao yi, 10~19 year old female. Ask Date: 2022/06/20

Dr. Wu Yuxin reply Dermatology


Male pattern baldness cannot be diagnosed online; a medical examination of the hair type is necessary.

Reply Date: 2022/06/20

More Info


Male pattern baldness, also known as androgenetic alopecia, is a common form of hair loss that affects many men as they age. It is characterized by a receding hairline and thinning of hair on the crown of the head. Understanding the early signs and treatment options is crucial for managing this condition effectively.

From your description, it seems that you have noticed a receding hairline, particularly at the temples, which is often one of the first signs of male pattern baldness. The fact that you have observed this change since your early teens suggests that you may have had a naturally higher hairline from a young age, which can predispose you to develop male pattern baldness later on. Genetics plays a significant role in this condition, and if you have a family history of hair loss, it increases the likelihood that you will experience it as well.

In terms of classification, male pattern baldness is often assessed using the Norwood scale, which ranges from stage I (minimal hair loss) to stage VII (severe hair loss). Based on your self-assessment of being in stages II to III, it indicates that you are experiencing early to moderate hair loss. Stage II typically involves a slight recession at the temples, while stage III shows more pronounced hair loss.

When it comes to treatment options, there are several approaches you can consider. The most common treatments for male pattern baldness include topical solutions and oral medications. Minoxidil (often known by the brand name Rogaine) is a topical solution that can be applied directly to the scalp. It is FDA-approved for the treatment of hair loss and can help stimulate hair growth and slow down the progression of hair loss. However, it is important to note that results can vary, and it may take several months of consistent use to see noticeable improvements.

On the other hand, finasteride (commonly known as Propecia) is an oral medication that works by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), a hormone that contributes to hair loss. This medication can be effective in preventing further hair loss and may even promote regrowth in some individuals. It is essential to consult with a healthcare provider before starting any medication, as there can be side effects associated with finasteride.

In your case, using a topical solution like minoxidil may be a good starting point, especially for the areas where you have noticed thinning. However, combining it with an oral medication like finasteride could provide a more comprehensive approach to managing your hair loss. It is advisable to discuss your options with a dermatologist or a healthcare provider who specializes in hair loss to determine the best course of action tailored to your specific situation.

Additionally, lifestyle factors such as diet, stress management, and overall health can also impact hair health. Maintaining a balanced diet rich in vitamins and minerals, particularly those known to support hair growth (like biotin, zinc, and vitamins A and D), can be beneficial. Regular exercise and stress-reduction techniques, such as yoga or meditation, may also help improve overall well-being and potentially mitigate hair loss.

In summary, it appears that you may have a genetic predisposition to male pattern baldness, which has manifested in your early teens. Treatment options such as minoxidil and finasteride can be effective in managing hair loss. It is crucial to consult with a healthcare professional to explore these options and develop a personalized treatment plan. Early intervention can often lead to better outcomes, so addressing your concerns sooner rather than later is advisable.

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1. Regardless, this is my suggestion. 2. Treat it; you can take oral finasteride or apply minoxidil topical solution. Wishing you well.

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