Male Pattern Baldness: Causes, Treatments, and Solutions - Dermatology

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Troubling male pattern baldness..?


I started experiencing hair loss around the age of 15, particularly at the temples.
My grandfather is bald, so can I confirm that this is due to genetic factors? If so, is there a solution? I previously used Rogaine, which was gentle but seemed ineffective.
Currently, I am using a product called Neoxidil; is it effective? I heard about a medication called Finasteride that seems to be quite effective, but I'm not sure about the details.
Can you provide more information?

Xiao Bai, 10~19 year old female. Ask Date: 2005/01/21

Dr. Huang Ruiyun reply Dermatology


The most likely factor is still genetic.
The treatment aims to maintain the current state rather than revert to the condition at age 15.
The main ingredient in Neoxidil is minoxidil, which is the same as in Rogaine, just a different brand.
As for "伊X," I apologize, but I do not know what it refers to.

Reply Date: 2005/01/21

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, often leading to partial or complete baldness. The condition is primarily influenced by genetic factors and hormonal changes, particularly the effects of dihydrotestosterone (DHT), a derivative of testosterone that can shrink hair follicles and shorten the hair growth cycle.

Given your family history, particularly with your grandfather experiencing baldness, it is reasonable to suspect that genetics plays a significant role in your hair loss. Male pattern baldness is often inherited, and if close relatives have experienced similar issues, it increases the likelihood that you may also be predisposed to this condition.

As for treatment options, there are several approaches available, and their effectiveness can vary from person to person. You mentioned using Rogaine (minoxidil) and Neoxidil, which are topical treatments that can help stimulate hair growth and slow down hair loss. Minoxidil is FDA-approved for treating hair loss and is known to be effective for many users, although results can take several months to become noticeable. It is important to apply it consistently and as directed to see the best results.

You also inquired about a medication that sounds like "伊X." This is likely referring to finasteride, which is sold under various brand names, including Propecia. Finasteride is an oral medication that works by inhibiting the enzyme that converts testosterone to DHT, thereby reducing the levels of DHT in the scalp. This can help prevent further hair loss and may even promote regrowth in some individuals. However, it is essential to consult with a healthcare provider before starting finasteride, as it can have side effects, including sexual dysfunction and other hormonal changes.

In addition to these treatments, there are other options worth considering:
1. Hair Transplant Surgery: This is a more permanent solution where hair follicles are taken from areas of the scalp that are resistant to balding and transplanted to thinning or bald areas. This procedure can provide natural-looking results but requires a significant investment of time and money.

2. Low-Level Laser Therapy (LLLT): This non-invasive treatment uses laser light to stimulate hair follicles and promote hair growth. Some studies have shown positive results, but more research is needed to confirm its effectiveness.

3. Nutritional Supplements: Some individuals find that supplements containing biotin, zinc, and other vitamins can support hair health. However, the evidence for their effectiveness in treating male pattern baldness is limited.

4. Lifestyle Changes: Maintaining a healthy diet, managing stress, and avoiding harsh hair treatments can also contribute to overall hair health.

It's important to have realistic expectations when it comes to treating male pattern baldness. While many treatments can slow down hair loss and promote regrowth, they may not work for everyone, and results can take time. Consulting with a dermatologist or a hair loss specialist can provide personalized recommendations based on your specific situation and help you navigate the various treatment options available.

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