Hair loss (male pattern)

Male pattern hair loss is hormonal and genetic, affecting half of men by 50. Evidence-based treatments exist — they work best at keeping the hair you have, which is why starting earlier matters.

Medically reviewed by Dr [GP Name], General Practitioner GMC 0000000

Symptoms

  • Receding temples or thinning crown
  • Widening parting
  • More hair on the pillow or in the shower
  • Family history of pattern baldness

Why it happens

Follicles genetically sensitive to DHT (a testosterone by-product) progressively miniaturise. It’s not caused by hats, washing, or normal-range testosterone levels.

Treatment

Two evidence-based approaches exist: topical treatment available over the counter, and prescription tablet treatment that lowers DHT — more effective for most men, and best discussed with a clinician. Combination use outperforms either alone. Judge any treatment at six months.

Self-care that helps

Consistent photographs in the same lighting to track honestly; general health (sleep, stress, nutrition) supports hair but won’t override genetics; be sceptical of shampoos and most supplements.

When to get help

Patchy loss, sudden shedding, scalp soreness or scarring suggest something other than pattern loss — get assessed, as some causes are reversible if treated early.

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