Hair Today, Gone Tomorrow? Understanding Androgenetic Alopecia

Hair loss can feel overwhelming, but you’re not alone. Androgenetic alopecia—commonly known as male or female pattern baldness—is the most common type of hair loss. The great news? There are effective treatments to help you reclaim your confidence and your hair.

What Is Androgenetic Alopecia?

Androgenetic alopecia is a genetic condition that causes gradual hair thinning and loss. In men, it often starts with a receding hairline or thinning at the crown. Women typically notice a widening part or general thinning across the scalp, though the hairline typically stays intact. Hair shedding or “clumps” in the shower is not a typical feature.

This type of hair loss is driven by a combination of genetics and hormones, specifically sensitivity to dihydrotestosterone (DHT), which shrinks hair follicles over time.

Who Does It Affect

Men: Around 50% experience some degree of androgenetic alopecia by age 50.

Women: Roughly 40% notice hair thinning by age 50, often worsening after menopause.

Treatment Options

While there’s no “cure,” effective treatments can slow down hair loss, promote regrowth, and boost confidence:

Topical Treatments

Minoxidil (Rogaine): This over-the-counter treatment is applied to the scalp to stimulate hair growth. It’s effective for both men and women when used consistently and usually shows results in a few months.

Oral Medications

  • Finasteride (Propecia): This prescription medication is generally used for men and works by reducing DHT levels, slowing hair loss, and sometimes stimulating regrowth.

  • Oral Minoxidil: Originally used to treat high blood pressure, low-dose oral minoxidil has emerged as an off-label option for hair loss. It’s convenient and effective, particularly for those who find topical treatments cumbersome.

Platelet-Rich Plasma (PRP) Therapy

PRP involves drawing a small amount of your blood, processing it to concentrate the platelets, and injecting it into the scalp. These platelets release growth factors that stimulate hair follicles and promote regrowth. PRP is minimally invasive and often performed in a series of sessions for optimal results.

Hair Transplants

For more advanced cases, hair follicles from areas resistant to hair loss are transplanted to thinning or bald spots. This procedure offers natural-looking, permanent results but is more invasive.

man with hair loss - receding hairline
woman with hair loss at scalp

Low-Level Laser Therapy

Devices like laser combs, helmets, or caps improve cellular activity in hair follicles, stimulating growth. This is a painless, non-invasive option best suited for mild to moderate hair loss.

Lifestyle Adjustments

  • A nutrient-rich diet, stress management, and avoiding harsh hair treatments can support overall hair health and complement other treatments.

  • Vitamin supplements, including Biotin, Zinc, Iron, and Vitamin D, may support hair growth and improve the efficacy of other treatments. 

When to See Your Dermatologist

If you notice excessive shedding, a receding hairline, or thinning patches, consult your dermatologist. Addressing hair thinning early with prompt action can improve outcomes.

The Bottom Line

Androgenetic alopecia doesn’t have to be a losing battle. With options ranging from topical treatments to oral medications to advanced therapies like PRP, there’s a possible solution for every stage of hair loss. 

Any questions? Consult one of our board-certified dermatologists. Please contact SSDP to schedule an appointment with any of our physicians.

 
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