Male baldness

Causes, diagnosis, and advanced solutions

Introduction

Baldness in men is a common phenomenon, affecting a significant percentage of the male population. About 50% of men experience androgenetic baldness — today it is possible to restore a natural appearance and confidence. Although it is often associated with older age, hair loss can begin as early as the 20s and worsen in the 40s. The main cause is Androgenetic alopecia, but there are also other factors that can accelerate the process. Early diagnosis and personalized treatment are key to effectively managing the condition.

What is baldness?

It involves partial or complete loss of scalp hair, usually gradually. The most common form is Androgenetic alopecia, characterized by hair thinning in the frontal and crown areas, while the back of the scalp (known as the “Hippocratic crown”) usually remains dense — serving as a donor area in hair transplants.

How does the shedding process occur? Hair grows in a regular cycle consisting of three stages:

  1. Anagen – the active growth phase
  2. Catagen – the transitional phase during which the hair separates from the follicle
  3. Telogen – the resting and shedding phase

Each hair goes through about 25 cycles. When the cycle is consistently disrupted, the follicle stops producing hair — resulting in baldness.

Understanding androgenetic baldness

Androgenetic baldness is the scientific term for baldness, referring to hair loss. Note: the different forms of baldness are not diseases and, in fact, do not affect the health of those who experience them.

Androgenetic alopecia – the main cause

The primary cause is a genetic sensitivity to the hormone DHT. (dihydrotestosterone), a derivative of testosterone. When follicles are sensitive to DHT, the growth cycle shortens, hair becomes thinner — until the follicle eventually atrophies completely. This is a gradual process. irreversible, making early treatment crucial.

Additional causes of male baldness: besides the hormonal-genetic factor, there are also secondary factors:

  • Scalp skin inflammations (such as seborrhea)
  • Cicatricial alopecia resulting from burns or the use of harsh products
  • Medical treatments such as chemotherapy
  • Nutritional deficiencies (zinc, copper, biotin)
  • Chronic psychological stress causing temporary hair loss, known as telogen effluvium

How is baldness identified?

Losing 50–100 hairs per day is considered normal. However, if shedding increases, is accompanied by significant thinning, or a receding hairline occurs, it may indicate alopecia.

Diagnosis is performed using a medical scale called Norwood-Hamilton, which grades the stages of baldness from 1 to 7.

Professional medical diagnosis

The diagnosis includes:

  • Examination of the scalp, hair density, and hair thickness
  • Review of family history
  • Additional tests:
    • Trichoscopy – visual examination of the scalp
    • Trichogram – microscopic examination of the condition of hair follicles
    • TrichoTest – DNA test to detect sensitivity to DHT
    • Biopsy – in complex cases, a skin sample is taken

After the diagnosis, the patient can be guided toward the appropriate treatment.

Medical treatments for male baldness

How to choose the right treatment?

The treatment is tailored according to the patient’s age, type of hair loss, and its extent.

  • Medical treatments for male baldness
  • Medical treatment in the early stages.
  • Mesotherapy or PRP – to nourish the scalp and stimulate growth.
  • Medication treatment for androgenetic alopecia.
  • Finasteride or Dutasteride – DHT blockers.
  • Minoxidil – for stimulating localized hair growth.
  • Surgical treatment – hair transplant.

In advanced cases, hair transplantation is an effective solution.

The procedure involves transferring follicles from the donor area (usually the nape) to the thinning area.

Common methods:

  • FUE – extraction of individual follicles.
  • FUT – removal of a strip of skin with follicles.
  • Direct implantation using a special pen.

The choice of technique depends on the condition of the scalp and the patient’s expectations.

The Clinic IL | The Art of Aesthetic Medicine and Hair Transplants

In summary

If you are dealing with male pattern baldness, early diagnosis and a tailored treatment are key.

At Clinic IL, you can receive a personalized medical solution, including medication, biological treatments, or surgical transplantation — all supported by an expert team and the highest standards.

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