Male Pattern Baldness
Male Pattern Baldness Causes
Hair grows from follicles which look like tiny pouches which we have just under the surface of our scalp skin. The life cycle of hair is normally a three year. Hair grows from each follicle for around three years. It then falls off and a new hair grows from the same follicle. This cycle of hair growth, hair falling and new hair growth continues throughout our lives
Male pattern hair loss, also known as androgenetic alopecia, is caused by a combination of genetic and hormonal factors.
The hormone dihydrotestosterone (DHT) impacts the hair follicles on the scalp, leading to hairs produced by these follicles becoming progressively smaller in diameter, shorter in length, and lighter in color. Over time, the affected follicles shrink and cease producing hair. This condition is thought to be inherited from one or both parents.
Men may notice hair loss or a receding hairline at any point after puberty. There are typically no symptoms on the scalp, but hair loss can lead to significant psychological challenges. The common pattern of hair loss involves a receding frontal hairline and thinning at the top of the head.
Initially, the hairs in the affected areas are smaller and shorter compared to those in unaffected areas, eventually leading to complete hair loss in these regions. Diagnosis is usually based on the history of hair loss, the pattern of hair thinning, and a family history of similar issues. The scalp skin typically appears normal during examination, although blood tests may be conducted occasionally.

Can male pattern hair loss be cured?
No, there is no cure for male pattern hair loss. However, it generally progresses slowly over several years or decades, with an earlier onset possibly leading to faster progression.
How can male pattern hair loss be treated?
Surgical treatments include:
1. Hair transplantation – This procedure involves taking hair follicles from the back and sides of the scalp and transplanting them to the bald areas.
2. Scalp reduction – In this procedure, a section of the bald area is removed, and the hair-bearing scalp is stretched to cover the gap. Tissue expanders may be used to stretch the skin.
Classification:
The following is Norwood’s basic scale along with an illustration:
There is minimal or no recession of the hair line.
The hairline shows definite recessions at each side of the temples which are usually symmetrical.
This classification shows hair loss that is sufficient to be considered as baldness with deep recessions at the temples.
Vertex. In addition to the recession at the temples, there is the beginning of a bald spot at the vertex (top) of the head.
The receding hairline on the temples is much more severe than Type III, and the bald spot or sparse hair at the vertex is much more noticeable. The two areas are separated by a band of thicker hair that extends across the top of the head and to each side of the scalp. With Type IV, there is more hair loss at the crown than in the Type III Vertex.
The front of the hair is now receding with less distinct division between the temples. The balding vertex region is still separated with a narrower band of hair from the front and temples, but it is less distinct. Viewed from above, types V, VI, and VII are all characterized by surviving hair on the sides and back of the scalp forming a distinct horseshoe shape.
The strip of hair across the crown is now gone except for sparse hair that remains. The front temporal and vertex regions are now joined together with the amount of hair loss greater.
- As the most severe form of hair loss, there is only a narrow band of hair on the sides and the back of the scalp that is not dense. At the nape of the neck, the hair is sparse and in a semi-circle over the ears.