Androgenetic Alopecia : All you need to know

Androgenic alopecia is a hereditary disorder that affects men and women alike. Hair loss in men with this disorder, commonly known as male pattern baldness, can begin as early as their teens or early twenties.

Dr. Mohit Srivastava Created on 28th Aug, 21

Androgenic alopecia is a genetic condition that affects both men and women. Men with this condition, also called male pattern baldness, can suffer from hair loss as early as their teens or early 20s. Women with androgenetic alopecia experience gradual thinning along the part line, followed by dispersed hair loss from the crown of the head. Women's hairlines rarely recede, and they rarely grow bald.

It is characterized by a reducing hairline and gradual reduction of hair from the crown and frontal scalp. 

Androgenetic alopecia in women is also known as female pattern baldness. However, women do not experience visible thinning until their 40s or later. 


Women experience a normal thinning over the entire scalp, with excess hair loss at the crown. 


What are the Possible Causes of Androgenetic Alopecia? 

Men may suffer from androgenetic alopecia because of genetics. It can also involve some medical conditions, including: 

  • Coronary heart disease
  • Enlargement of the prostate
  • Prostate cancer
  • Insulin resistance disorders (such as diabetes and obesity)
  • High blood pressure (hypertension)

Women suffer from androgenetic alopecia because of polycystic ovary syndrome. The syndrome’s symptoms include an imbalance of hormones causing acne, irregular periods, excess hair on the body, and weight loss. 


Some researchers believe that these disorders may occur because of an increase in androgen levels. It explains why they only occur when androgen contributes to hair loss. Factors related to hormones and the environment contribute to androgenetic alopecia as well, but they remain unknown. 


Treatments for Androgenetic Alopecia 

Treatment for androgenetic alopecia includes both medicines and surgeries. In some cases, the use of medications can increase hair growth and reduce hair loss; these medicines include: 



It is a lotion or foam that you can apply to your scalp. Minoxidil is helpful for people who do not want to take any pills for hair growth. Furthermore, it makes your hair follicles enlarged and encourages hair growth. However, Minoxidil does have side effects like scalp irritation. So, you have a sensitive scalp; you may develop redness, itching, and flaking. 



It is a pill that targets the enzyme responsible for converting testosterone to DHT. This, in turn, reduces the production of DHT, the hormone which causes androgenic alopecia. After that, follicles that are sensitive to the effects of DHT function normally. It also prolongs the hair growth cycle, thus reducing hair shedding. 


The main difference between them is that minoxidil is very effective in hair loss at the crown. But, finasteride is effective on the entire scalp. There are some minimally invasive procedures, which are much more useful than medications.



It is useful for patchy hair loss, hair thinning, balding, and patchy hair loss. In mesotherapy treatment, your doctor will use tiny needle-like injections to give your scalp a combination of different vitamins. This boost of vitamins creates better blood circulation in your scalp. It results in healthy hair growth. 


Platelet Rich Plasma Therapy (PRP): 

Under this method, your blood is extracted and spun in a centrifuge. This method separates the platelets. Platelets, along with plasma, are injected into your scalp. PRP treatment encourages hair follicles to grow due to its healing properties. 


The treatments mentioned above generally require some sessions depending on the level of your hair loss. These sessions are taken at different intervals ranging between 3-4 months. Other treatment for androgenetic alopecia includes hair transplant surgery. 


Hair transplant surgery is an effective treatment for androgenetic alopecia. It is a surgical method of taking hair follicles from one area of your scalp and planting them on the balding side. Many people opt for a hair transplant treatment for balding because of its long-lasting benefits. 


Medications can reduce androgenetic alopecia. But, if hair loss has increased and causes balding or patchy hair loss, a hair transplant is the right option for best results. 


So, if you are suffering from androgenetic alopecia consult your doctor. They will conduct a thorough examination of your scalp and hairline. In addition to that, they will guide you to a treatment method that will suit your condition. 



Relevant Questions

Q. I have been experiencing severe hair fall since last few months. It's also getting worse day by day. Whenever i comb or wash my hairs i find a lot of hair strands in my hand. Even on combing hair with my fingers i find a lot of hair strands. I'm really worried. History: i don't have any disease but i had typhoid along with some symptoms of covid, 2 months back. But i didn't take any covid test. None of my family members or relatives have this issue.

Here's a list of 20 things you can do to help prevent or treat hair loss. Wash your hair with a light shampoo regularly. For hair loss, there's a vitamin. Protein should be included in your diet. Massage your scalp with aromatic oils.

Brushing wet hair should be avoided. Garlic juice, onion juice, or ginger juice are all good options. Maintain a healthy level of hydration. Infuse your hair with green tea.


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Q. Hi Doctor, I have had severe hairfall for last 6-7 years, I lost more than 75% of my hair. Surprisingly enough though, there are no bald patches. I have consulted many doctors for a treatment. I underwent some tests 4 years back, they were all normal. I repeated the tests last year. and all (cbc, thyroid profile, Ana, vit D) were normal except for slightly dropping vit D levels, where i was given 3 doses of Vit D. Currently i am consuming multivitamins, and using piligrow hair spray as well as climbazam shampoo. I'm a medical student and experience stress. Could this possibly be a genetic issue since my mom had faced the same problem in her 20s and as my 3 sisters are also experiencing the same? And Is there any cure for this?

Although there is presently no cure for hair loss, scientific research could lead to one in the future. Researchers are currently researching the use of stem cells to encourage hair growth in males suffering from male pattern baldness. 

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