Male Pattern Baldness

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Male pattern baldness (MTB) is the most common type of hair loss in men.
Baldness appear gradually on the crown of the scalp or as receding hairline at the frontal and thinning of hair over temple areas.
It affect about 30% of men by the age of 30 and 50% of men over the age of 50.

Both genetic and hormonal factors are responsible.
Testosterone is naturally converted in the body to dihydrotestosterone (DHT) which causes a change in the hair follicles on the scalp. Increased level of DHT have been found in the balding scalp.
The hair become progressively smaller in diameter, shorter in length and lighter n colour until eventually the follicle shrink completely and stop producing hair.

Yes. It can be inherited from either or both parents.

A receding frontal hairline is the usual pattern and there may be loss of hair from the top of head.
Hairs in the affected areas are thin and short before they become absent.
Men become aware of scalp hair loss or a receding hairline at any time after puberty but most of them become aware of it as they approach their thirties.
Hair loss may cause significant psychological difficulties.

A dermatologist diagnoses MTB chiefly on history and clinical examination; a simple test such as dermatoscopy aids in the clinical diagnosis.
The diagnosis is usually based on the clinical examination and history of hair loss on the front/top of the head or receding hairline, the pattern of hair loss and a family history of similar hair loss.
The skin on the scalp looks normal on the examination.

There is no cure but medical and surgical treatment which are available may improve the condition. However, it tend to progress very slowly, from several year to decades.
An earlier age of onset may lead to quicker progression.

Male pattern baldness is progressive and it does not improve or reverse without treatment.
Minoxidil and finasteride are commonly prescribed medication which may restore the hair to some extent.

Minoxidil:

Minoxidil applied to the scalp may slow down the progression of hair loss and partially restore hair.
It applied to the affected scalp( not the hair) using a dropper or spray and should be spread over the affected area lightly.
Minoxidil can cause reaction such as dryness, redness,scaling and/or itchiness at the site of application and should not be applied if there are cuts or open wounds.
At least 6 months of application is required to notice any benefit.
Minoxidil solution may cause an initial hair fall in the first 2-8 weeks of treatment, and this usually subsides when the new hairs start to grow.

Platelet rich plasma (PRP) therapy:

PRP have shown promising results in MTB.
Platelet contains growth factor, which stimulate stem cells and help in hair growth.

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