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Androgenetic Alopecia

Androgenetic Alopecia

Pattern Hair Loss: The Most Common — and the Most Treatable

Androgenetic alopecia is the most prevalent form of hair loss worldwide. It affects up to 80% of men and 50% of women at some point in their lives, making it simultaneously the most common and the most frequently misunderstood type of hair loss. It is driven by a combination of genetic predisposition and hormonal sensitivity specifically, the reaction of hair follicles to dihydrotestosterone (DHT), a hormone derived from testosterone.

In genetically susceptible individuals, hair follicles in specific areas of the scalp carry receptors that respond negatively to DHT. Over time, this causes a process called miniaturisation follicles progressively shrink, producing thinner and shorter hair with each cycle, until eventually they cease producing visible hair entirely. The pattern differs by sex: in men, it typically begins with a receding hairline at the temples and thinning at the crown, often progressing to complete baldness in advanced cases. In women, it usually presents as diffuse thinning across the top and front of the scalp, often with a noticeably wider parting line, while the frontal hairline itself is generally preserved.

One of the most important facts about androgenetic alopecia is that it is progressive it will not resolve on its own. However, when identified early, the trajectory can be significantly altered. Treatment works best when follicles are miniaturising but still present, which is why a prompt and accurate diagnosis through trichoscopy is critical. Waiting until hair loss is visually obvious often means the treatable window has narrowed considerably

Pattern Hair Loss

Affects

Up to 80% of men, 50% of women

Cause

Genetics + DHT sensitivity

Onset

Can begin from late teens

Treatability

Excellent when caught early

When caught early, androgenetic alopecia responds well to treatment. The key is acting before follicles are permanently lost.

Gradual recession of the hairline at temples (men)

Thinning at the crown progressing forward (men)

Diffuse thinning across the top of the scalp (women)

Widening of the natural parting line (women)

Hair becoming progressively finer, shorter, lighter

Hair becoming progressively finer, shorter, lighter

High-resolution trichoscopy to assess follicular miniaturisation

Hair density mapping across scalp zones

Medical and family history assessment

Hormonal blood panel referral when indicated

Staging using Norwood (men) or Ludwig (women) scales

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