Men's Hair Loss Guide

Your complete roadmap to understanding and treating male pattern baldness (androgenetic alopecia). Evidence-based information to help you make informed decisions.

15 min read
Progressive condition — early treatment matters

Quick Assessment: Are You Experiencing Male Pattern Baldness?

Common Signs:

  • Receding hairline at temples (M-shaped pattern)
  • Thinning at the crown (top/back of head)
  • Gradual thinning over months/years
  • Family history of baldness

Seek Medical Evaluation If:

  • Sudden or patchy hair loss
  • Hair loss accompanied by scalp issues
  • Hair loss before age 20
  • Other symptoms (fatigue, weight changes)

Your Treatment Journey

1

First-Line Treatments (Start Here)

Most men should start with FDA-approved medications. These have the strongest evidence and work for the majority of users.

Minoxidil (Rogaine)

A·Strong Evidence
  • • Topical solution or foam
  • • Over-the-counter
  • • Apply twice daily (5% solution)
  • • 40-60% see regrowth
  • • $15-30/month
Learn more

Finasteride (Propecia)

A·Strong Evidence
  • • Oral pill (prescription)
  • • Take once daily
  • • Blocks DHT hormone
  • • 65-90% slow/stop loss
  • • $20-80/month
Learn more

Pro tip: Many doctors recommend using both minoxidil and finasteride together for best results. They work through different mechanisms.

2

Additional Treatments (If Needed)

If first-line treatments aren't enough, these options can help:

Dutasteride

B·Moderate Evidence

More potent DHT blocker than finasteride. Off-label use for hair loss.

Low-Level Laser Therapy

B·Moderate Evidence

Light therapy devices (caps, helmets) used 3-4x per week. Modest improvements.

PRP (Platelet-Rich Plasma)

C·Limited Evidence

Injections using your own blood components. Mixed evidence, expensive.

3

Hair Transplant (For Advanced Loss)

When medications aren't enough or you want to restore a receded hairline, surgery may be an option.

FUE (Follicular Unit Extraction)

  • • Individual follicle extraction
  • • Minimal scarring
  • • Longer procedure
  • • $4,000-15,000+

FUT (Strip Method)

  • • Strip of scalp removed
  • • Linear scar
  • • More grafts per session
  • • $3,000-12,000+

What to Avoid

Unproven Treatments:

  • • Most supplements (biotin, saw palmetto, etc.) — weak evidence
  • • Essential oils and natural remedies — no clinical proof
  • • Hair growth shampoos — can't penetrate deep enough

Scams and Red Flags:

  • • "Miracle cures" or "guaranteed regrowth"
  • • Before/after photos that seem too good to be true
  • • High-pressure sales tactics
  • • Non-medical providers offering "medical" treatments

What to Expect: Timeline

Month 1-2
Initial shedding (normal — temporary)
Month 3-4
Shedding stops, new growth begins
Month 6-8
Noticeable improvements for responders
Month 12+
Maximum results, continued maintenance