Although male pattern hair loss is very common-two out of three men will experience it-and is hardly ever associated with serious health risks, it’s hard to imagine a common condition that is met with more anxiety. But much of the stigma surrounding male hair loss is due to half-truths and exaggerations. So if you start noticing there’s not as much hair up there, don’t pull out the rest of it in worry-take our quiz below and learn what’s going on with your body and how you can slow the follicle fallout.
If you’re losing hair, it’s male pattern baldness.
False. It’s true that for 95 percent of men who lose their hair, male pattern baldness, or androgenetic alopecia, is the culprit. With this condition, an enzyme called 5-alpha reductase converts testosterone to dihydrotestosterone, a hormone that causes hair follicles to shut down hair production. Male pattern baldness can begin appearing in men in their 20s and usually progresses slowly from the front or apex of the scalp, or both.
But male pattern baldness is not the only cause of male hair loss-and it’s important to talk to your physician or dermatologist to determine the cause, because it can point to certain health problems. For example, if your hair is falling out quickly and in small patches, it may be a sign of alopecia areata, an autoimmune disease in which the body attacks the hair. Stress can also lead to rapid hair loss. In these cases, the hair usually regrows after several months. Other causes include a severe ailment or major surgery; protein, vitamin B, or iron deficiencies; medication complications; or thyroid disease.
It’s your mother’s fault.
False. Male pattern baldness is a largely genetic characteristic that can be inherited from either your mother or your father. It’s even possible to acquire the hair-loss gene from both parents. In fact, the same gene also causes hair loss in women, although because of hormonal differences, women tend to lose their hair in small amounts all over their scalp.
True. Here’s the good news: In many cases, male pattern baldness can be treated. In the early stages, many conventional physicians prescribe either minoxidil lotion, applied topically, or finasteride, taken orally. These medications have been shown to slow hair loss in many patients and, in some cases, cause hair to grow back. According to Robert Brodell, MD, professor of internal medicine in the dermatology section at Northeastern Ohio Universities College of Medicine, complications associated with both drugs are minimal, but there are downsides. Not only are the medications expensive, but they only work for as long as you take them. “I tell my patients that they are going to be on one of those medicines for 5 years or 10 years or 15 years, until they are married and have kids and don’t care anymore,” says Brodell. “And then when they stop their medicine, we fully expect them to start losing their hair again.” Great strides are being made in the field of hair transplants, but like any invasive therapy, these procedures are expensive and time-consuming and should not be undertaken lightly.
If surgery or drug therapies aren’t for you, a number of naturopathic remedies might offer similar results-without the high cost. Keith F. Zeitlin, ND, a naturopathic physician with a private practice in Connecticut, recommends the herbs saw palmetto (Serenoa repens) and stinging nettle root (Urtica dioica), and the supplement beta-sitosterol, which all appear to work similarly to conventional medicines by shutting down the enzyme 5-alpha reductase’s creation of dihydrotestosterone, the hormone that ceases hair production. “If we can inhibit that enzyme, we can actually inhibit hair loss,” says Zeitlin. (For more information, see “Herbs and Supplements for Hair Loss,” below.)