Androgenic Alopecia: What It Is and What Actually Helps

Androgenic alopecia is the medical name for common pattern hair loss. For men it shows as a receding hairline and thinning at the crown. Women usually notice diffuse thinning on the top of the head. The main driver is genetics plus sensitivity to DHT, a hormone that shrinks hair follicles over time.

Hair loss usually starts slowly. You may see more hairs on your pillow or in the shower. That’s normal to track, but if thinning moves fast or shows patches, get checked sooner rather than later.

Treatments that work and what to expect

Topical minoxidil (2% or 5%) is one of the first options. Apply daily to the scalp, and expect 4–6 months before you notice thicker hair. If you stop, the new hair will likely fall out within months.

Oral finasteride (1 mg) lowers DHT and slows hair loss in men; many see regrowth in 6–12 months. It can cause sexual side effects in a small percentage, so discuss risks with your doctor. Finasteride is not recommended for pregnant women or those trying to conceive.

Dutasteride works like finasteride but is stronger; it’s used off-label in many clinics — ask a specialist. Topical finasteride aims to reduce systemic exposure while treating the scalp.

Low-level laser therapy and platelet-rich plasma (PRP) injections can help when combined with medical treatments. PRP usually needs a series of injections (every 4–6 weeks at first) and occasional maintenance sessions. Hair transplant surgery is a permanent option when donor hair is healthy and loss is stable; choose an experienced surgeon and expect months for full results.

Everyday care and when to see a specialist

Be gentle: avoid tight hairstyles, heavy chemical treatments, and rough brushing when hair is wet. Use a mild shampoo and condition to reduce breakage. Biotin helps only if you have a deficiency; most people don’t need extra supplements.

If thinning is sudden, patchy, painful, or accompanied by scalp redness, see a dermatologist. Tests like thyroid, iron studies, or specific bloodwork may find treatable causes. A dermatologist can do a scalp exam, a pull test, or a biopsy if needed.

Practical tips: take clear photos every month to track progress, set a 4–6 month check-in with your doctor, and don’t expect overnight changes. Combining treatments often works better than a single approach. If side effects happen, talk to your clinician — switching doses or trying topical forms can help.

Start with a plan you can stick to. Early, consistent treatment gives the best chance to slow loss and regain some hair. If you want help finding reliable treatments or clinics, check trusted sources and licensed providers before you buy or book procedures.