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Androgenetic alopecia, commonly referred to as male pattern baldness, is a common condition that affects a substantial number of people.

It is characterized by a gradual loss of hair from the scalp.



Hair loss is a common side effect of HRT for many, but not all, transgender individuals taking testosterone.

DHT-related hair loss can be a distressing side effect of HRT for many FTM, transmasc and non-binary individuals.

However, there are several options available to curb the problem.

Working with your endocrinologist and dermatologist to explore options for managing hair loss is important, as they can help determine the most effective treatment plan for each individual.

While hair loss can be difficult to deal with, it's important to remember that it's a common side effect of HRT and that there are ways to maintain a positive self-image during the transition process.



DHT is a hormone created when testosterone is converted by the enzyme 5-alpha reductase.


Although DHT plays a crucial role in the development of male characteristics, such as facial hair growth and a deeper voice, it can also cause hair loss.

DHT binds to hair follicles and causes them to shrink, which can lead to hair loss in the long run.


The Norwood scale, also known as the Hamilton-Norwood scale, is a commonly used grading system that assists healthcare professionals in identifying and treating male pattern baldness.

The scale uses a series of images to represent the various degrees of hair loss, from stage 1 (least severe) to stage 7 (most advanced).

Male pattern baldness progresses through seven stages.


In the first stage, the hairline appears more youthful.


In the second stage, the hairline matures and moves away slightly from the youthful hairline.


In the third stage, hair loss from the crown area becomes apparent.


In stage 4, hair loss from the crown area becomes more severe and a bald patch begins to appear on the top of the scalp.


In the fifth stage, the bald patch becomes more extensive and the hair loss at the temples becomes more severe.


In the sixth stage, only a thin strip of hair separates the bald patch on the top of the scalp and the remaining hair along the temples.


Finally, in the seventh stage, only a horseshoe-shaped band of hair remains on the sides and back of the scalp.


There are various medications available for the treatment of male pattern baldness.

The most commonly used drug is finasteride, an oral drug that reduces the level of DHT (dihydrotestosterone) in the body, the hormone responsible for hair loss in cisgender and transgender men.

Another drug is minoxidil, a topical solution that stimulates hair growth. These medications are effective in slowing or stopping hair loss, but their results require continued use.

It's important to note that medications may not work for everyone and may have side effects.

For example, finasteride can cause sexual dysfunction, while minoxidil can cause scalp irritation.

Therefore, it is advisable to consult your doctor before starting any treatment.

Rosemary oil has been used for centuries as a natural remedy to combat hair loss.

Its anti-inflammatory properties are believed to help improve scalp health and stimulate hair growth.

To apply rosemary oil, mix several drops of it with a carrier oil, such as coconut or jojoba oil, and massage it into the scalp.

This helps improve blood circulation to the scalp, which can promote hair growth.

Rosemary oil may also help reduce dandruff and prevent scalp irritation.

Besides, it has a pleasant scent which can leave your hair fresh and clean.

It's important to note that while rosemary oil may be effective for some people, it may not work for everyone.

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Hair transplantation is a surgical procedure that involves removing hair follicles from one area of the head, typically the back of the head, and transplanting them into the bald area.

This procedure has gained popularity over the years as a permanent solution to male pattern baldness, providing natural looking results.

However, it can be expensive and require multiple sessions to get the desired result.

It is crucial to select a qualified and experienced surgeon to ensure the success of the procedure.


Microneedling is a procedure that involves using a small roller with tiny needles to pierce the skin on the scalp. This stimulates collagen production and blood flow, which can promote hair growth.

The procedure is minimally invasive and can be done in a doctor's office or at home.

However, it is important to note that the procedure can be difficult to practice and may require several sessions to achieve the desired results.

Massaging the scalp can increase blood circulation to the hair follicles, providing them with the nutrients and oxygen they need to grow and thrive.

This improved blood flow also helps flush out toxins and waste products from the scalp, which can hinder hair growth.

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