Understanding Male Pattern Hair Loss (MPHL): Causes, Myths, and Modern Treatments

Hair is often tied to confidence and identity — so noticing thinning or a receding hairline can be frustrating. The good news? Male Pattern Hair Loss (MPHL) is one of the most common and most treatable forms of hair loss. Let’s break down what it is, why it happens, and what you can do about it.

👨‍⚕️ What Is MPHL?

Male Pattern Hair Loss, also known as androgenetic alopecia, is a gradual form of hair thinning that primarily affects the temples, crown, or both. It typically follows a predictable pattern:

• Hairline starts to recede at the temples.

• Thinning develops at the crown.

• Over time, these areas may meet, leaving a ring of hair around the sides and back.

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MPHL can begin as early as the late teens or twenties and tends to progress slowly over the years.

🧬 The Science Behind It

MPHL is driven by a combination of genetics and hormones, specifically dihydrotestosterone (DHT) — a byproduct of testosterone.

• DHT shortens the hair growth cycle and causes follicles to shrink (a process called miniaturization).

• Over time, hairs become finer, shorter, and less pigmented — until they eventually stop growing altogether.

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Not everyone with elevated DHT levels experiences hair loss; the key factor is genetic sensitivity in the hair follicles.

🧢 Common Myths About Hair Loss

Let’s clear up a few misconceptions that often cause confusion or anxiety:

• Myth: Wearing hats causes hair loss.Truth: It doesn’t. Hair loss comes from hormonal and genetic factors, not your favorite baseball cap.

• Myth: Hair loss comes from your mother’s side.Truth: Genetics from both sides of the family play a role.

• Myth: Shampooing too often causes hair loss.Truth: Washing your hair doesn’t cause hair loss — but rough handling or harsh chemicals can make thinning hair look worse.

  
  

💊 Effective Treatment Options

At Woodside MD, we focus on personalized, evidence-based approaches to managing MPHL. Depending on the severity and your goals, treatment may include:

1. Medications

• Finasteride (Propecia®): A once-daily oral medication that reduces DHT levels and slows or reverses hair loss in many men.

• Minoxidil (Rogaine®): A topical or foam solution that stimulates new hair growth and thickens existing hair.

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2. Procedural Treatments

• PRP (Platelet-Rich Plasma) Therapy: Uses your own blood plasma to stimulate dormant follicles.

• Hair Transplantation: Follicles from DHT-resistant areas (usually the back of the scalp) are relocated to thinning areas.

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3. Lifestyle & Support

• Balanced nutrition, good sleep, and stress management all support healthy hair growth.

• Regular follow-ups help track progress and adjust treatments as needed.

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🧠 When to Seek Help

Early intervention makes a big difference. The sooner treatment begins, the more hair can be preserved. If you’ve noticed increased shedding, thinning, or a receding hairline, it’s worth discussing with your doctor — even if it feels minor.

💬 The Takeaway

Male Pattern Hair Loss is common, natural, and — most importantly — treatable. With the right approach, many men can slow, stop, or even reverse hair loss.

Woodside Internal Medicine provides personalized, membership-based primary care for patients in Carmel, Westfield, Zionsville, and Indianapolis, Indiana. Ready to experience concierge-style care? Join our membership or contact us at info@woodsidemd.com.

Disclaimer:

This article is for informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.