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The main causes of male pattern baldness are your genetics and the presence of androgenic hormones such as testosterone and dihydrotestosterone (DHT).

 Some people may also have ringing in their ears (tinnitus) or dizziness.

As part of the diagnosis, your doctor might ask you to complete a physical examination.

To diagnose male pattern baldness, your doctor will usually examine your scalp to determine if you’ve lost a significant amount of hair.

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They might use a device called a densitometer to view miniaturized hair follicles and look at the space between each hair follicle.

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Because hair loss around the crown isn’t easy to see in the mirror, it’s common for men affected by crown thinning not to notice their hair loss until it’s quite advanced.

Contrary to popular belief, factors like wearing a hat or using non-organic shampoos and other hair care products aren’t proven to contribute to male pattern baldness.

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Persistent erectile dysfunction can also affect your sexual confidence and potentially cause you to become less interested in sexual activity.

However, most men notice an M-shaped hair loss pattern that’s indicative of male pattern baldness.

Your doctor might also ask about your long-term health history to determine if you have any risk factors for ED.

Male pattern baldness is also known as androgenic alopecia.

It helps relax blood vessels and improves blood flow to your penis to allow for a harder and longer-lasting erection.

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Once it’s bound to your hair follicles, DHT causes the follicle to shrink and weaken, slowing down hair growth and eventually stopping the follicle from producing new hairs.

Many men can get an erection before sexual activity without difficulty, but find it difficult or impossible to keep a firm erection during sex.

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DHT is produced by the 5α-Reductase enzyme.

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Content Medically Reviewed by Adrian Rawlinson, MD, VP of Medical Affairs at HimsMale pattern baldness is a genetic and hormonal condition that causes you to lose hair.

In fact, statistics from the Massachusetts Male Aging Study show that about 52% of men experience erectile dysfunction at some point in life.

If you’ve noticed your hairline creeping backwards, your widow’s peak becoming more obvious or just a few extra hairs on your pillow or in your hairbrush, male pattern baldness could be the culprit.

Rarely reported side effects include:sudden hearing decrease or hearing loss.

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Hair loss from male pattern baldness can occur in a variety of patterns, ranging from diffuse thinning to a receding hairline.

By talking to your doctor as early as possible, you’ll be able to start treating your hair loss, helping you to slow down or prevent any further loss.

The easiest way to check for this type of hair loss is to use a handheld mirror, or to take a selfie of the back of your head.

If you’re prone to male pattern baldness, there’s a chance your entire hairline could recede evenly.

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If your hair loss is advanced, you might also be able to restore it via hair transplant surgery.

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However, some men are highly sensitive to DHT and notice hair loss that starts in their early-to-mid 20s, or even in their late teens.

If you already have ED, making healthy changes to your lifestyle might also improve your symptoms and help you to have a normal sex life without the use of medication.

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The more sensitive your hair follicles are to DHT, the quicker you’ll notice your hair thinning and falling out.

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The earlier you treat male pattern baldness, the easier you’ll find it to stop further hair loss and maintain your hair.

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Not every hairline recedes in the same pattern.

Male pattern baldness can cause you to develop the classic M-shaped hairline, with receding corners and a longer widow’s peak area (known as a forelock).

They include:In addition to medication, lifestyle changes and psychological treatment, there are several other ways to treat erectile dysfunction:There are are also several other erectile dysfunction treatments currently being researched for potential use in the future, including topical creams and drugs that work via the central nervous system to improve erection quality.

DHT is a byproduct of testosterone, meaning your body converts a small amount of the testosterone you create into DHT on a regular basis.

Erectile dysfunction isn’t always caused by physiological factors.

While these supplements aren’t as effective as FDA-approved medications like finasteride and minoxidil, they can be a helpful part of your baldness prevention routine.

Male pattern baldness is caused by a combination of two factors: your production of androgenic hormones such as dihydrotestosterone (DHT) and your hair’s sensitivity to these hormones.

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It’s easy to panic when you notice your hairline starting to recede.

More treatments to take care of yourselfFinasteride treats male pattern baldness, at the crown and the middle of the scalp.

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Currently, the FDA has approved two different medications for treating hair loss in men.

You might not notice any hair loss for years at a time, then notice your scalp in the mirror when you’re in a room with bright, harsh lighting or when your hair is wet.

Content Medically Reviewed by Adrian Rawlinson, MD, VP of Medical Affairs at HimsErectile dysfunction, or ED, is the inability to achieve and maintain a firm enough erection for sexual activity.

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The most effective treatment is to block these hormones from being able to affect your hairline in the future.


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Erectile dysfunction can make it difficult for you to get an erection, even if you’re in the mood for sex.

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If you’re prone to male pattern baldness but don’t have a receding hairline, you might notice the hair near your crown starting to fall out and look thinner.

There’s usually no need to perform a biopsy to diagnose male pattern baldness -- this type of procedure is usually only necessary to determine if your hair loss is caused by a chemical or other external factor.

Hair loss from male pattern baldness can also occur gradually.

It’s by far the most common cause of hair loss in men, affecting more than 50% of all men by the age of 5Although male pattern baldness is most common in middle-aged and older men, it can occur at any age.

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The most obvious, visible symptom of male pattern baldness is hair loss.

Factors like your use of tobacco products, other medications or alcohol can also contribute to erection issues, making it harder for you to maintain a fulfilling sex life.

The best time to talk to your doctor about male pattern baldness is as soon as you notice any symptoms.

Most doctors classify male pattern baldness using a system called the Norwood scale.

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Without treatment, any hair loss you experience from male pattern baldness is permanent.


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Although it’s less common than a receding hairline or hair loss near the crown, diffuse thinning is often a symptom of male pattern baldness.

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This scale features reference diagrams for a variety of hair loss patterns, ranging from a receding hairline to almost complete hair loss.

Most men begin to notice male pattern baldness as their hairline starts to recede.

ED can range in severity -- sometimes, you might find it difficult to get any erection, while in other cases you might find it difficult to get a firm enough erection for sex.

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As well as helping you form male genitalia and secondary sex characteristics in puberty, DHT is the main hormone responsible for male pattern baldness.

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These treatments work best if you start using them as soon as you notice your hair thinning or falling out.

This type of hair loss is usually easiest to notice when your hair is wet, or in bright lighting that makes your scalp more visible.

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