Stages of Male Pattern Baldness

As the name suggests, Male Pattern Baldness usually occurs in a certain pattern or stages, caused by male hormone binding to Androgen Receptors on certain hair follicles. Hair loss is measured on the Norwood-Hamilton scale as depicted in the diagram below:

  • Type II: Slight hair loss occurs at the temples (progression of the hairlines), with little to no effect on the appearance.
  • Type III: Usually, showing a symmetrical recession at the temples.
  • Type III vertex: Visible receding hairline and thinning hair on the vertex (highest point of the hairline / front of head).
  • Type IV: Deepening of the hair loss at the temples occur, thus presenting a bigger pattern on the vertex and hairline.
  • Type IVa: More pronounced hair loss in the fronto-temporal and crown area.
  • Type V: The bald patches in the front and crown areas continue to enlarge and the bridge of hair separating the two areas begins to thin and break down.
  • Type VI: The connecting bridge that separated the frontal hair line and crown has disappeared, but several strands of short fine hair may remain.
  • Type VII: Type VII is the most advanced form of hair loss on the Norwood-Hamilton scale

Understanding the progression of hair loss will help to determine the best course of action for the individual that is experiencing Androgenetic Alopecia. The stage of hair loss will ultimately determine the treatment plan required.

Why does Male Pattern Baldness occur?

Androgenetic Alopecia is mainly caused by genetic predisposition – the sensitivity of the hair follicles to a specific male hormone causes the hair follicles to miniaturize, which then causes the hair to thin and ultimately prevents the hair from growing.

If an individual’s father or mother’s father suffered from hair loss or baldness, chances are good that they will too. A number of other factors also contribute to the occurrence of Androgenetic Alopecia, making it a complex condition to fully comprehend.

The process of Androgenetic Alopecia is quite simple to understand. The enzyme 5α-reductase causes the formation of DHT from testosterone, a male hormone, in certain tissues, including skin and hair follicles. The androgen receptors in the hair follicle (that we inherit) bind with the DHT hormone, causing the process of miniaturisation of the hair follicles. Miniaturisation causes the hair follicle to shrink over time, and the shafts of hair growing from the follicle to become thinner. Eventually the hair will become very thin, presenting as hair loss, and ultimately the hair will cease to grow from the affected follicles. Read more about the process and causes of Androgenetic Alopecia.

Want to combat Hair Loss?

If you want to combat hair loss you need to understand the process and causes of Androgenetic Alopecia. Click the button below to watch a video by Dr. André Nel discussing Androgenetic Alopecia in further detail.

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What can be done to prevent or cure Male Pattern Baldness?

There are a number of things you can do to inhibit the process of male pattern baldness from progressing, such as changing your diet and using non-surgical treatments and medication. For more advanced hair loss, you may opt for a minimally invasive hair transplant surgery, during which healthy hair follicles are harvested from the donor area of the scalp, and  then transplanted into the recipient area. 

The many successful results achieved by Dr. André Nel is confirmation that hair transplants do work. If you are looking for a lasting solution to your hair loss problems, book your consultation with Dr. André Nel at The Hair, Skin & Wellness Clinic today. Find out more information about your own hair and what the best professional treatments would best suit you.

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