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Science5 min read

Male Pattern Baldness: Causes, Stages, and Treatment

Male pattern baldness affects most men eventually. Here's what causes it, how it progresses, and what actually stops it.

Updated August 12, 2026

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What Causes It

Male pattern baldness (androgenetic alopecia) is driven by genetics and hormones. In genetically susceptible men, the hormone DHT gradually miniaturizes follicles - each growth cycle produces a finer, shorter hair until the follicle stops producing visible hair altogether. It's why it typically starts at the hairline and crown.

How It Progresses

Hair loss usually follows a recognizable pattern: a receding hairline (often an 'M' shape), then thinning at the crown, which can eventually meet in the middle. The Norwood scale describes these stages from 1 (no loss) to 7 (extensive loss). The earlier you act, the more hair there is to protect.

What Actually Stops It

The proven treatments target the two levers you can control: DHT and follicle activity. Finasteride lowers DHT to halt the cause; minoxidil stimulates regrowth.

Used together, they're the evidence-backed standard of care. Read finasteride vs minoxidil to understand the combo.

Acting Early Matters

Treatments are far better at keeping the hair you have than regrowing hair that's long gone. If you're noticing early thinning, that's the best time to start. Take our quiz or browse the top-rated providers.

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Sources & medical references

Treatment facts on this page are grounded in regulatory guidance and peer-reviewed research. Pricing and plan details come from each provider's published information. This content is for information only and is not medical advice - always consult a licensed clinician before starting treatment.

  1. 1.Finasteride - drug information - MedlinePlus, U.S. National Library of Medicine (NIH)
  2. 2.Minoxidil Topical - drug information - MedlinePlus, U.S. National Library of Medicine (NIH)
  3. 3.Hair Loss: Diagnosis and Treatment - American Academy of Dermatology (AAD)
  4. 4.Androgenetic Alopecia (pattern hair loss) - overview - MedlinePlus Genetics, U.S. National Library of Medicine (NIH)