Androgenetic alopecia

Androgenetic alopecia is a patterned form of hair thinning that can affect both men and women. This page explains typical causes, how the condition commonly appears, which specialists evaluate it and practical tips for daily care. It is general information and not a substitute for a specialist assessment.

What it is and how it develops

This condition involves gradual shrinkage of hair follicles influenced by genetic predisposition and androgen effects. Over time affected follicles produce finer, shorter hairs and a reduced hair density. Patterns differ by sex: men often show a receding hairline and crown thinning, while women usually have a wider part and diffuse thinning at the top.

Common signs and typical patterns

Look for progressive thinning at the temples or crown, increased shedding when combing, and visible scalp between hairs. In women the hairline often remains intact but overall volume decreases. Rapid, patchy or total hair loss suggests other causes and warrants prompt evaluation.

How diagnosis is made and which specialist to see

Assessment usually begins with medical history and scalp examination. Specialists may use dermatoscopy and photograph comparisons; blood tests or scalp biopsy are sometimes recommended to exclude other causes. Start with a dermatologist or a dedicated hair clinic (trichology); if hormonal issues are suspected, an endocrinologist may be involved.

Everyday care and cosmetic options

Gentle hair care practices—avoiding tight hairstyles, limiting heat and harsh chemical treatments, and using careful brushing—can help preserve appearance. Cosmetic choices such as different haircuts, hairpieces or concealing products may improve visible density. Effectiveness varies; discuss options with a hair specialist or stylist experienced in thinning hair.

When to seek specialist or emergency care

See a dermatologist or your primary care provider if thinning progresses, if you notice sudden or widespread loss, scalp pain, severe redness or sores. If symptoms are sudden and severe or accompanied by other serious signs (for example, high fever or collapse), contact emergency services.

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