Hair medicine · Men
Hair Loss in Men: Diagnosis and Treatment Options
How androgenetic alopecia is distinguished from other causes and where minoxidil, finasteride, PRP, exosomes and transplantation may fit.
Identify the cause before treatment
A receding hairline and progressive crown thinning often fit androgenetic alopecia. It is influenced by genetics and follicle sensitivity to androgens, but not all male hair loss has this cause.
Diffuse shedding may follow infection, surgery, major weight change or physical stress. Patchy, inflammatory and scarring alopecia, medicines, thyroid disease and deficiencies require different care.
What does a hair and scalp assessment include?
History covers onset, progression, family pattern, conditions and medicines. The scalp and distribution are examined; trichoscopy, a pull test, standardised photographs and targeted laboratory tests may be useful.
Sudden patches, pain, pustules, marked scaling, shiny scarred areas or eyebrow loss need prompt dermatological assessment. Online review is not enough to diagnose these changes.
Minoxidil and finasteride have limits
Topical minoxidil is an established option for an appropriate diagnosis. Response takes months to assess and usually depends on continued use. Irritation, initial shedding and unwanted hair growth may occur.
Oral finasteride may suit selected men. Contraindications and possible sexual and psychological adverse effects need discussion before use. It should not be recommended without an individual history.
PRP, exosomes and hair transplantation
Autologous PRP may be an adjunct in androgenetic alopecia, but preparation and research protocols vary. Exosome products lack standardisation and robust long-term evidence.
A transplant redistributes existing follicles; it creates none and does not stop loss of untreated hair. Stability, donor quality and a long-term plan are essential.
Frequently asked questions
Is male hair loss always hereditary?
No. Pattern loss is common, but diffuse, inflammatory, autoimmune, medication-related and scarring causes also occur.
Does everyone need the same blood tests?
No. Tests are selected from history, diet, symptoms and scalp findings.
Does transplantation stop further hair loss?
No. Hair outside the transplant can continue to thin, so long-term planning matters.
Sources and further reading
Consultation in Warsaw
Would you like to discuss your goal individually?
Suitability can only be assessed after taking a history and examining you. Booking does not automatically mean that a procedure is appropriate.