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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).

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It circulates freely in their bodies without affecting their hair in any noticeable way.

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This enzyme is responsible for converting some of your circulating testosterone into DHT on an ongoing basis.

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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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.

Sildenafil (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED).

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.

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Right now, the most effective treatments for male pattern baldness are medications such as finasteride, which block DHT, and topical medications such as minoxidil, which help to stimulate hair growth.

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

Luckily, a variety of safe and effective treatments are available today that can help you maintain your existing hair and restore some or all of the hair that you’ve lost.

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.

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

Factors such as your blood pressure, heart function and prostate health can all contribute to ED, making a complete physical important for identifying the root cause.

You can find the 5α-Reductase enzyme in your prostate, liver, skin and hair follicles.

Diffuse thinning is a form of hair loss that affects your entire scalp, thinning your hair without any obvious effects on your hairline.

Sometimes, erectile dysfunction is a sign that you might have an underlying cardiovascular health issue.


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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.

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.

DHT is produced by the 5α-Reductase enzyme.

Male pattern baldness is also known as androgenic alopecia.

To diagnose erectile dysfunction, your doctor will ask about ED symptoms you’ve experienced and how long they’ve persisted.

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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.

They are finasteride (an oral medication that stops your body from producing DHT) and minoxidil (a topical medication that helps your hair follicles produce new hairs).

When it comes to male pattern baldness, sooner is always better.

Erectile dysfunction can develop for a variety of reasons.

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Your doctor will be able to work out if your erectile dysfunction is caused by a physical health problem or a psychological issue, then provide an appropriate treatment.

For some men, DHT isn’t a big deal.

Hair loss from male pattern baldness can also occur gradually.

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

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This is because male pattern baldness is caused by hormones.

Want to learn more about male pattern baldness? Our guides to DHT and male hair loss, what you should know about using finasteride and how minoxidil and finasteride can work together to stop hair loss cover the treatment aspects of male pattern baldness in more detail.

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.

Things like your body hair, your genitalia, the shape of your jaw, your voice and other characteristically male features are all a result of your exposure to DHT.

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

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

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

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.

From depression to anxiety, many cases of erectile dysfunction have their root cause in psychological factors that change the way you think about sex.

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.

That means keeping that erection strong for as long as it’s needed.

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

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

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.

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

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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.

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

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

Erectile dysfunction isn’t always caused by physiological factors.

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.

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

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

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

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Not all men with male pattern baldness experience hair loss around the hairline.

As a man, it’s normal to occasionally have trouble getting or keeping an erection.

Although conversation about your symptoms and in-person testing are usually enough for your doctor to diagnose erectile dysfunction, you might also be asked to complete a nocturnal penile tumescence (NPT) test.

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

It’s especially important to talk to your doctor if you’ve had persistent difficulty with erections that has lasted for several months.

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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).

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

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

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

If you’re worried about losing your hair and want to maintain a full hairline as you get older, talk to your doctor as soon as you notice any obvious signs of thinning or a receding hairline.

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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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DHT causes hair loss by binding to your hair follicles.

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Many men notice the early signs of male pattern baldness, such as a receding hairline or diffuse thinning, in their 20s and 30s.

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

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

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

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.

When ED occurs at a bad moment, it can affect your self-confidence.

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

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.

If you have erectile dysfunction, it can affect your self-confidence and make you avoid sexual activity.

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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.

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.

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

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Numerous supplements and non-pharmaceutical products are available to help slow down and treat hair loss.

During pregnancy, childhood and puberty, DHT is an important hormone for helping you to form male characteristics.

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.

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Not every hairline recedes in the same pattern.

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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.

Sometimes, a psychological issue or nervousness can trigger ED.

The most common are sildenafil (best known as Viagra), tadalafil (Cialis) and vardenafil (Levitra).

DHT is an androgen (male hormone) that’s produced naturally by your body.

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

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.

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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.

If you do, contact your doctor.

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