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

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However, if you frequently have difficulty getting an erection or maintaining a firm erection during sex, you might have ED.

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

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

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

DHT causes hair loss by binding to your hair follicles.

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

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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Sometimes, a psychological issue or nervousness can trigger ED.

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

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

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

The most effective treatment is to block these hormones from being able to affect your hairline in the future.

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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.

It’s very normal to experience one-off, occasional issues maintaining an erection, especially if you’ve consumed alcohol or taken other medication prior to sex.

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.

Not every hairline recedes in the same pattern.

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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.

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

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

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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.

ED is a very common type of sexual dysfunction that affects hundreds of millions of men of all ages.

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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.

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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.

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

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This is because male pattern baldness is caused by hormones.

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


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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.

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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.

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If you already have ED, making healthy changes to your lifestyle might also improve your symptoms and help you to have a normal sex life without the use of medication.

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.

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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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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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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.

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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.

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

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Persistent erectile dysfunction can also affect your sexual confidence and potentially cause you to become less interested in sexual activity.

As well as helping you form male genitalia and secondary sex characteristics in puberty, DHT is the main hormone responsible for male pattern baldness.

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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.

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The earlier you treat male pattern baldness, the easier you’ll find it to stop further hair loss and maintain your hair.

In other cases, ED can be caused by psychological factors such as anxiety or nervousness about 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.

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).

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

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

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

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Hair loss from male pattern baldness can also occur gradually.

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.

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.

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

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