Pattern Baldness

pattern baldness hair loss

Pattern Baldness

What is Pattern Baldness?


Pattern baldness, otherwise known as androgenetic alopecia (AGA) is the most common reason for hair loss.The cause of pattern baldness is a combination of genetics and the activity of androgens, the hormones responsible for regulating hair growth.

Can women get pattern baldness?


Yes. Both men and women can get pattern hair loss. In men, we usually see a receding hairline or bald spot in the center of the head. On the other hand, female pattern baldness shows gradual  hair loss that usually starts at the crown. Oftentimes, in females the front of the hairline is intact, and does not recede.


What causes pattern hair loss?

AGA is due to the shortening of the growth phase in the hair life cycle. In the normal hair cycle, the growth phase lasts between two and seven years. Then the hair rests, falls out and a new hair is waiting to take its place in the follicle. With AGA, the growth phase is briefer, and there is a lapse between the time the hair sheds and the new hair begins. In addition, hair follicles shrink and produce short, thin, light colored hairs—what we know as “peach fuzz.”



Treatment Options for Pattern Hair Loss


There are several treatments for the different forms of hair loss. Some conditions are more easily treatable than others- it depend on underlying cause.  With male and female pattern baldness, treatment is not necessary if the patient is comfortable with their appearance. While there is no cure for pattern baldness, there are treatments that can slow hair loss, and cause some hair regrowth. Treatment options include:



Minoxidil is commonly known under the brand name “Rogaine,” It was the first drug approved by the FDA for treatment of patterns baldness. It comes in 2% and 5% strengths and you should apply it directly to your scalp. Minoxidil is safe to use, but may cause mild irritation at the application site. Also, there is a risk of hair growing in areas where you do not want it, e.g., your face. If minoxidil works for you, you will have to use it indefinitely; otherwise, you will lose your hair again.




Finasteride and dutasteride are  medications that block an enzyme that converts testosterone to a more potent androgen form. There are potential side effects that your dermatologist will discuss with you before starting these medications.




Women may respond better to an anti-androgen drug such as spironolactone. This medication blocks androgen receptors and decreases testosterone levels. If  a woman become pregnant while taking spironolactone, there is a risk of a male child being born with genital abnormalities.

Low-Level Light Therapy


Light therapy devices include a comb, hood or a helmet. In some studies, low level light therapy showed some improvement in offsetting AGA, particularly when used in conjunction with drug therapy.




Microneedling uses very fine needles on a roller to make tiny punctures in the skin. Originally, it was used to encourage the production of collagen to enhance facial skin. Now it is used to increase penetration of topical drugs, in this case minoxidil, making them more effective.


Hair Transplantation


Today, a large majority of physicians perform follicular unit transplantation: We remove a strip of scalp from the back of the head and divided into hundreds of tiny grafts. Each graft contains a few hairs. Each graft is planted into a slit in the bald area of the scalp. Results are seen in six to eight months.

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Our lead physician, Dr. Ife J. Rodney MD, FAAD is a trusted board-certified dermatologist and top hair loss expert in Maryland.  We are conveniently located in Fulton, MD, and serve Clarksville, Columbia, Ellicott City, Laurel and surrounding areas. We provide personalized hair loss treatment plans for all ages and all ethnicities. If you’re experiencing any unusual hair loss, contact the Hair and Scalp Center here at Eternal Dermatology right away! Call us or book online.



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