Male/Female Pattern Baldness (Androgenetic Alopecia ) Treatment In Indore

Dr. Bansal's Hair Clinic, Indore

About Androgenetic Alopecia (AGA)

Androgenetic alopecia, or AGA, is the most common form of hair loss in both men and women.

Men: Receding hairline and thinning at the crown ("M-shaped" or "U-shaped" baldness).

Women: diffused thinning over the top of the scalp, frontal hairline usually preserved

Cause:

Genetic predisposition + androgen sensitivity of hair follicles (DHT)

DHT-miniaturizes the hair follicles (dihydrotestosterone), leading to thinner, shorter hair, with inevitable baldness.

Onset:

Men: late teens to 20s

Women: 30s–40s; commonly after menopause

⚕️ Diagnosis

Clinical examination: pattern of thinning

Family history

Scalp biopsy or trichoscopy-if in doubt

Blood testing for thyroid, iron, and hormones in women with diffuse loss

Treatment Options

1. Medical Treatments

Men

Medicine Mechanism Notes

Finasteride 1 mg/day Inhibits 5-alpha reductase → reduces DHT Prescription only, may take 3-6 months for effect.

Minoxidil 5% topical Stimulates hair follicles, prolongs the growth phase. Apply twice daily; may cause initial shedding.

Dutasteride (less common) Stronger 5-alpha reductase inhibitor Usually for resistant cases

Women

Medicine Mechanism Notes

Minoxidil 2–5% topical Stimulates growth 2% commonly used in women; 5% may cause scalp irritation

Spironolactone Anti-androgen, Useful for hyperandrogenism; prescription required

Oral contraceptives Decrease androgen levels Useful for individuals with hormonal imbalance

Flutamide / Finasteride Anti-androgen therapy is reserved for selected cases under a doctor's supervision.

Note: These medications take 3–6 months to show their visible effects. Consistency is the key.

2. Procedural Treatments

Procedure\tPurpose\tNotes

PRP Platelet-Rich Plasma stimulates dormant follicles. 3–6 monthly sessions are recommended.

Low-Level Laser Therapy (LLLT) increases circulation & growth, Home devices or clinic sessions

Hair Transplantation Restores hair in unhaired areas, FUE/FUT; permanent solution

3. Supportive Measures

Gentle hair care (no sulfate shampoo, soft brush, and minimal heat styling )

Healthy diet maintenance: consumption of protein, iron, zinc, vitamin D, and omega-3

Stress management: yoga, meditation, and regular exercise

Avoid hairstyles that pull on hair (tight ponytails, braids)

What Not to Do

Don't expect overnight results because hair growth is slow.

❌ Avoid using harsh chemical treatments, bleaching, or perming.

❌ Don't stop medications abruptly-hair may start falling again

Avoid the use of untested supplements or "miracle cures."

Avoid tight hats or hairstyles that pull on follicles

Prevention & Lifestyle

Eat healthily and keep your body well-hydrated.

Reduce stress since chronic stress accelerates hair loss.

Protect scalp from UV damage. Avoid smoking and excess alcohol intake, as they can exacerbate miniaturization. Early treatment can significantly slow the progression.