Addressing Male Pattern Baldness (Androgenic Alopecia): 6 in 10 Singaporean Men Affected

What is Male Pattern Baldness (Androgenic Alopecia)?

Male Pattern Hair Loss (MPHL), or androgenetic alopecia, is not just the most common type of hair loss among men in Singapore and around the world—it’s also a major concern for many. Often beginning with a receding hairline and thinning at the crown, MPHL can gradually progress to noticeable bald spots. It’s important to remember that sudden or unusual hair loss could be a sign of underlying health issues that need prompt medical evaluation.
Don’t let hair loss hold you back! If you’re noticing early signs of thinning or balding, act now to explore your options. Visit a specialist today to get a personalised treatment plan tailored to your needs.

Normal Hair Growth Cycle

Understanding the hair growth cycle helps explain postpartum hair loss.
Here’s how hair growth works:

01

Growth Phase
(Anagen)

Our advanced AI-powered system will meticulously analyse the current state of your scalp.

02

Transitional Phase
(Catagen)

A brief, 2-week phase where growth slows, affecting 1-2% of hair.

03

Resting Phase
(Telogen)

Our advanced AI-powered system will meticulously analyse the current state of your scalp.

04

Shedding Phase
(Exogen)

 Normal shedding of 50-100 hairs daily, often replaced by new growth.

How Does Male Pattern Baldness Occur? 

Male pattern baldness occurs when the normal hair growth cycle is disrupted, leading to gradual hair thinning and eventual hair loss. This happens due to a combination of genetic factors and hormonal changes, particularly the effects of dihydrotestosterone (DHT), a hormone that causes hair follicles to shrink over time.

Here’s how the process unfolds: 

1

Follicle Shrinkage

During pregnancy, high oestrogen (hormone regulating female reproductive system and secondary sexual characteristics) levels prolong this phase, leading to lusher hair by keeping more hair in active growth.

2

Transitional Phase (Catagen)

During pregnancy, fewer hairs transition to this phase due to the prolonged anagen phase.

3

Increased Shedding

After childbirth, the drop in oestrogen levels causes a larger proportion of hair to abruptly enter this phase, staying there for about 3 months.

4

Hair Becomes Thinner & Shorter

Around the third or fourth month postpartum, many hairs in the resting phase shed simultaneously, leading to noticeable hair loss.

5

Follicles Stop Producing Hair

Eventually, the follicles become dormant and stop producing new hair altogether, leading to bald patches.

Stages of Male Pattern Baldness

Stage 1

No significant hair loss or recession of the hairline.

Stage 2

There is a slight recession of the hairline around the temples. This is also known as an adult or mature hairline.

Stage 3

The first signs of clinically significant balding appear. The hairline becomes deeply recessed at both temples, resembling an M, U, or V shape. The recessed spots are completely bare or sparsely covered in hair.

Stage 4

The hairline recession is more severe than in stage 2, and there is sparse hair or no hair on the vertex. The two areas of hair loss are separated by a band of hair that connects to the hair remaining on the sides of the scalp.

Stage 5

The two areas of hair loss are larger than in stage 4. They are still separated, but the band of hair between them is narrower and sparser.

Stage 6

The balding areas at the temples join with the balding area at the vertex. The band of hair across the top of the head is gone or sparse.

Stage 7

In the most severe stage of hair loss, only a band of hair going around the sides of the head remains. This hair is usually not dense and may be fine.

Treatments for Male Pattern Hair Loss

Each treatment has specific indications and potential side effects, which should be considered when choosing the best approach.

Comprehensive AI-Driven Scalp Analysis

Our hair specialists start with an in-depth scalp analysis using AI technology, ensuring a precise understanding of your unique hair loss pattern. This allows us to customise a treatment plan that restores your hair and confidence.

Advanced, Non-Invasive Treatment Methods

  • ZynStem Bio-Cells
    Our innovative bio-nano cells provide deep nourishment to your scalp, promoting healthier hair growth without any pain.
  • High-Frequency Therapy
    Improves blood flow and stimulates hair follicles, supporting natural hair regrowth.
  • Finasteride (Propecia, Proscar)
    This medication is a 5-alpha reductase inhibitor and comes in pill form. It works by blocking the production of dihydrotestosterone (DHT), a hormone derived from testosterone, which plays a significant role in male pattern hair loss. By reducing DHT levels, finasteride can help to slow down or even stop hair loss and is highly effective in promoting hair regrowth in the majority of men who use it. Finasteride can also be administered topically as a hair spray. However, it can have side effects like reduced sexual drive or function.

 

  • Topical Minoxidi (Rogaine)
    Minoxidil, available as a liquid or foam, is applied directly to the scalp. As a vasodilator, it helps widen the blood vessels in the scalp, enhancing blood flow, which nourishes the hair follicles and promotes thicker, longer hair growth. It can be used in conjunction with oral forms and is suitable for men of all ages. Some users may experience scalp irritation as a side effect.

 

  • Dutasteride
    Dutasteride is similar to finasteride but might be more effective in some cases. It reduces the hormone that causes hair loss. However, it can also lead to sexual side effects similar to finasteride.

 

  • Steroid Creams
    Steroid creams are topical treatments applied directly to the scalp. They help reduce inflammation around hair follicles, potentially slowing hair loss and encouraging new growth. These creams are especially useful for conditions like alopecia areata but might be less effective for male pattern baldness. Common side effects include skin thinning and irritation.
  • Steroid Injections
    Steroid injections involve directly injecting corticosteroids into the scalp. This method is primarily used for treating localised hair loss, such as alopecia areata, rather than male pattern baldness. The injections can help suppress the immune system around the hair follicles, promoting hair growth. The effects are temporary, and repeated sessions may be necessary.

 

  • Immunotherapy
    Immunotherapy is a treatment that involves applying chemicals like diphencyprone (DPCP) to the scalp to stimulate the immune system and promote hair growth. This method is typically reserved for severe cases of hair loss, such as extensive alopecia areata, and is less commonly used for male pattern baldness. It requires regular application under medical supervision, and side effects can include a rash or irritation at the application site.

 

  • Medicated Shampoos
    Contain special ingredients to help reduce hair loss and improve scalp health. Some shampoos are formulated to block harmful hormones on the scalp, while others might help to nourish hair roots and reduce dandruff, which can contribute to hair loss.

 

  • Hair Serums
    Vital in a hair care routine, especially for those experiencing thinning hair. These serums are formulated with active ingredients that can stimulate the hair follicles, enhance hair density, and promote overall hair growth. Regular application of a hair serum can nourish the scalp, strengthen hair roots, and provide the necessary moisture and protection against environmental stressors. For best results, choose serums that suit your specific hair type and condition.
  • Hair Transplant Surgery
    Involves taking hair from thicker sections of your scalp, or other body parts, and grafting it onto areas with less hair. Techniques like FUE (Follicular Unit Extraction) and FUT (Follicular Unit Transplantation) are commonly used. The process can be pricey and involves some recovery time.

 

  • Micropigmentation
    A cosmetic technique that uses tattoos to mimic the appearance of hair follicles on the scalp. This procedure can help create the illusion of a fuller head of hair or define a hairline. It’s particularly useful for those with thinning hair or bald patches. Micropigmentation is non-invasive, with minimal downtime and immediate results. However, touch-ups may be needed to maintain the appearance.

 

  • Scalp Reduction and Flap Surgery
Involve removing bald areas of the scalp and stretching hair-covered areas over them to improve hair coverage. Flap surgery moves a large portion of hair-bearing scalp to a bald area in a single operation.

 

  • Low-Level Laser Therapy (LLLT)
    Uses laser light to stimulate hair growth on the scalp. It’s non-invasive and can be a good option for those who want to avoid surgery or medications. However, results can vary widely.
  • Hair Pieces
    Refers to the use of wigs or toupees made from natural or synthetic hair to cover areas of hair loss. Hair pieces are customizable and can be styled to match the wearer’s natural hair, offering an immediate solution to baldness. They require regular maintenance to keep looking natural and can be a non-surgical alternative for those seeking to enhance their appearance without medical interventions.

 

  • Natural Remedies
    Uses herbal extracts and essential oils that may support hair health. Although natural remedies are generally safe, their effectiveness isn’t always backed by strong scientific evidence. Common options include saw palmetto, pumpkin seed oil, and rosemary oil.

 

  • Platelet-rich plasma (PRP)
    PRP involves taking a sample of your blood, processing it to increase the concentration of platelets, and then injecting it into your scalp. This can stimulate hair growth by using your body’s own healing properties.

Why Choose DrScalp for Male Pattern Baldness?

At DrScalp, we’re not just about treating hair loss; we’re about restoring your confidence. Our personalised approach combines unique technology with genuine care.

  • Positive Results
    To date, DrScalp has serviced 4,000 clients. We have an average rating of 4.9 ★ on Google reviews.

 

  • Personalised Approach
    We tailor treatments to individual needs. No two scalps are the same, so no treatment should be, either.
  • Experienced Team
    DrScalp’s skilled professionals have extensive experience in hair restoration. We pride ourselves on our exclusive ZynStem™ Bio-Cells technology, which has been tested on 30,000 scalps before its launch.

When Should I Contact a Doctor?

When dealing with male pattern baldness, here are a few situations where you might want to consult a doctor:

  • Rapid Hair Loss
    If you experience sudden or rapid hair loss, it’s advisable to see a doctor to rule out underlying health issues that might be causing the hair loss.

 

  • Atypical Patterns
    Male pattern baldness typically affects the temples and the crown of the head. If you’re losing hair in patches or if the hair loss is accompanied by redness, scaling, or pain, a consultation with a dermatologist is recommended.

 

  • Before Starting Treatment
    If you’re considering treatment options such as minoxidil, finasteride, or other medications, consult a healthcare provider for a proper diagnosis and to discuss the potential benefits and side effects.
  • Impact on Mental Health
    If your hair loss is affecting your self-esteem or causing anxiety or depression, it might be helpful to talk to a professional. They can provide support and discuss possible treatment options.
  • General Concerns
    If you have questions or concerns about the progression of your baldness or the options available for managing it, a doctor can provide you with the information and guidance you need.

Preventing Male Pattern Baldness

When dealing with male pattern baldness, here are a few situations where you might want to consult a doctor:

  • Boosting your protein intake is crucial, particularly if you follow a vegetarian or vegan diet. Aim for 40 to 60 grams of protein daily. A Mediterranean diet, rich in fruits, vegetables, and protein, can also help reduce hair loss.

 

  • Incorporating essential vitamins and minerals into your diet can promote healthier hair, skin, and muscles. Key nutrients include vitamins A, B, C, D, and E, as well as zinc and iron.
  • Managing stress effectively is important, as stress can trigger male pattern baldness by activating your androgens. Finding effective stress relief techniques can support your overall hair health.

Frequently Asked Questions (FAQ)

Yes, male pattern baldness can slow down naturally, but it usually doesn’t completely stop on its own. New treatments are showing promising results in reversing baldness.

Yes, some treatments can slow down or even reverse male pattern baldness. However, a complete cure is still challenging.

Results from male pattern baldness treatments vary: medications show effects in 3-6 months, hair transplants take 6-12 months, Low-Level Laser Therapy may improve hair in 2-4 months, and scalp micropigmentation offers immediate results. Regular follow-ups are crucial.

Around 25% of men with hereditary baldness start losing hair before age 21. By age 35, about 66% experience some hair loss.

Yes, if your dad is bald, there’s a higher chance you’ll experience male pattern baldness too. Genetics play a significant role.

Yes, male pattern baldness can be inherited from your mother’s side of the family.

Yes, chronic lack of sleep may increase stress, affecting hair growth. Prioritise quality sleep for overall health and healthy hair.

Medical Journal References

Chen, Yan, et al. “Genetic Prediction of Male Pattern Baldness Based on Large Independent Datasets.” European Journal of Human Genetics, vol. 31, no. 3, Nov. 2022, pp. 321–28, doi:10.1038/s41431-022-01201-y.

 

Knoedler, Leonard, Felix Ruppel, et al. “Hair Transplantation in the United States: A Population-based Survey of Female and Male Pattern Baldness.” Plastic and Reconstructive Surgery. Global Open, vol. 11, no. 11, Nov. 2023, p. e5386, doi:10.1097/gox.0000000000005386.

 

York, Katherine, et al. “A Review of the Treatment of Male Pattern Hair Loss.” Expert Opinion on Pharmacotherapy, vol. 21, no. 5, Feb. 2020, pp. 603–12, doi:10.1080/14656566.2020.1721463.