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

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

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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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Hair loss from male pattern baldness can also occur gradually.

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

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

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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.

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.

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.

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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DHT is produced by the 5α-Reductase enzyme.

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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.

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.

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

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

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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.

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DHT causes hair loss by binding to your hair follicles.

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

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.

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.

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.

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.

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

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

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

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

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.

Currently, there are several safe, proven, FDA-approved medications used to treat erectile dysfunction.

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

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


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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).

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

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Erectile dysfunction isn’t always caused by physiological factors.

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.

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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.

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

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