Male Pattern Hair Loss and its Treatment Options | Top Doctors (2025)

Male pattern hair loss, also known as androgenetic alopecia, is the most common type of hair loss in men. It is primarily caused by genetics and the hormone dihydrotestosterone (DHT), which gradually shrinks hair follicles, leading to thinning and eventual hair loss.

In this article, I’ll explain the most effective treatments for male pattern hair loss and discuss whether combining therapies can improve outcomes.

What are the most effective treatments for male pattern hair loss?

There are several evidence-based treatments available for male pattern hair loss. It is important to note that all of the below treatments require around 6-12 months to see the full benefit, although benefit can often be seen from 3 months. Stopping treatment may lead to loss of the benefit that has been gained. These treatments include:

1. Minoxidil

Minoxidil is a widely used topical treatment, and can be taken also as a tablet. Minoxidil stimulates hair growth by increasing blood flow to the scalp and nourishing hair follicles. The topical preparation is available in liquid or foam form, typically at a 5% concentration, however can be compounded at higher concentrations, and is applied directly to the affected areas of the scalp, typically twice daily.

• Effectiveness: Minoxidil can slow down hair loss and promote regrowth, particularly on the crown and temples.
• Considerations: Patients may experience an initial shed of hair before benefit is seen.

2. Finasteride

Finasteride is a prescription tablet which can also be administered as a topical preparation to the scalp. Finasteride addresses the hormonal cause of male pattern hair loss by reducing DHT levels in the scalp. It works by inhibiting the enzyme 5-alpha-reductase, which converts testosterone into DHT.

• Effectiveness: Finasteride helps prevent further hair loss and can even stimulate new growth.
• Considerations: Finasteride is generally well-tolerated but may have side sexual side effects such as reduced libido or erectile dysfunction in a small percentage of users.

3. Platelet-rich plasma (PRP) therapy

PRP therapy is an innovative treatment that uses your body’s own platelets to stimulate hair growth. A small amount of your blood is drawn, processed in a centrifuge to concentrate platelets, and then injected into targeted areas of your scalp. PRP works by improving blood supply to the hair follicles and prolonging their growth phase (anagen phase).

• Effectiveness: Clinical studies have shown improvements in hair density, thickness, and regrowth with PRP therapy when performed consistently over several sessions. Most protocols recommend an initial course of three to four treatments spaced about four weeks apart, with maintenance sessions every six months or annually thereafter.
• Considerations: While PRP is generally safe with minimal side effects, it often works best alongside other treatments like minoxidil or finasteride for enhanced results.

4. Low-level laser therapy (LLLT)

LLLT is a non-invasive treatment that uses red light to stimulate hair follicles and promote growth by improving blood circulation and cellular energy production around the follicles. LLLT devices, such as laser combs or caps, emit low-level light directly onto the scalp.

• Effectiveness: Studies suggest that LLLT can moderately improve hair density and thickness when used consistently, especially when combined with other treatments like minoxidil or finasteride.
• Considerations: LLLT is generally safe but requires regular use over time for noticeable results. I personally find the other treatments more effective, however this is a simple and safe adjunct.

5. Hair transplant surgery

Hair transplant surgery offers a permanent solution for male pattern baldness by relocating healthy hair follicles from areas with dense growth (usually the back or sides of the scalp) to thinning or bald areas.

• Techniques: The two main methods are follicular unit transplantation (FUT) and follicular unit extraction (FUE). Both provide natural-looking results when performed by an experienced surgeon.
• Effectiveness: Success rates are high, with visible improvements typically seen within 6 to 12 months after surgery. However, medical therapies are important alongside transplantation, as the male pattern hair loss process will likely lead to continued thinning over time if not adequately treated. Additional hair transplant treatments may be needed to maintain overall density.

Can combining treatments improve results?

Yes, combining treatments can often yield better outcomes than using a single therapy alone. This approach targets different aspects of hair loss for a more comprehensive effect:

• Minoxidil + Finasteride: This combination addresses both follicle stimulation (via minoxidil) and hormonal causes (via finasteride), making it one of the most effective strategies for slowing hair loss and encouraging regrowth. This can be achieved through compounded topical preparations, tablets, or a combination of both.
• Minoxidil/Finasteride + PRP or LLLT: Adding PRP or LLLT to either minoxidil or finasteride can further enhance results.

While combination therapies are promising, it’s important to consult with a specialist before starting any treatment plan. A tailored approach ensures safety and optimises results based on your specific needs.

Key takeaways

Male pattern hair loss is highly treatable with evidence-based options such as minoxidil, finasteride, PRP and surgical procedures such as hair transplantation. Combining therapies may further boost effectiveness, however every patient’s journey and personal preferences are unique. Consulting a dermatologist ensures you receive expert guidance on the best treatment plan for your situation.

If you’re concerned about hair loss or want to explore treatment options, I would be happy to help you develop a personalised treatment plan.

To book an appointment with Dr Amr Salam, head on over to his Top Doctors profile today.