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Androgenetic Alopecia (Pattern Hair Loss)

Androgenetic alopecia, better known as male or female pattern hair loss, is one of the most common reasons hair thins with age. This section covers the condition itself: how to recognize and stage it, how the main prescription treatment works, what the side-effect evidence really shows, and which popular worries about triggers hold up.

If you are new to this, begin with the Norwood and Ludwig scales to put a name to what you are seeing. Then read the complete finasteride guide and finasteride side effects, which separates what's well documented from what's anecdote. Does creatine cause hair loss? looks at one of the most-searched worries, and our post-finasteride syndrome page lays out what the evidence does and doesn't show.

For individual treatments beyond finasteride, see the Treatments section. Our methodology explains how we grade evidence and why we say so when it's thin.

9 evidence-based articles

androgenetic

Receding Hairline: Treatments That Actually Work (and What Doesn't)

Receding hairline treatment by evidence: finasteride's frontal-scalp trial, dutasteride, oral vs topical minoxidil at the front, and when it isn't balding.

9 min readUpdated 2026-10-24
androgenetic

Female Pattern Baldness: Causes and Treatments That Work

Female pattern baldness thins the crown and spares the hairline. Minoxidil is first-line, spironolactone helps some women, and iron and thyroid come first.

5 min readUpdated 2026-10-09
androgenetic

Does Testosterone (TRT) Cause Hair Loss? The Honest Answer

Does TRT cause hair loss? Testosterone doesn't, DHT does. But TRT raises the raw material for DHT and can speed pattern loss in prone men. How to keep hair.

5 min readUpdated 2026-10-06
androgenetic

Hair Loss in Your 20s: Why It Happens and What to Do Now

Hair loss in your 20s is usually early pattern baldness, often a strong genetic pattern. The upside: it's the best time to treat, when medication protects most.

6 min readUpdated 2026-10-02
androgenetic

Finasteride for Hair Loss: The Complete Guide (2026)

Finasteride for hair loss: the most effective oral treatment for male pattern baldness. How it works, honest side effects, Propecia vs generic, where to get it.

15 min readUpdated 2026-09-24
androgenetic

Finasteride Side Effects: What's Real, What's Reversible, and the Honest Risk (2026)

Finasteride side effects, honestly: sexual effects, the nocebo effect, mood, post-finasteride syndrome and fertility. What the trials show about real risk.

7 min readUpdated 2026-09-11
androgenetic

Post-Finasteride Syndrome (PFS): What the Evidence Actually Says (2026)

Post-finasteride syndrome: the persistent symptoms some men report after stopping finasteride. What's established, what's contested, and how to decide.

6 min readUpdated 2026-09-11
androgenetic

Does Creatine Cause Hair Loss? What the Evidence Actually Shows

Does creatine cause hair loss? The fear rests on one 2009 study where creatine raised DHT 56%. No study shows hair loss. The honest read if you're prone.

6 min readUpdated 2026-09-08
androgenetic

The Norwood Scale (and Ludwig Scale): How to Stage Your Hair Loss

The Norwood scale stages male pattern baldness from I to VII; the Ludwig scale does it for women. Your stage tells you how urgent treatment is and what works.

7 min readUpdated 2026-08-31