Patients believe their hair is thinning when they see a receding hairline, feel that the volume of their hair is thinning overall, or notice that the skin on the crown of their heads is starting to show. Every day, when taking a shower or combing your hair, they start to notice more hair falling out. In addition, patients frequently become frightened if they find hair on their pillow or over the drain after a shower. Any one of these warning signals can cause a patient to worry about hair loss. Patients become concerned if they see such hair depreciation because hair plays a significant function in an individual's aesthetic appeal. In androgenetic alopecia, the root gradually thins, causing the terminal hair to change into intermediate hair, which, after more persistent damage, turns into vellus hair and eventually causes the growth cycle to stop. The primary androgen involved in the pathophysiology of androgenetic alopecia in males is dihydrotestosterone, which is produced when the enzyme 5 alpha-reductase breaks down testosterone.
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