Hereditary hair loss in men: what can you do about it?

Hereditary hair loss in men: what can you do about it?

Hereditary hair loss is the most common form of hair loss in men. Do you recognise that slowly receding hairline or an increasingly thinning crown? If so, there’s a good chance you’re dealing with androgenetic alopecia, or hereditary hair loss. Although genetic predisposition plays a key role, that doesn’t mean there’s nothing you can do. With the right approach, you can significantly slow down the process and, in some cases, even partially reverse it.

What exactly is hereditary hair loss?

Androgenetic alopecia is a hereditary condition in which hair follicles are sensitive to the hormone DHT (dihydrotestosterone). DHT is a by-product of testosterone and binds to hair follicles, causing them to gradually shrink. The hairs they produce become increasingly thinner and shorter, until the hair follicles eventually stop growing altogether. As clinical research shows, this process varies from person to person, but the pattern is almost always the same: increasing baldness which, in men, follows the typical Norwood pattern (receding hairline on both sides of the forehead and thinning above the crown).

How do you recognise hereditary hair loss?

It often starts subtly. In many men, the hairline at the temples recedes first, creating so-called ‘recesses’. At the same time, the crown thins out. A wider parting or more visible scalp than before are also early signs. An important characteristic of hereditary hair loss is its gradual progression: hair does not fall out in sudden clumps, but becomes thinner bit by bit. If baldness runs in your family – for example, in your father or maternal grandfather – this increases the likelihood that you will follow the same pattern.

When does hereditary hair loss usually start?

Some men notice their hairline receding as early as their twenties. For others, it only starts in their thirties or forties. At what age do men go bald on average? is a question that concerns more men than they are willing to admit. The answer: there is no set age, but early intervention pays off. The more hair you still have when you start treatment, the better the outcome usually is.

Can you stop hereditary hair loss?

It is not possible to stop it completely. The genetic predisposition does not disappear. However, significantly slowing the process and maintaining hair density is realistic, as shown by a recent review of proven treatments for androgenetic alopecia. The sooner you start, the more hair you can retain. Those who wait too long give hair follicles the chance to close permanently, and once closed, hair follicles no longer respond to treatment.

Which treatments work against hereditary hair loss?

Two treatments have the strongest scientific backing: finasteride and minoxidil. Finasteride inhibits the enzyme that converts testosterone into DHT, thereby reducing the hair follicles’ exposure to this hormone. In a small group of men, finasteride can cause side effects such as a temporary reduction in libido or erectile problems; always consult a doctor if you experience this. Minoxidil improves blood flow to the scalp, helping hair follicles to remain active for longer and produce thicker hairs. In the first few weeks of use, minoxidil may temporarily cause increased hair shedding: this is normal and a sign that the hair follicles are transitioning to a new growth cycle. Finasteride and minoxidil for hair loss together form the most effective approach. According to the European guideline for the treatment of androgenetic alopecia, the combination of both treatments yields significantly better results than either treatment alone. Are you unsure which approach to blocking the DHT hormone is right for you? Then read more about finasteride or dutasteride: which works better for hair loss?

When will you see results from treatment?

Do not expect results within a few weeks. The first results of finasteride are usually only visible after three to six months. The full effect can only be assessed after nine to twenty-four months of consistent use. Phase III research shows that regular use of topical finasteride leads to a demonstrable improvement in hair density. With minoxidil, stopping use also causes the hair to fall out again, usually within three to four months. Treatment is therefore a long-term choice, not a temporary fix.

What can you do yourself to limit hair loss?

Lifestyle changes do not replace medical treatment, but they do support it. Getting enough protein in your diet provides the hair with the building blocks it needs to grow. Chronic stress and chronic sleep deprivation increase cortisol levels, which can indirectly exacerbate the DHT effect. Choose gentle hair products and do not wash your hair more often than necessary. Rough handling, from tying it up too tightly to aggressive drying, does not accelerate hereditary baldness but does put unnecessary strain on the hair shaft.

How does Fellos help with hereditary hair loss?

Fellos makes it easy to start treatment. Through an online assessment taking about three minutes, you describe your situation, symptoms and medical history. A Dutch doctor reviews your assessment and draws up a personalised treatment plan. If treatment is appropriate, the product is discreetly delivered to your home, without the need for a visit to the chemist or a GP referral. Everything is handled via a secure platform. Treating hair loss with Fellos is designed for men who want to take action without the hassle.

What do men say about their experience with Fellos?

Men who start hair loss treatment via Fellos particularly appreciate the clear explanation of what to expect, the speed of the process and the privacy offered by online healthcare. The feeling of being taken seriously by a doctor who assesses your situation without you having to visit a surgery is often seen as a positive experience. We do not make any claims about individual medical outcomes, as these vary from person to person.

Tackle hereditary hair loss with the help of Fellos

Hereditary hair loss does not stop on its own, and waiting makes it harder to achieve results. The combination of minoxidil for hair growth and finasteride is scientifically proven and widely used. Randomised clinical trials show that both oral and topical minoxidil are effective for androgenetic alopecia in men. With Fellos, you can start an assessment within minutes, which is reviewed by a doctor. No waiting times, no awkward conversations, just a clear treatment plan that suits you.

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