Transgender Male Pattern Baldness Causes & Treatment

Hair loss is a problem with all genders including transgender male. Especially if a transgender man undergoes hormone replacement therapy (HRT), the chances of hair loss increases.

The introduction of testosterone during HRT can lead to increased dihydrotestosterone (DHT) levels, thus causing baldness. Since, DHT causes hair follicle shrinking, thus results in thinner and shorter hair.

However, this is not the case with all trans men. Nevertheless, it is always better to understand the potential effects of HRT on hair loss. This will allow you to prepare yourself in advance for potential resolution steps.

Luckily, transgender male pattern baldness is curable. Numerous solutions can help you recover from androgenetic alopecia.

This article covers everything related to trans men’s hair loss. As we will look at symptoms, causes and potential treatments.

What is Male Pattern Baldness in Transgender Men?

Androgenic alopecia (AGA) is a common form of hair loss caused by progressive follicular baldness. It can happen with male and females.

However, this problem is also causing trans men balding. Trans men are individuals whose gender was assigned as female at birth, but they identify as male.

So, they have to undergo masculinising hormone therapy to affirm their gender. This makes significant changes in their hormones including polygenic genodermatosis; that may trigger androgenic alopecia.

Is Male Pattern Baldness common?

Although, there is not sufficient data available of androgenic alopecia happening to trans men undergoing gender affirmation therapy. However, doctors believe it is highly likely.

Generally, AGA appears within 12 months of having the therapy. Similarly, the chances and severity increases with prolonged therapy. Likewise, out of 1000 patients, 65% trans women reported hair loss. Whereas, 43% trans men experienced this problem. 

Therefore, it is highly likely mtf male pattern baldness can happen after hormonal therapy.

Causes of Male Pattern Baldness in Trans Men

While conversion of testosterone to dihydrotestosterone (DHT) is the major cause of male pattern baldness transmen. There are a few other factors as well that cause this problem.

Here are some of the causes of male pattern baldness in trans men.

• Hormone Therapy: As this therapy uses exogenous testosterone during gender affirmation, which can accelerate male pattern hair loss.
• Genetic Predisposition: Family history also play a major role in bald trans man. So, if anyone in your family had a hair loss problem, you are likely to experience it too.
• DHT Sensitivity: Scalp follicles are highly sensitive to DHT. Hence, it can disturb the balance and lead to AGA.
• Age: Although, male pattern baldness can happen at any age, it is more common in older trans men.

What are Symptoms of Transgender Male Pattern Baldness?

As the answer to the question of trans men going bald is, yes! It is better to keep an eye on your hair. Since, early detection offers better recovery chances.

Especially if you are going through gender affirmation therapy. You should immediately consult your doctor if you feel the following symptoms.

• Frontotemporal recession: This type of hair loss typically starts with recession at the temples, creating an “M” shape.
• Vertex thinning: If you start losing hair on the crown or vertex of the scalp.
• Thinning hair: Hair becomes thinner, shorter, and more brittle due to follicular miniaturization.
• Hair shedding: Trans men experiencing hair shedding, particularly during washing or combing, should report it to their doctor.
• Balding patches: Another common symptom includes when you notice balding patches, especially on the top and front of the scalp.

What are Solutions for Transgender Male Pattern Baldness?

Luckily, a number of highly successful solutions are available for male pattern baldness transgender. You can easily discuss your condition with your doctor and select the one suited for you.

This also answers the query, is male pattern baldness permanent? Because you can recover it with the following ways.

Medications

Based on the condition, certain medicines can promote hair growth. As these contain necessary ingredients required to counter male pattern baldness in trans men.

Here are some medicines:

• Minoxidil: It is an FDA approved medicine that can work for transgender male pattern baldness.
• Finasteride: Finasteride for trans men is a popular answer for can you stop male pattern baldness. It is effective as it does not interact with testosterone therapy.

Non-Invasive Treatments

The following non-invasive treatments can also provide solutions for how to prevent hair loss while taking testosterone.

• Low-Level Laser Light Therapy: An excellent option to promote hair growth while stopping male pattern baldness.
• Platelet-Rich Plasma (PRP) Therapy: It involves injecting platelet-rich plasma to promote hair regeneration.
• Micro-Needling: A minimally invasive procedure that stimulates hair growth by creating micro-punctures in the skin.

Surgical Options

The most popular form of surgical solution for transgender male pattern baldness is hair transplant. It has a high success ratio and can produce a high natural hairline.

However, you should consult a certified surgeon to ensure top results.

Managing Transgender Male Pattern Baldness

While pattern baldness in transgender male can have a significant impact on well-being and confidence. Yet, you can manage it by adopting a comprehensive approach.

Trans men can take steps to promote hair growth and reduce the risk of hair loss by:

• Maintaining a healthy diet: Eating a diet that is rich in vitamins and minerals can help promote hair growth.
• Reducing stress: High stress levels can contribute to hair loss. Therefore, finding ways to manage stress, such as through exercise or meditation, is essential.
• Using gentle hair care products: By avoiding excessive heat styling and use of gentle products also promotes hair growth.
• Counseling: Consider counseling or therapy to address emotional concerns related to hair loss and body image.

Frequently Asked Questions

Are there any natural remedies for hair loss in transgender people?

Yes, several natural remedies including diet, essential oils and scalp massage can help stop hair loss in transgender people.

Can testosterone reverse male pattern baldness?

No, testosterone does not reverse male pattern baldness, and may even worsen it in some cases.

Can dietary supplements help with hair loss in transgender people?

Yes, certain dietary supplements like biotin, vitamins E and D, and iron can help with hair loss in transgender people. As these contribute to healthier hair follicles and potentially reduce hair shedding.

What are the first-line treatments for male pattern baldness?

The first-line treatment for male pattern baldness in transgender patients include topical minoxidil (as per doctors).

Does transitioning reverse male pattern baldness?

There are no studies on this subject, however, transitioning does not reverse male pattern baldness. Thus, it requires additional means to stop and reverse it.