{"id":8800027,"date":"2026-09-09T13:26:28","date_gmt":"2026-09-09T13:26:28","guid":{"rendered":"https:\/\/www.costamedicalservices.com\/spain\/medical-library\/hair-loss-in-men\/"},"modified":"2026-09-09T13:26:28","modified_gmt":"2026-09-09T13:26:28","slug":"hair-loss-in-men","status":"publish","type":"page","link":"https:\/\/www.costamedicalservices.com\/sv\/spain\/medical-library\/hair-loss-in-men\/","title":{"rendered":"Hair loss in men: causes, treatments and realistic expectations"},"content":{"rendered":"<style>.entry-title{display:none!important}.cmsarticle{--ink:#103d56;--muted:#647d8b;--blue:#2d78da;--cyan:#1baec5;--green:#16856f;--line:#d9e7ed;--soft:#f3f8fa;--warn:#fff7e8;--rose:#fff3f3;--shadow:0 18px 44px rgba(16,61,86,.11)}\n.cmsarticle,.cmsarticle *{box-sizing:border-box}.cmsarticle html{scroll-behavior:smooth}.cmsarticle{margin:0;background:#fff;color:var(--ink);font-family:Inter,Arial,sans-serif;line-height:1.68}.cmsarticle a{color:#176ecb}.cmsarticle 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h1{font-size:40px}.cmsarticle .dek{font-size:17px}.cmsarticle .layout{gap:26px}.cmsarticle .summary{padding:22px 20px}.cmsarticle article{font-size:16px}.cmsarticle article h2{font-size:28px}.cmsarticle .cards,.cmsarticle .checklist{grid-template-columns:1fr}.cmsarticle .reviewer{grid-template-columns:56px 1fr}.cmsarticle .avatar{width:56px;height:56px;font-size:18px}}\n<\/style>\n<div class=\"cmsarticle\" lang=\"en-GB\">\n<div class=\"page\"><a class=\"back\" href=\"https:\/\/www.costamedicalservices.com\/spain\/medical-library\/\">\u2190 Return to the Medical Library<\/a><\/p>\n<header class=\"hero\" style=\"--hero:url('https:\/\/www.costamedicalservices.com\/wp-content\/uploads\/2026\/04\/Consulta-medica-virtual-en-casa-1.png')\">\n<div class=\"hero-copy\">\n<div class=\"eyebrow\">Men&#8217;s health \u00b7 medical guide<\/div>\n<h1>Hair loss in men: causes, treatments and realistic expectations<\/h1>\n<p class=\"dek\">Guide to male alopecia, assessment, minoxidil, finasteride and signs that require review.<\/p>\n<div class=\"tags\"><span>androgenetic alopecia<\/span><span>minoxidil<\/span><span>finasteride<\/span><span>hair loss<\/span><\/div>\n<div class=\"byline\"><span><strong>Reading:<\/strong> 11 minutes<\/span><span><strong>Updated:<\/strong> August 30, 2026<\/span><span><strong>Medical review:<\/strong> Dr Paola Blanco<\/span><\/div>\n<\/div>\n<\/header>\n<div class=\"layout\">\n<nav class=\"toc\" aria-label=\"Content\"><b>In this article<\/b><a href=\"#resumen\">Summary and conclusions<\/a><a href=\"#s1\">First: identify the pattern<\/a><a href=\"#s2\">What is assessed before treating<\/a><a href=\"#s3\">Finasteride Safety<\/a><a href=\"#s4\">How to measure if it is working<\/a><a href=\"#fuentes\">Official sources<\/a><\/nav>\n<article>\n<section class=\"summary\" id=\"resumen\">\n<div class=\"summary-label\">Summary and conclusions<\/div>\n<h2>The essentials in less than a minute<\/h2>\n<ul>\n<li>Androgenetic alopecia usually progresses gradually in the receding hairline and crown, but not all hair loss follows this pattern.<\/li>\n<li>A sudden fall, in patches, with inflammation or general symptoms requires a different assessment.<\/li>\n<li>Minoxidil and finasteride can be part of the treatment, but their indication, risks and expectations must be reviewed individually.<\/li>\n<li>Treatment requires consistency and months of follow-up; Comparable photographs are more useful than looking at hair every day.<\/li>\n<\/ul>\n<\/section>\n<section id=\"s1\">\n<h2>First: identify the pattern<\/h2>\n<p>Loss of density in the hairline, frontal hairline or crown is compatible with androgenetic alopecia, a process influenced by genetics and the sensitivity of the follicle to androgens. It does not mean that all men evolve equally nor that all hair loss is hereditary.<\/p>\n<p>Physiological stress, a recent illness, intense weight changes, nutritional deficiencies, thyroid disorders, scalp inflammation and some medications can cause other patterns. The diagnosis determines the treatment.<\/p>\n<div class=\"checklist\">\n<div class=\"check\">A gradually receding hairline or thinning crown<\/div>\n<div class=\"check\">Diffuse hair loss after illness or weight loss<\/div>\n<div class=\"check\">Well-defined patches<\/div>\n<div class=\"check\">Itching, pain, peeling, or scarring<\/div>\n<\/div>\n<\/section>\n<section id=\"s2\">\n<h2>What is assessed before treating<\/h2>\n<p>The doctor reviews when it started, family history, rate of change, diet, illnesses, medications, scalp symptoms, and previous treatments. In some cases, dermatology assessment or blood tests may be recommended.<\/p>\n<div class=\"table-wrap\">\n<table>\n<caption>Common options and limits<\/caption>\n<thead>\n<tr>\n<th>Option<\/th>\n<th>What is good to know<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Topical minoxidil<\/td>\n<td>It is used for androgenetic alopecia; It requires constant application and can cause irritation or temporary initial shedding.<\/td>\n<\/tr>\n<tr>\n<td>Oral finasteride<\/td>\n<td>It may be indicated in certain men; requires review of sexual effects and mood swing warnings.<\/td>\n<\/tr>\n<tr>\n<td>Topical finasteride<\/td>\n<td>The exposure and profile are not identical to the oral route; Prescribed product information must be followed.<\/td>\n<\/tr>\n<tr>\n<td>Dermatological referral<\/td>\n<td>Important if the pattern is unclear, there is inflammation, scarring or insufficient response.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/section>\n<section id=\"s3\">\n<h2>Finasteride Safety<\/h2>\n<p>In 2025, the EMA strengthened measures to minimize the risk of suicidal ideation with Oral finasteride. The frequency cannot be estimated from the available data, but the warning is especially important in the 1 mg formulation used for androgenetic alopecia.<\/p>\n<div class=\"warning red\">\n<h3>Mood and sexual function<\/h3>\n<p>If depression, depressed mood or suicidal thoughts appear, you should seek medical help; European information indicates that those taking finasteride 1 mg should discontinue it and consult. Sexual problems should also be communicated.<\/p>\n<\/div>\n<p>This does not mean that all people will have adverse effects, but rather that the decision must be informed and the follow-up must be real.<\/p>\n<\/section>\n<section id=\"s4\">\n<h2>How to measure if it is working<\/h2>\n<p>Hair grows slowly. It is more useful to compare photographs taken with the same light, angle, distance and hairstyle every few months than to inspect yourself daily. Tolerance and ease of maintaining the regimen also matter.<\/p>\n<p>If there is no response, the next step is not to double doses on your own. It may be necessary to review the diagnosis, adherence, time of use, or an associated cause.<\/p>\n<\/section>\n<section class=\"related\">\n<h2>Continue on the right route<\/h2>\n<p>Related medical guides and service pages. This article provides general information; treatment and prescribing decisions require an individual medical assessment.<\/p>\n<div class=\"related-grid\"><a href=\"https:\/\/www.costamedicalservices.com\/spain\/telehealth\/online-doctor\/\">hair loss<span>Clinical information and consultation<\/span><\/a><a href=\"https:\/\/www.costamedicalservices.com\/spain\/prescriptions\/\">Finasteride<span>Clinical information and consultation<\/span><\/a><a href=\"https:\/\/www.costamedicalservices.com\/spain\/telehealth\/online-doctor\/\">Online medical consultation<span>Clinical information and consultation<\/span><\/a><\/div>\n<\/section>\n<section class=\"reviewer\">\n<div class=\"avatar\">P.B.<\/div>\n<div>\n<h3>Medically reviewed by Dr Paola Blanco<\/h3>\n<p>Medical reviewer for Costa Medical Services. Clinical coherence, safety and source quality reviewed.<\/p>\n<p><span class=\"seal\">\u2713 Spanish medical registration 292891820 \u00b7 Review August 30, 2026<\/span><\/div>\n<\/section>\n<section class=\"sources\" id=\"fuentes\">\n<h2>Official and clinical sources<\/h2>\n<ol>\n<li><a href=\"https:\/\/www.ema.europa.eu\/en\/medicines\/human\/referrals\/finasteride-dutasteride-containing-medicinal-products\">EMA: safety measures for finasteride and dutasteride<\/a><\/li>\n<li><a href=\"https:\/\/www.aemps.gob.es\/formulario-nacional\/monografias\/preparados-oficinales\/fn_2006_po_039.pdf\">AEMPS: National Formulary, minoxidil for androgenetic alopecia<\/a><\/li>\n<\/ol>\n<p>Regulatory information may change. Before publishing in WordPress, you should double-check the current version of the SmPC and leaflet.<\/p>\n<\/section>\n<section class=\"cta\">\n<h2>Do you need a medical evaluation?<\/h2>\n<p>The consultation is used to review symptoms, history, medication and decide if online management is appropriate or if you need in-person care.<\/p>\n<p><a href=\"https:\/\/www.costamedicalservices.com\/spain\/telehealth\/online-doctor\/\">See medical consultation<\/a><\/section>\n<aside class=\"disclaimer\"><strong>Notice about AI and medical information<\/strong><\/p>\n<p>This article has been prepared with the help of artificial intelligence tools and may contain errors, inaccuracies or omissions. It is provided for general guidance only and is never a substitute for medical advice, examination, diagnosis or the instructions in the package leaflet. Do not start, stop, or modify a medication or delay urgent care based on this content alone.<\/p>\n<\/aside>\n<\/article>\n<\/div>\n<\/div>\n<\/div>\n<p><script type=\"application\/ld+json\" id=\"cms-confirmed-medical-review\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"@id\":\"https:\/\/www.costamedicalservices.com\/spain\/medical-library\/hair-loss-in-men\/\",\"url\":\"https:\/\/www.costamedicalservices.com\/spain\/medical-library\/hair-loss-in-men\/\",\"inLanguage\":\"en-GB\",\"reviewedBy\":{\"@type\":\"Physician\",\"name\":\"Dr Paola Blanco\",\"identifier\":\"Spanish medical registration 292891820\"},\"lastReviewed\":\"2026-08-30\",\"name\":\"Hair loss in men: causes, treatments and realistic expectations\",\"description\":\"Guide to male alopecia, assessment, minoxidil, finasteride and signs that require 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