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What causes thinning of crown hair in males?

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What causes thinning of crown hair in males?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At June 28, 2019
Reviewed AtAugust 3, 2023

Patient's Query

Hello doctor,

I am 19 years old, male, recently I discovered that my crown hair is slightly thinning, however, I think it is a cowlick because the middle part of the crown where the swirl is thick but away from the swirl it is thinner. You can actually see my scalp lines or hairlines. You can see my top back hairline and the side of the crown hairline.

Hi,

Welcome to icliniq.com.

I can see thinning of hair in the picture you have attached, but I cannot see the hair line (attachment removed to protect patient identity). It could be telogen effluvium (stress induced) or early androgenetic alopecia or visibility of scalp could be because of your short hair.

Androgenetic alopecia or male pattern baldness starts with receding hair line on the temporal and frontal area of scalp then there will be thinning in the crown of scalp. I will have to see pictures taken from the front to visualize hair line receding to confirm androgenetic alopecia. Are you actively losing hairs everyday? Do you see more hairs while taking shower? Do you have family history of baldness? Any history of illness in the recent past? Any surgeries? Hospitalization?

Hair needs protein for growth, diet rich in protein say 40 to 60 g of protein per day is very helpful. It depends on the body weight. Avoid hot water, use lukewarm water to wash scalp.

Patient's Query

Hello doctor,

Thank you for the response. I do not see any hair falling out in the shower. I will upload a picture of front of my head.

Hi,

Welcome back to icliniq.com.

In these pictures I do not see classic features of androgenetic alopecia. If there is no history of illness, stress in the recent past, then it could be early androgenetic alopecia. It is treated with topical Minoxidil solution. Once Minoxidil solution is started it has to be used infinitely. Hence, only in established cases we suggest Minoxidil.

For you, I would suggest, protein rich diet, hair and nail Vitamin every day.

Patient's Query

Hi doctor,

Thank you very much. I have got the medicinies as told by you.

Hi,

Welcome back to icliniq.com.

You are welcome. Take care and take the medicines.

Patient's Query

Hi doctor,

Thank you very much. I will send an update soon.

Hi,

Welcome back to icliniq.com.

Sure, let me know the progress. It should work.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashwini. V. Swamy
Dr. Ashwini. V. Swamy

Venereology

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