Hair loss usually does not start until after puberty, and the rate of progression is extremely variable. Some men go completely bald in less than 5 years but most take 15-25 years. One study found an average rate of hair loss of about 5% per year. Progression fluctuates considerably, with periods of accelerated loss lasting 3-6 months followed by quiescent periods lasting 6-18 months.
Androgenic alopecia develops as a gradual reduction in hair follicle size and shorter cycles in the active growth phase. In a normal cycle, about 100 hairs are lost on average from the head every day. As androgenic alopecia develops, the total number of hair follicles is reduced and irreversibly destroyed.
Androgenetic alopecia produces patterned hair loss,beginning with bitemporal recession of the frontal hair line, followed by diffuse thinning over the vertex.
Over time there is complete hair loss centrally on the vertex, producing a bald patch. The patch enlarges and joins the receding frontal hair line, leaving behind an island of hair on the frontal scalp. Eventually this island also disappears and only the marginal parietal and occipital hair remains. Ultimately the remaining hair thins and may also be lost.

Fig 1 shows the classification of male pattern baldness by Norwood. Source: (Norwood OT, South Med J 1975 Nov; 68(11):1359-65).
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