Brief Answer:
I would like to know more from your regarding the query

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have gone through your query.

Hair loss can be due to various reasons, stress being one of the reason. However, day to day stressful conditions like you mentioned is not the responsible for hair fall.
Only major stressful conditions like preceding illness (dengue, malaria, jaundice), post surgery, weight loss >10% of body weight, severe psychological stress like loss of family member can lead to hair loss.

I would like to know more from you regarding your problem.

-Is the hair loss diffuse?Or is it more at the top (vertex) and front of the scalp?
-Is hair loss also accompanied with receding anterior hair line?
-Is there a family history of balding?Or receding hair line?

Hair loss in males is most commonly Androgenetic alopecia Or hereditary hair loss.
In androgenetic alopecia, hair loss as well as thinning is mainly from the front and top (vertex) part of the scalp.
There may also be hair loss and thinning from the angles of the anterior hair line so that the angles become wider and deeper (thus giving rise to a V shaped anterior hair line)

Regards

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Brief Answer:
Androgenetic Alopecia; Minoxidil+Finasteride are approved medications

Detailed Answer:
Hi.

Thank you for more details.

You seem to have androgenetic alopecia.
As I had already told you, hair loss in Androgentic alopecia mainly involves the frontal and crown part of the scalp and is also associated with gradual recession of the anterior hair line.
There may also be hair loss and thinning from the angles of the anterior hair line so that the angles become wider and deeper (thus giving rise to a V shaped anterior hair line)
Family history is positive in most and but is not necessarily present in first degree family members like father, brother.
Positive family history in grandparents, aunts, uncles, nephews, nieces or half-siblings is also significant.

Only Minoxidil and finasteride have approval for use in this type of alopecia. Rest all are used as off-label (unapproved) treatments for hair loss with variable results.
While Minoxidil is a non-specific hair growth promoter, oral Finasteride is specific for androgenetic alopecia in males.
Finasteride inhibits the enzyme responsible for converting testosterone to Dihydrotestosterone (DHT) in hair follicles. DHT is the main culprit in this type of hair loss.

Results are usually noticeable over a period of 6-12 months of regular minoxidil use and oral treatment.
The results are maximal at 1-2 years of combined treatment (Oral + topical) and then may be maintained with just Oral treatment.
Moreover, the goal with this therapy is to arrest or slow down further progression. New hair regrowth is an added advantage but response varies from individual to individual.

Therefore the aim is to start treatment as early as possible and to maintain the improvement with life long treatment.
A biotin supplement once daily would also be useful. Biotin supports hair growth though it is not specific for androgentic alopecia.

These are all prescription medications, therefore, I suggest you to visit a dermatologist in your vicinity for the needful.

Regards

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