Hair On Top Causes More Pain When I Tug On It

Dear Sir,

I have some questions about the nature of hair. I am a 23-year old Asian (male).

I notice that hair at my back and sides are usually thicker and denser than the top. Moreover, when I style or pull my hair I feel that the hair on top feels some pain more easily than the back and sides. It gives me a sense like hair (or scalp) on the top is not as healthy as the rest and easier to fall out.

I don’t know whether this is normal and it’s the same for other people. Can these be signs for male pattern baldness?

Thank you for your help.

Best Regard

This is an unusual question. The best way for you to determine if you have male pattern baldness in its early stages is to see your doctor and possibly have a miniaturization study (microscopic exam) and/or have a bulk assessment of the hair and compare the hair throughout the scalp. Decreases in miniaturization or hair bulk in a pattern (thus the term “male pattern” balding) is a way to determine if your hair loss is genetic (male pattern) balding.

With regard to your pain, although on rare occasions people have reported pain with male pattern baldness, I have never had an explanation for it and it is not a sign of balding that I know of.