My Hairline Started Disappearing at 23. Here's the Crazy Stuff I Found Out
So I'm 23, working at this startup in Koramangala, and my hairline decides to peace out. Great timing, right?

Brij Patel
Founding Team, DermaQ

It wasn't like one day I woke up bald or anything. More like I'm getting ready for work one morning - probably running late because of some bug in production - and I catch myself in the mirror. My forehead looked... different. Bigger. Like my hair was slowly backing away from my face.
At first I blamed it on stress. I mean, come on. Bangalore traffic + startup deadlines + living on Maggi and energy drinks = hair falling out, right? Seemed logical enough. Turns out the real story is way more complicated and actually pretty fascinating.
Your Hair is Basically Controlled by Chemical Messages
Here's something wild I learned. Every single hair on your head grows from these tiny factories called follicles. And these follicles are constantly getting chemical messages from your bloodstream - hormones.
When everything's working normally, your hair does this three-step dance:
- Grows for like 2-7 years straight
- Takes a break for a couple weeks
- Chills for 2-3 months then falls out
Simple enough. But hormones can completely hijack this whole process. And that's when things get messy.
DHT is the Main Villain in This Story
This hormone is responsible for most male pattern baldness. DHT affects up to 50 percent of males and females and creates that classic balding look you see everywhere.
What DHT does is attach itself to receptors in your hair follicles - especially the ones around your temples and crown. Once it's there, it basically strangles them slowly. Your follicles start making weaker, thinner hair until they eventually just give up.
The really annoying part? This happens so gradually you don't realize what's going on until significant damage is done. One day you're complaining about bad hair days, next thing you know you're googling "hair transplant cost in Bangalore."
I actually found some good info on DermaQ's website about how DHT works - they explain it way better than most places without getting too technical.
Girls Have It Different But Not Easier
DHT hits guys harder overall, but around 40% of women deal with DHT-related hair loss too. The difference is how it shows up.
Guys get that classic receding hairline thing. Women usually see overall thinning, especially around where they part their hair. Their front hairline typically stays put while everything behind it gets sparse.
Why the difference? Estrogen acts like a bouncer for women's hair follicles, keeping DHT from causing too much trouble. But during menopause when estrogen levels crash, that protection disappears.
There Are Other Hormones Playing This Game Too
While I was researching all this stuff (mostly at 3 AM because insomnia), I discovered DHT isn't working alone. Several other hormones can mess with your hair in surprising ways.
Prolactin Does Weird Things to Hair
Most people think prolactin is just about breastfeeding, but it affects everyone's hair growth. Studies show that in females, prolactin promotes hair shaft lengthening in the front-temporal region of the scalp while inducing catagen in male occipital scalp hair follicles.
High prolactin can definitely cause hair loss in women. Tons of everyday stuff raises prolactin levels - chronic stress, certain medications, thyroid problems, even some herbal supplements people take.
The good news? Unlike genetic hair loss, prolactin-induced hair loss often reverses once you fix whatever's causing the elevated levels.
Your Sleep Hormone is Secretly Helping Your Hair
This one completely blew my mind. Human hair follicles can actually produce their own melatonin, just like your brain does for sleep.
One study found that topical melatonin solution reduced hair loss in 59% of patients after just one month. By three months, 66% of people saw improvement. Your sleep hormone is literally moonlighting as a hair growth promoter. Wild, right?
Thyroid Hormones Control Everything
Your thyroid basically runs your body's metabolism, including what happens in your hair follicles. When thyroid hormones go haywire, your hair usually complains first.
Overactive thyroid speeds up your hair growth cycle too much, causing premature shedding. The hair becomes really fine and soft.
Underactive thyroid slows everything down. Hair becomes dry, brittle, and thin. Lots of people notice their eyebrows thinning too, especially the outer parts.
Living in Bangalore Adds Extra Challenges
Working in Bangalore's tech ecosystem creates some unique problems for hair health. I learned this the hard way after moving here from Mysore two years ago.
The Food Trap
Traditional South Indian food is actually amazing for hormones. All that sambar, coconut oil, and spices have anti-inflammatory properties that help your scalp. Foods rich in omega-3s support healthy hormone production too.
But let's be honest - most of us aren't eating like our grandmothers. We're ordering biryani at 11 PM, surviving on coffee and Marie biscuits during all-nighters, loading up on sugar and processed junk. This eating pattern wreaks havoc on insulin levels, which then messes with other hormones controlling hair growth.
Stress City
Anyone working in Bangalore knows the drill. Two-hour commutes on Outer Ring Road because of construction that never ends. Sprint planning meetings where requirements change every other day. Living away from family while relatives constantly ask about marriage plans.
Chronic stress elevates cortisol, which directly interferes with healthy hair growth cycles. Plus stress makes hormonal conditions worse, creating this vicious cycle where you stress about hair loss, which causes more hair loss.
The Water Problem Nobody Talks About
Bangalore's hard water is brutal on hair. All those minerals build up on your scalp and can worsen hair loss. I switched to filtered water for washing and noticed less hair fall within a month.
The air pollution doesn't help either. All that dust and vehicle exhaust settles on your scalp, potentially clogging follicles and causing inflammation. Sometimes I think moving to Goa and becoming a beach bum might solve all my problems.
PCOS Hits Women Hard
This deserves special attention because PCOS affects 10-15% of women in India and creates major hair problems that people don't discuss openly enough.
PCOS creates this perfect storm:
- Androgen levels spike (hello male-pattern hair loss on your scalp)
- Insulin resistance throws multiple hormones out of whack
- Irregular periods disrupt natural hormonal rhythms
The most frustrating thing for women with PCOS? They lose hair on their scalp while growing unwanted facial and body hair. It's like their hormones are playing some cruel joke.
Recognising the Patterns
Hormonal hair loss looks different from other types. Once you know what to watch for, the signs become pretty obvious:
For guys like me:
- Temples start receding first (check)
- Crown area begins thinning (unfortunately, also check)
- Gradual progression over months or years (double check)
For women:
- Diffuse thinning across the top of scalp
- Widening part line
- Front hairline usually stays intact
Timing matters too. Hair loss that starts during puberty, major stress periods, or life transitions often has hormonal roots.
What Actually Helps (From My Six-Month Journey)
After freaking out and consulting multiple dermatologists around Bangalore, here's what I learned actually works:
I started with a dermatologist near Brigade Road who put me on minoxidil. It's the gold standard treatment and actually works if you stick with it consistently. The DermaQ platform has been super helpful for tracking my progress and getting quick consultations without having to travel across the city every time.
Medical Treatments That Work
Minoxidil is still the go-to for both men and women. It directly stimulates hair follicles and can slow or reverse hair loss if you catch it early enough.
For women dealing with hormonal hair loss, treatments can include:
- Anti-androgen medications that block DHT effects
- Birth control pills to regulate hormones in PCOS cases
- Hormone replacement therapy during menopause
Topical Solutions Worth Trying
These work by either blocking hormone action at follicle level or directly stimulating growth:
- Minoxidil (obviously)
- Anti-androgen shampoos for additional support
- Melatonin-based treatments showing promising research results
Lifestyle Changes That Actually Matter
Since hormones respond to how you live, these modifications can create real improvements:
- Regular exercise (finally joined that gym in HSR Layout)
- Better sleep habits (still working on this one)
- Stress management (meditation apps actually help)
- Eating real food instead of surviving on Swiggy orders
Why Some People Get Lucky
Genetics determine how sensitive your hair follicles are to hormones. Some people inherit follicles that naturally resist DHT, while others get follicles that are hypersensitive to hormonal changes.
Hair loss genetics are complex because multiple genes contribute to the final outcome. That's why hair loss patterns can be completely different even between siblings.
Smart Monitoring
Take photos of your hairline regularly. I wish I'd started doing this earlier because it's hard to notice gradual changes day by day.
Pay attention to family history. If your dad or uncles started losing hair young, you might want to be proactive.
Include hormone testing in routine health checkups. Many hormonal imbalances are fixable if caught early.
Prevention Strategies
Maintain a healthy weight to prevent insulin resistance. Exercise regularly to support hormone balance. Find effective ways to manage work stress. Avoid unnecessary harsh hair treatments.
The Mental Game
Nobody wants to talk about how hair loss messes with your head, but it's real. I'm 23 and already worried about looking older than my friends. It's tough when you're trying to build your career and navigate dating.
I went through this phase where I was constantly checking my reflection in every surface and avoiding certain camera angles. The mental energy spent obsessing over my hairline was exhausting.
Talking to friends helped. Turns out more guys deal with this than you'd think. Getting support from family or even counsellors isn't weakness - it's smart.
Cool Future Stuff Coming
Hair loss research is advancing rapidly. Scientists are working on some fascinating approaches:
- Gene therapy to modify how follicles respond to hormones
- Stem cell treatments for follicle regeneration
- Personalized medicine based on individual genetic profiles
- Novel hormone modulators with minimal side effects
My Takeaway After Six Months
Understanding that hormones drive most hair loss completely changed my perspective. Instead of panicking about going bald by 25, I could take targeted action based on actual science.
The most effective approach combines medical treatment with lifestyle modifications. You're addressing root causes, not just symptoms.
Whether you're noticing early signs or dealing with more advanced loss, effective treatments exist. Modern dermatology offers real hope and solutions.
Your hair reflects your internal chemistry. When you understand and work with that connection, you get better results than just trying random treatments.
Everyone's hormonal situation is unique. What's working for me might not work for you. Finding the right healthcare provider who understands personalised treatment is crucial.
The key is starting sooner rather than later. Don't make my mistake of waiting until the problem became obvious. Your future self will definitely thank you for taking action today.
If you're dealing with this in Bangalore, feel free to reach out. Happy to share dermatologist recommendations or just grab coffee in Koramangala and complain about our city's unique hair challenges together.