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Balding and Testosterone — Myths and Facts

balding and testosterone

There are a lot of myths out there about the connection between balding and testosterone, especially when it comes to men’s performance in the bedroom. For many years, the prevailing myth has been that men who are bald are somehow more virile than men who have a full head of hair.

This is not a new idea—people have believed there to be a strong connection since the time of the ancient Greeks. The BBC wrote a great article on this very subject a few years back (you can read more about what the BBC found about balding and testosterone here).

It turns out that this particular myth is basically false. The amount of testosterone in a man’s body has nothing to do with whether he will or will not develop male pattern baldness. Nor does the amount of hair on a man’s head have any sort of effect on his performance (or lack thereof). The link between balding and testosterone is more complex than that, and this link is very different from the link between men’s sexual performance and testosterone.

Like most processes in our body, balding is a very complex process governed by a combination of genes. The connection between balding and testosterone comes into play when the genes begin the balding process. Several of these genes make hair follicles unreasonably delicate and attuned to testosterone, so much so that they start shutting down. The amount of testosterone doesn’t matter—a tiny amount will do the trick.

Balding and Testosterone Injections Are Not Related

The main takeaway here is that testosterone injections are not going to cause you to go bald and being bald is not going to enhance your performance in the bedroom (sorry guys). You either have the baldness genes or you don’t, and no amount of testosterone is going to make you lose hair or grow hair. On the other hand, testosterone injections have been shown to increase male performance in the bedroom (at least there’s good news!)

When it comes to balding and testosterone, the issues doesn’t even really lie in testosterone itself. Instead, it’s one of the byproducts of testosterone that is the problem. An enzyme in your body breaks down testosterone, and one of the products of this breakdown interacts with your hypersensitive follicles. The follicles are so susceptible to the action of this chemical that they slowly shut down. So balding and testosterone are related, but not in the way you would think.

Thankfully, we know that testosterone shots themselves aren’t going to cause anyone to lose hair on the top of their head—balding and testosterone just aren’t related in that way. While one of the side effects of too much testosterone can be hair growth, this is generally limited to the rest of the body. Click here to learn more about some of the side effects of testosterone and how we worked to limit them as much as possible.

Body and Facial Hair Loss Can Be A Sign Of Low Testosterone

While balding and testosterone are not related (at least, not the way one would think), body and facial hair loss can be signs of low testosterone. If you’ve found that you can’t grow a beard the way you used to or that you’re losing body hair, it could be low testosterone.

We have a simple test that you can take to see if it’s possible that Low T is what’s causing your symptoms.

Click here to take the ADAM (Androgen Deficiency in Aging Males) quiz and find out if Low T could be an issue for you.

If you’re just ready to talk to someone about your symptoms, we understand. Click here to set up a free consultation so you can talk face-to-face with a medical care provider.



(Augie) Juan Augustine Galindo Jr. MPAS, PA-C

(Augie) Juan Augustine Galindo Jr. MPAS, PA-C started his career in healthcare as a fireman/paramedic in West Texas where he served on the Midland Fire Department from 1998-2004.   He became interested in testosterone treatment after seeing how hormone replacement doctors helped those suffering from low testosterone.   After graduating from the Texas Tech Health Sciences Center Physician Assistant Program, he moved to DFW where he currently lives with his wife and three children.


  1. ivone weldon on 08/01/2016 at 5:29 pm

    i took some testoterones and i got very anxious all of a sudden…i was taking also tyroid medecin and the doctor stopped the T3 one thinking may be that was giving me anxiety….this was 4 months ago…for the past 2 months i have not taken testosterone or the T3…and my hair is falling by the chunks…i have lost half of my hair, very scarey….i just had a testosterone blood test and it showed it at 50 and i am a 76 year old woman and super healthy….but very unhappy to be loosing so much hair

    • Augie Galindo on 08/02/2016 at 9:42 am


      Sudden anxiety is not something I have seen with TRT, however, it is very common with treatment of thyroid disorders. Similarly, hair loss due to testosterone is genetically mediated but will typically follow patterned loss. Again, significant and rapid hair loss that presents as the loss of “chunks” of hair, is more consistent with thyroid issues. A total testosterone test alone will not offer much information, you need to also look at your calculated free testosterone. Focusing on balancing your thyroid first would likely be the best plan of action. I hope your hair loss is stopped and reversed.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  2. Jim Knox on 11/26/2016 at 5:54 am

    Is there a product that is effective with hair loss? If so,would using the product interfere with T-therapy? I am 64 yrs. old with thinning on top. I take 100mg/week testo..

    • Augie Galindo on 11/26/2016 at 5:55 pm


      Rogaine has been proven to work, and there are prescription meds that can slow DHT related hair loss, but I do not recommend them.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  3. Dan Jones on 04/05/2017 at 1:28 am

    I really appreciate your website. I do not live in Texas or I would come to see you. I am taking .40 testosterone injections weekly. My numbers are 500-700 depending on spikes. I have noticed my hairline start to recede. I understand from your work that it is not related. If I take propecia are there any issues with continuing with my testosterone injections. Thanks again you are helping a lot of guys.

    • Augie Galindo on 04/13/2017 at 6:40 pm


      Thank you very much for the feedback! You are right that TRT in and of itself will not cause balding, but DHT (an active metabolite of testosterone) is involved in “pulling the trigger” loaded by genetics. Propecia is an option, but understand two things:

      1. Propecia (finasteride) blocks the conversion of testosterone to DHT. This, of course, reduces DHT levels. That can spare some follicle, but it will also lessen the androgenic benefit of the testosterone dose as well. It’s androgen receptors we are seeking to stimulate.

      2. The use of this medication can mask changes in the prostate, rendering PSA tests less effective in the early diagnosis of prostatic changes including prostate cancer.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  4. The Real Dangers of Low Testosterone on 08/29/2017 at 10:05 am

    […] thinning or patchy hair is one possible side-effect of low testosterone that most people would certainly consider […]

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