This is an amazing topic. When I was a counselor for about 20 tenants, each had various problems MH/MR. And each had medical histories or charts. There medical charts were confidential. Possibly all were on medication. So one of the males had a chart where he castrated himself. I don’t remember reason. So these things do happen. He appeared like a healthy male, quiet, with full black hair about 40.
Baldness & balding is a traumatic thing for many males. I wouldn’t consider it, but recognize others might.
As I read these forums my view on balding has become more focused. My current view is baldness is like many degenerative diseases we humans have. Doctors don’t consider baldness a disease,& it may not be but it’s stages are similar. We all know males/ females both have plenty of hair until puberty starts. Females seem to get even more luxurious hair, while many males start to recede & thin. So male hormones certainly have a major effect. As males age we see more thinning, receding, balding. Woman thin too but much more slowly.
My current view for men is everyone is a little different due to genes/diet/lifestyle. It seems to me if one has a predetermined likelihood of baldness, unless treated it will get worse.
Many attempts to stimulate scalp follicles show some results, but not a cure. Anything that increases blood flow/nutrients/stimulation will benefit hair growth, but it’s mostly slow, unexceptional progress. So what’s missing? My analogy of a plant growing healthy is as hair growing in scalp. The scalp has to be healthy for strong hair to grow. It seems there is something forming in the scalp which blocks the follicle from blood nutrients. I’m not a doctor or scientist, but this Blockage, be it fibrosis, calcification, or something else, gets worse as we age because there is no uniform accepted protocol to remove this “gunk”
We can’t see it, but we can feel it. Tight skin, tight scalp, crunching sound when dermarolled or lanced. There is some “gunk”we can’t see, solidifying like cement which makes suffocates the hair follicle. For some reason women biology isn’t affected nearly as much. So aerodating or removing this “gunk” may allow the hairs to revive like in youth because now the soil is clean, “gunk” treated & removed.
So this is reason minoxidil, finesteride, herbal treatments only work to a point, then stop “working” The accumulating gunk/barrier is still there. It’s not being treated.
So that’s my latest view until I think of something better.
Castration may stop for most part the main factor in this gunk buildup, thus renews hair growth.