The Short Version
Evidence from mechanistic studies and human treatment trials supports DHT as a contributor to androgenetic alopecia. Balding scalp shows androgen-related changes consistent with DHT-driven miniaturization, and drugs that lower DHT, such as finasteride and dutasteride, often slow or improve hair loss. The main caveat is that DHT is not the only factor; genetic follicle sensitivity strongly affects who develops pattern hair loss.