Dear rb9909, The amount of sexual activity that a man may have with male pattern hair loss has no relationship to the amount of testosterone produced, nor the amount of DHT locally in the scalp. There is no correlation between sexual activity and DHT levels, so you can certainly feel free to have a very active sex life and any degree of male pattern hair loss that you will experience is genetically determined and other than the addition of Finasteride, topical nutrient serum shampoos, low-level light therapy, plasma rich protein and the amount of recession and thinning that you experience will be genetically determined. I hope this information has been of some assistance and best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto