Testosterone replacement is becoming popular for men. Cotsarelis warns that this may accelerate hair loss. Propecia might help -- but because it prevents testosterone breakdown, it might affect the dose of male hormone replacement therapy. Cotsarelis warns men taking both Propecia and testosterone replacement to make sure their doctor carefully monitors their testosterone levels.
Regrow thicker, beautiful hair with Women's ROGAINE® Hair Regrowth Treatment, Once-a-Day Foam. Containing 5% minoxidil, this foam reactivates hair follicles to regrow hair. The only once-daily hair regrowth treatment for women approved by the FDA, this formula is proven to help regrow hair in 81%* of women, with clinical results in as little as 12 weeks and visible results with continuous daily use after 24 weeks. From the #1 dermatologist recommended brand, the once-a-day applied foam can fit into your regular beauty routine. This package of Women's ROGAINE® Foam includes one 60-gram can, a 2-month supply.
Side effects and concerns: Minoxidil is safe, but it can have unpleasant side effects even apart from the alcohol-related skin irritation. Sometimes the new hair differs in color and texture from surrounding hair. Another risk is hypertrichosis — excessive hair growth in the wrong places, such as the cheeks or forehead. (This problem is more likely with the stronger 5% solution.) Because the patent on Rogaine (the brand-name version of minoxidil) has expired, many generic products are available. They all contain the same amount of minoxidil, but some include additional ingredients, such as herbal extracts, which might trigger allergic reactions.
*all photos are models and not actual patients.If you are interested in a prescription product, Hims will assist in setting up a visit for you with an independent physician who will evaluate whether or not you are an appropriate candidate for the prescription product and if appropriate, may write you a prescription for the product which you can fill at the pharmacy of your choice.
Thank you for such a great article. I have just started notice of my hair fall and want to do something about it. I have seen the Reviews for REGAINE so far, that seem effective. Can you please tell me, are ROGAINE and REGAINE same products ? If not, which one will you recommend ? Also, is there any need to use anything beside with one of the above products ? Thanks for your time,
1. Minoxidil. It’s the only FDA-approved topical nonprescription medication that can claim to regrow hair — and it should be part of any hair-loss plan if you have serious thinning, says Rogers. Minoxidil has loads of research to back it, but it requires commitment. If you quit using it, your hair will start to lose ground again. Use a 5 percent strength, like Women’s Rogaine 5% Minoxidil Foam ($30), once daily to see results in three to four months, says Rogers.
Results from clinical studies of mostly white women ages 18 to 45 years with mild to moderate degrees of hair loss report that after using minoxidil for eight months, 19% of users had moderate regrowth and 40% had minimal regrowth. Of those using a liquid without active minoxidil (a placebo) during the same time period, 7% reported moderate hair regrowth while 33% had minimal regrowth.
You can also get a hair-loss kit from Hims, which comes with both minoxidil and finasteride. Keeps has one, as well. And though it might seem like overkill to take two different hair-loss treatments at once, this is one of those rare instances where more is actually better. McAndrews calls the combination of orally administered finasteride and topically applied minoxidil a “full-court press” against hair loss. “That’s doing the most you can for preventative medicine.” Rieder notes that taking both drugs together is more effective than taking either one alone.
I have been on Proscar now (1.25mg/day) for nearly 10 months, rogaine foam 1 to 2 days a time and Nizoral shampoo a few times a week. unfortunately, the shedding never stopped. When I shower, I still see 10-15 hairs on my hand when I shampoo and another 5-10 after I comb my hair after I shower . . . and then another 10-15 when I style my hair with gel in the mornings. I’m going to switch to name brand Propecia and try that out for a few months but I think I may just not responding to this treatment. My hair is absolutely more thin than it was before I started treatment. My thinking is that I go another 3 months on name brand propecia and if that doesn’t work, try Avordart. Thoughts?
In our research and our conversations with experts, one name kept popping up repeatedly: Rogaine. As the first topical brand FDA-approved to help regrow hair (all the way back in 1988), Rogaine benefits from more than 20 years of clinical trials and consumer feedback. Rogaine was the first brand to offer a 5 percent minoxidil foam solution when it debuted Men’s Rogaine Unscented Foam in 2006, and virtually every treatment developed since (for both men and women) has been an imitation or derivation of that formula.
No. Minoxidil topical solution 2% will not work faster or better if used more than two times a day. Studies have been carefully conducted to determine the correct amount of minoxidil topical solution 2% needed to get the best results. More frequent use or larger doses have not been shown to speed up hair growth and may increase your chances of side effects.
No. Minoxidil topical solution 2% will not work faster or better if used more than two times a day. Studies have been carefully conducted to determine the correct amount of minoxidil topical solution 2% needed to get the best results. More frequent use or larger doses have not been shown to speed up hair growth and may increase your chances of side effects.
What should I be using for early stages of hair loss? I have some thinning around my crown. It’s not too bad, but it’s obviously not going to get any better. Should I just be using a shampoo for hairloss, or more serious measures like Reganine or Fin tablets etc? I don’t mind, but I don’t want to use products that could somehow make the situation worse. Thanks.

First, I am a 39 year-old female and I started using this product about a month ago for genetic hair loss that began last year. My mother, her sister and other family members suffer from hair loss and general thinning of the hair (scalp can be seen.) I was devastated when my ultra thick mane became veil-like. At first, I tried to improve my diet, adding biotin to my daily supplements. Nothing really helped. It just got worse. The final blow came after the birth of my son. Aside from the hormonal clumps of hair that fell out (I cried over this), the thinning continued. Now for the good part: after one month of using this product, I am seeing dramatic results. Knowing that there is an effective and affordable treatment for genetic hair loss is comforting. I realize that I will need to use this product indefinitely, but that's okay. It's fast, easy, relatively inexpensive and it makes me feel better. Man or women - if you fall into the parameters described on the box, please give this a try. I'm so glad that I did.

SOURCES: George Cotsarelis, MD, director, Hair and Scalp Clinic, University of Pennsylvania School of Medicine, Philadelphia. Andrew Kaufman, MD, assistant professor, department of dermatology, University of California, Los Angeles; medical director, Center for Dermatology Care, Thousand Oaks, Calif. Tom Barrows, PhD, director of product development, Aderans Research Institute Inc., Atlanta. Cotsarelis, G. and Millar, S.E. Trends in Molecular Medicine, July 2001; vol 7: pp 293-301. American Society for Dermatologic Surgery web site. American Academy of Facial and Reconstructive Plastic Surgery web site. American Hair Loss Council web site. Springer, K. American Family Physician, July 1, 2003; vol 68: pp 93-102. Hair Loss Help web site, "Interview with Dr. Ken Washenik from Bosley." Fuchs, E. Developmental Cell, July 2001: vol 1: pp 13-25.
“There’s people selling pills and creams and lotions and whatever else, and sometimes you can’t even trust what ingredients they have in there,” he warned us when we spoke to him over the phone. Key takeaway: The hair loss industry is crazy dishonest, so we eliminated any treatments (especially homeopathic methods) that aren’t based in concrete, peer-reviewed science.
The follicles on the sides of the scalp are more genetically resistant to DHT, which is why male pattern baldness often results in a “crown” of hair. But its downsides are serious. “With women, finasteride is not an option,” says Dr. Wolfeld. “It’s not FDA-approved for women to take, so we don’t prescribe it.” In fact, due to the drug’s effect on hormone levels, pregnant women are advised to not even touch broken or crushed tablets.

Laser light therapy is not a baldness solution, and the HairMax takes a time commitment: You have to use the product for 15 minutes a day, three days a week and you have to keep using it indefinitely to get results. Still, laser light therapy has no major side effects, and may be best for men who have noticed some increased shedding and want to maintain more of the hair they have on their head.

If a pregnant woman comes in contact with crushed or broken Finasteride tablets, wash the contact area right away with soap and water. If a woman who is pregnant comes into contact with the active ingredient in Finasteride, a healthcare provider should be consulted. If a woman who is pregnant with a male baby swallows or comes in contact with the medicine in Finasteride, the male baby may be born with sex organs that are not normal.
2. A strategic cut. Long, layer-free haircuts divert volume from the roots, making your part seem wider than it is, Scrivo says. Going shorter (than your current length — no need for a major chop) helps take weight off so hair can look fuller and bouncier. And layers that angle inward on the sides will build height and body at the crown. If you’re game to try bangs, Scrivo says, they lessen the amount of scalp that shows at the hairline.
The best option for many patients with significant hair loss is hair transplantation. Not your father’s “hair plugs” anymore, advances in artistry and minimally-invasive surgical techniques can comfortably undetectably restore hairlines and coverage. Hair transplants are used to permanently restore living and growing hair to an area of the scalp that is depleted of hair follicles.
These anti-androgenic effects can be used to help treat hair loss. Nizoral shampoo contains 2% ketoconazole and is prescribed not only for the treatment of scalp conditions, but also in combination with other treatments for androgenetic alopecia. A 1% version is now available over-the-counter, but it may not be as effective as the 2% prescription strength. There are no significant side effects.
A few studies support the use of red ginseng, sometimes called panax ginseng (about $25), for hair regrowth. It can have an anti-apoptotic effect on the hair, Rogers says, meaning it slows cell death so hair follicles can grow for a longer period of time. But before taking any of these supplements, it’s important to consult your doctor; a lab test can confirm whether you need a particular supplement or if taking it will just be a waste of time and money.
3. Surgical hair replacement. If you opt for hair transplantation (which runs $5,000 and up), your dermatologist or hair-replacement surgeon will remove single hair follicles from the back of the head, near the nape of the neck, where your hair is fullest. Once those follicles are harvested, they are then dissected and reimplanted into an area of the scalp where hair is thinning. The procedure takes anywhere from three to six hours, and newly implanted hair will usually begin to grow on its own 3 to 12 months after the treatment session. Traditionally, hair transplantation required removal of an entire strip of scalp, Sadick says, but this new follicle-by-follicle technique looks more natural when it heals and allows patients to get heads of hair as dense-looking as before they started losing it.

Anti-androgens. Androgen receptor–blocking drugs such as spironolactone (Aldactone) and finasteride (Propecia) are not approved for the treatment of female pattern hair loss, and there is little reliable evidence that they are effective. However, some case studies suggest that women who don't respond to minoxidil may benefit from the addition of spironolactone. In the relatively uncommon cases where there is an excess of androgen, a clinician may prescribe 100 to 200 milligrams of an androgen receptor–blocking drug daily, together with an oral contraceptive for women of reproductive age. (A woman taking one of these drugs should not become pregnant because they can cause genital abnormalities in a male fetus.) Possible side effects include weight gain, loss of libido, depression, and fatigue.


Hair loss is part of the natural aging process but can also be genetic or caused by a medical condition. It’s crucial to choose a treatment that won’t dry out your hair, will give it volume, and will keep your scalp healthy. If hair loss is caused by hereditary baldness, the FDA has approved minoxidil (Rogaine) at 5%, which is available over the counter. Other hair loss treatments for women contain natural ingredients like tea tree oil and flower extracts. Some products need to be used daily, but others can be used less often. Some take weeks to show results while others help hair growth within days. Some hair loss treatments are more suitable for certain types of hair (dry, oily, combination, or colored).
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Many physicians recommend that patients engage in a combination therapy that includes minoxidil and Propecia (Est. $75 per 1-month supply) with prescription. Propecia is an oral medication with finasteride being the active ingredient. Finasteride was originally developed by Merck to treat enlarged prostate glands. Excess hair growth was a surprise side effect of the drug and led to the development of Propecia, which was approved by the FDA for treatment of male-pattern baldness in 1997. It has not been approved for women.


Initially used to treat high blood pressure, minoxidil was the first medication approved by the FDA to treat male pattern baldness. By applying Rogaine (or a generic version) directly to the scalp twice a day, a man in the early stages of hair loss can often stimulate growth. The American Hair Loss Association points out that results of treatment with minoxidil are limited, but it still endorses using it in combination with other treatments or as an alternative if finasteride doesn't work.
The truth is, the amount of propylene glycol in hair loss treatments is not likely to cause any real harm and the FDA has given the chemical approval for many uses. But even though it is safe, we wanted to ensure that our top picks would be as comfortable to use as possible. So when Dr. Khadavi told us that “a third of my patients get irritated from minoxidil products because of propylene glycol,” we decided to cut any treatments with it. In any case, it’s the minoxidil that helps curb hair loss and not the propylene glycol.
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