Use dropper to apply directly onto scalp on the top and/or crown of head each morning and evening. Apply to towel dry or dry hair (does not need to be freshly shampooed). Allow one to two minutes to dry before applying other treatments or styling products (may apply other treatments, leave-in conditioners or styling product after applying Regrowth Treatment), style as usual.
From what I’ve seen and read they can be quite effective–but come with several risks (scarring and unnatural-looking hairline come to mind). I haven’t dwelled much into it, but basically got FUT (follicular unit transfer), FUE (follicular unit extraction) and DHI (direct hair implant)–which is the newest, similar to FUE, most costly and provides the best results in most cases.
The views expressed in this article intend to highlight alternative studies and induce conversation. They are the views of the author and do not necessarily represent the views of hims, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.
Like minoxidil, finasteride, the active ingredient in Propecia, was originally created with a different purpose in mind -- to treat enlarged prostate glands -- and researchers observed it came with a side effect of hair growth. Unlike topical minoxidil, finasteride requires a prescription, is taken orally and addresses hormonal causes of hair loss. It inhibits the enzyme type II 5-alpha reductase, which converts testosterone into DHT. As it was the first truly effective treatment for hair loss that provided nearly guaranteed results, finasteride revolutionized the hair-loss-treatment industry.
"This is an oral, prescription-only medication with the brand name Propecia that’s also FDA approved to treat hair loss," says Spencer. Male pattern hair loss occurs when a hormone called dihydrotestosterone (DHT) prevents hair follicles from getting the nutrients they need. Finasteride works by blocking the production of DHT, which protects the follicles. 

The most unique ingredient in this tablet formulation is solubilized keratin. It is a breakthrough supplement proven to help reduce hair loss and promote regrowth. The tablets also contains a blend of 23 essential vitamins essential for micro-circulation of blood within the roots of the hair. The product is suitable for both men and women and has been shown to effectively combat the balding.
Thank you. This has been the most helpful article I have read! Very much appreciated! Last question (I won’t bug you with anymore after this) . . . I was tested by my doctor and came out perfectly healthy so it is either stress or MPB. My job is extremely stressful so it could be that but I have no way or knowing for sure. As such, do you think there is any harm on me taking finasteride even if it isn’t MPB and is just stress? I suppose if the medicine didn’t work, I would know it was stress and not MPB. Also, I assume this is something I would continue to take for life right?
Retin-A, or topical tretinoin, is sometimes used as a combination therapy with minoxidil for androgenic alopecia. It’s important to use this type of medication under the guidance of your doctor. In some circumstances, tretinoin can actually cause hair loss. Some people who have used it at home report that topical retinol creams, serums, and lotions may make hair loss worse.
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.
First, reduce your stress. It will improve your ability to cope with hair loss as well as help solve the problem. You might find relief with deep breaths, performing physical exercise, or laughing at cat videos online. If your stress level is high because you’re upset about losing your hair, experiment with keratin hair fibers to disguise the thin spots. It’s an inexpensive way to feel better about a tough situation.

I had a fue hair transplant on top of my crown where I had started thining a lot so it’s been over a year now and I look the same before my hair transplant my surgon said give it a year buts its the same if not worse. I started using 5% minioxodil generic version and not notice any growth it has been a month twice a day application. I don’t want to take any tablets either
Hi, great article. I have an aggressive form of MPB. I am 23 year old with a NW2 hairline, diffuse thinning over the top and crown. Been on 5% Minoxidil and 2% Keto for about 9 months. Went through a period of shedding which has reduced somewhat in the last couple of months. I don’t see any appreciable increase in density anywhere but I do see plenty of thin vellus hair at my hairline. I am waiting for the 1 year mark to see the full effect of this regime. Is there like a test you can do to assess hairfall? Or do we just have to count the hair lost in the shower? Do you reckon I should start the Fin to hold on the the hair I have? Like most guys (actually a bit more than most guys seeing that I am young) I worry a lot about being in the 2% who experience disastrous sides from Fin. I do plan to check my DHT levels before I start, if I do at all, to see if I naturally have high/low DHT. That should tell me what to expect, to an extent.
The dermatologist also will carefully look at your scalp and hair. During an exam, the dermatologist may pull on your hair. Sometimes a dermatologist needs to pull out a hair to get the necessary evidence. And sometimes a dermatologist needs to look at the hair on the rest of your body to see whether there is too little or too much hair in other areas.
Pay attention to the foods you eat and how much you’re eating. For example, eating a variety of whole foods that are rich in vitamins and minerals will help fuel your body and the areas responsible for hair regrowth. If you suspect you may be deficient in certain vitamins, visit your doctor to get a blood test and address other dietary issues, such as eating disorders or health conditions that might block nutrient absorption.
Stay away from tightly bound styles, like braids, buns, or ponytails. Resist twisting or rubbing your hair. And gently wash or brush hair, switching to a wide-toothed comb if necessary to prevent too much pulling at the roots. Hot rollers, curling or straightening irons, hot oil treatments, bleaching, and other chemical processes are other things to avoid.
Joseph Greco, Ms. Telford’s practitioner, who shares a patent for a process to remove growth factors from platelets, said he gets results in 80 percent of patients, more than half of whom are female. Roughly half of them fly in and out, often on the same day, he said, because the procedure doesn’t require downtime and has minimal side effects. (Small clinical studies suggest further research is necessary but acknowledge the procedure’s “excellent safety profile.”)
That meant new products like Hims and Keeps were out.Hims and Keeps are relatively new companies that allow you to set up a subscription for hair loss treatments. Both offer finasteride (after an online consultation with a doctor) or 5 percent minoxidil. However, their minoxidil solutions contain propylene glycol, so we cut them from consideration.
There’s also a women’s version (Women’s Rogaine Foam) — but a three-month supply costs $22 more online. The only difference between the two products are the instructions; women are instructed to apply once a day instead of twice. If you’re a woman who doesn’t feel like paying extra for marketing, the men’s product will suffice. A cheaper generic version is Kirkland Signature Minoxidil Foam, but with a longer history on the market and more customer testimonials, Rogaine is our first choice.
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).
After using a foam-type of minoxidyl, I much prefer Equate's Hair Regrowth Topical Solution for women. The dropper application gives me more control over exactly where the product will go. Walmart has the best price as contrasted with every offer that I've reviewed on Amazon. Most importantly, the solution really works. After three to four months' use, I'm seeing significant growth and other people have noticed it too!

Like the long-suffering friend who inspired her to undergo the procedure, Ms. Telford quickly saw an improvement in her hair. New hair growth usually take at least four months, but at the two-month mark, she has already spotted some baby hairs. “Not a gazillion,” she said, “but it’s a start.” She’s planning to return for follow-up treatments every six months, and has high hopes of ditching the wigs and wearing her hair in a pixie.
Since birth control pills decrease the production of ovarian androgens, they can be used to treat women's androgenetic alopecia. Keep in mind, however, that the same cautions must be followed whether a woman takes contraceptive pills solely to prevent contraception or to treat female pattern baldness. For example, smokers age 35 and older who take the Pill are at higher risk for blood clots and other serious conditions.
Hair loss is more common than you think and it can happen to anyone. According to Michele J Farber, MD of Schweiger Dermatology Group in NYC, causes range from, “androgenetic or hormone-related hair loss, stress related-hair loss, also called telogen effluvium, and dandruff. Medications, vitamin deficiencies, thyroid disorders, excess styling, and autoimmune disorders can also cause hair loss and thinning.” But the good news is, there are viable solutions, starting with topical growth treatments.
I have used monoxodil for hair loss now for about 6 years. It works. i no longer have bald spots and have a healthy head of hair. Originally I used the name brand, but i noticed that there was a store brand with the same ingredients. It cost about half of what I was paying. It is very economical to use and simple. I was hesitant at first but it performs beautifully. Once you start using monoxidil you must continue to use it to retain hair growth. Very Important. I took the time to share this because it is a good solution for us with little extra money to spare. Good luck!
in clinical studies of mostly white women aged 18-45 years with mild to moderate degrees of hair loss, the following response to minoxidil topical solution 2% was reported: 19% of women reported moderate hair regrowth after using minoxidil topical solution 2% for 8 months (19% had moderate regrowth; 40% had minimal regrowth). This compares with 7% of women reporting moderate hair regrowth after using the placebo, the liquid without minoxidil in it, for 8 months (7% had moderate regrowth; 33% had minimal regrowth).
Joseph Greco, Ms. Telford’s practitioner, who shares a patent for a process to remove growth factors from platelets, said he gets results in 80 percent of patients, more than half of whom are female. Roughly half of them fly in and out, often on the same day, he said, because the procedure doesn’t require downtime and has minimal side effects. (Small clinical studies suggest further research is necessary but acknowledge the procedure’s “excellent safety profile.”)
Acupuncture is a form of Chinese medicine that has been practiced for thousands of years. Its applications are many, and some researchers believe that it may help with hair loss from alopecia areata. How? The needles inserted into the scalp may help stimulate hair follicles and promote regrowth. More research needs to be done in this area, but consider asking your doctor for a referral to a licensed acupuncturist if this treatment sounds appealing to you. (Learn more about acupuncture for hair loss.)
As Amazon’s #1 best-seller in hair regrowth treatments, Rogaine for Men regrowth treatment is also the #1 dermatologist recommended brand. It is also one of the top recommendations by HairLossTalk and has outstanding reviews from most users. This easy-to-use foam is the most effective method for stimulating hair growth. It features 5% Minoxidil, which is an FDA-approved medication for male hair loss. Rogaine works by prolonging the growth phase of hair and revitalizing the hair follicles to help regrow thicker hair.
Central centrifugal cicatricial (scarring) alopecia: This type of hair loss occurs most often in women of African descent. It begins in the center of the scalp. As it progresses, the hair loss radiates out from the center of the scalp. The affected scalp becomes smooth and shiny. The hair loss can be very slow or rapid. When hair loss occurs quickly, the person may have tingling, burning, pain, or itching on the scalp. Treatment may help the hair re-grow if scarring has not occurred.
While trauma can come on suddenly and unexpectedly, you may be able to help manage ongoing stress in your life with exercise, like yoga, or mindfulness techniques, like meditation. Some researchers are even exploring these alternative healing modalities in relation to reversing hair loss. The idea is that yoga and meditation may help regulate blood sugar and enhance circulation, promoting regrowth.

Hair: It’s a natural part of being a human. But when the temperature climbs, and skin is exposed, it’s one of those things that a good many of us want to control. This week, we’re tackling hairlessness, not just the process of hair removal (electric shavers and ingrown-hair treatments and aesthetician-approved tweezers) but also what to buy when you’re losing your hair, and even how to take care of a Sphynx cat. Here, we’re talking to dermatologists and hair-loss doctors about hair-loss treatments that actually work.
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How to use minoxidil: Be sure that your hair and scalp are dry. Using the dropper or spray pump that's provided with the over-the-counter solution, apply it twice daily to every area where your hair is thinning. Gently massage it into the scalp with your fingers so it can reach the hair follicles. Then air-dry your hair, wash your hands thoroughly, and wash off any solution that has dripped onto your forehead or face. Don't shampoo for at least four hours afterwards.
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.
Women with androgenic alopecia may consider trying prescription ketoconazole at a strength of 2 percent. This drug comes in the form of a shampoo and also goes by the name Nizoral. It’s an antifungal agent and may help reduce the body’s production of testosterone and other androgens that lead to hair loss. You can also find 1 percent strength at your local pharmacy, but it may not be as effective.
However, certain over-the-counter topical treatments and supplements can help stimulate hair growth and prevent further shedding, so you can have a fuller head of hair in as little as two months. A trip to your doctor or dermatologist can provide you with more solutions, but we’ve covered some of the most effective hair growth products for men to get you started.
Domen, I was reading some articles and also the links you’ve provided in your other comments above – they say both Finesteride and Minoxidil only check further hair loss and thicken existing hair – but both can’t re-generate hair that’s already gone from bald spots. I guess the effectiveness of these 2 medications are quite proportionate to age of the native! At 42, I guess, I am old 🙁 Atleast according to Indian standards!!
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For example, if your hair is thinning because you’ve recently started a new medication or a diet, your approach might be to take an oral supplement or use a laser light device. But if you have hair loss from psoriasis or chemical treatments, you might try a new shampoo and invest in a moisturizing scalp treatment. Throwing everything possible at the problem might not be the most effective method.

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