Men taking Propecia run the risk of sexual side effects, but most experts say that it only affects a small minority. The risks are greater for women, especially those who are pregnant or may become pregnant. Experts warn that so much as handling the tablets can lead to serious birth defects. Like minoxidil, Propecia use must be continued for as long as results are desired.

Physicians are reluctant to prescribe systemic treatments (pills or other form of treatment that affects your entire system) because they can tamper with your body's own androgen levels (see Causes for an explanation of androgens). The doctor will first want to confirm that the hair loss is due to an excess of androgen (another name for male hormones) in the system or a sensitized "over-response" to normal amounts of androgen. Therefore, physicians often choose topical treatments, which are applied directly to the scalp.
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?
It works quite well to prevent hair loss and trigger regrowth for most men, and it may work for some women, although women must not take it if they are pregnant. Also, women should not get pregnant while on the drug because of the risk of birth defects in a male infant. Less than 2% of men have transient sexual side effects, including erectile and libido difficulties, while taking finasteride. However, in women these side effects do not occur.
3. Scalp tonic. Serums with peptides or procyanidins (a class of antioxidants) such as niacinamide can help support overall scalp health and reduce inflammation, which is a major component of hair loss, says New York City dermatologist Doris Day. Try René Furterer Triphasic Progressive Concentrated Serum ($82), Julien Farel Magnifique Delay the Gray Hair & Scalp Serum ($135), or Day’s own Rapid Regrowth Serum ($55) once daily before massaging a minoxidil product into the scalp (there’s no need to wait for it to dry in between). “In addition to being anti-inflammatory,” Day says, “scalp tonics help minoxidil penetrate the scalp better and can minimize potential irritation from it.”
Thanks for the article with great info. I’ve been taking minoxidil 5% for the last 2 years. I’ve tried a generic minoxidil brand and also Kirkland to no effect. I’ve been hoping it’s maybe slowed the hair loss process. The hair around my crown just keeps getting thinner. Do you think changing to another “better quality” brand like Lipogaine or Rogaine could work? Or does it appear that any minoxidil brand is not going to work?
The other main hair-loss treatment that was recommended by all four dermatologists I interviewed is finasteride, often called by its brand name Propecia. This FDA-approved medication is only available with a prescription, but these days, it’s found as a generic and ordered online after a virtual consultation, through start-ups like Hims, Keeps, and Lemonaid.
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.

Every woman desires thick, long, and lustrous hair. From teenagers to oldies, everyone loves their hair because of the pivotal role it plays in defining one’s face and looks. Luscious hair that has enough shine, length, and strength is what everyone tries to achieve. Unfortunately, hair fall, hair loss, and impaired hair growth are common hair issues that people face. Hectic lifestyles, pollution, and adulterated hair care products are to blame. If you want an effective, safe, and easy solution for your hair growth problems, this article can help you.


If you do decide to start treatment to save your hair, a good place to start is with minoxidil, more commonly known as Rogaine. Don’t expect this hair-loss treatment to create luscious locks; minoxidil is better at slowing down or preventing more loss rather than promoting hair growth. But, according to Dr. Amy McMichael, professor and chair of Wake Forest Baptist Medical Center’s Department of Dermatology, it is effective “if used as recommended, with evidence of improvement seen around six to nine months.” Simply massage the foam or solution into your scalp once or twice daily, and for best results, use a formula with 5 percent concentration.
Thinning hair in women is worth investigating for more than its impact on physical appearance. While many conditions that lead to temporary hair loss will go away without treatment or with simple lifestyle measures, others may be signs of potentially irreversible loss or health conditions. Others yet may respond well to treatments to promote regrowth, so starting sooner rather than later is key.
3. Nutriceuticals. Rogers recommends that her patients try Viviscal Dietary Supplements ($50 for a one-month supply) or Nutrafol ($88 for a one-month supply), both of which can often be picked up in a salon. The former contains marine-based proteins meant to beef up thinning hair. The latter is packed with antioxidants, like ashwagandha and curcumin, and boasts impressive clinical results.
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!!
But you must start these medical therapies before you lose all your hair. McAndrews likens it to brushing your teeth, in that both are preventative measures. “The sooner you start doing it, the better at slowing down this aging process,” he explains, adding, “Is toothpaste perfect? No, you’re still getting tooth decay with toothpaste, but you’re slowing down tooth decay.”
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.
Rogaine’s foam squirts out just like hair mousse and is applied with “cool, dry hands.” Applying means working the foam down to the scalp where you want to see thicker growth — for it to work, “it has to get into your scalp,” Dr. Wolfeld explains. “If it sits on your hair, it’s not really as effective.” Once massaged, it dissolves into a watery liquid that leaves a tingly sensation, “but no burning!” one of our balding testers was happy to discover.
And though this treatment appears to be safe and somewhat effective, it’s hard to tell who will react well to this low-level light therapy, which is why the doctors I spoke with were hesitant to fully endorse it. “We’re not sure what the optimal power is, what the optimal wavelength is, we don’t even really know the mechanism of action of how this is working,” says Rieder. Plus, it doesn’t work on everyone. “There are subpopulations of patients who do respond to low-level laser light, but this is not easily predictable,” explains McMichael, though she adds that the risk of using the LaserComb is low.

Also known as Rogaine, this over-the-counter (OTC) medication can be used for men or women with alopecia areata or androgenic alopecia. This drug comes in foam or liquid form and is spread on the scalp each day. It may cause more hair loss at first, and new growth may be shorter and thinner than before. You may also need to use it six months or more to prevent further loss and promote regrowth.

Consuming omega fatty acids can help to improve your hair from the inside, since they are filled with nutrients and proteins. Taking an omega supplement along with antioxidants helps to improve hair density and diameter. It also reduces hair loss. Omega fatty acids help your cells to work correctly and can boost immunity, leading to better overall health. Follow the manufacturer’s recommended dosage.
One common side effect of minoxidil is a red, itchy scalp, but users claim that merely switching brands can sometimes alleviate that symptom. Another possible side effect is excess hair growth in unwanted places, including the face. It is important to point out that unwanted hair growth and other side effects go away once treatment is discontinued.
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.
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. 

Men's Rogaine Extra Strength Hair Regrowth Treatment (5 percent minoxidil) boasts impressive hair growth rates, slowing hair loss for the vast majority of men who use it diligently. The hair-loss treatment is available over the counter and leads to only minimal side effects, all of which go away when treatment is discontinued. See our full review »
It may seem a peculiar American vanity that men have in-boxes full of hair loss treatment offers and spend billions of dollars on hair loss treatments each year. Not so. As Gersh Kuntzman illustrates in his book Hair! Mankind's Historic Quest to End Baldness, chrome-dome anxiety has tormented us for ages. Caesar's laurel wreaths? Classic red herring, Kuntzman says.

Experts say that Men's Rogaine Extra Strength Hair Regrowth Treatment (Est. $45 per 3-month supply) is a good starting place for men, and some women, in the early stages of pattern baldness. Studies show that approximately 90 percent of the time Rogaine at least slows the progression of hair loss and, for many, hair loss stops completely. It contains 5 percent minoxidil, which studies show to be more effective than the original strength of 2 percent (Est. $25 per 1-month supply). Both forms have been approved by the FDA for topical treatment of pattern baldness, but only the 2 percent strength has been approved for women; although, studies suggest that both forms are more effective on women than they are on men. Minoxidil is also available in several generic store brand products.
2. High-tech regrowth therapies. Laser treatments ($200 and up) expose hair to low levels of laser light, which boosts hair growth by increasing the amount of adenosine triphosphate (ATP) in hair follicles. ATP provides energy to hair-follicle cells, so the more of it that’s around, the more energy hair follicles can use to grow your hair. Sadick says three months of weekly sessions are best when you’re kick-starting a hair-loss treatment.
Aqua, Cetearyl Alcohol, Cetyl Alcohol, Cyclopentasiloxane, Cetrimonium Chloride, Bis-Peg-12 Dimethicone Beeswax, Creatine, Quaternium-91, Parfum, Dimethiconol, Hydrolyzed Lupine Protein, Cetrimonium Methosulfate, Hydrolyzed Wheat Protein, Hydroxypropyl Guar Hydroxypropyltrimonium Chloride, Hydrolyzed Vegetable Protein Pg-Propyl Silanetriol, Saccharum Officinarum Extract, Hexyl Cinnamal, Sodium Laneth-40 Maleate/Styrene Sulfonate Copolymer, Betaine, Hexylene Glycol, Methylparaben, Propylparaben, Citrus Limon Fruit Extract, Hydrolyzed Wheat Starch, Phenoxyethanol, Pyrus Malus Fruit Extract, Butylphenyl Methylpropional, Camellia Sinensis Leaf Extract, Sodium Chloride, Linalool, Benzyl Benzoate, Limonene, Coumarin, Magnesium Chloride, Hexapeptide-11, Potassium Sorbate, Disodium Edta, Magnesium Nitrate, Ethylhexylglycerin, Methylchloroisothiazolinone, Methylisothiazolinone, Ci 15985, Ci 60730, Ci 17200.

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 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.
It may seem a peculiar American vanity that men have in-boxes full of hair loss treatment offers and spend billions of dollars on hair loss treatments each year. Not so. As Gersh Kuntzman illustrates in his book Hair! Mankind's Historic Quest to End Baldness, chrome-dome anxiety has tormented us for ages. Caesar's laurel wreaths? Classic red herring, Kuntzman says.
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.
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.”)
Vitamin E has been used as a home remedy for hair growth since ages. Vitamin E oil is rich in antioxidants and helps to fight the free radicals. It increases oxygen in the body and enhances blood circulation in the scalp. Regular massage with essential oils promotes hair growth and reduces hair fall and split ends. This makes your hair softer and smoother (6).
Vitamin E has been used as a home remedy for hair growth since ages. Vitamin E oil is rich in antioxidants and helps to fight the free radicals. It increases oxygen in the body and enhances blood circulation in the scalp. Regular massage with essential oils promotes hair growth and reduces hair fall and split ends. This makes your hair softer and smoother (6).
Some treatments in development hold particular promise for women. Angela Christiano, a hair geneticist and Columbia University professor of dermatology, is hoping to begin clinical trials in a year or two on a procedure in which she dissects hair-follicle stem cells, grows them in the lab until she has several million, then injects them into the scalp, where, a very small study done with a human skin model has shown, they induce new hairs.
Disclaimer: While we work to ensure that product information is correct, on occasion manufacturers may alter their ingredient lists. Actual product packaging and materials may contain more and/or different information than that shown on our Web site. We recommend that you do not solely rely on the information presented and that you always read labels, warnings, and directions before using or consuming a product. For additional information about a product, please contact the manufacturer. Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. You should not use this information as self-diagnosis or for treating a health problem or disease. Contact your health-care provider immediately if you suspect that you have a medical problem. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease or health condition. Amazon.com assumes no liability for inaccuracies or misstatements about products.
Hey man this was life saving article for me thank you so much… but I’ve still a doubt on finasteride. I saw many articles on finasteride all were negative about side affects.. My doctor advised me to take finasteride of 2.5mg daily for 90days.. what do you think is it good advice to take finasteride of 2.5mg daily??? I’m too young to lose my sex drive

“We’ve all heard the old wives’ tale that a guy’s hair is based on their mother’s father. That’s sort of true, but it’s not,” said primary care physician Dr. John Hong. “It’s really the total number of guys in your family that have male pattern baldness that will affect your risk, particularly your dad. If your dad is bald, you’re more likely to be bald.”
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.
Working just like a precise microsurgical extension of the human hand, SmartGraft’s all-in-one ergonomic handpiece and storage system was designed to help accurately separate, extract and store FUE grafts during hair transplantation. Fewer steps, less handling, and manual transferring of grafts allows the FUE procedure to be accomplished at a faster speed, reduced risks of graft failure and poor growth quality as well as with improved patient comfort.

"The majority of men lose their hair not through stress, or bad diet, or lack of sleep, but through the genetic trait of male pattern baldness which is hard to treat through shampoos or supplements alone. Women lose their hair for very different reasons, but the argument still stands that a lot of the hair loss products on the market are just offering false hope. That said, there are a few that really work."

Rogaine’s foam squirts out just like hair mousse and is applied with “cool, dry hands.” Applying means working the foam down to the scalp where you want to see thicker growth — for it to work, “it has to get into your scalp,” Dr. Wolfeld explains. “If it sits on your hair, it’s not really as effective.” Once massaged, it dissolves into a watery liquid that leaves a tingly sensation, “but no burning!” one of our balding testers was happy to discover.
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!!
Whether experiencing hair loss due to genetics, stress, vitamin deficiencies, male pattern baldness, or any other reason, the above ten hair loss treatments for men can help men take control over their lives and confidence once again while regrowing and maintaining healthy hair. No matter what the cause of hair loss may be, balding can be an embarrassing and troublesome issue. Each product listed in this review has its own unique properties, so there truly is something that will work for everyone, regardless of the type of hair loss, budget, skin type, and needs. Men can depend on these high-quality products, as they are the ten best hair growth products for men in 2018.
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.
Hair loss is no joke. People suffering from hairless often loose their self confidence. However, with the help of modern medicine, it is now possible to fight back. We hope that one of these products helps you in not only preventing hair loss but also to regrow your lost hair. So, what are you waiting for? Get one of these products and bid baldness adieu!!
Thanks for your response and awesome article! Do you recommend sticking with minoxidil for a period of time (i.e. 6 months) before starting finasteride or do it all at once? I would be on finasteride now if I wasn’t nervous about the potential side effects so my plan was to wait to see if minoxidal does anything for me over the next 3 months or so (at that point I will have been on it ~ 6 months). My shedding has certainly reduced so hopefully it is starting to work. I’m in the very early stages of hair loss. No one would notice (except me and my wife). Just looks my hair part on the top of my head even though it really is thinning.
The other main hair-loss treatment that was recommended by all four dermatologists I interviewed is finasteride, often called by its brand name Propecia. This FDA-approved medication is only available with a prescription, but these days, it’s found as a generic and ordered online after a virtual consultation, through start-ups like Hims, Keeps, and Lemonaid.
When using this product do not apply on other parts of the body avoid contact with the eyes. In case of accidental contact, rinse eyes with large amounts of cool tap water. some people have experienced changes in hair color and/or texture it takes time to regrow hair. You may need to use this product 2 times a day for at least 4 months before you see results. the amount of hair regrowth is different for each person. This product will not work for everyone.
Instead, you may want to add vitamin D (about $15) to your shopping cart. A vitamin D deficiency can exacerbate hair thinning and make it almost impossible for any over-the-counter product to reverse hair loss, says Dhaval Bhanusali, a dermatologist in New York City, who recommends taking 5,000 international units of D3 a day (and it’s generally beneficial for bone health in women over 40). “There’s also a link between low iron and zinc levels and temporary hair shedding, called [telogen] effluvium,” says Rogers. 

Amazing article thank you so much for sharing this with us. I very much appreciate it. I was just wondering have you heard about Har Vokse. I have been using it for a while and its working really well for me. The reason why I bought it was because it was a good alternative to the other products I was using. I just wanted your thoughts on it. It really helped me tremendously. I heard about it here http://goo.gl/wdIapq if you would like to check it out. I have been using it for a while now.
Disclaimer: While we work to ensure that product information is correct, on occasion manufacturers may alter their ingredient lists. Actual product packaging and materials may contain more and/or different information than that shown on our Web site. We recommend that you do not solely rely on the information presented and that you always read labels, warnings, and directions before using or consuming a product. For additional information about a product, please contact the manufacturer. Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. You should not use this information as self-diagnosis or for treating a health problem or disease. Contact your health-care provider immediately if you suspect that you have a medical problem. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease or health condition. Amazon.com assumes no liability for inaccuracies or misstatements about products.
Minoxidil was the first drug approved by the FDA for the treatment of male pattern baldness. For many years, minoxidil, in pill form (brand name Loniten), was widely used to treat high blood pressure. Just like finasteride, researchers discovered a very interesting side effect of the drug. People taking the medication were growing hair in unexpected places, such as on their cheeks and the back of their hands. Some people grew hair on their foreheads.
That said, there are products that don’t have FDA approval or clearance, but may help prevent hair loss. For example, shampoos with ketoconazole, a chemical with anti-DHT properties, is widely used to treat fungal infections but has become popular among consumers as a hair loss treatment. It makes sense — research shows that ketoconazole actually has beneficial effects on hair growth (especially for those with seborrheic dermatitis).
When it comes to prescriptions, Propecia (finasteride) stands as the strongest oral option for treating balding. If used consistently, this hair-loss treatment stops the progression of pattern hair loss, caused by genetics, for most users -- no messy application necessary. Although the drug has yet to earn FDA approval for treatment of women, recent studies have shown that it is both safe and effective for female users. See our full review »
Men lose their hair for a variety of reasons. Some experience male pattern baldness because of their family history. Genetics play a huge role in the growth cycle of hair. As growth cycles shorten, hair follicles on the scalp begin to get smaller and smaller until eventually the hairs they are producing get too fine and begin breaking off. Read on to find out the best hair growth products for men in 2018.
Why? Unwanted hair growth (sideburns, for example) is a reported side effect of minoxidil. The belief is that a higher concentration of minoxidil would result in more unwanted hair, which is why women are instructed to use it less often. However, the study in Skin Therapy Letter reports that unwanted hair was more common in 2 percent minoxidil solutions than 5 percent, and women are instructed to use Rogaine’s 2 percent solution twice daily — so what gives?
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