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.
A separate study, published in Skin Therapy Letter — a professional reference site for dermatologists — found that women also benefit from using the more potent 5 percent minoxidil treatment. “Patient-reported improvement in hair volume and coverage appears to be greater with 5 percent minoxidil foam,” reads the report. Plus, because the 5 percent treatment is stronger, women only have to apply it once a day to get the same results as they would with the 2 percent treatment applied twice daily.
The Rogaine rep we spoke to explained that the different packaging (and therefore different prices) has to do with the FDA-approval process: “We discovered in clinical trials that the hair loss patterns between men and women are different,” she said by way of explanation. “Men typically have that bald spot on the crown of their head, where women generally have a general thinning throughout, but concentrated more on the top of the head. So for FDA approval, we had to come up with two different, gender-specific products, so the directions were more explanatory.”
In clinical studies of mostly white women aged 18-45 years with mild to moderate degrees of hair loss, the following response to 2% minoxidil topical solution was reported: 19% of women reported moderate hair regrowth after using 2% minoxidil topical solution 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).
This hair regrowth product is a one of a kind organic shampoo formulated with plant stem cells. The rare stem cells from Switzerland help to combat hair loss in an innovative and effective new way by encouraging cells that regrow to be stronger than ever. This shampoo has a mild formula which is gentle on the scalp, making it a perfect option for men who want to steer clear of topical chemical treatments while getting the same results.
If you think over-the-counter hair loss shampoos are for you or just want to promote growth and strength, Dr. Schwieger recommends formulas with antioxidants such as vitamin E and ginseng, amino acids, and B-vitamins to help rebuild hair and reduce environmental damage. She cautions against those with parabens, sulfates, and fragrances, which can irritate hair and reduce moisture. Ahead, eight vetted hair loss shampoos to try.
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).
Studies show that Propecia is effective for 86 percent of men who use it, but doctors interviewed by USA Today say that "anyone who expects miracles will be disappointed." They explain: Only about one-third of men in the early stages of hair loss will regrow some with Propecia. These doctors say that it "primarily slow(s) down hair loss and improve(s) hair quality." As reported at HairLossHelp.com, a five-year study published in 2001 found that Propecia continued to prevent hair loss but there was a "progressive decrease in the amount of hair grown over the five-year period." Experts say that it is effective at growing back more hair than minoxidil (Rogaine) but that it can take up to a year to see results.

Advecia Hair Loss Vitamins, Alter EGO Energizing/Prevention Shampoo for Hair Loss & Growth, Amazing Jasmine Hair Cream Shampoo/Conditioner, Amplixin Intensive Growth Serum, Amplixin Stimulating Hair Growth Shampoo, Apivita Propoline Tonic Shampoo for Thinning Hair for Women, Art Naturals Organic Argan Oil Hair Loss Prevention Shampoo, BeanStalk Hair Loss Treatment, Beauty Facial Extreme Maximum Strength Hair Regrowth Conditioner, Beauty Facial Extreme Maximum Strength Hair Regrowth Shampoo, Bio-Hair Advanced Hair Support Formula Vitamins, Biofusion 100% All Natural Hair Loss Shampoo, Biohair-Care Biotin Hair Loss Prevention, Biotopic Bald Spot Treatment, Biotopic FolliclePLUS 27+ for Men, Biotopic FolliclePLUS 27+ for Women, Biotopic Regrowth, Bloom Krans Anti Hair Loss Shampoo for Women, Bloom Krans Full Bloom Hair Growth Vitamins for Women, Bloom Krans Full Bloom Hair Rejuvenating Conditioner, Bloom Krans Hair Growth Vitamins for Women, Bosley Revive Starter Pack, By Natural Scalp & Hair Nourishing Oil-Based Shampoo, Codina Organic Pumpkin Shampoo for Hair Loss Prevention, Cosmo Service Energizing Anti-Hair Loss Lotion, CSCS Hair Loss Shampoo, DAELONG Hair Growth Conditioner, DasGro Ultimate Hair Growth Vitamins, Dead Sea Premier Anti Hair Loss Shampoo, Deity of Hair Plant Shampoo for Hair Loss, Deltacrin Hair Loss Prevention Shampoo, DermaChange Strengthful Hair Growth Shampoo, Doori Cosmetics Daeng Gi Meo Ri Ki Gold Energizing Shampoo, Ecrinal Anti Hair Loss Ampoules ANP2+, Ecrinal Hair Lotion for Men with ANP2, Ecrinal Hair Lotion with ANP2 for Men, Ecrinal Hair Lotion with ANP2 for Women, Ecrinal Hair Tonic Spray for Women, Ecrinal Women’s Shampoo with ANP for Hair Loss and Anemic Scalp, Erbecrin Anti Hair Loss Energizing Lotion with Plant Extracts, F&T Scalp Massager Comb, Flawless Botanics Hairsentials Hair Growth Accelerator, Flawless Botanics LuxTherapy Hair Loss Shampoo, Follicle Fuel for Hair Growth, Folliform DHT Blocker for Men and Women, Folligen Cream Copper Peptide Cream for Hair Loss or Thinning Hair, Glytone by Ducray Anacaps Dietary Supplement, Glytone by Ducray Anaphase Shampoo, Glytone by Ducray Anastim Hair Lotion Concentrate, Glytone by Ducray Neopeptide Hair Lotion, GoodOnYa Hair Loss Prevention Shampoo and Conditioner, GQ Hair Biotin Scalp Serum for Hair Loss, Groveda Fast Hair Growth Serum, Hair Again Supplement, Hair Covet Women Hair Growth Vitamin Supplement, Hair Dance Hair Growth Stimulator, Hair Genesis Maximum Strength Hair Loss Serum, Hair Growth Botanical Revolution Anti-Hair Loss Elixir for Scalp, Hair Growth Botanical Revolution Anti-Hair Loss Extra Strong Scalp Treatment, Hair Growth Botanical Revolution Anti-Hair Loss Scalp Treatment, Hair Growth X, Hair Joy Anti-Hair Loss Care Shampoo, Hair Joy Anti-Hair Loss Care Tonic, Hair Regain Hair Loss Treatment & Hair Thickening Shampoo, Hair Rite Hair Growth Vitamin Supplements, HairAnew Unique Hair Formula, HairChi Hair Regrowth Foam, Hairomega 3-in-1 DHT Blocker Supplement for Hair Loss, Hairomega Serum 2% Minoxidil Foam, HairXT100 Premier Hair Supplement, Har Vokse Natural Hair Loss and Regrowth Treatment, Herbal Hair Regrowth Treatment for Women, HF14 DHT Blocker Hair Growth Vitamins, Hoffman MD Natural Hair Growth Serum with Biotin, Honeydew Hair Loss Shampoo, Infinite Growth, Inhairit Hair Loss Conditioner, Inhairit Hair Regrowth Solution for Men and Women, Jade Bloom PREVENT Hair Loss Blend, Jaowyng Beauty Advanced Hair Regrowth Serum, JAS Emergiscalp Hair Loss Prevention Shampoo, Conditioner and Leave-In Treatment, JustNatural Bald Spot Treatment, JustNatural Grow New Hair Treatment, JustNatural Hair Loss Shampoo, JustNaturals Adult Women’s Hair Loss Treatment, JustNaturals Alopecia Hair Loss Treatment, Keraplant Hair Loss and Hair Thinning Prevention Conditioner, Keraplant Hair Loss and Hair Thinning Prevention Shampoo, Keraplex Organica Shampoo for Hair Loss Prevention, Kroning Signature Black Bottle Anti Hair Loss Shampoo for Men, Kroning Signature Black Bottle Hair Growth Support Vitamins, L’emarie Dandruff Shampoo Hair Loss Prevention, L’emarie Scalp Re-Energize Treatment, Laritelle Organic Hair Loss Prevention Conditioner, Laritelle Organic Hair Loss Prevention Oil, Laritelle Organic Hair Loss Prevention Shampoo, Latin Botanicals Volume & Loss Treatment Shampoo, Lee Stafford Hair Growth Treatment, LineaSkinCare Deep Revitalizing Hair Loss Prevention Shampoo, Lipogaine Big 3 Premium Hair Loss Prevention Shampoo, Mega Life HairtoStay Shampoo, MinoxiBoost Hair Loss Shampoo for Men and Women, Natte Hair Tonic Gel, Nature Lush Fight Hair Loss Shampoo, Neugaine Premium Organic Hair Loss Shampoo, Newopure Natural Hair Growth Vitamins, Nourish Beaute Burst Hair Growth Accelerating Serum, Nourish Beaute Nourish Hair Growth Support Vitamins, NuCell Hair Anti-Hair Loss Serum, NuGene Anti-Hair Loss Serum, NuHair Hair Regrowth Tablets for Men, NuHair Thinning Hair Serum for Men and Women, NuHair Thinning Hair Vitamins for Women, NuNutrients Advanced Hair Regrowth Treatment for Men, NuNutrients Advanced Hair Regrowth Treatment for Women, Nutrafol Men Advanced Thinning Hair & Hair Loss Supplement, Nutrafol Women Advanced Thinning Hair & Hair Loss Supplement, Nutrifolica Hair Loss Volumizing Conditioner, Nutrifolica Hair Regrowth Shampoo, Nutrine Garlic Shampoo for Excessive Hair Loss, Omiera Labs Natural Treatment for Hair Loss, Only Natural for Hair Only, PhytoWorx Hair Recovery and Regrowth Supplement, PhytoWorx Organic Hair Loss Shampoo, Pilo-Genic Mini Emulsion Hair Loss Treatment Lotion, Piping Rock DHT Blocker for Men & Women, Planet Ayurveda Hair Growth Formula for Men, Premium TS Hair Loss Prevention Shampoo, PRI Advanced 4-in-1 Hair Regrowth Treatment, PRI Formula 500 Hair Growth Conditioner, PRI Formula 500 Hair Rejuvenation System, ProBliva Hair Growth Serum, Procerin Male Hair Loss Shampoo, Procerin Tablets for Men, Procerin XT Hair Loss Foam, Prominox 4 Hair Loss Vitamins, Prominox 5 Topical Hair Loss Solution, PURA D’OR Anti-Hair Loss Premium Organic Argan Oil Shampoo, PURA D’OR Organic Argan Oil Conditioner, Regenepure DR Shampoo, Research Verified Hair Growth Support, RidgeCrest Herbals Hair Revive, Rx 4 Hair Loss Conditioner, Rx 4 Hair Loss Scalp Cream, Rx 4 Hair Loss Shampoo, Shen Min Hair Growth Vitamins for Men, Shen Min Hair Growth Vitamins for Women, Shen Min Hair Strengthening Formula, Shen Min Topical Solution for Thinning Hair, SHOWSA Organic Argan Oil Hair Loss Prevention Shampoo, Silettum Hair Loss Prevention Supplements, Simone Trichology Prevention Hair Loss Shampoo, SojournEarth Hair Loss Prevention Shampoo, Spare My Hair Premium Hair Growth Conditioner, Spare My Hair Premium Hair Growth Shampoo, Spare My Hair Scalp Solution, Surethik Hair Thickening Foam, Thai Bsc Falles Kaffir Lime Hair Loss Prevention Natural Tonic, Time Machine Hair Regrowth Tonic, Tricomin Solution Follicle Therapy Spray, Tropic Isle Jamaican Black Castor Oil, Ultrax Labs Hair Rush DHT Blocking Hair Loss Maxx Hair Growth Nutrient Solubilized Keratin Supplement, Ultrax Labs Hair Solace Conditioner, Ultrax Labs Hair Surge Caffeine Hair Loss Hair Growth Stimulating Shampoo, UNA Oxygenating Treatment, Vie Naturelle Hair Loss Treatment Shampoo, Vie Naturelle Pro-T Select Hair Growth Vitamins, Vitagrowth Premium Hair Regrowth Serum, VITAMINS Organic Hair Loss Conditioner, VITAMINS Shampoo for Hair Loss, Viviscal Extra Strength Hair Nutrient Tablets, Viviscal Hair Growth Program Extra Strength, Viviscal Man Hair Dietary Supplements, Viviscal Professional, VLCC Hair Defense Conditioner, VLCC Hair Defense Oil, VLCC Hair Defense Shampoo, Watermans Grow Me Hair Loss Shampoo, Wick & Strom Hair Loss Vitamins, Wick & Strom Premium Anti Hair Loss Shampoo
The most common kind of hair loss is pattern baldness. It happens when hair follicles shrink and stop working. The first sign is the appearance of strands that are thinner and more fragile. Then the scalp becomes more visible as fewer hairs grow to replace those that shed. That’s because the anagen phase becomes too short for the hair to grow out of the scalp. Plus, the hairs that remain aren’t securely anchored. And this condition happens to both men and women.
decrease in your blood Prostate Specific Antigen (PSA) levels. Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you have a PSA test done you should tell your healthcare provider that you are taking Finasteride because Finasteride decreases PSA levels. Changes in PSA levels will need to be evaluated by your healthcare provider. Any increase in follow-up PSA levels from their lowest point may signal the presence of prostate cancer and should be evaluated, even if the test results are still within the normal range for men not taking Finasteride. You should also tell your healthcare provider if you have not been taking Finasteride as prescribed because this may affect the PSA test results. For more information, talk to your healthcare provider.

While biotin is a type of vitamin that plays a functional role in hair growth, there are other vitamins that can help improve the overall health of your hair. Vitamin E is one such key vitamin that acts as an antioxidant and helps to reduce the oxidative stress on your scalp. This greatly affects hair growth, and this was proven by a study published in the Tropical Life Sciences Research journal (2). Another vitamin that is useful is vitamin C. It removes the dead cells build-up from the scalp and unclogs the hair follicles. This can improve hair growth as well (3). Vitamin C tablets can be added to a carrier oil and used to massage the scalp. Internal supplements of both these vitamins also help.
"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."
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?
Utilize caution when utilizing a compost tumbler, however, because hair does not appear to compost completely in them. Hair exists in a number of textures. Cutting the hair also might be an indication of mourning. Human hair is among those important things that form the idea of beauty. Human facial hair grows faster than every other hair physically.
Iron supplements. In some women, iron deficiency could be a cause of hair loss. Your clinician may test your iron level, particularly if you're a vegetarian, have a history of anemia, or have heavy menstrual bleeding. Iron supplements are recommended if a woman's iron level is less than 70 nanograms per milliliter. However, there's no reliable evidence that iron supplementation is helpful for female pattern hair loss.

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.
Then when you’re shopping for a solution take the time to read the label, the instructions, and the reviews. We know that there are lots of fake reviews out there because we see them too. Stick to products from well-known companies and use sites like Fakespot to help you weed out the scams. Of course, a recommendation from a person you trust is a big help, too.
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.
As everyone ages, hair follicles begin to shrink, leading to thinning hair (or loss of hair density). Unlike hair loss shampoos or hair thickening products that temporarily plump hair from the outside, Rogaine 2% Minoxidil Solution penetrates into the scalp to reactivate shrunken hair follicles, allowing for new fuller, younger-looking hair to regrow. Rogaine is clinically proven to help regrow hair. No topical treatment works faster to grow fuller hair than Rogaine.
Hair transplants will likely lead to better results in the long run (you are introducing new hairs to the balding areas), but you’ll still need to use minoxidil or finasteride after surgery to maintain the results. Like all hair loss treatments, hair transplants are best when combined with other methods, and you’ll want to speak with your doctor to see what combination is best for you.
Coconut oil contains fatty acids that penetrate inside the hair shaft and reduce protein loss from hair. Coconut oil can be used either before or after you wash your hair depending on your hair type. If your hair tends to be oily, you can do a leave-in treatment overnight or for a few hours before you wash it. Massage coconut oil into your scalp and all of your hair. If your hair is dry, you can also use it as a leave-in treatment. There needs to be more research on coconut oil as a promoter of hair growth, but it’s been shown to improve the health and luster of hair and has been used for centuries.
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.
My question would be, I am on the right track or is it overkill? I’ve read that using too much stuff (solutions or shampoo) maybe detrimental to keeping your hair. I know 6 month might be a little time but I still don’t see noticeable results and I’m afraid I might be doing something wrong or worsening the situation, even though I don’t have worse hair loss than before.
Ketoconazole is another off-label treatment that stands out for treating hair loss. Ketoconazole is the active ingredient in Nizoral shampoo, and 2 percent strength is often prescribed to treat dandruff -- a 1 percent formula is sold over the counter, but reviewers say that it's not as effective. Many men choose to triple-treat their hair loss with minoxidil, Propecia and Nizoral shampoo. Studies show promising results with ketoconazole, though not any better than minoxidil or Propecia, but experts insist that further study is needed.
Finally, avoid damaging your hair and scalp with harsh products and too much time in the sun. Use sulfate-free shampoos, remember to apply conditioner, and cover up outdoors. If you spend time in the pool, use a clarifying shampoo that removes chlorine from your hair. Also, rinse well with lukewarm or cool water. If you take good care of your scalp and hair, you’ll find that it’s easier to keep your locks thick and healthy.
Eat hair-loss fighting power foods. Nutritional imbalances are often the cause for hair loss. Poor diet can lead to macronutrient (proteins, fats, carbohydrates) and micronutrient (vitamins and minerals) deficiencies which in turn can make your body unhealthy and cause hair loss. To support the health of your hair and your overall well-being, add some or all of the foods listed below to your diet:[14]
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When men have hereditary hair loss, they often get a receding hairline. Many men see bald patches, especially on the top of the head. Women, on the other hand, tend to keep their hairline. They see noticeably thinning hair. The first sign of hair loss for many women is a widening part. In rare cases, men see noticeably thinning hair. And in rare cases, women can see a receding hairline or bald patches. The reasons for this are unknown.

Please help. My hair has always been my pride and joy. I figured since it is pretty damn healthy, it could deal with some bleach damage. And I figured the master stylist who did all the color-corrections would know how much would be too much. I was wrong, and now I want to burst into tears every time I look at my hair or touch it. I just don’t know what to do. My hair has also NEVER been shorter than this and it breaks and falls out. What should I do to regrow hair?

Once male-pattern baldness starts, it’s not going to stop until every last hair on your head has shrunk or shed, though the rate at which this happens differs from person to person and depends on genetics. And since the grind of hair loss is unending, it’s important to start treatment as soon as your hairline starts bothering you. If you’re looking for a more quantitative metric, Dr. Paul McAndrews, clinical professor of dermatology at the USC School of Medicine and member of the International Society of Hair Restoration Surgery, assures me that “you have to lose half your hair before the human eye can tell.” (Of course, if you don’t care about losing your hair and are fine with going full Prince William and shaving your head, go for it. We’ve got some recommendations for razors and hair trimmers to help you out on that front.)


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.

Various essential oils can be added to carrier oils like coconut oil, almond oil, and olive oil to promote hair growth. Some of the best essential oils for this purpose are peppermint oil, tea tree oil, black seed oil, neem oil, pumpkin seed oil, grapeseed oil, avocado oil, eucalyptus oil, walnut oil, lemongrass oil, and onion oil. Essential oils are full of antioxidants and also contain pore cleansing agents – both these properties can improve hair growth.


It’s important that you take time each day to focus on nourishing your hair to get the luscious locks you want. Taking this step and practicing self-care will be extra beneficial if your hair loss is related to any emotional or stress-related issue. Stay positive and do your best to maintain a healthy lifestyle that will complement your hair treatment plan.
4. Tinted dry shampoo. Camouflage spots where you’re seeing more scalp than you want to (your hairline, a widening part, a thinning crown) and add volume with a colored dry shampoo (try Orlando Pita Color Boost Dry Shampoo in Light or Dark Tones, $22). But be sure to give your scalp a vigorous shampoo during your next shower — dermatologists recommend keeping your scalp free of styling products so you’re not clogging already taxed pores.
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.
Back in the 17th century, men were told that coating their balding heads with chicken faeces would help them regain a full head of long glossy locks. While we might have moved on somewhat since then, we still don’t fully understand the science behind hair loss and hair regrowth and, unfortunately, there are still some very common myths about hair remedies that we are far too quick to believe. 
Laser devices: Brushes, combs, and other hand-held devices that emit laser light might stimulate hair growth. These devices might make hair look more youthful in some people. Because the FDA classifies these products as medical devices, the products do not undergo the rigorous testing that medicines undergo. The long-term effectiveness and safety for these devices are not known.
In-office laser light treatments or at-home handheld devices, such as the HairMax LaserComb, supposedly grow new hair by stimulating blood flow to the area (think: an amped-up version of a scalp-stimulating shampoo). Just don’t expect the device to make your noggin go from looking like George Costanza’s to Jerry Seinfeld’s. “These lasers won’t grow any new hair. If anything, they may just help you hang on to some of the hair that you already have a bit longer,” says Dr. Joyce.
The use of PRP “enhancements” such as Extracellular Matrix (ECMs) as well as Stem Cells/Signaling Cells can be added to the PRP to enhance it’s hair growth properties and prolong its effects. When PRP is performed without these enhancements, multiple repeat treatments are needed as often as every other month. Research has shown that the use of ECMs like ACell–derived from porcine/pig bladder, BioD–derived from donated healthy human placenta, Adipose-Derived Stem/Signalling Cells–harvested and separated from the patient’s own fat, and even special exosome preparations can help strengthen the effectiveness and lengthen the duration of the results from a single PRP treatment.  

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.
Dr. Melissa Piliang, a dermatologist at the Cleveland Clinic, said that Rogaine works better on the top and crown (for reasons not fully understood, the frontal hairline tends to be more resistant to treatment) and ideally should be started as soon as women notice thinning. “Any regrowth you get is a minimal amount,” Dr. Piliang said. “So the more density when you start, the better results you get.”
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. 
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