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.

As the name suggests, androgenetic alopecia involves the action of the hormones called androgens, which are essential for normal male sexual development and have other important functions in both sexes, including sex drive and regulation of hair growth. The condition may be inherited and involve several different genes. It can also result from an underlying endocrine condition, such as overproduction of androgen or an androgen-secreting tumor on the ovary, pituitary, or adrenal gland. In either case, the alopecia is likely related to increased androgen activity. But unlike androgenetic alopecia in men, in women the precise role of androgens is harder to determine. On the chance that an androgen-secreting tumor is involved, it's important to measure androgen levels in women with clear female pattern hair loss.


Carrots contain a wide range of vitamins (C, K, E, B1, B2, and B6) and minerals (potassium, manganese, molybdenum, and phosphorus). They also contain carotenoids that act as antioxidants. All of these revitalize the hair follicles and make your hair longer and thicker (51). Apart from the topical application, add carrots to your diet in the form of juices or simply eat them raw.

Minoxidil (Rogaine, generic versions). This drug was introduced as a treatment for high blood pressure, but people who took it noticed that they were growing hair in places where they had lost it. Research confirmed that a 2% solution of minoxidil applied directly to the scalp could stimulate hair growth. How it works is still not clear. Two double-blind studies of women ages 18 to 45 demonstrated its effectiveness. In one study, 13% of female minoxidil users had moderate hair growth, and 50%, minimal growth (compared with 6% and 33%, respectively, in the placebo group). In the second study, 60% of women in the minoxidil group reported new hair growth, compared with 40% in the placebo group. As a result of these studies and others, over-the-counter 2% minoxidil is FDA-approved for treating androgenetic alopecia in women.
"I recommend that everyone [with any hair loss] take finasteride," says Robert M. Bernstein, MD. Bernstein is associate clinical professor of dermatology at Columbia University and founder of the Bernstein Medical Center for Hair Restoration. "To patients who are younger,” he says, “I also recommend minoxidil. But the mainstay is finasteride. The data show that, over five years, it significantly retards hair loss in 85% of users."

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!!
We use cookies and similar technologies to improve your browsing experience, personalize content and offers, show targeted ads, analyze traffic, and better understand you. We may share your information with third-party partners for marketing purposes. To learn more and make choices about data use, visit our Advertising Policy and Privacy Policy. By clicking “Accept and Continue” below, (1) you consent to these activities unless and until you withdraw your consent using our rights request form, and (2) you consent to allow your data to be transferred, processed, and stored in the United States.
Cyproterone acetate is not available in the U.S. Doctors consider it one of the last resorts for treating female pattern hair loss because of its possible toxicity and long-term side effects. As with any drug, side effects other than those listed on the package may occur. Contact your doctor if you notice a side effect that is unusual or particularly bothersome.
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.
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?
If you’re a gentleman who’s been noticing a receding hairline or is worried about balding, the first step is to schedule a visit with a doctor or dermatologist and make sure your hair loss isn’t a sign of a more serious health issue. “Not all hair loss is male-pattern hair loss,” explains Dr. Marc Glashofer, a board-certified dermatologist specializing in hair loss and practicing in northern New Jersey. A thyroid disorder, an autoimmune disease, or even a scalp issue could be making you look like Bruce Willis in Die Hard 2. But most hair loss is androgenetic alopecia, also known as male-pattern baldness, and fortunately (or not, depending on your perspective), it’s just a symptom of getting older.
Stimulate new strands with the Equate Hair Regrowth Treatment for men. It is made with a special formula that helps combat general thinning on the top of the scalp. It is also suitable for other degrees of hair loss. Offered as a pack of three, this extra-strength hair regrowth treatment for men comes in a handy bottle. It also includes a child-resistant dropper in each pack for easy application.
Making the right health decisions can be challenging. With a complete range of products and simple solutions, Equate allows you to take care of your family with confidence.

THIS IS AN EXCELLENT PRODUCT & I HAVE BEEN USING THIS OR OTHER SIMILAR TOPICAL SOLUTIONS TWICE EVERY DAY FOR OVER 15 YEARS. NO FURTHER HAIR LOSS & SOME RESTORATION. DO NOT USE ROGAINE FOAM!! RATED TO LAST 30 DAYS & DOESN'T MAKE IT TO 15! IT IS ALMOST 3 TIMES MORE EXPENSIVE AS THE TOPICAL SOLUTION MENTIONED HERE & RUNS OUT AFTER THE SPECIFIED CAN AMOUNT IS ONLY HALF USED. THE TOPICAL SOLUTION IS BECOMING HARDER TO FIND, ESPECIALLY ON STORE SHELVES. BUY IT VIA WALMART.COM. STORES MAKE MUCH MORE MONEY ONLY SUPPLYING THE MUCH MORE EXPENSIVE FOAM, WHICH DOESN'T LAST, & NOT PUTTING OUT THE TOPICAL SOLUTION. A WORD TO THE WISE; YOU WERE WARNED!!

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.

Did you know the average woman is born with about 100,000 hair follicles on her head--and she keeps them for the rest of her life? Most women lose between 50 and 100 hairs a day. If your hair is healthy, it will grow back on its own. But if you're one of the 30 million women in America who experience hereditary hair loss, you may be losing 150 hairs or more a day--hair that doesn't grow back as thick and healthy as it once was.
“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 Lipogaine for Men one month intensive treatment is intended for men only. It features the best combination of natural ingredients and effective Minoxidil to aid in hair loss, hair regrowth, and beard growth. It can also reduce DHT level, provide follicle nutrients, strengthen the hair you have, improve the scalp health, and fill in thinning areas around the scalp and frontal hairline. The comprehensive and holistic approach has made Lipogaine the first hair growth formula that combines Minoxidil with Biotin and a proprietary herbal blend of natural DHT blockers with saw palmetto, beta-sitosterol, fatty acids, and many other vitamins. The advanced liposome delivery system can deliver ingredients precisely to the target area for maximum results.
Great article thx!! I’m 38 and still have a full head of hair but I started to shed about 3 months ago. Typically ~15 hairs on my pillow when I wake up and 20 or so hairs on my hand after I shower. I also notice hairs on my desk during the day. I never noticed any hair loss before 3 months ago. I started to use rogaine 5% twice a day about a month and a half ago and the shedding accelerated. I read that is normal but should it still be doing this after 1.5 months? I haven’t tried propecia yet as I want to see if Rogaine will do the trick but will if the shedding doesn’t stop. Also, do you think stress can play a part in hair loss? I started a super stressful job about 6 months ago so thinking my hair loss could be related to that.

Just letting go is possibly the most challenging of the available options. It’s also the cheapest and ultimately the most effective in the struggle with hair loss. Given the imperfections of surgical, medical, and technological options, there are many who advocate simple acceptance. (BaldRUs.com is one of several sites devoted to embracing the scalp's natural fate.) What's more, the health benefits of happier mirror time -- and fewer years of harmful anxiety -- just might offset the loss of those Samson-like powers.
If you’re a gentleman who’s been noticing a receding hairline or is worried about balding, the first step is to schedule a visit with a doctor or dermatologist and make sure your hair loss isn’t a sign of a more serious health issue. “Not all hair loss is male-pattern hair loss,” explains Dr. Marc Glashofer, a board-certified dermatologist specializing in hair loss and practicing in northern New Jersey. A thyroid disorder, an autoimmune disease, or even a scalp issue could be making you look like Bruce Willis in Die Hard 2. But most hair loss is androgenetic alopecia, also known as male-pattern baldness, and fortunately (or not, depending on your perspective), it’s just a symptom of getting older.

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.  
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.
Hi, am not promoting any product, just sharing my experience honesty, I have always had fine, thin hair but just recently I’ve become very self-conscious about my scalp showing. I’m only 24 years old and thought this was not the age I should start balding! I’ve tried everything – Biotin, Minoxidil, many type of hair growth supplement. Yes, these supplements supported hair growth but they did not support hair re-growth like Kesha Vardhani did. I’ve been using Kesha Vardhani for six months and hope to continue it.

"Others are taking hair follicles out of human scalp and growing them with dermal papilla cells," Cotsarelis says. "If they grow in culture, you might be able to recombine them with skin cells and form new follicles. This would let you expand the number of follicles you get for a hair transplant. This may not be that far off -- five to 10 years, maybe. There's very good evidence you will be able to do that."


"Despite some of the claims, a shampoo or conditioner won’t be able to stop or slow hair loss, nor help with a receding hairline or thicken hair that’s becoming thinner," says trichologist Anabel Kingsley from The Philip Kingsley Trichology Clinic in London. "At best, a thickening shampoo will make hair temporarily thicker for a short period of time, but they certainly won’t help with hair loss or thinning."
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.
The first robot designed to help surgeons perform a portion of the hair transplant procedure recently became FDA approved. Called the ARTAS Robotic-Assisted FUE System by Restoration Robotics, it’s an image-guided robot with micron-level precision that harvests up to 1,000 hair grafts per hour – which has made hair transplant surgery even more accurate and efficient.

Taking hair supplements can be helpful for anyone who is experiencing hair loss or hair thinning. Dendy Engelman, MD, a board-certified dermatologic surgeon at Medical Dermatology & Cosmetic Surgery in New York City, previously recommended Nutrafol, a research-backed hair supplement, to Prevention. "This uses highly concentrated botanicals to address every stage of the growth cycle," she says. Nutrafol's hair supplements include vitamin E and ashwagandha (an adaptogen that helps balance cortisol levels in the body), among others.


P.R.P., considered a nonsurgical treatment, is not covered by insurance, and clinical studies about its effectiveness (and longevity of results) are not conclusive because different doctors use different mixes. But P.R.P. has a long (though also inconclusive) history of use elsewhere in the body. Athletes like Kobe Bryant have received the treatment in an attempt to heal injuries.
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.
These are products designed specifically to stimulate hair regrowth in balding areas. Some are shampoos formulated with essential oils and keratin in the ingredients, which make hair healthy and resistant to breaking and thinning. Some are tablets which contain the proper vitamins to nourish hair back to a healthier state and promote newer, healthier hair to grow where the balding has occurred. And some are topical scalp treatments that include the medicine Minoxidil. Minoxidil absorbs into the scalp and stimulates the hair follicles to begin growing new hair as well as to prevent any further hair loss from occurring. These results will only last for as long as the medicine is being used. With so many choices, choosing the best method can prove to be overwhelming. Below, we have listed the 10 best hair growth products for men currently on the market and reviewed each one. There is definitely a product out there for everyone regardless of the cause of hair loss and whether or not a chemical or medicated treatment is needed.
*Photograph used with permission of the Journal of the American Academy of Dermatology. This photograph was published in the Journal of the American Academy of Dermatology, Vol. # 60, Gathers RC, Jankowski M, Eide M, et al. “Hair grooming practices and central centrifugal cicatricial alopecia,” 660-8. Copyright Elsevier (2009). Journal of the American Academy of Dermatology.   
The trick about all of these hair-loss products and treatments is that they’ll stop working as soon as you stop using them. “They have to be ready for a lifetime commitment,” says Rieder. But, just like brushing your teeth, as long you keep on keeping on with the scientifically proven preventative treatments, those hairs on your head should be just fine.
The HairMax Ultima 12 LaserComb ($395) makes for a great addition to any hair loss regimen — provided you can afford it. Dr. Wolfeld notes that it’s a popular option in his practice. “Some people like the action of combing something through their hair,” he says. “They find that to be a little bit easier to do as part of their routine in the morning.” Dr. Khadavi also recommends using a laser treatment of some kind in conjunction with other treatments. “Lasers do help in stimulating the hair into the growth phase. We don’t know the exact mechanism of how it works, but it definitely helps.”
Many users have found that they can achieve results with this product, even when other hair regrowth treatments have failed. That’s because Lipogaine includes effective clinically proven ingredients that most other treatments do not. Simply use the dropper to apply no more than 1 mL to the hair thinning area twice daily. This can be used together with other hair regrowth treatments for faster results. As is the case with any Minoxidil product (such as Rogaine), the effects will only last as long as you use the product. This product is backed by unmatched customer loyalty and five years of positive customer reviews.
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.
×