The big three are still the best anti-hair loss regime for most men who just started losing their hair. They are safe, inexpensive, take little time to apply, and best of all, they work. However, If your hair is beyond the Norwood 3 scale, you might want to be looking into other solutions, like a hair transplant. The big three are much more effective at keeping your hair, not regrowing it.
Finasteride inhibits an enzyme that converts testosterone to DHT, or dihydrotestosterone, the hormone that causes hair loss in men, and unlike minoxidil, this drug can actually help hair grow back, as well as prevent further loss. All you have to do is take one pill a day, and according to Dr. Evan Rieder, dermatologist in the Ronald O. Perelman Department of Dermatology at NYU Langone Health, two-thirds of men taking this treatment will see improvements in hair density over time.
Thank you for such a great article. I have just started notice of my hair fall and want to do something about it. I have seen the Reviews for REGAINE so far, that seem effective. Can you please tell me, are ROGAINE and REGAINE same products ? If not, which one will you recommend ? Also, is there any need to use anything beside with one of the above products ? Thanks for your time,
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.
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!!
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).
“The most common cause of hair loss in both men and women is androgenetic alopecia, which is genetic pattern hair loss,” explains Dr. Michael B. Wolfeld, a board-certified plastic surgeon and an assistant clinical professor of plastic surgery at the Icahn School of Medicine at Mount Sinai Hospital in New York. The root cause of this type of hair loss is dihydrotestosterone (DHT), a byproduct of testosterone that shrinks certain hair follicles until they eventually stop producing hair.
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.

"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."
Almost all hair loss in guys results from male-pattern baldness, a genetic trait that comes from your parents. Other causes include certain medications, too much vitamin A, or not enough protein. Illness or stress can lead to sudden, heavy shedding called telogen effluvium. Good news, though: Hair loss that isn’t from male-pattern baldness often reverses itself.
The best fix by far for replacing lost hair is a transplant. Back in the day, docs used plugs that resembled cornrows (definitely not natural looking). Today, guys have more options. You can go for “the strip method” where a doctor surgically removes a strip of hair from the back of your head, dissects every hair graft under a microscope, and then plants the individual grafts onto hair-thin areas of your scalp with tiny incisions.

Some 30 million women in the United States have hereditary hair loss (compared with 50 million men), according to the American Academy of Dermatology, though that figure does not include the millions more who struggle with thinning hair because of pregnancy, menopause, stress and other health conditions. Barely 5 percent of women are said to be good candidates for hair transplant surgery because women lose hair everywhere, meaning that, unlike with men, there is rarely a luxuriant spot on the back of the head from which to harvest hairs unobtrusively.
However, ketoconazole is still not FDA approved for hair loss treatment, which means it cannot be endorsed or marketed as such. Put simply, ketoconazole likely curbs hair loss, but additional research is needed for the FDA to give it approval. While it is safe to use as a supplement to our top picks, we wanted to recommend products with as much scientific backing as possible. So, we stuck with FDA approved minoxidil or FDA cleared laser treatments. But we’ll keep a close eye on products like ketoconazole shampoos and update as new research appears.
I have taken Propecia for 5 years. The first couple of years the side effects were minimal, but after they became more severe. Lacking morning wood, reduced ejaculate, reduced penile sensitivity are real issues. You’re be hard pressed to accuse some of suffering the nocebo effect in these instances. In which case you’re telling the person to just ignore the problems.
"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."
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.
*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.   
First, I am a 39 year-old female and I started using this product about a month ago for genetic hair loss that began last year. My mother, her sister and other family members suffer from hair loss and general thinning of the hair (scalp can be seen.) I was devastated when my ultra thick mane became veil-like. At first, I tried to improve my diet, adding biotin to my daily supplements. Nothing really helped. It just got worse. The final blow came after the birth of my son. Aside from the hormonal clumps of hair that fell out (I cried over this), the thinning continued. Now for the good part: after one month of using this product, I am seeing dramatic results. Knowing that there is an effective and affordable treatment for genetic hair loss is comforting. I realize that I will need to use this product indefinitely, but that's okay. It's fast, easy, relatively inexpensive and it makes me feel better. Man or women - if you fall into the parameters described on the box, please give this a try. I'm so glad that I did.
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For as long as men have been fretting over their expanding foreheads, they've been scrounging for hair loss treatments. From hippo fat pomades to the urine of young foals, history is full of just-so-crazy-they-might-work concoctions. They didn’t work. And a quick Googling reveals that most of the products and services marketed today are only slightly less absurd.
Side effects and concerns: Around the time new hair growth starts, some women experience folliculitis (inflammation of the follicle). This minor complication can be treated with compresses and antibiotics. A more serious hazard is shock loss, the sudden loss of hair that normally grows in the area of the transplant. Shock loss affects 30% to 50% of female hair-transplant recipients; fortunately, the loss is usually temporary, and the hair will regrow. One drawback is that there's a finite amount of donor hair, and it may not be enough to fill in the transplant site as densely as before, especially if the area of thinning hair is large. A transplant procedure can cost from $4,000 to $15,000 and is rarely covered by insurance.
To us, that meant any product with zero proven ingredients, case studies, or FDA clearance — which shrunk our list by a whopping 180 contenders. That’s right, there are only three treatments that have actually been cleared by the FDA and supported with clinical studies: finasteride (commonly marketed as Propecia), minoxidil, and laser treatments. And, since finasteride is prescription-only, it left us with two.
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.  

This article is COMPREHENSIVE and sticks to the tried and tested (read scientifically proven) treatment methods. For me, if you’re suffering from pattern baldness, then the best chance you have is the Big Three. That said, it is worth potentially trying other, more natural, treatments if your hair loss isn’t aggressive and if you have an aversion to medicated products. I’m not talking about snake oil here. There are some treatments out there that, while not a primary treatment mode, can help to at least arrest hair loss in milder cases. As always with hair loss it’s a question of probabilities. I don’t think I’ve come across a product that works 100% of the time for 100% of the people. But the best chance undoubtedly comes with the FDA approved products to date. Also loved the future pipeline chart. Fantastic view of what will (hopefully) be more effective treatments in the future.

For the past two decades, scientists have made strides in developing hair loss treatments that are both safe and effective. However, the market is inundated with ineffective products; "99 percent of all products being marketed in the less than ethical hair loss treatment industry are completely ineffective for the majority of those who use them," according to the AHLA.


*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.   
Beware online stores selling Propecia without a prescription.Finasteride is FDA approved, but buying it online without a prescription can be illegal and dangerous. Prescription-free online stores have a reputation for selling placebos or dangerous replacements. We recommend speaking with a doctor about prescriptions or sticking to save over-the-counter treatments.
Reality is, if finasterise is so safe, why doesn’t merk market this drug as a vaccine for hair loss? For every man north of 18 to take this drug to prevent the possibility of balding? It’s safe, so why not? Truth is the science isn’t clear that either AR inhibition or DHT reduction is safe. All we know is that merk did a study and were able to publish data that suits their agenda.
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.
The easy-to-use spray bottle allows you to apply the serum directly to your scalp, or you can spray it onto your hands to rub into parts of your scalp. Each bottle offers a three month supply and should be used twice daily. It has outstanding reviews online, partly because it does not leave a sticky residue or cause preliminary hair shedding like most other regrowth treatments.
I’m 33 and I still have quite a full hair line. I was facing mild hair loss until recently I’m noticing a lot of shedding, I’ve been on Propecia for the past year though. I’m not sure if Propecia is not effective on me anymore or it was kind of limiting hair fall until now. I’m even doubting that it could be MPB but do you think The Big Three would also help even if it wasn’t an MPB case?
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.
During this procedure, surgeons remove a narrow strip of scalp and divide it into hundreds of tiny grafts, each containing just a few hairs. Each graft is planted in a slit in the scalp created by a blade or needle in the area of missing hair. Hair grows naturally this way, in small clusters of one to four follicles, called follicular units. As a result, the graft looks better than the larger "plugs" associated with hair transplants of yesteryear.

Her hope is that the procedure (she has helped start a company named Rapunzel to develop it) will eventually become another lunchtime cosmetic treatment. Once a patient has had her cells harvested and cultured, they could be stored indefinitely; then, after giving her doctor a month’s notice (the time it takes to grow the million needed), she could pop in for injections. Costs would likely be on par with hair transplants, roughly $10,000 and up.
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.

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.  


The easy-to-use spray bottle allows you to apply the serum directly to your scalp, or you can spray it onto your hands to rub into parts of your scalp. Each bottle offers a three month supply and should be used twice daily. It has outstanding reviews online, partly because it does not leave a sticky residue or cause preliminary hair shedding like most other regrowth treatments.

Castor oil, as some might already know, is one of the most popular all-natural "panaceas." Go ahead, Google it: What you'll find is article after article about how the viscous oil can help with shedding, breakage, and regrowth. But unlike rosemary oil and vitamin B5, both of which have studies that back up their aid in hair growth, scientific evidence surrounding castor oil is lacking. (Any testimonials about castor oil for hair growth are anecdotal, coming mostly from blogs, Reddit, and YouTube.)
PRP for Hair Growth has become one of the most exciting recent breakthroughs in hair restoration, and is not only showing positive results as a stand-alone treatment, it has proved to be a valuable tool during hair transplantation as well. During the transplant process, PRP has been shown to strengthen non-transplanted hair, minimize donor scarring and accelerate wound healing. In addition, PRP has also been reported to improve graft survival and accelerate the growth of the transplanted hair.

THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
Revitalize your hair and get the luscious locks you want with Equate Women's Hair Regrowth Treatment. It's ideal for women with non-patchy, localized hair loss who are looking for a budget-friendly solution. This minoxidil topical solution contains two percent minoxidil to revitalize follicles and combat hair thinning. It's FDA approved, unscented and comes in a 3-pack of 2 oz bottles, providing a 3-month supply. This hair fall treatment is most effective for women with general thinning on the top of the scalp. Results may vary depending on the individual. It should not be used if you're experiencing patchy hair loss.
Equate Beauty understands that beauty isn't just skin deep. With a large selection of the latest beauty products, Equate Beauty helps you be your best you.

Even though modern folklore, and even some limited scientific studies, have suggested that the mother's side of the family is largely responsible for a genetic predisposition toward baldness, the truth is balding is not all our mothers' fault. In fact, doctors now say baldness patterns are inherited from a combination of many genes on both sides of the family. There are some environmental factors that come into play, too.


A unique formulation by Ultrax is the Hair Lush. Formulated in a serum form containing caffeine, immediately adds volume to hair. It also contains a proprietary blend of ingredients which are known to promote hair growth and prevent hair loss. The leave in caffeine formulations are known to improve the health of hair and Hair lush performs up to expectations.
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I noticed I was going bald, I panicked and turned the internet upside down in search of a solution and tried lots of products and weird things but none worked. a friend who used to tease me about the hair (in a bid to tease me further) bought a product from Africa during his travels and he mockingly gave me as a present.I tried it and the result is unbelievable. infact he had to call his contacts in Africa to get in touch with the manufacturers. I know how frustrating and confidence-sapping being bald is that’s why I took this painstaking mission to reveal to any who wants to try it. you can contact the manufacturers on (***censored***@gmail.com)I hope this message helps.
Our other recommendation is the HairMax Ultima 12 LaserComb. The comb uses low-level lasers to stimulate hair follicles and modulate dihydrotestosterone (DHT) — a hormone that causes the most common type of hair loss. While it sounds like something from a sci-fi movie, the treatment works, and the dermatologists we consulted reported that their patients saw thicker and longer hair when combined with our top pick. The only catch: The comb isn’t as effective as minoxidil treatments, and at nearly $400, it’s a much bigger investment. Still, it’s the best option if you’re looking for a non-invasive, non-chemical treatment.
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Rosemary is one of the first essential oils people choose to promote hair growth and reduce hair loss. Rosemary oil stimulates new hair growth and can be used to treat androgenetic alopecia. Mix a few drops of rosemary oil into a carrier oil and massage it into your hair and scalp before rinsing. Do this a few times per week. Add a few drops of rosemary oil into your shampoo and conditioner on a daily basis. Do not use essential oils directly on the skin. Always mix them in a carrier oil or shampoo.
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?

Viviscal is a natural hair-growth supplement that promotes hair growth in people with thinning hair. It contains a marine complex known as AminoMar C. This is made of minerals, vitamins, and shark and mollusk powder. These ingredients help to regenerate new cells and strengthen existing cells. You have to take the pills twice a day for at least six months in order to see results. Viviscal also makes a shampoo and conditioner.
3. Hair fibers. The best (and easiest) way to hide a widening part or sparse patch is with hair fibers. They’re tiny, charged fibers that adhere to your scalp (until your next shampoo). Toppik Hair Building Fibers ($25) come in a range of colors so you can easily find one that matches your own hair. (In a pinch, you can also brush a powdered eye shadow that matches your hair color along your part.)
PRP for Hair Growth has become one of the most exciting recent breakthroughs in hair restoration, and is not only showing positive results as a stand-alone treatment, it has proved to be a valuable tool during hair transplantation as well. During the transplant process, PRP has been shown to strengthen non-transplanted hair, minimize donor scarring and accelerate wound healing. In addition, PRP has also been reported to improve graft survival and accelerate the growth of the transplanted hair.
Almost all hair loss in guys results from male-pattern baldness, a genetic trait that comes from your parents. Other causes include certain medications, too much vitamin A, or not enough protein. Illness or stress can lead to sudden, heavy shedding called telogen effluvium. Good news, though: Hair loss that isn’t from male-pattern baldness often reverses itself.
If you’re a smoker, you’ve probably heard about all the negative effects smoking has on your health. But did you know that smoking could cause hair loss on top of facial wrinkles and premature graying of hair? Research has determined that there’s a link between smoking and hair loss. If you want to keep from going bald, it may be a good idea to quit smoking as soon as possible.
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.

“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.

For those concerned that the existing treatments lack a certain sci-fi quality, behold the Laser Comb. The Laser Comb recently became only the third hair loss treatment to receive FDA approval. And it is the first that doesn’t use drugs or surgery. By stimulating follicles with a low-level laser, the hand-held device was shown in test trials to increase hair volume in a majority of patients.
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.
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
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