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.
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.
"This is an oral, prescription-only medication with the brand name Propecia that’s also FDA approved to treat hair loss," says Spencer. Male pattern hair loss occurs when a hormone called dihydrotestosterone (DHT) prevents hair follicles from getting the nutrients they need. Finasteride works by blocking the production of DHT, which protects the follicles.
The 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.”

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


Hi, great article. I have an aggressive form of MPB. I am 23 year old with a NW2 hairline, diffuse thinning over the top and crown. Been on 5% Minoxidil and 2% Keto for about 9 months. Went through a period of shedding which has reduced somewhat in the last couple of months. I don’t see any appreciable increase in density anywhere but I do see plenty of thin vellus hair at my hairline. I am waiting for the 1 year mark to see the full effect of this regime. Is there like a test you can do to assess hairfall? Or do we just have to count the hair lost in the shower? Do you reckon I should start the Fin to hold on the the hair I have? Like most guys (actually a bit more than most guys seeing that I am young) I worry a lot about being in the 2% who experience disastrous sides from Fin. I do plan to check my DHT levels before I start, if I do at all, to see if I naturally have high/low DHT. That should tell me what to expect, to an extent.
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.
“While nutritious eating isn’t going to bring your hair back by any means, eating plenty of protein-rich foods and healthy fats can make the hair that you still have look thicker and shinier.” Skimping on the B vitamins in particular can interfere with the formation of hair cells and, therefore, hair growth. The best sources of Bs are protein-packed foods like chicken, fish, eggs, and pork, as well as leafy greens such as spinach. (These foods are also good for melting belly fat, so it’s a win win).
To give yourself a hot oil treatment, massage the oil into your scalp, then apply it all the way to the ends of your strands. Pile your hair on top of your head, cover it with a shower cap, then blast your strands with a blow-dryer for 15 minutes. Feel free to jump in the shower and shampoo and condition as usual—you’ll notice softer strands instantly.
Pay attention to the foods you eat and how much you’re eating. For example, eating a variety of whole foods that are rich in vitamins and minerals will help fuel your body and the areas responsible for hair regrowth. If you suspect you may be deficient in certain vitamins, visit your doctor to get a blood test and address other dietary issues, such as eating disorders or health conditions that might block nutrient absorption.
Baking soda can remove the excess product and chlorine build-up from your scalp and hair (56). Such build-up usually clogs your pores and stunts hair growth. Massaging with this versatile powder can also exfoliate your scalp, get rid of the dead skin cells, and improve blood circulation to the scalp (57). As baking soda is antifungal, it will also treat any fungal infections that may be present (58).
Some doctors prescribe Avodart off-label (meaning to treat something other than illnesses or conditions listed on the drug's label) to patients suffering from male-pattern baldness. Dutasteride, the active ingredient in Avodart, like finasteride, is used to treat enlarged prostate glands, but it blocks both types of the enzyme that create DHT, instead of just one. Studies show that dutasteride is superior to finasteride in treating AGA, but it has yet to be approved by the FDA for that purpose.
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.
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.
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.

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.)

In men, finasteride (originally marketed as Proscar) is approved for hair loss associated with androgens. In one study, 62% of women also taking oral contraceptives containing the synthetic progestin drospirenone reported improvement. So it may be effective for female hair loss in the setting of increased androgen. But studies are limited and it is harmful to the male fetus so should not be used by women thinking about becoming pregnant or who are pregnant.
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. 

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.
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.
While diet alone won’t save your hair, there may be some truth to the old adage that you are what you eat. “You’re not going to have the healthiest hair if you’re living off doughnuts, because being nutrient-deficient weakens strands and makes them more prone to breakage,” says Denise Kernan, owner of DK Hair Techs, Inc., a member of the International Society for Hair Restoration Surgery, and a hair transplant technician who has worked on everyone from senators to sports stars to actors to mafia guys (she won’t name names to protect the privacy of her clients).
It can cause unwanted hair growth. Some women may experience facial hair growth when they use minoxidil. That can happen if the medication trickles down onto your face or simply as a side effect when you apply it only to your scalp. The risk is lower for women who use the 2 percent concentration of the drug, as opposed to the 5 percent concentration that’s designed for men.
I think there’s nothing wrong with advertising that propecia side effects are low, its a flat out lie to say they’re impossible. There are thousands of people posting online about the sexual side effects experienced, and many thousands of others who have experienced the side effects and quit without complaining on the internet. On top of that, there are many patients who take proscar to treat BPH, experience sexual side effects, yet don’t complain because they’re treating a more dangerous condition, and they’re typically older men and people incorrectly expects every man north of 50 will be impotent.
*all photos are models and not actual patients.If you are interested in a prescription product, Hims will assist in setting up a visit for you with an independent physician who will evaluate whether or not you are an appropriate candidate for the prescription product and if appropriate, may write you a prescription for the product which you can fill at the pharmacy of your choice.
Since birth control pills decrease the production of ovarian androgens, they can be used to treat women's androgenetic alopecia. Keep in mind, however, that the same cautions must be followed whether a woman takes contraceptive pills solely to prevent contraception or to treat female pattern baldness. For example, smokers age 35 and older who take the Pill are at higher risk for blood clots and other serious conditions.
Am using KESHA VARDHANI hair oil for almost a month. Purchased this a couple of bottles already. Wife said hair becomes thicker and really seems to be working (Regrowth of new hair). Tried other brand and did not work as good as this brand. A little on the expensive side but quality seems to be there compare to other brands. Try it for yourself to checkout to result.
Pay attention to the foods you eat and how much you’re eating. For example, eating a variety of whole foods that are rich in vitamins and minerals will help fuel your body and the areas responsible for hair regrowth. If you suspect you may be deficient in certain vitamins, visit your doctor to get a blood test and address other dietary issues, such as eating disorders or health conditions that might block nutrient absorption.
But in November, after 10 years of research, Rogaine introduced a new 5 percent minoxidil formulation for women. It’s a mousse (instead of a liquid) that needs to be applied only once a day instead of twice, which means that it can be more easily incorporated into a woman’s evening skin-care routine. Teal replaces the blue and silver palette of the men’s Rogaine, and the packaging bears a lotus flower. (Also last year, Pantene introduced its Hair Regrowth Treatment for Women, which is 2 percent minoxidil.)
“I’m 43 years old and my hair has started to thin out a little bit. I started looking into a lot of these different products on the market that claim they can slow down balding in men and some of them even claim they can regrow your actual hair. As I went on the internet and started looking around, I kind of went down a rabbit hole into these different reviews and all sorts of different products from vitamins to topical solutions. Do any of these things do what they claim they can do?”
Testosterone replacement is becoming popular for men. Cotsarelis warns that this may accelerate hair loss. Propecia might help -- but because it prevents testosterone breakdown, it might affect the dose of male hormone replacement therapy. Cotsarelis warns men taking both Propecia and testosterone replacement to make sure their doctor carefully monitors their testosterone levels.

This hair loss treatment for men from the company Kirkland Signature is a topical solution and comes with a six month supply. Each month, a 2 oz. the bottle will be used by applying the solution to the scalp. The bottles can be sprayed onto the scalp, but the solution works more effectively if applied to the fingertips and massaged into the scalp directly.


What should I be using for early stages of hair loss? I have some thinning around my crown. It’s not too bad, but it’s obviously not going to get any better. Should I just be using a shampoo for hairloss, or more serious measures like Reganine or Fin tablets etc? I don’t mind, but I don’t want to use products that could somehow make the situation worse. Thanks.

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.
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