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.
Not surprisingly, treatments with 5 percent minoxidil work better than treatments with 2 percent minoxidil. A randomized clinical trial published in the American Journal of Clinical Dermatology in 2002 found that, in men with androgenetic alopecia, “5 percent topical minoxidil was clearly superior to 2 percent topical minoxidil and placebo in increasing hair growth.” The difference was actually pretty astounding — after 48 weeks, the men who used 5 percent minoxidil experienced 45 percent more hair growth than the men who used the 2 percent treatment.
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.
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.
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.
Nizoral should be used in conjunction with finasteride and minoxidil. Don’t use it on its own and expect to see immense results. In the “Nizoral studies”, men with MPB who were using Nizoral lost significantly fewer hairs over the months compared to those who weren’t. Don’t expect to regrow hair using it, but rest assured you hair loss progression is slowed down.
2. Pyrithione zinc shampoo. Traditional volumizing shampoos will give the hair you have a lift so it looks fuller (we like the sulfate-free L’Oréal Paris EverPure Volume Shampoo, $8). But some research suggests shampoos with the antidandruff ingredient zinc pyrithione can mitigate hair loss that’s caused by conditions like dandruff, says Mirmirani. Try Head & Shoulders Deep Moisture Shampoo ($6), and use a conditioner without silicones — they can make hair appear limper, especially if it's applied near the roots (we like Love Beauty and Planet Coconut Water & Mimosa Flower Conditioner, $9).

I’m 33 years old. I’ve been using Finasteride (1mg) for over 3+ years now, and it really stopped my hair loss. I say I’m a living proof of the effectiveness of this drug. And yes it really lowered my libido. But then in these past days, I felt this pain around my testicles. Then my leg became partly numb. I tried to experiment on how to stop the pain and numbness by stopping Finasteride for a while. Sequentially, the pain and the numbness went away after stopping it. I’m afraid of coming back on drinking Finasteride again.

The majority of American men and women are affected by hair loss, known as alopecia, at some point in their lives, according to experts. Androgenetic alopecia (AGA), commonly referred to as male- or female-pattern baldness, accounts for about 95 percent of hair loss in the U.S., according to Better Nutrition magazine. Experts say pattern baldness is genetic and inherited equally in men and women. However, the hair-loss gene can only express itself when dihydrotestosterone (DHT), a male hormone, is present. Because estrogen usually suppresses male-hormone production, women don't typically experience pattern baldness until after menopause has begun; although, even the slightest hormone shift can cause hair loss 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."
In the past few years, medicine has made tremendous strides in the treatment of men's hair loss. With the advent of 5-alpha-reductace inhibitors such as Propecia and the evolution of surgical hair restoration, living with noticeable hair loss is no longer inevitable. For the first time in the history it is now possible to stop or slow the progression of hair loss and to replace lost hair through surgery with completely natural results.

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.

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.
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!!

Coming in at number 10 is a topical solution of 2{fb6dbafde8b07077c47190f01cc66a00f2a1889c1c1e7dc76005cbe93156625a} minoxidil. Minoxidil promotes the blood flow in the roots of the hair and promotes the regrowth of new and shiny strands of hair. Applied twice a day, the solution does have some good results. The formula is unscented and does not leave any residue so that you can confidently wear it while you are out and about as well.

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