Update after 15 years on finasteride and 4 on dutasteride
    9/9/2026

    From the encyclopedia
    Finasteride →

    Popular 5-alpha reductase inhibitor that lowers DHT, taken as a pill or used topically

    Dutasteride →

    5-alpha reductase inhibitor that blocks both enzyme types, a stronger DHT blocker than finasteride

    Minoxidil →

    Vasodilator used on the scalp and, at low doses, as a tablet

    At a glance
    In this treatment experience post, the primary subjects mentioned are
    💊 Finasteride (oral) 15 years
    💊 Dutasteride (oral) 0.5 mg ED since October 2022
    💧 Minoxidil (topical) 5% most evenings
    💉 PRP treatments (injections) once a year since 2021
    💧 Ketoconazole shampoo (topical) a couple times per month
    💧 Ordinary peptide hair serum (topical) three times a week
    💧 Microneedling (topical) twice per month
    the tone is 😐 neutral with stabilized hair loss results.

    Other terms

    A 55-year-old male has been managing hair loss with finasteride for 15 years and switched to dutasteride in 2022 due to thinning. He also uses minoxidil, PRP treatments, and ketoconazole shampoo, and is considering a shorter hairstyle for more volume.
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    Related Research

    6 / 6 results

      research Minoxidil: a comprehensive review

      16 citations , June 2021 in “Journal of Dermatological Treatment”
      This study reported that while topical minoxidil exhibits hair regrowth in androgenetic alopecia, oral minoxidil 5 mg/day was more effective than topical forms after six months, with low doses also potentially effective for women and other hair loss types.

      research Hair Physiology (Hair Growth, Alopecia, Scalp Treatment, etc.)

      1 citations , January 2017 in “Elsevier eBooks”
      This article reviews various hair growth and hair loss treatments, noting limited new developments since FDA-approved drugs but highlights recent cosmetic surgery and potential cell-based therapies; it reports no original findings.

      research Female pattern hair loss—An update

      12 citations , January 2020 in “Indian Dermatology Online Journal”
      This article discusses the causes, diagnosis, and treatment options for female pattern hair loss, emphasizing the role of topical minoxidil as a primary treatment, but provides no new clinical results.

      research Medical Therapy for Female Pattern Hair Loss (FPHL)

      1 citations , May 2014 in “Hair transplant forum international”
      This commentary explores the challenges and considerations in treating female pattern hair loss, with no new clinical findings reported.

      research Beard Alopecia: An Updated and Comprehensive Review of Etiologies, Presentation and Treatment

      1 citations , July 2023 in “Journal of Clinical Medicine”
      This review provides a detailed overview of the causes, prevalence, pathophysiology, clinical presentation, and treatment of beard alopecia, highlighting conditions such as alopecia areata, pseudofolliculitis barbae, and tinea barbae, and aims to serve as a resource for clinicians handling such cases.