What's the best/"safest" topical anti androgen on the market currently?
    9/22/2025

    From the encyclopedia
    Saw Palmetto →

    a natural and far less effective alternative to Finasteride

    Ketoconazole →

    antifungal with some anti-androgenic benefits, often used as a shampoo

    Microneedling →

    technique to create small wounds in skin to activate collagen production and hair growth

    At a glance
    In this question or advice post, the primary subjects mentioned are
    💊 saw palmetto (oral) 2 or 3 weeks
    💧 ketoconazole (topical)
    💧 microneedling (topical)
    💧 RU58841 (topical)
    💧 pyrilutamide (topical)
    💧 topical dutasteride (topical)
    💧 minoxidil (topical)
    the tone is 😐 neutral.

    Other terms

    The user experienced decreased libido with saw palmetto and is now considering topical anti-androgens like RU58841, pyrilutamide, and topical dutasteride for hair loss. Minoxidil is also mentioned as a potential addition, but the user is cautious about side effects and availability of treatments.
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