January 201646

Post-finasteride syndrome in young men showed loss of penis sensitivity, anhedonia and muscle loss as common long-term adverse effects. Finasteride guidelines recommend 1mg as safe but warn sexual side effects reverse on stopping, advising counseling. Dutasteride 0.5mg in Korean men was well-tolerated in a post-marketing study of 712 men, with sexual side effects under 1.5%. Intra-operative PRP during FUE transplant gave faster density and less graft loss than saline. 5% minoxidil foam increased hair counts by weeks 16-24. 5-ALA and GHK peptide complex increased hair count versus placebo. One session of low-level laser did not improve transplant growth. Finasteride and minoxidil increased terminal density without converting vellus hairs. Any baldness was associated with higher fatal prostate cancer risk. Early-onset androgenetic alopecia was linked to higher metabolic syndrome prevalence. Women with pattern hair loss had lower vitamin D3 than controls.

  1. An observational retrospective evaluation of 79 young men with long-term adverse effects after use of finasteride against androgenetic alopecia In 79 men with post-finasteride syndrome, loss of penis sensitivity (87%), anhedonia (76%) and muscle loss (52%) were common long-term adverse effects. Androgenetic AlopeciaFinasteride International Journal of Andrology · 43 citations
  2. Guidelines on the use of finasteride in androgenetic alopecia A review recommends finasteride 1mg as safe but warns of sexual side effects that reverse on stopping, advising patient counseling. Androgenetic AlopeciaFinasteride Indian Journal of Dermatology, Venereology and Leprology · 81 citations
  3. Efficacy of a Complex of 5-Aminolevulinic Acid and Glycyl-Histidyl-Lysine Peptide on Hair Growth In a 45-patient trial, a 5-ALA and GHK peptide complex applied daily for 6 months increased hair count versus placebo, with no adverse events. Annals of Dermatology · 8 citations
  4. Safety and Tolerability of the Dual 5-Alpha Reductase Inhibitor Dutasteride in the Treatment of Androgenetic Alopecia Dutasteride 0.5mg was well-tolerated in 712 Korean men, with sexual side effects under 1.5% and no serious drug-related events, though individual susceptibility varies. Androgenetic AlopeciaDutasteride Annals of Dermatology · 19 citations
  5. Efficacy and safety of 5% minoxidil topical foam in male pattern hair loss treatment and patient satisfaction In a small before-after trial, daily 5% minoxidil foam significantly increased hair counts by weeks 16-24, confirming benefit after 24 weeks of use. Androgenetic AlopeciaMinoxidil Acta dermatovenerologica Alpina, Pannonica et Adriatica (Tiskana izd.) · 4 citations
  6. Outcome of intra-operative injected platelet-rich plasma therapy during follicular unit extraction hair transplant: A prospective randomised study in forty patients Intra-operative PRP during FUE transplant gave faster density, less graft loss and earlier regrowth than saline in 40 patients. Hair TransplantPlatelet-Rich Plasma Journal of Cutaneous and Aesthetic Surgery · 39 citations
  7. Protopanaxatirol type ginsenoside Re promotes cyclic growth of hair follicles via inhibiting transforming growth factor β signaling cascades In mice, topical ginsenoside Re lengthened hair shafts comparably to minoxidil by inhibiting TGF-β signaling. Biochemical and Biophysical Research Communications · 14 citations
  8. Hair regrowth in male and female pattern hair loss does not involve the conversion of vellus hair to terminal hair Reanalysis showed finasteride and minoxidil increased terminal hair density without converting vellus hairs to terminal hairs. Androgenetic Alopecia Experimental Dermatology · 14 citations
  9. Male Pattern Baldness in Relation to Prostate Cancer–Specific Mortality: A Prospective Analysis in the NHANES I Epidemiologic Follow-up Study Any baldness was associated with 56% higher risk of fatal prostate cancer in 4,316 men followed 21 years. Androgenetic Alopecia American Journal of Epidemiology · 17 citations
  10. The Effect of One Session Low Level Laser Therapy of Extracted Follicular Units on the Outcome of Hair Transplantation In 10 transplant patients, one session of low-level laser on extracted grafts did not improve hair growth at 3 or 6 months. Low Level Laser Therapy Journal of lasers in medical sciences · 6 citations
  11. Traditional Anticoagulants and Hair Loss: A Role for Direct Oral Anticoagulants? A Review of the Literature A review of anticoagulant-related hair loss found 405 WHO reports of DOAC-associated alopecia and registry incidence of 4.4 per 100 patient-years, suggesting DOACs are not a hair-sparing alternative. Drugs - Real World Outcomes · 31 citations
  12. Inflammatory markers and Lp(a) levels as cardiovascular risk factors in androgenetic alopecia In a 100-man case-control study, early-onset AGA patients had higher CRP, fibrinogen and Lp(a), suggesting increased cardiovascular risk but no metabolic syndrome link. Androgenetic Alopecia Clinical Hemorheology and Microcirculation · 7 citations
  13. Efficacy and Safety of Methotrexate Combined with Low- to Moderate-Dose Corticosteroids for Severe Alopecia Areata Methotrexate plus low-dose corticosteroids gave total regrowth in 15/26 severe alopecia areata patients, though relapse was common on tapering. Alopecia Areata Dermatology · 28 citations
  14. Male pattern baldness and risk of colorectal neoplasia In a 32,782-man prospective cohort, frontal and mild vertex baldness at age 45 were modestly associated with colon cancer and adenoma risk. Androgenetic Alopecia British Journal of Cancer · 7 citations
  15. Update on the treatment of androgenetic alopecia. A review of androgenetic alopecia treatment notes some supplement users respond less to medical therapies and urges early, comprehensive management. Androgenetic Alopecia 4 citations
  16. Role of Arachidonic Acid in Promoting Hair Growth Arachidonic acid promoted hair shaft elongation and anagen in mice and boosted growth factors in human dermal papilla cells. Annals of dermatology/Annals of Dermatology · 29 citations
  17. Bee Venom Promotes Hair Growth in Association with Inhibiting 5α-Reductase Expression Bee venom promoted hair growth and inhibited 5α-reductase expression in mice and human dermal papilla cells. Bee venom Biological & Pharmaceutical Bulletin · 26 citations
  18. The Relation of Androgenetic Alopecia Severity with Epicardial Fat Thickness In 126 men, more severe AGA was associated with greater epicardial fat thickness and carotid intima-media thickness. Androgenetic Alopecia Annals of Dermatology · 4 citations
  19. Effectiveness of a Layer-by-Layer Microbubbles-Based Delivery System for Applying Minoxidil to Enhance Hair Growth Ultrasound with minoxidil-microbubble complexes enhanced hair growth 64.7% versus controls in mice. Minoxidil Theranostics · 23 citations
  20. Metabolic syndrome in androgenic alopecia Early-onset androgenetic alopecia patients had higher metabolic syndrome prevalence (22.4% vs 9.4%), supporting screening. Androgenetic Alopecia Indian Journal of Dermatology, Venereology and Leprology · 16 citations
  21. Relevance of trichoscopy in the differential diagnosis of alopecia: A cross-sectional study from North India In 120 alopecia patients, trichoscopy identified diagnostic features per condition — diameter diversity over 20% and thin hair marked androgenetic alopecia — and resolved 19 of 21 difficult cases. Indian Journal of Dermatology, Venereology and Leprology · 38 citations
  22. Female pattern hair loss: A retrospective study in a tertiary referral center In 210 women with FPHL, 85% had family history, 62% had low vitamin D, and 59% failed follow-up attendance. Androgenetic Alopecia International Journal of Trichology · 14 citations
  23. An observational study of the association between androgenetic alopecia and size of the prostate In 65 men, severe AGA was associated with enlarged prostate versus moderate AGA (OR 3.3), supporting a shared androgen link with BPH. Androgenetic Alopecia International Journal of Trichology · 6 citations
  24. Serum vitamin D3 level in patients with female pattern hair loss Women with female pattern hair loss had significantly lower serum vitamin D3 than controls in a 45-patient case-control study. Androgenetic Alopecia International Journal of Trichology · 23 citations
  25. A Comparative Study of Oral Cyclosporine and Betamethasone Minipulse Therapy in the Treatment of Alopecia Areata Oral cyclosporine gave 54.9% response versus 37.8% for betamethasone minipulse in alopecia areata, with fewer side effects. Alopecia Areata Annals of dermatology/Annals of Dermatology · 14 citations
  26. Repeated Microneedle Stimulation Induces Enhanced Hair Growth in a Murine Model In mice, repeated microneedling promoted hair growth and increased Wnt3a, β-catenin, VEGF and Wnt10b expression. Annals of Dermatology · 55 citations
  27. Interleukin-6 Null Mice Paradoxically Display Increased STAT3 Activity and Wound-Induced Hair Neogenesis Interleukin-6 null mice paradoxically show increased STAT3 activity and wound-induced hair neogenesis. Journal of Investigative Dermatology · 16 citations
  28. A systematic review of pulse steroid therapy for alopecia areata Systematic review of pulse steroid therapy for alopecia areata. Alopecia Areata Journal of the American Academy of Dermatology · 50 citations
  29. Topical Treatment of Hair Loss with Formononetin by Modulating Apoptosis In mice, topical formononetin restored miniaturized follicles and regrew hair by inhibiting apoptosis pathways. Planta Medica · 10 citations
  30. Differential Expression of Proteins Associated with the Hair Follicle Cycle - Proteomics and Bioinformatics Analyses Proteomics in mouse skin identified 44 proteins that change across the hair follicle cycle, mapping candidate regulatory networks. PLOS ONE · 10 citations
  31. Enhancement of Human Hair Growth Using<i>Ecklonia cava</i>Polyphenols Ecklonia cava polyphenols increased dermal papilla cell proliferation and hair shaft length in lab cultures. Ecklonia Cava Annals of Dermatology · 35 citations
  32. LHX2 is a direct NF-κB target gene that promotes primary hair follicle placode down-growth In mouse embryos, an NF-κB–LHX2–TGFβ2 signaling axis is critical for primary hair follicle down-growth. Development · 43 citations
  33. Classifications of patterned hair loss: a review A review surveys pattern hair loss classification systems; Hamilton-Norwood for men and Ludwig for women remain most used. Journal of Cutaneous and Aesthetic Surgery · 101 citations
  34. Inhibition of β-catenin signalling in dermal fibroblasts enhances hair follicle regeneration during wound healing In mice, blocking β-catenin in dermal fibroblasts enhanced new hair follicle formation during wound healing. Development · 87 citations
  35. Polymorphic CAG Repeat Numbers in the Androgen Receptor Gene of Female Pattern Hair Loss in a Han Chinese Population In 200 Chinese women with female pattern hair loss, androgen-receptor CAG repeat lengths did not differ from controls. Androgenetic Alopecia Dermatology · 5 citations
  36. Epidermal Growth Factor Promotes Proliferation and Migration of Follicular Outer Root Sheath Cells via Wnt/β-Catenin Signaling EGF promoted hair follicle cell proliferation and migration via Wnt/β-catenin signaling in mink outer root sheath cells. Epidermal Growth Factor Cellular physiology and biochemistry · 43 citations
  37. Promotion Effect of Apo-9′-fucoxanthinone from <i>Sargassum muticum</i> on Hair Growth <i>via</i> the Activation of Wnt/β-Catenin and VEGF-R2 Apo-9'-fucoxanthinone from Sargassum muticum promoted dermal papilla cell proliferation via Wnt/β-catenin and VEGF-R2 in lab studies. Vascular Endothelial Growth Factor Biological & Pharmaceutical Bulletin · 19 citations
  38. Wnt5a Suppresses β-catenin Signaling during Hair Follicle Regeneration In mice, Wnt5a suppressed β-catenin signaling during hair follicle regeneration, inhibiting the telogen-to-anagen transition. International Journal of Medical Sciences · 16 citations
  39. Serum biotin levels in women complaining of hair loss In women with hair loss, 38% had biotin deficiency, but indiscriminate supplementation is rejected without confirmed deficiency. Biotin International Journal of Trichology · 121 citations
  40. Acute Stress-Induced Changes in Follicular Dermal Papilla Cells and Mobilization of Mast Cells: Implications for Hair Growth In rats, acute stress inhibited dermal papilla cell proliferation and mobilized mast cells, suggesting stress impairs hair growth via cortisol and substance P pathways. Annals of Dermatology · 13 citations
  41. Immunohistochemical study of hair follicle stem cells in regenerated hair follicles induced by Wnt10b In mice, Wnt10b promoted proliferation of hair follicle stem cells, with hair precortex and matrix cells also responding to Wnt10b. International Journal of Medical Sciences · 9 citations
  42. The Role of Hair Restoration Surgery in Primary Cicatricial Alopecia A review summarizes hair restoration surgery for scarring alopecias, where inflammation causes permanent hair loss and drug options are limited. Scarring Alopecia Skin appendage disorders · 12 citations
  43. Frontal fibrosing alopecia treatment options A review found 5-alpha-reductase inhibitors stabilize frontal fibrosing alopecia, often combined with hydroxychloroquine and topical tacrolimus. Frontal Fibrosing Alopecia Intractable & Rare Diseases Research · 20 citations
  44. The Hair Growth-Promoting Effect of<i>Rumex japonicus</i>Houtt. Extract Rumex japonicus root extract promoted hair cell proliferation and anagen induction in mice and cultured cells via ERK, Akt, and beta-catenin. Evidence-based Complementary and Alternative Medicine · 8 citations
  45. Human Mesenchymal Stem Cell-Derived Conditioned Media for Hair Regeneration Applications. A review describes stem cell-derived conditioned media as a promising future hair loss therapy, given side effects of current options like finasteride and minoxidil. 9 citations
  46. Topical Products for Human Hair Regeneration: A Comparative Study on an Animal Model Aminexil Annals of Dermatology · 15 citations