Therapeutic Maintenance Effect of Finasteride 1 Mg Every Other Month Regimen in Androgenetic Alopecia: A Prospective Cohort Study

The user experienced worsening hair density despite using finasteride, minoxidil, dutasteride, and RU58841, with some temporary improvement after stopping RU58841. Currently, they are on 2.5mg dutasteride daily and topical minoxidil, but continue to struggle with hair density issues.

A 27-year-old male physician improved hair density using minoxidil 5% foam and finasteride 1mg every other day, with initial sexual side effects that subsided. He recommends trying finasteride for a year but warns against dutasteride due to potential liver effects.

Androgenetic alopecia is affected by scalp DHT levels, not sensitivity, with treatments like finasteride and dutasteride aiming to optimize these levels. Personalized DHT management is crucial for effective hair growth.

The user experienced improved hair density using dutasteride and oral minoxidil compared to finasteride and minoxidil, with no significant side effects. The user took 2.5 mg of minoxidil and 0.5 mg of dutasteride daily.

Dutasteride improved hair density and thickness in men who didn't respond to finasteride, with some experiencing transient sexual dysfunction. Users discussed switching from finasteride to dutasteride, noting initial shedding but eventual hair improvement.

DHT is essential for androgenetic alopecia, not testosterone. Treatments like finasteride and dutasteride reduce DHT, halting hair loss.