Male And Female Pattern Hair Loss

Oral minoxidil (Loniten) and topical spironolactone are discussed for hair loss treatment, with mixed results and potential side effects like unwanted body hair. Finasteride is suggested as a better alternative for men, and dosages for oral minoxidil range from 2.5 mg to 5 mg daily.

A 35-year-old male uses topical minoxidil, spironolactone, and microneedling for hair loss, with spironolactone prescribed based on a DNA test indicating poor response to finasteride and dutasteride. Despite concerns about the test's validity and spironolactone's side effects, he reports stable or improved hair condition and no low testosterone symptoms.

Oral dutasteride is the most effective for hair regrowth, followed by oral finasteride and minoxidil. Topical finasteride combined with minoxidil is recommended for those avoiding systemic DHT reduction.

Minoxidil may inhibit androgen receptors and affect hormonal pathways, potentially explaining its effectiveness in treating androgenetic alopecia (AGA). Users discuss its varying effectiveness on scalp versus facial hair and note fewer side effects with topical use compared to oral.

Minoxidil and spironolactone are used for hair regrowth, with visible progress noted. Spironolactone is discussed as a treatment option, particularly in the context of transitioning, with concerns about its effects on men.

An 18-year-old male with a family history of baldness started using 5% minoxidil and 0.01% finasteride spray for hair loss. Suggestions included getting a blood test, considering oral dutasteride, and trying oral minoxidil.