Androgenic Alopecia: The Risk–Benefit Ratio of Finasteride

The paper examined the use of finasteride for treating androgenic alopecia, highlighting its initial effectiveness and safety but raising concerns about its adverse effects, some of which may be irreversible. The authors emphasized the importance of considering the multifactorial etiology of androgenic alopecia and the significant physiological roles of androgens, advising caution in androgen suppression. They suggested that the adverse effects of finasteride are not fully documented or easily treated and recommended reevaluating oral finasteride in favor of alternative therapies like topical finasteride. The paper concluded that patients should have detailed and informed discussions with their healthcare providers before starting finasteride therapy.