Commentary on Article on Clinical Efficacy of Oral Finasteride by Won, Lew, and Sim

September 2018 in “ Dermatologic Therapy ”

Mary P. Lupo

finasteride female pattern hair loss FPHL hirsutism menstrual irregularities postmenopausal women Propecia

TLDR Finasteride at 2.5mg/day may help postmenopausal women with hair loss.

The article discusses the use of finasteride for female pattern hair loss (FPHL). While the drug has been successful in treating male pattern hair loss, lower doses of 1mg/day have shown limited results in women. However, higher doses of 2.5-5mg/day have been associated with side effects such as headaches, hirsutism, and menstrual irregularities. In the present study, 2.5mg/day seemed to be well tolerated and showed clinical benefit in postmenopausal women with FPHL. The author suggests that while more studies need to be done, a trial of this drug at the 2.5mg/day dosage seems like a reasonable option for clinical benefit to postmenopausal patients with FPHL.

View this study on onlinelibrary.wiley.com →

Discuss this study in the Community →

Related Community Posts Join

6 / 1000+ results

community For the ladies: Spironolactone for FPHL

in Female 15 upvotes 7 years ago

A 34 year old female with androgenic alopecia who has tried treatments such as Spironolactone, Desogen, Minoxidil and Finasteride in order to address her hair loss. It also details the experiences of other women taking Spironolactone for Female Pattern Hair Loss (FPHL).

community Diffuse hair loss and scalp biopsies

in Research 692 upvotes 4 months ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

community One+ year 1mg Fin, Ketoconazole, and 3.75 Oral Min. I have DUPA. Switched from Topical to Oral Min.

in Progress Pictures 142 upvotes 2 years ago

A user's experience with hair loss treatments such as finasteride, ketoconazole, and oral minoxidil that have not yielded any results; other users suggest shaving the head or getting a wig, while others offer additional advice such as seeing a dermatologist, checking thyroid levels, switching to dutasteride and adding needling, and trying stemoxydine.

community Finasteride 5mg for female pattern hair loss

in Female 7 upvotes 4 years ago

The user's experience of using Finasteride 5mg and Aldactone 50mg to treat Female Pattern Hair Loss, as well as their use of PRP injections for further hair growth.

community Diagnosed with female pattern hair loss as a male with recent aggressive loss. Preemptively mourning the only part of myself I’ve ever come close to loving. Lost all motivation to do anything with my life.

in Progress Pictures 271 upvotes 1 year ago

The conclusion of the conversation is that the user should consider using treatments such as finasteride, minoxidil, and RU58841 to potentially reverse their hair loss. Other suggestions include using hair loss concealers and maintaining a healthy diet.

community Spironolactone Update

in Female 11 upvotes 7 years ago

A woman's experience with Spironolactone as treatment for female pattern hair loss, including the effects of increasing dosage and her doctor's recommendation to try finasteride if no results are seen after 6 months. Other users have also shared their experiences with using finasteride for this condition.

Related Research

1 / 1 results

Similar Efficacy of Maintenance Treatment of Finasteride 1 mg Every Other Month Compared with Finasteride 1 mg Daily in Korean Men with Androgenetic Alopecia After Taking Finasteride 1 mg Daily for 1 Year

research Similar Efficacy of Maintenance Treatment of Finasteride 1 mg Every Other Month Compared with Finasteride 1 mg Daily in Korean Men with Androgenetic Alopecia After Taking Finasteride 1 mg Daily for 1 Year

November 2020 in “Journal of The American Academy of Dermatology”

Finasteride 1 mg every other month works as well as daily dose for hair loss maintenance.