Faculty Opinions Recommendation of Finasteride Treatment of Female Pattern Hair Loss

    April 2006 in “ Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ”
    David A. Whiting
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    TLDR Oral finasteride, combined with drospirenone, improved hair loss in 62% of premenopausal women, with no reported side effects.
    This study evaluated the effectiveness of oral finasteride in treating female pattern hair loss in 37 premenopausal women. The participants took oral finasteride daily for 12 months, along with an oral contraceptive containing drospirenone. Improvement in hair loss was observed in 62% of the patients, with some experiencing a significant increase in hair density. No adverse effects were reported. The study suggests that oral finasteride, in combination with drospirenone, may be a promising treatment option for female pattern hair loss. However, further research is needed to validate these findings and compare the treatment to a placebo. Many patients with hair loss prefer oral medication over topical treatments, and the availability of effective oral therapy would be welcomed by those with female pattern alopecia.
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      community Spironolactone for 11 years, finasteride for almost 5 years, started oral minoxidil in November 😢 ended oral contraceptive in Dec.

      in Progress Pictures  224 upvotes 1 year ago
      A user shared their 11-year experience with spironolactone and nearly 5 years with finasteride for hair loss, recently adding oral minoxidil and stopping birth control. Various treatments were discussed, including organic options, checking for underlying health issues, considering dutasteride, and the potential role of progesterone in hair loss.

      community Female, 30, PCOS diagnosis, MPB Norwood 2. Endo refuses to give anything other than Spironolactone. Feel like I’m at my wit’s end here.

      in Female  55 upvotes 2 years ago
      A 30-year-old female with PCOS and male pattern baldness is frustrated with her endocrinologist's recommendation of only Spironolactone and minoxidil, feeling that dutasteride, finasteride, and progesterone would be more effective. Other users suggest various online sources for treatments, warn against self-medicating due to potential risks, and recommend seeking a specialized endocrinologist or considering additional treatments like Inositol, Berberine, and dermaneedling.

      community SOS – The cure for women = PREGNANCY

      in Treatment  2 upvotes 3 weeks ago
      Pregnancy can temporarily reverse hair loss in women, but attempts to mimic pregnancy hormones with treatments like contraceptive pills, spironolactone, estradiol, progesterone, finasteride, and minoxidil have been ineffective. The discussion highlights the need for research into the hormonal mechanisms of pregnancy that affect hair regrowth.

      community C’est terrible - at my wits end

      in Female  450 upvotes 2 years ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

      community Request for advice, feedback...

      in Chat  2 upvotes 8 months ago
      The conversation discusses hair loss treatments for a woman experiencing androgenetic alopecia and seborrheic dermatitis, with suggestions including low-dose oral minoxidil, dutasteride, and hormone replacement therapy. The user is seeking advice due to intolerance to spironolactone and topical minoxidil, and concerns about low testosterone and DHT levels.

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