Finasteride (Plus Oral Contraceptive Pill) vs Metformin in Treatment of Polycystic Ovary Syndrome-Related Infertility: A Prospective Randomized Trial

A female with PCOS and androgenetic alopecia is starting treatment with oral Minoxidil, topical Minoxidil 5% with finasteride, and plans to add mesotherapy. She previously tried anti-androgenic contraceptive pills but couldn't tolerate them and is using Myo Inositol for weight management.

A 22-year-old with high estradiol levels is considering starting finasteride for hair loss. They have an upcoming endocrinologist appointment to discuss whether they should proceed with the treatment.

The conversation discusses a topical finasteride therapy with hydrocortisone butyrate, estrone base, and breviline. A user suggests oral finasteride as a superior option.

A peptide-based delivery system for finasteride shows promise in reducing systemic side effects while maintaining hair growth effectiveness. Combining this with other treatments like minoxidil and RU58841 could enhance results with lower systemic absorption.

The conversation discusses the potential offering of oral finasteride/dutasteride and oral minoxidil treatments for hair loss, with feedback on pricing and preferences for separate or combined pills. Users express concerns about high costs, preferring affordable options, and some prefer oral over sublingual minoxidil for ease of use.

The user used Finasteride daily and Ketoconazole twice a week for 1.5 years, and RU58841 daily for 0.5 years, which improved hair thickness but caused slight gynecomastia. They are considering using SERMs like tamoxifen and raloxifene to manage side effects and are exploring other treatments like oral minoxidil.