Clinical and Trichoscopic Evaluations of Topical Finasteride 1%, Topical Spironolactone 5%, and Minoxidil 5% in Female Pattern Hair Loss Treatment

    January 2025 in “ Dermatology Practical & Conceptual ”
    Naglaa Mohamed El Sayed, Eman H. Elmorsy, Tarek Hussein, Eman M. Hassan
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    TLDR Topical finasteride is as effective and safe as minoxidil for treating female pattern hair loss.
    This study on 45 women with female pattern hair loss (FPHL) compared the efficacy and safety of topical finasteride 1%, spironolactone 5%, and minoxidil 5% over 16 weeks. Both finasteride and minoxidil demonstrated significant improvements in hair density and reduced signs of hair loss, such as yellow dots and single hair follicular units, while spironolactone did not show significant changes. The study concluded that topical finasteride is as effective and safe as minoxidil, providing an alternative for those who do not respond to or experience side effects from minoxidil.
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      community 22F. Should I even bother getting a biopsy? Is there any point?

       7 upvotes 8 years ago
      A woman who has been experiencing hair loss for several years, and her question of whether there is any benefit to getting a biopsy to check if it's AGA or diffuse alopecia areata when no cure or very effective treatment exists. Treatments such as spironolactone and Minoxidil/finasteride/RU58841 have previously been discussed.
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      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 2 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community Spironolactone Update

      in Female  10 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.

      community Goodbye y'all, it's been a journey but have accepted where I'm at

      in Update  219 upvotes 1 year ago
      The conclusion of this conversation about hair loss is that the user, y00sh420, tried various treatments including a $700 lllt helmet, topical minoxidil and finasteride, spectraDNC, and micro needling, but did not achieve the desired results. They have decided to stop trying until a cure for male pattern baldness is found. Other users expressed different opinions on hair loss treatments.

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