Q. I have a male pattern hair loss. Please suggest if Finasteride can help in hair sustenance.

Answered by
Dr. Yeshwanth Kumar
and medically reviewed by Nithila A
Published on Jun 10, 2019

Hello doctor,

I am suffering from male pattern hair loss for a long time. I had tried saw palmetto for a short duration and got a decent result (as suggested by a trichologist) but did not continue due to lack of information on long term effects. Please suggest if Finasteride can help in hair sustenance?

Dr. Yeshwanth Kumar

Dermatology Venereology
#

Hello,

Welcome to icliniq.com.

Can you please upload a few pictures if possible to advise the appropriate treatment. Are you married? If yes, did you complete your family?

Thank you doctor,

Yes, I am married and have a child. I have attached the photos which give an idea of how the hairline has changed.

Dr. Yeshwanth Kumar

Dermatology Venereology
#

Hello,

Welcome back to icliniq.com.

It is male pattern baldness, also called Androgenetic alopecia (attachment removed to protect patient identity). It is an aging process, not a disease, so nothing to worry except the cosmetic appearance.

1. You can continue using 5 % Minoxidil lotion 1 ml twice daily over the scalp. You can continue using Minoxidil till the time you need hair growth without any major side effects, and it varies from patient to patient. When you stop Minoxidil again, the natural aging process start and hair fall will start, which is normal (not a side effect generally many patients think due to the withdrawal of Minoxidil). So you can continue Minoxidil as long as you wish.

2. Coming to Finasteride. If you have completed family and not planning further kids, you can use this tablet. The main side effect is loss of libido, which is temporary, so if your planning for a child stops this tablet at least three months before. Generally, we recommend it at least for a year one tablet daily at night.

Thank you doctor,

Thanks for your advice.

Dr. Yeshwanth Kumar

Dermatology Venereology
#

Hello,

Welcome back to icliniq.com.

If you are using oral Finasteride, then you can use only 5 % Minoxidil. If you need only the lotion, then you can use the combination of Minoxidil with Finasteride lotion (Morr F lotion). You can get these medications over-the-counter.

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