Non-Surgical Options

In the past few years, medicine has made tremendous strides in the treatment of men’s hair loss. With the advent of 5-alpha-reductace inhibitors such as Propecia and the evolution of surgical hair restoration, living with noticeable hair loss is no longer inevitable. For the first time in the history it is now possible to stop or slow the progression of hair loss and to replace lost hair through surgery with completely natural results.

However, with that said, the vast majority of hair loss treatments being marketed today are still nothing but “snake oils.”

You have probably seen the ads in the back of men’s magazines or seen or heard commercials and infomercials promoting miracle treatments for hair loss. The bottom line is that most advertised “treatments” do not work for the prevention and treatment of hair loss. If a hair loss treatment is not approved by the FDA or recommended by the American Hair Loss Association, chances are you are wasting your time and money.

Remember that successful treatment of hair loss is greatly dependent on early intervention. It is critical to begin treatment with an effective product as soon as you notice the onset of hair loss.

The following two treatments have been clinically proven to successfully treat hair loss in men to varying degrees.

Finasteride (Proscar, Propecia)

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Finasteride is the generic name for the brand name drugs Proscar and Propecia. Finasteride was originally developed by the pharmaceutical company Merck as a drug (Proscar) to treat enlarged prostate glands.

During the trials on men with prostate problems, researchers noted an intriguing side effect: hair growth. Since finasteride had already been approved by the FDA to treat enlarged prostates in men, Merck decided to pursue the possibility of developing finasteride as the first pill to treat male pattern baldness. Minoxidil, a topical liquid solution, was already on the market.

In December 1997, the FDA approved a 1mg dose of finasteride for the treatment of androgenetic alopecia (male pattern baldness) in men. Propecia is the first drug in history to effectively treat male pattern baldness in the majority of men who use it.

How Finasteride Works

Finasteride’s hair-raising success is due to its ability to specifically inhibit 5-alpha-reductase, the enzyme that converts testosterone into a more potent androgen dihydrotestosterone (DHT).

Propecia’s 1 mg dose of finasteride can effectively lower DHT levels in the scalp by as much as 60% when taken daily. It is DHT that shrinks or miniaturizes the hair follicle, which eventually leads to baldness. This 60% reduction in DHT has proven to stop the progression of hair loss in 86% of men taking the drug during clinical trials. 65% of trial participants had what was considered a substantial increase of hair growth.

At this point, the only truly effective medically proven way to arrest the hair loss process is to lower DHT levels. The American Hair Loss Association recommends finasteride as the first line of attack for all men interested in treating their male pattern baldness.

Nine out of 10 men who took Propecia/Finasteride saw visible results in both a reduction of further hair loss and regrowth of hair.  Healthy hair usually grows about half an inch each month, so results may not appear for several months.  If there is no improvement within one year, further treatment is unlikely to be effective.  However, most men reported an increase in scalp hair within the first 12 months and enjoyed continuing improvement throughout treatment.  For some men, it also slowed further hair loss.

There is a risk of certain side effects associated with finasteride/Propecia, including decreased sex drive, difficulty achieving erection, or a decrease in the amount of semen.  Each of these side effects occurs in less than 2 percent of men taking Propecia.  It has also been established that inhibition of a certain enzyme can cause the male breast to engorge or a condition called gynecomastia.  Patients should notify their doctor if any of these symptoms are present.  Propecia can also affect the results of prostate screening exams, so patients should always notify their physician if they are taking this medicaion.

Propecia should  not be handled by any women of childbearing age, as its active ingredient can cause abnormalities with the sex organs of a male baby.  Propecia pills are coated to protect against contact with the active ingredient during normal handling.

For more information on Propecia, visit www.propecia.com

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Minoxidil (Rogaine)

Minoxidil was the first drug approved by the FDA for the treatment of male pattern baldness. For many years, minoxidil, in pill form (brand name Loniten), was widely used to treat high blood pressure. Just like finasteride, researchers discovered a very interesting side effect of the drug. People taking the medication were growing hair in unexpected places, such as on their cheeks and the back of their hands. Some people grew hair on their foreheads.

Some enterprising researchers had the notion that applying minoxidil topically, directly on the head, might grow hair on balding areas. It did, to varying degrees depending on the extent of the hair loss, but at the time it was revolutionary.

While minoxidil has been clinically proven to slow the progression of hair loss and regrow some hair, most experts see it as a relatively marginally effective drug in the fight against hair loss. Since minoxidil has no effect on the hormonal process of hair loss, its positive effects are at best temporary and usually yield somewhat disappointing results.

The American Hair Loss Association still recommends the drug for those who have not responded favorably to finasteride treatment or for those who would like to add another product to their regimen. The AHLA does not recommend minoxidil as the first line of attack for men suffering with male pattern baldness, but does recognize it as an effective treatment for a small percentage of its users.

It takes time for hair to regrow. Most people need to use this medication regularly for 4 months to see benefit. This medication must be used continuously to maintain hair growth. If your condition does not improve or worsens after using this medication for 4 to 6 months, or if you think you may have a serious medical problem, tell your doctor.

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