Male Hair Loss
How to use finasteride for hair loss
This a very common question asked by most of the patients who have been prescribed the medicine or even those who have heard about it and want to use it to treat hair loss due to male pattern baldness. But, usually, self-medication causes more harm than good and should be avoided. Rather, it is better than a dermatologist examines you, assesses the condition of your scalp, runs suitable investigations and comes to the correct diagnosis. With the diagnosis in hand, it becomes easier to decide a treatment plan, tailored to suit the cause-specific management of the problem.
Male pattern baldness or androgenetic alopecia is a common cause of hair loss in men. It usually indicates that hair loss runs in your family, either on your mother’s or father’s side of the family, i.e it is hereditary. Oral finasteride and topical minoxidil are FDA approved drugs to treat androgenetic alopecia. It takes about 3-4 months of regular use of the medicines for positive results to be seen so that the efficacy can be judged.
Testosterone is converted to Dihydrotestosterone or DHT in the presence of 5 alpha-reductase enzyme. DHT is the active form of testosterone in most of the tissues and is used for many biological androgenic functions. But in the scalp area, an excess of DHT is responsible for causing hair loss. Finasteride blocks the 5 alpha-reductase enzymes, ie, it is a 5 alpha-reductase inhibitor and helps to control the production of DHT. Thus, it helps to curb hair fall. Minoxidil and finasteride are used together mostly, to stop hair loss, preserve existing hairs with a small percentage of new hair growth.
Here is an opinion on the use of Finasteride.
Finasteride is prescribed at a dose of 1mg/day. Reports surfaced that finasteride is responsible for a lot of side effects in males, like erectile dysfunction, poor quality, and quantity of semen, impotence among many others. But later, scientific evidence has been documented that the side effects were seen in some unfortunate 1% of the people using it. It is a relatively safe drug and is prescribed by doctors worldwide to treat androgenetic alopecia. Moreover, the side effects mentioned with the use of finasteride, are all reversible. The person returns to normal soon after discontinuing the drug.
If your dermatologist has prescribed the medicine, you should follow the orders accordingly.
Adjunctive treatment modalities are also available to enhance the results and hence, combination therapy is the approach preferred by many doctors. They include PRP, mesotherapy, LLLT, derma roller etc.
" Correction of physical appearance and making it aesthetically perfect is not a mere status issue, its about making your soul comfortable in your body "
-Dr. Dhananjay Chavan