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Androgenetic Alopecia

Androgenetic alopecia is progressive pattern hair loss in genetically susceptible people, producing recession or crown thinning in men and widening of the central part in women.

Propecia

Finasteride

1 · 5mg

Finasteride 1mg and 5mg film-coated tablets, used in the management of androgenetic alopecia. A specific inhibitor of type II 5-alpha reductase.

From$0.60/ tabletView

Rogaine

Minoxidil

5 · 10%

Minoxidil 5% and 10% cutaneous solution and foam, applied to the scalp for androgenetic alopecia. It widens scalp vessels and lengthens the growth phase.

From$28.05/ bottleView

Avodart

Dutasteride

0.5mg

Dutasteride 0.5mg soft capsules, used in the management of benign prostatic hyperplasia and androgenetic alopecia. A 5-alpha reductase inhibitor.

From$0.92/ tabletView

Finpecia

Finasteride

1mg

Finpecia is finasteride 1mg film-coated tablets for androgenetic alopecia, the hair-loss strength. It blocks conversion of testosterone to DHT.

From$0.67/ tabletView

Key points

  • Gradual patterned thinning differs from sudden shedding, smooth patches and inflamed or scarring scalp disease.
  • Treatment can preserve or thicken miniaturised hair but does not reliably restore follicles that have been inactive for years.
  • Benefits take months and usually diminish after treatment stops, so expectations and long-term tolerability matter.

The listings below do not confirm the diagnosis; pregnancy possibility, cardiovascular history and the pattern of loss affect suitability.

Confirming the pattern

History, scalp examination and dermoscopy are often sufficient. Blood tests may be useful when loss is diffuse or accompanied by menstrual change, excess facial hair, weight change or symptoms of iron or thyroid disease. Redness, scale, pain or shiny scarred areas warrant dermatology review.

Treatment choices

Topical minoxidil can be used by different sexes and may cause temporary initial shedding or irritation. Oral anti-androgen approaches have sex-specific pregnancy and monitoring concerns. Hair transplantation and cosmetic fibres are options for selected people; photographs taken under consistent conditions help judge response.

When to seek urgent care

Pattern hair loss is not an emergency. Seek prompt assessment for rapid widespread loss, scalp pain or scarring, signs of infection, or hair loss following a severe medicine reaction.

Further reading

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