Propecia

Propecia (Finasteride) is the first and only FDA approved oral medication that effectively treats male pattern baldness.  Propecia works my blocking the enzyme 5-alpha reductase type ll which converts testosterone into dihydrotestosterone (DHT). For those genetically predisposed to male pattern hair loss, the hormone DHT miniaturizes susceptible hair follicles causing the hair to progressively become shorter and thinner until it only produces, essentially invisible vellus hair. Early intervention with Propecia has been shown to be extremely effective in slowing or stopping the miniaturization process that leads to male pattern baldness.

Physician Answered Q & As

I was wondering what your opinion is on the idea of replacing Propecia (finasteride) with the newer drug Avodart (dutasteride). Both Finasteride and Dutasteride have originated as Prostate medications. Dutasteride reduces the two enzymes responsible for the conversion of testosterone to DHT. Finasteride only blocks one enzyme. By blocking both...

Avodart the brand name for dutasteride does lower the DHT by 90% whereas Propecia only lowers it by 65% so it would seem there is no argument as to which one is better for protecting the hair from DHT. I routinely prescribe Avodart for men who are in the 15% who do not...

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The International Alliance of Hair Restoration Surgeons is a consumer organization that selectively screens skilled and ethical hair transplant surgeons. The IAHRS does not offer an open membership policy to doctors practicing hair transplatation, and is the only group that recognizes that all surgeons are not equal in their skill and technique. Its elite membership seeks to represent the best in the discipline, the true leaders in the field of surgical hair restoration.