Approach to treatment of male androgenetic alopecia

Treatment choice for male androgenetic alopecia is based on patient preference, adverse effects, cost and likely adherence to therapy. See Topical minoxidil and Oral finasteride for information on each drug.

For a male with mild to moderate androgenetic alopecia who requests treatment, either topical minoxidil or oral finasteride are suitable. It is also reasonable to start with a combination of both treatments.

For severe male androgenetic alopecia, use topical minoxidil and oral finasteride as combination therapy.

If treatment has no clear benefit after 6 to 12 months, and the patient remains concerned, refer to a dermatologist. Dutasteride and oral minoxidil may be prescribed by a dermatologist.