hair-loss
Male Pattern Baldness: Treatment Options That Work
Last reviewed: May 2026 · Haute MD Editorial Team
The two FDA-approved treatments for male pattern baldness (androgenetic alopecia) are minoxidil (Rogaine) — a topical treatment applied to the scalp — and finasteride (Propecia) — an oral medication that blocks DHT, the hormone responsible for follicle miniaturization. Both slow progression and can stimulate regrowth, but must be used continuously — stopping treatment typically results in resumed loss within 6-12 months. For more significant restoration, PRP therapy and hair transplant surgery offer additional options.
Minoxidil — how it works and what to expect
Minoxidil is a vasodilator that increases blood flow to follicles and extends the hair growth phase. Available as 2% or 5% topical solution or foam, applied once or twice daily. Results take 4-6 months to appear. Most men see stabilization of loss and moderate regrowth. Now also available in low-dose oral form. Side effects are generally limited to scalp irritation; systemic side effects are rare with topical use.
Finasteride — how it works and what to expect
Finasteride blocks 5-alpha reductase, the enzyme that converts testosterone to DHT. Without DHT, follicle miniaturization slows or stops. Most men see stabilization; approximately 65% see some regrowth. Takes 6-12 months for full effect. Side effects (decreased libido, erectile dysfunction) occur in approximately 2-3% of users and typically resolve on stopping. Not appropriate for men planning to father children without medical consultation.
When to consider PRP or hair transplant
PRP (platelet-rich plasma) uses growth factors from the patient's own blood to stimulate follicle activity — a good option for men who want to avoid medications or who have had partial response to medical treatment. Hair transplant surgery (FUE or FUT) permanently relocates DHT-resistant follicles from the back of the scalp to thinning areas — the most definitive solution for significant loss in men with adequate donor hair.
Frequently Asked Questions
Does minoxidil work for everyone?
Minoxidil works best for men with recent, active hair loss at the crown. It is less effective for receding hairlines or follicles that have been dormant for many years. Approximately 40% of users see significant regrowth; most see stabilization.
Can I stop finasteride if I get side effects?
Yes. Side effects of finasteride typically resolve within weeks to months of stopping. If you experience sexual side effects, discuss with your prescribing physician — lower doses or alternative medications may be options.
How much does PRP hair restoration cost?
PRP hair restoration typically costs $1,500–$3,500 per session, with most protocols requiring 3 sessions spaced 4-6 weeks apart, followed by annual maintenance. Cost varies by provider and location.
At what stage of hair loss is transplant no longer an option?
Hair transplant requires adequate donor hair at the back and sides of the scalp. Men with very advanced loss (Norwood scale 6-7) and limited donor hair may not have sufficient grafts for meaningful coverage. A transplant surgeon evaluates donor density at consultation.
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