Finasteride for Hair Loss: Complete Guide

How finasteride works, what results to expect, and everything you need to know before starting.

Updated December 202510 min read

What Is Finasteride?

Finasteride is an FDA-approved oral medication that stops hair loss by blocking DHT, the hormone that shrinks hair follicles. It's the most effective treatment for male pattern baldness, stopping loss in 90%+ of men and regrowing hair in 65%.

How It Works

Male pattern baldness is caused by DHT (dihydrotestosterone), which shrinks hair follicles until they stop producing visible hair.

Finasteride blocks the enzyme (5-alpha reductase) that converts testosterone to DHT, reducing DHT levels by about 70%. Lower DHT = follicles can recover and produce thicker hair again.

Results Timeline

MONTHS 1-3

DHT levels drop. Some men experience temporary shedding (weak hairs pushed out). No visible improvement yet.

MONTHS 3-6

Hair loss slows or stops. Some early regrowth may be visible. Take photos to track progress.

MONTHS 6-12

Noticeable improvement in hair density for most responders. Regrowth continues.

YEAR 2+

Maximum results typically achieved. Continued use maintains results indefinitely.

Dosage

Standard dose: 1mg daily (oral tablet)

Lower dose option: Some providers prescribe 0.5mg or 0.25mg for men concerned about side effects. Research suggests these still provide significant DHT reduction.

Topical finasteride: Applied to scalp. May reduce systemic exposure while treating hair loss. Available at Hims and some compounding pharmacies.

Where to Get Finasteride

ProviderPrice
Keeps$10/mo
Hims$16/mo
Roman$17/mo

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