Treating Male Pattern Hair Loss | Philip Kingsley (2025)

Finasteride as a remedy for male hair thinning:

Finasteride (the active ingredient in Propecia) was originally used to treat benign prostate enlargement. But it was also shown to reduce hair loss in some patients, and even to help a proportion of users regrow some hair. Finasteride works by blocking 5a-reductase, which in turn reduces your body’s conversion of testosterone to DHT.

Unfortunately, finasteride does not work in all cases of hair thinning. This is because there are two types of the enzyme 5a-reductase — Type I and Type II.

Finasteride blocks Type II, but not Type I. So men whose bodies produce Type I of the enzyme may not see results.

Finasteride is available from pharmacies and is taken as a daily tablet [containing 1mg of finasteride]. Initial results (if the tablet works for you) should be seen after 3-4 months. Full results should be seen after 9-12 months.If you stop taking finasteride, the beneficial effects on your hair will start to wear off after 6 months. By 12 months, your hair will revert to its original state before treatment. Any hair you have managed to regrow will most likely fall out.

The dosage of finasteride for male hair thinning [1mg a day] does not cause as many unpleasant side effects as the 5mg dosage given to treat prostate enlargement. But undesirable side effects can still occur. Possible side effects include [but are not limited to]: erectile dysfunction, decreased libido, inability to ejaculate.

Topical Treatments for Male Pattern Hair Loss

Minoxidil

Minoxidil is the active ingredient in Regaine (Rogaine). It was originally used to treat hypertension — but it was also found to encourage hair growth on the face, body and scalp.

Minoxidil does not combat the effects of DHT on your hair follicles. Instead, it is a vasodilator, which means that it dilates (widens) your blood capillaries at the site of application. Minoxidil is most effective when used in combination with a topical anti-androgen to block the effects of DHT on your follicles.

It is not currently known exactly why minoxidil works to combat hair thinning. One likely theory is that dilating the blood vessels in your scalp increases the blood flow to your hair follicles, helping to stimulate hair production.

Minoxidil is available over the counter in pharmacies. It is applied once daily to the scalp in the form of a lotion or foam, usually as a 5% solution.

First results should be seen after 4 months, due to the timing of the hair growth cycle. Initial regrowth is likely to be fine in texture, but your new hairs should eventually grow to match the appearance of the rest of your strands. Possible side effects include [but are not limited to]: redness, irritation or itching at the site of application; unwanted hair growth on the face or body.

Treatments for Male Pattern Hair Loss at the Philip Kingsley Clinics

At our Clinics, our expert Trichologists work with an in-house doctor to offer a variety of bespoke, prescription-only Scalp Drops that you apply topically to your scalp. Some of our Scalp Drops contain hormones and some do not. Your Trichologist will be able to recommend the best personalised treatment for you.

We also provide different strengths of minoxidil, selected by our Trichologists depending on what best suits your body, health and age. Please note, our Trichologists do not prescribe minoxidil on its own, because this is not the most effective treatment for reduced hair volume. Minoxidil is a hair follicle stimulant (it helps to keep hairs in their growing phase) and should be combined with an anti-testosterone ingredient for maximum effect.

If you would like more information about Philip Kingsley treatments for hair thinning, please do not hesitate to contact our dedicated customer service teams in London and New York.

Treating Male Pattern Hair Loss | Philip Kingsley (2025)

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