Hair Loss: Is it ever too late for 5-alpha reductase inhibitors?

For countless men facing the challenge of thinning hair, Finasteridehas been known as a proven solution. Yet, its effectiveness isn’t universal. Why is that?

A quick online search will reveal countless of testimonials from men showcasing their remarkable hair restoration process withFinasteride.Some results are sostriking that they even seem photoshopped. And while combiningFinasteride with minoxidil often amplifies the praise, it’s clear that the treatment doesn’t suit everyone equally.

So, what’s the catch?

There are scenarios where Finasteride might fall short:

  1. Underlying Medical Conditions: Some medical conditions, such as thyroid disorders or autoimmune diseases, can cause hair loss. In such cases, finasteride might not address the root cause, making it less effective.
  2. Nutritional Deficiencies: Hair loss can sometimes be a result of deficiencies in essential nutrients like iron, zinc, or certain vitamins. If this is the primary cause of  hair loss, finasteride might not provide the desired results.
  3. Medication-Induced Hair Loss: Some medications, including certain antihypertensives, anticonvulsants, or chemotherapy drugs, can lead to hair loss. If your hair loss is a side effect of another medication, finasteride might not be the optimal solution.
  4. Improper Usage or Dosage: Not adhering to the recommended dosage or not taking the medication consistently can reduce its effectiveness.
  5. External Factors: Hair loss due to external damage, such as excessive heat styling, chemical treatments, or physical trauma to the scalp, might not respond well to finasteride.


While most recognize the term testosterone, fewer might know that approximately 10% of it converts into dihydrotestosterone (DHT). This natural conversion can, at times, accelerate the reduction of hair follicles, leading to hair thinning and, ultimately, cessation of hair growth.

However, DHT-induced hair loss isn’t a universal male experience. Genetics play a crucial role. If your family history includes male pattern baldness and you’re genetically predisposed to hair loss, DHT will likely impact you more severely.

Finasteride magic lies in its ability to prevent testosterone conversion to DHT, hence stalling the process that causes hair follicles to shrink. This results in hair regaining its thickness and volume.

Is Finasteridesuitable for all types of hair loss?

Hair loss can arise from various causes. Identifying your specific type is pivotal in choosing the right treatment.

Hair Loss Types Responsive to Finasteride

  • Androgenetic alopecia (male pattern baldness): Male pattern baldness (MPB) is the most common form of hair loss in men, affecting over 50% of men over the age of 50. It’s thought that MPB is triggered by genetics that influence how the hair follicles react to the hormone, DHT. 5-alpha reductase inhibitorsprevents the production of DHT making it a perfect fit for men with MPB.

Hair Loss Types that Finasterideis not suitable for:

  • Telogen effluvium: This stress-induced hair loss isn’t related to DHT, rendering Finasterideineffective. However, hair often naturally regrows after stress subsides. Minoxidil, which boosts blood flow to hair follicles, can also aid stress-induced hair loss recovery.
  • Tinea capitis (fungal infection of the scalp): Most common in children but not rare in Adults, tinea capitis is an infection of the scalp and should be treated with anti-fungal medication combined with anti-fungal shampoo.

Can Finasteride Revive Hair Growth?

If you have complete hair loss in some areas of your scalp, for example, the crown or hairline, but slight hair growth in other areas, finasteride could be suitable for you. This is because even if the medication doesn’t stimulate hair regrowth in certain areas of your scalp, it will allow the existing hair to flourish, covering the patches of hair loss and creating a thicker, fuller head of hair.

It is not a one-size-fits-all solution.While Finasteride can stimulate growth in areas where the hair is extremely thin or appears fuzzy. However, if the hair follicle is dead and there is absolutely no hair growth then taking Finasteride won’t promote new hair growth.In such cases, FUE Hair Transplants offer a lasting solution by implanting active hair follicles, which eventually grow to full thickness.If you have extremely fine hairs or even microscopic stubble, it’s worth trying finasteride.

The Rise of Topical Finasteride

Incorporating a Finasteride -infused serum can supercharge your hair restoration regimen. Applying it directly to the scalp minimizes the bodily/systemic side effects like reduced libido, erection challenges, and gynecomastia (male breast enlargement).

Hair Transplants with Hisential

Many celebrities have turned to hair transplants for a lasting solution. This technique transplants donor hair follicles to balding areas, promising enduring results. With minimal downtime and cutting-edge methods, Hisential guarantees a transformative experience, rejuvenating not just your hair but also your self-esteem—all without breaking the bank.

Hisential’s View

While Finasteride has revolutionized hair loss treatment for many, it isn’t a universal remedy.For those facing hair loss due to various reasons, alternative treatments are necessary. If you’re experiencing total hair loss, Finasteridemight not offer the desired results. Yet, any sign of hair revival makes it worth considering.

Ready to take the next step towards a fuller head of hair?

Contact Hisential today.

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