How long does spironolactone take to have effect on a male? (Photo)

The effectiveness of spironolactone can change from one person to the other. It can also cause blood pressure problems. You can consider Finasteride as an alternative. 

men should not use spironolactone.  i suggest a full evaluation for your hair loss, consider other oral therapies and topicals, and PRP/progesterone/a cell injections. Or transplantation.  Best, Dr. Emer.

Transitioning and hormones? Estrogen will probably stop and somewhat reverse your hair loss. See an experienced specialist to manage your hormones then you will be able to progress with your transition. Surgical procedures can wait. 

 Spironolactone will completely shut down the testosterone.  It would take about 6 months of daily use to see any improvement/change.  Spironolactone differs from finasteride which works at the level of DHT.  I recommend you see a hair restoration specialist to follow you through this transition.  Keep in mind that any stressors (surgery, trauma, social changes etc) may hasten your hair loss.

You'll want to see a specialist. While it's true men should not use spironolactone, it is used very often by transgender patients, especially in combination with estrogen. All treatments for AGA take 6-9 months to determine if it's helping. Remember please that some drugs help stop further hair loss without the patient actually getting an "improvement." Men who are in the process of transitioning should discuss all hormonal related medications with a specialist.