Can bicalutamide treat female androgenetic alopecia when sensitivity to androgens is present and spiro was not tolerated?

Question

I have androgenetic alopecia and currently treating with minoxidil and low androgen birth control. I need to add an antiandrogen but spironolactone gave me strong side effects. Deciding which is better between bicalutamide and finasteride as far as efficacy and long term use/low side effects.

Anil R. Shah, MD · Answer

Hello, We use regenerative techniques with women such as PRP and growth factors to help improve hair.
 Best,
Anil Shah

Jason Emer, MD · Answer

I suggest seeing a hair loss expert now to evaluate and go over your condition and provide you information about your best treatment options. There are great non-invasive options like prp/progesterone and/or hair transplantation. See an expert. Best, Dr. Emer

Jeff Donovan, MD, PhD · Answer

You'll want to have a good discussion with your dermatologist about the risks and benefits of each and dosing. There is far better evidence with finasteride than bicalutamide for treating female AGA.

William Rassman, MD (retired) · Answer

It is difficult to make recommendations without having more information about you including your age, medications that you are taking, the results of blood tests, etc..

Can bicalutamide treat female androgenetic alopecia when sensitivity to androgens is present and spiro was not tolerated?

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