Is Spironolactone successful at helping to regrow hair from PCOS hair loss (if taken long term at high enough dose)?

Hello. I have PCOS and Androgenic Alopecia as a result. I am currently on (100 mg) Spironolactone, birth control and Rogaine. I am aware of side effects for each medication. My question is, is Spiro. successful on halting and reserving hair loss (Androgenic drive)? If I keep up with this course of treatment, is there a chance for regrowth and an increase in hair density I understand it takes a while)? Thank you!

Doctor Answers 5

Hair loss -- PRP, Progesterone, Viviscal, Rogaine, Finesteride, Spironolactone, follicular unit (FUE) hair transplantation/ARTAS

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Spironolactone can help regrow hair. You may need a higher dose. Other options may also help: follicular unit hair transplantation is one option. Please see an expert. Best, Dr. Emer

Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Is Spironolactone successful at helping regrow hair from PCOS?

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Chanpen88,How long have you been on this regimen? Results vary but about 1/3 have a good improvement. Looks like your physician has on a therapeutic dose. Continue doing the necessary follow up for blood testing, and care with your doctor.There are other very effective treatments like PRP/Acell , and Laser therapy.All the best,
Bernardino A. Arocha, MD


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In a word; Yes.  If you can go higher on the dose without negative effect, you might try that with your physician's supervision as well.  Spironolactone is dose dependent and clinically I have seen the best results in the 100mg BID (so 200mg total per day) dose range.  Also try adding LLLT/PBMT, HelpHair shakes, and ketoconazole or zinc shampoos.  I have no financial arrangement with these companies, but when it comes to medications for hair, everything works together, so do MORE instead of less!

Good luck!

Sara Wasserbauer, MD
Walnut Creek Hair Restoration Surgeon
5.0 out of 5 stars 10 reviews

Spironolactone for PCOS

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The results in using this medication is variable for PCOS. If you are having thinning and hair loss associated with PCOS, the best cosmetic solution is scalp micropigmentation (see below)

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 29 reviews

Spironolactone and pcos

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About 30 % of women experience with PCOS associated androgenetic alopecia will experience an improvement in hair density using spironolactone

Jeff Donovan, MD, PhD
Vancouver Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.