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      learn Spironolactone

      powerful topical and oral anti-androgen used mostly by women

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      a topical anti-androgen with less systemic involvement

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      a potent but unapproved and potentially problematic topical anti-androgen

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      highly targeted anti-androgen that might have minimal systemic effects

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      a synthetic anti-androgen and weak progestogen that inhibits DHT binding to androgen receptor

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      community Female androgenetic alopecia (w/ PCOS) starting treatment

      in Female  5 upvotes 1 year ago
      A female with PCOS and androgenetic alopecia is starting treatment with oral Minoxidil, topical Minoxidil 5% with finasteride, and plans to add mesotherapy. She previously tried anti-androgenic contraceptive pills but couldn't tolerate them and is using Myo Inositol for weight management.

      community Female, 30, PCOS diagnosis, MPB Norwood 2. Endo refuses to give anything other than Spironolactone. Feel like I’m at my wit’s end here.

      in Female  53 upvotes 2 years ago
      A 30-year-old female with PCOS and male pattern baldness is frustrated with her endocrinologist's recommendation of only Spironolactone and minoxidil, feeling that dutasteride, finasteride, and progesterone would be more effective. Other users suggest various online sources for treatments, warn against self-medicating due to potential risks, and recommend seeking a specialized endocrinologist or considering additional treatments like Inositol, Berberine, and dermaneedling.

      community Any help with female hair loss?

      in Female  2 upvotes 5 months ago
      A 20-year-old female with PCOS is experiencing hair loss and excessive facial hair. She is using ketoconazole and caffeine shampoos, microneedling, and considering anti-androgens like finasteride, but is cautious about minoxidil due to facial hair concerns.

      community PCOS Hair Loss: What’s Helped Me (and What Didn’t)

      in Treatment  9 upvotes 7 months ago
      OP shares their experience with PCOS-related hair loss, highlighting that addressing vitamin D and ferritin deficiencies, managing hormones with spironolactone, and using gentle hair care products helped improve their condition. They advise against relying on "miracle" hair oils and emphasize the importance of medical evaluation and a combined approach to treatment.