Prescription Medication · Physician-Prescribed
Propecia® (Finasteride)
FDA-approved prescription medication for male pattern hair loss (androgenetic alopecia). Slows hair loss and promotes regrowth in men.
Propecia® (finasteride 1mg) is available only by prescription and must be prescribed by a physician after proper evaluation. Dr. Berens provides comprehensive hair loss assessment and ongoing monitoring.
Finasteride works by blocking the conversion of testosterone to DHT (dihydrotestosterone), the hormone responsible for male pattern baldness. This slows hair loss and, in many men, promotes regrowth.
This is a long-term medication requiring consistent daily use. Results take 3-6 months to appear and require continued use to maintain. Dr. Berens ensures you understand expectations and potential side effects before prescribing.
Treatment Process
Medical Evaluation
Dr. Berens evaluates your hair loss pattern, medical history, and lab work (if needed) to confirm androgenetic alopecia and rule out other causes.
Daily Medication
Take one 1mg tablet daily (with or without food). Consistency is crucial. Medication works by reducing DHT levels over time.
Gradual Results
Slowing of hair loss within 3 months. Visible regrowth in 6-12 months (if occurs). Continued use maintains results. Stopping medication leads to renewed hair loss.
Benefits of Propecia® (Finasteride)
FDA-approved for male pattern hair loss
Slows or stops further hair loss in 90% of men
Promotes regrowth in 65% of men
Simple daily oral medication
Prevents progression of baldness
Effective for crown and mid-scalp thinning
Decades of safety data
Physician-supervised treatment
Important Medical Information
FOR MEN ONLY
Propecia® is FDA-approved for men only. It is contraindicated in women, especially women of childbearing age. Pregnant women should not handle crushed or broken tablets due to risk of birth defects.
Potential Side Effects
Most men tolerate finasteride well. Potential side effects include decreased libido, erectile dysfunction, or reduced ejaculate volume (2-4% of users). These typically resolve if medication is discontinued. Discuss all risks with Dr. Berens.
PSA Testing
Finasteride reduces PSA (prostate-specific antigen) levels by approximately 50%. If you have PSA testing for prostate cancer screening, inform your physician you are taking finasteride.
Long-Term Commitment
Propecia® requires indefinite use. If you stop taking it, hair loss will resume within 6-12 months and gains will be lost. This is a lifelong commitment to maintain results.
Ideal Candidates
Men with male pattern hair loss (androgenetic alopecia)
Adults aged 18-60
Those with hair loss on crown or mid-scalp
Men seeking non-surgical hair loss treatment
Individuals committed to daily medication
Patients wanting physician-supervised treatment
Frequently Asked Questions
How long until I see results?
Most men notice slowing of hair loss within 3 months. Visible regrowth (if it occurs) takes 6-12 months. Maximum benefit is typically seen at 2 years. Results vary by individual.
What happens if I stop taking Propecia®?
Hair loss will resume within 6-12 months. Any hair regained while on medication will be lost. Propecia® requires ongoing use to maintain benefits.
Can I take finasteride if I want to have children?
Finasteride does not affect male fertility. However, discuss with Dr. Berens if you are planning to conceive. Your partner should not be exposed to crushed/broken tablets during pregnancy.
Is generic finasteride as effective as brand-name Propecia®?
Yes. Generic finasteride 1mg is bioequivalent to Propecia® and costs significantly less. Dr. Berens can prescribe either based on your preference and insurance coverage.
Can I combine Propecia® with other hair loss treatments?
Yes. Propecia® is often combined with topical minoxidil (Rogaine®) for additive benefit. Some patients also pursue hair transplantation while taking Propecia® to maintain non-transplanted hair. Dr. Berens will create a comprehensive hair loss plan.