If I narrow my choices down to Rogaine or Propecia, what is my best option and why? Is it better to treat thinning hair topically or systemically?
Rogaine is applied topically and works in the scalp on the follicles. Propecia is taken orally (in pill form) and impacts hair regrowth by affecting the balance of hormones. While I cannot say definitively which treatment is best for all individuals, my first choice for treatment is always topical, so I recommend Rogaine. Also, Propecia can cause sexual side effects, including reduced libido and sperm production in a small percentage of individuals. Rogaine is the strongest FDA-approved topical hair loss product that is safe enough to be sold without a prescription. The most common side effects are mild itching or scalp irritation.
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