oMeds
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Answer · hormone optimization

Which pathway addresses male/female pattern hair loss?

Short answer

Androgenetic hair loss routes to the Hair Restoration pathway (topical/oral finasteride, minoxidil, adjuncts) in candidates with no contraindication. Workup excludes thyroid, iron, and other reversible drivers.

Reviewed by Dr. Laura PurdyJune 3, 2026

Full answer

Androgenetic alopecia is the most common cause of patterned hair loss in adults and is driven by genetic sensitivity to DHT. The workup excludes thyroid, iron (ferritin), vitamin D, and recent stressors that drive telogen effluvium. The Hair Restoration pathway combines topical or oral finasteride, minoxidil, and selected adjuncts in candidates with no contraindication. Female candidates are reviewed for spironolactone alternatives. Realistic expectations are framed: most patients halt progression and recover modestly; results require sustained therapy.

Educational. Not a substitute for individualized provider review.

References & sources
  • Hair Restoration pathway — Primary source · oMeds
  • Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-06-03