I'm dealing with pattern baldness and have been using minoxidil 5% for about two years now. It seemed to help at first, but lately, it doesn't seem to be as effective. Could there be a reason why it's not working anymore? Any advice would be really appreciated.

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Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

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Minoxidil 5% is a common treatment for pattern baldness (androgenetic alopecia). While it can be effective, its effectiveness may decrease over time.Receptor downregulation: Minoxidil works by binding to specific receptors. Prolonged use may lead to a decrease in receptor density, reducing the medication's effectiveness.Other factors: Poor scalp health, inadequate application, or concurrent medical conditions may also contribute to decreased effectiveness. Options to consider:

Consult a dermatologist: Discuss your concerns and explore alternative treatments, such as finasteride (oral medication), low-level laser therapy (LLLT), or platelet-rich plasma (PRP) therapy.

Combination therapy: Using minoxidil in combination with other treatments, such as finasteride or LLLT, may help maintain or enhance its effectiveness.

Scalp care: Maintain good scalp hygiene, and consider using scalp serums or shampoos that promote hair growth.

Realistic expectations: Understand that minoxidil is not a cure for pattern baldness, and its effectiveness may vary.

Dr. Dr Khaleel Suggests...

Consult a Dermatologist

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Answered 04/07/2025

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I'm 21 and my hair's been getting really thin lately. It's to the point where, if I put oil on, it looks kinda like I'm balding, but without oil, it seems more or less normal. My family's hair history doesn't include baldness, so I'm confused. Could it be a lack of protein, moisture, or is DHT the culprit here? I really want to get my hair thick again. Also, I was wearing a helmet a lot recently, and I think that made my hair dry and rough, turning it somewhat brown. I tried oiling it, and it's a bit silkier now, but still thin. Why is this happening, and how can I make my hair thick again?

visit dermatologist for evaluation and appropriate management

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