Clinical recommendationEvidence ratingReferences
In alopecia areata, there is no long-term benefit of topical steroids, minoxidil (Rogaine), cyclosporine, oral steroids, or photodynamic therapy.A5
Women presenting with hair loss associated with abnormal menses, history of infertility, hirsutism, unresponsive cystic acne, virilization, or galactorrhea should have a targeted endocrine work-up (i.e., testosterone, dehydroepiandrosterone sulfate, and prolactin).C29
Minoxidil 2% causes hair regrowth in female pattern hair loss.B8
Oral finasteride (Propecia) promotes hair regrowth in male pattern hair loss.A12, 13
Minoxidil 2% causes hair regrowth in male pattern hair loss.A16, 40
Discontinuation of finasteride or minoxidil results in loss of any positive effects of treatment (hair growth) in 12 and six months, respectively.A13, 40