Finasteride
FDA-approved for male pattern hair loss. Lowers DHT, the hormone that shrinks follicles.
Oral, prescriptionConcept packaging and illustrative photography.
The treatments dermatologists reach for first, prescribed by a licensed clinician and matched to your hair loss.
FDA-approved for male pattern hair loss. Lowers DHT, the hormone that shrinks follicles.
Oral, prescriptionThe longest-used topical. Thought to extend the growth phase and enlarge follicles.
Topical, FDA-approvedA low-dose daily tablet many dermatologists now prescribe off-label for hair loss.
Oral, off-labelA compounded scalp formula for men who want to avoid pills. Not FDA-approved.
Topical, compoundedHair loss has more than one driver. Your clinician can combine treatments that work in different ways: one to slow the loss, one to support regrowth, at a dose set for you.
See the formulaFinasteride has been studied in thousands of men for decades. Here’s what the landmark trials found, in plain numbers.
Phase III trials of finasteride 1 mg in men with crown hair loss (McClellan & Markham, Drugs, 1999). Results vary; these are not a promise of your outcome.
Most men’s hair loss follows a known pattern called the Norwood scale. Drag to find yours. Follicles at the edge are shrinking, not gone, and that’s where treatment does its work.
Illustrative photos. The Norwood scale is a general guide to male pattern hair loss, not a diagnosis. Hair loss that is patchy, sudden or spread all over can have other causes, so tell your clinician.
One capsule, once a day
Capsule and serum, together
A few drops, straight to the scalp
Prescriptions require evaluation by a licensed clinician and aren’t guaranteed. You’ll see pricing before you pay.
Four ingredients your clinician can draw from. Open one to see what it does, and what to know before you start.
Blocks 5α-reductase type II, lowering DHT, the hormone that miniaturizes genetically sensitive follicles. FDA-approved for men since 1997.
Sexual side effects were reported by 3.8% of men vs 2.1% on placebo in trials. Depression and suicidal thoughts are listed as reported reactions. It lowers PSA test results.
Thought to lengthen the growth phase and enlarge follicles, partly by improving blood flow. Its exact mechanism isn’t fully understood.
Scalp irritation and temporary early shedding are common. Benefits fade within months of stopping.
The same active ingredient as the topical, taken as a small daily tablet. A 2025 international expert consensus supports careful off-label use.
FDA-approved only for high blood pressure. Can cause unwanted body hair, fluid retention or a faster heartbeat, so your clinician screens your heart history first.
Designed to act mainly on the scalp. Often paired with minoxidil in a single serum.
Not FDA-approved and less studied than the oral form. Some is absorbed into the body, so similar side effects remain possible.
How Manes compares with the usual routes. Only things you can check.
Feature
|
ManesPrescription hair care | Typical online clinic | In-person dermatologist | Shampoos and supplements |
|---|---|---|---|---|
| A licensed clinician reviews your caseHair loss can have other causes. A clinician checks your history before anything is prescribed. | Included | Included | Included | Not offered |
| FDA-approved options availableFinasteride and minoxidil are the two FDA-approved treatments for male pattern hair loss. | Included | Included | Included | Not offered |
| Oral, topical and combination plansSome men do best on one treatment, others on two that work in different ways. | Included | Varies | Included | Not offered |
| Photo check-ins as results developResults take months. Photos show your clinician changes the mirror can hide. | Included | Varies | In office | Not offered |
| Start from home, on your scheduleNo waiting room. The assessment takes a few minutes, whenever suits you. | Included | Included | Not offered | Included |
| Side effects explained before you startYou’ll know what’s common, what’s rare and what to do if something comes up. | Included | Varies | Included | Not offered |
Manes covers all six. Pick a route above to see exactly where it differs. | 6 of 6every row6 of 6 includedStart my plan | 3 of 63 vary3 of 6 included, 3 vary | 4 of 61 in office4 of 6 included, 1 in office | 1 of 6 1 of 6 included |
“Varies” means it depends on the provider. Comparisons describe typical services, not any specific company.
From your first answer to your first check-in, everything happens on your phone, with a licensed clinician deciding every step of your care.
What’s your hair goal?
This helps your clinician understand what you want.
I’ve reviewed your photos and history. Thanks for being thorough.
Two options fit your goals. Here’s how each works, and the side effects to know about.
That helps. Which would you start with?
Six things men tell themselves before they start. Here’s what the evidence actually says.
Hair grows slowly, so treatment is measured in months. Here’s the honest version.
Get startedEffects start below the surface first.
Often the first change men notice.
The fair point to measure results.
Future you will be glad you started. Two minutes now, and a clinician takes it from there.
Start my free assessmentTo be published before launch.
How Manes collects, uses and protects personal information, including state consumer health data rights. To be published before launch.
How the affiliated medical group handles protected health information. To be published before launch.
Presented during medical intake. To be published before launch.
Billing, renewals and how to cancel. To be published before launch.