Finasteride and dutasteride are not appropriate for women who are or may become pregnant, as they can cause serious birth defects, and handling of broken tablets should be avoided in pregnancy. These medications are generally used with caution in people with liver conditions or certain hormone-sensitive concerns. PRP and microneedling follow the same contraindications as those individual therapies (e.g., bleeding disorders, active scalp infection, certain skin conditions). A medical evaluation determines what is safe for you.

Disclose your full medical history and all medications. Hormone-related medications require an informed discussion of potential side effects. In-office procedures must use sterile technique by a licensed provider. Consistency and follow-up are essential, and any concerning side effect should be reported promptly.

A combination plan is individualized for example, microneedling and PRP may be paired with a topical or oral medication. Your provider explains the role of each component before you begin.

Hair responds slowly. Most plans are evaluated over several months, and ongoing maintenance is typically needed to sustain results.