Male Pattern Baldness is more common than we think. Stop your hair loss now before it’s too late. The earlier you take action, the more hair you will get to keep.
We will ask you some questions about your symptoms and medical history to see if treatment is right for you. Prescriptions start from $1.50 per day.
With Sire, you can say goodbye to expensive consultation fees, and ridiculous mark-ups on medications. Style shouldn’t cost more than your daily cup of coffee.
Each dispatch will be in batches of 90 tablets (about 3-month’s worth of supply). You will be billed every 3 months and before every dispatch.
MPB is a common form of hair loss that is typically associated with a receding hairline and hair loss at the crown (top) of the head. Not all men experience MPB, but it is often found among men with a family history of baldness.
MPB is the end result of a process initiated by a hormone called dihydrotestosterone (DHT), which is derived from testosterone. This process causes longer, darker hairs to be replaced by thinner, shorter hairs which do not have a strong attachment to small muscles in the skin.
If diagnosed early, it may be possible to stop or reverse the effect of DHT. However, if left untreated for too long, the condition may become permanent.
For a more comprehensive explanation, please check out our FAQs below.
Unfortunately, there is currently no medication that can completely cure MPB. However, there are treatments available that are able to reverse hair loss, or at least slow it. These include, but are not limited to, oral and topical medication, hair transplant surgery and laser therapy.
Among the treatment options available, finasteride is one of the most common one used by many and has been demonstrated in many studies to be very effective in slowing hair loss and stimulate hair growth.
Finasteride (generic Propecia) is a prescription-only medication that works by inhibiting the conversion of testosterone to DHT.
Finasteride typically takes at least three to four months of daily use for its effects to become visible. For best results, we recommend that users take it over the course of one year, as long as you don’t experience any side effects.
Like all medications, finasteride will work differently for different people. To sustain its benefits, you will have to continue taking it consistently. If the medications stop, the effects stop too, and the hair loss may return.
If you have more questions about hair loss and our treatment option, please check out our FAQ section below!
MPB can run in the family. If you know that your family has a history of baldness, it might be good to start early even if you have a head full of hair. The earlier you take action, the more hair you get to keep.
This is the infamous “M-shaped” hairline, where more of the forehead is now exposed. This is often the result of genetics and ageing, and it common amongst men.
If you’re starting to see more of your scalp, it’s still not too late! A long-term prescription plan can still help retain or even regrow your hair.
Sometimes, bald spots happen at the top of the head. If left untreated, the spots can become bigger until it affects the whole scalp. Start your treatments early to prevent it from becoming worse.
Consistent daily usage is key to help you slow down your hair loss.
You may not be able to see any visible changes within the first 1-2 months of usage. Some people may shed more fine hairs than usual. This is completely temporary and normal.
Your hair loss may have slowed or stopped. Take a photo every month to track your progress. Stay the course!
Hair loss might have considerably slowed down or stopped. Some people might even see signs of regrowth. Don’t stop now, keep going!
Finasteride is effective in treating male pattern hair loss. However, it doesn’t work for everyone as everyone’s reaction to a medication is unique.
According to the U.S. Food and Drug Administration (FDA), almost 9 in 10 men who took finasteride for 12 months reported a lower incidence of hair loss as compared to a control group who took a placebo (4 in 10).
If finasteride doesn’t work for you, it may be because:
Our doctors may modify your treatment plan, depending on your reaction to the medication and any side effects.
The safety of finasteride has been well demonstrated in clinical studies. Nonetheless, <2% of men experienced some form of sexual dysfunction in the clinical trials – A small number of men experience lower sexual desire and/or difficulty in achieving/maintaining an erection. An even smaller number may have a decrease in semen volume. The sexual side effects generally resolved in men who stopped taking finasteride and in many men who continued treatment.
Propecia product information. U.S. Food & Drug Administration.
Health Science Authority, Singapore
It may take up to three months before you start noticing any improvement in your hair loss. In addition, it can take up to one year to see the full benefits and to tell whether finasteride is working for you. Do not be concerned as this is expected. Also, you’ll need to keep taking finasteride to retain any benefits. When you stop taking it, your hair loss returns over the course of several months (usually 6 to 9 months).
The most common side effect is sexual dysfunction, which includes decrease in sexual desire, decreased semen volume and difficulty in achieving/maintaining an erection. A review of nine studies reported a 1.5% increase in sexual dysfunction in men taking finasteride, with the risk increasing with age. The sexual side effects usually resolve after stopping finasteride.
Rarely, some men experience breast tenderness/enlargement and sexual side effects that continued after stopping the medication.
In view of the different genetic makeup of individuals, not everyone taking finasteride would experience all the side effects. They are made known to you so you can make a better-informed decision.
While finasteride aims to block the production of DHT (DHT is a more potent male hormone than testosterone for hair loss) in hair follicles, unintentionally, it might affect the production of DHT in other parts of the body (e.g. sexual organs). It is generally believed that lower DHT contributes to the sexual side effects. Having said that, the role of “nocebo” effect (i.e. you experience a side effect because you think you might get it) has been investigated and cannot be ruled out.
Reduced conversion of testosterone to DHT by finasteride could lead to an increased conversion of testosterone to estrogen (“female” hormone), resulting in breast tenderness and enlargement in men.
If the side effects are bothering you, please speak to our doctors. You can send a message via WhatsApp to our Sire team, and our doctors would give you tailored advice or modify your treatment plan after balancing your needs and concerns.
Generally, finasteride is safe to be taken in chronic conditions (e.g. high blood pressure, high cholesterol, diabetes etc.) and does not interfere with other medications. If you have any doubt, highlight your concerns during the verification consultation via WhatsApp and our doctor will check your suitability.
Finasteride is generally safe to use without the need for a check-up. However, if our doctors find that your hair loss might be due to other undiagnosed conditions instead of male pattern hair loss, you may be advised to go for further screening.
You should take finasteride once a day with or without food. (It is important to take the medication daily to sustain the benefit. Remember, it can take up to 1 year to see the full benefits.)
Finasteride is for use by men only. Women who are (potentially) pregnant in the same household should not handle broken or crushed tablets of finasteride as this might lead to abnormal development of the male baby.
Also, same as everything we try for the first time, you have to watch for an allergy reaction after taking finasteride, despite its rare occurrence. If you experience itchy skin rashes, swollen eyes/lips/face/tongue, and shortness of breath, please head to the nearest emergency service or call 995 immediately.
No, finasteride will not work faster or better even if you take it more than once a day. Worse still, you may experience more side effects.
In general, it is safe to take finasteride for a long time. Currently, studies showed that finasteride was generally well tolerated with no new safety concerns identified during long-term use.
Apart from medications, it is important to be gentle with your hair. Avoid using high temperature from hair dryers or curling irons and limit the tension on your hair from styles such as man bun. Also, try not to use oily hair products as they may clog your hair follicles and affect healthy hair growth.
Besides, it is good to adopt a healthier lifestyle. Eat a balanced and nutritious diet. Manage your stress effectively. These could help promote your hair growth.
While waiting for the medication to work, you can ask your hairstylist for a creative cut to make your hair look fuller.