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Rogaine was the first brand to offer a 5 percent minoxidil foam solution when it debuted Men’s Rogaine Unscented Foam in 2006, and virtually every treatment developed since (for both men and women) has been an imitation or derivation of that formula. And that’s why Men’s Rogaine Unscented Foam is our top pick — it’s the exact same product as the women’s formula, and much cheaper. When we spoke with Sarah, a Rogaine nurse, she explained that the different packaging (and therefore different prices) has to do with the FDA-approval process. “We discovered in clinical trials that the hair loss patterns between men and women are different,” she said by way of explanation. “Men typically have that bald spot on the crown of their head, where women generally have a general thinning throughout, but concentrated more on the top of the head. So for FDA approval, we had to come up with two different, gender-specific products, so the directions were more explanatory.” The only real difference between the men’s and women’s directions (beyond different diagrams of hair loss patterns): Men are instructed to use Rogaine twice daily;
Unwanted hair growth (sideburns, for example) is a reported side effect of minoxidil. The belief is that a higher concentration of minoxidil would result in more unwanted hair, which is why women are instructed to use it less often. However, the study in Skin Therapy Letter reports that unwanted hair was more common in 2 percent minoxidil solutions than 5 percent, and women are instructed to use Rogaine’s 2 percent solution twice daily — so what gives? (This is all to say you should really work with your doctor to figure out what treatment plan will work best for you.) Women are instructed to use Rogaine less often then men — and get to pay $10 more. If you’re a lady and can remember the one difference in directions (or just scope out the instructions online) we recommend saving the cash. Similarly, you could go generic with Equate Hair Regrowth Treatment for Men or Costco’s Kirkland Signature Hair Regrowth Treatment Minoxidil Foam for Men. These alternatives offer the same percentage of active minoxidil and near-identical inactive ingredients for as little as half the price — a great option for both genders unless you want in on Rogaine’s Real Results Program and iPhone app, which are designed to help men stay motivated via daily reminders to use the product, plus advice, support, and a tracker for encouragement (think
: Fitbit for your hairline).But consider this: Treating hair loss is a lifelong commitment. Minoxidil (as well as finasteride) stop working if you don’t use them continually. Daily reminders and an online community might come in handy, especially if you’re the type of person who forgets to, say, take out the trash every week. Losing your hair can be a stressful and anxious experience, and no other brand seems to understand this more than Rogaine, which does everything short of holding your hand while you apply the actual product. Rogaine’s iOS app lets you schedule your routine and set reminders. However, its selection of tips and related articles are targeted specifically at men and its overall design is fairly dated. Rogaine’s foam squirts out just like hair mousse and is applied with “cool, dry hands.” Applying means working the foam down to the scalp where you want to see thicker growth — for it to work, “it has to get into your scalp,” Dr. Wolfeld explains.
“If it sits on your hair, it’s not really as effective.” Once massaged, it dissolves into a watery liquid that leaves a tingly sensation, “but no burning!” one of our balding testers was happy to discover. Once applied, Rogaine’s foam formula quickly transforms into a liquid. Men’s Rogaine Extra Strength Solution is the liquid version of our top pick. It didn’t make our final cut because it includes propylene glycol, which causes irritation in roughly one-third of its users. With that said, Dr. Wolfeld finds that it can be even more effective in practical daily use. In his experience, “the solution can penetrate and get into your scalp a little bit better” than the foam — especially if you’re not taking the time and effort to apply the foam correctly. This seems crazy to us since the foam so quickly dissolved into a liquid in our tests, but if you’re worried, try a one-month supply of the liquid and make the switch to foam if you notice any irritation.
The HairMax Professional 12 LaserComb ($445) makes for a great addition to any hair loss regimen — provided you can afford it. Dr. Wolfeld notes that it’s a popular option in his practice. “Some people like the action of combing something through their hair,” he says. “They find that to be a little bit easier to do as part of their routine in the morning.” Dr. Khadavi also recommends using a laser treatment of some kind in conjunction with other treatments. “Lasers do help in stimulating the hair into the growth phase. We don’t know the exact mechanism of how it works, but it definitely helps.” The general medical consensus around laser treatments — caps and combs alike — is that low-level laser light therapy stimulates the cells within the hair follicle. These devices may also increase cell metabolism to promote thicker and more durable hair shafts, something that neither minoxidil or finasteride can do. To use the HairMax Professional, all you have to do is glide the device over your scalp slowly.