I was diagnosed with Androgenetic Alopecia last summer. I've been taking 200mg of Spironolactone and using a topical compound with minoxidil for a little under a year. Haven't noticed too much change in my hair, but I'm happy with that since it means that I'm not losing more. (I notice shedding hair in the shower and elsewhere, but I don't notice my scalp being more visible, so I guess I'm hanging in there.) In April, I went to see a hair loss specialist because I wanted a recommendation about what drug would be best for my high blood pressure. (The answer was that it's best to use trial and error since more than one class of blood pressure medicines can cause hair loss and everyone reacts differently. I switch to a different beta blocker; I think it's working better for the blood pressure, and I notice no difference in my hair.) He recommended adding .5 Dutasteride. I've been taking it about three months. Again, I haven't noticed much of a change. Does anyone have a sense about whether I need to continue taking Spironolactone if I'm taking Dutasteride? (I'll ask the Dr. also next time I see him; I just wondered what you thought too. I really get the feeling that everyone treating female hair loss is just winging it anyway.) I'm experiencing menstrual irregularities and some other sex related side effects that pre-date the Dutasteride and that I'd prefer not to experience if it makes no difference to the hair situation. On the other hand, these side effects are tolerable if they are facilitating keeping my hair. Anyone want to speculate?