Dr. Bauman Stresses Finasteride’s Benefits and Importance of Patient Monitoring

In response to a recent analytical review in The Journal of Clinical Psychiatry titled “Failing Public Health Again? Analytical Review of Depression and Suicidality From Finasteride” by Mayer Brezis, MD, MPH, renowned hair restoration expert Dr. Alan J. Bauman, MD, ABHRS, IAHRS, FISHRS, emphasizes the importance of a balanced perspective on finasteride—a trusted and widely used treatment for male pattern hair loss.

Drawing on nearly three decades of experience and more than 35,000 patients treated at Bauman Medical, Dr. Bauman highlights finasteride’s proven efficacy and safety while addressing concerns raised in the study.

Understanding the Study

The recently published review analyzed post-marketing data from 2017–2024, suggesting possible associations between finasteride use and increased risks of depression, anxiety, or suicidality, especially in younger men taking the medication for hair loss. The author also criticized regulatory agencies for delayed warnings.

However, Dr. Bauman cautions against drawing conclusions from observational data alone.

“In my 28 years of specializing in hair loss treatments, I’ve seen finasteride transform lives by restoring confidence and improving quality of life for countless individuals,” said Dr. Bauman. “While continued monitoring is important, the data reviewed relies heavily on studies prone to bias, such as pre-existing mental health conditions or the nocebo effect—where awareness of potential side effects can influence perception. Randomized controlled trials consistently show no significant neuropsychiatric risks, and my clinical experience aligns with that. The benefits far outweigh rare, anecdotal concerns for the vast majority of patients.”

The Importance of Expert Oversight

Dr. Bauman also expressed concern about the rise of online pharmacies like Hims, Keeps, and Roman that provide quick prescriptions with limited physician interaction.

“This model can overlook individualized assessments and ongoing patient monitoring,” he noted. “At Bauman Medical, we maintain close relationships with our patients, conducting follow-ups every 90 days either in-person or virtually to track progress, monitor for side effects, and ensure each treatment plan remains safe and effective.”

A Personalized, Evidence-Based Approach

At Bauman Medical, each patient undergoes a thorough screening process that includes mental health history, informed consent, and regular check-ins. Dr. Bauman’s team employs advanced diagnostic technologies such as HairCheck, HairMetrix-AI, and genetic testing to tailor treatments precisely.

Finasteride continues to be a safe and FDA-approved therapy for androgenetic alopecia when prescribed and monitored appropriately. For patients who prefer non-systemic alternatives, Bauman Medical also offers topical minoxidil, low-level laser therapy (LLLT), PRP (platelet-rich plasma), exosomes, and hair transplantation.

“Hair loss itself can cause emotional distress, and effective treatment often alleviates—rather than worsens—these feelings,” Dr. Bauman explained. “Patient education, transparency, and shared decision-making are essential.”

Dr. Bauman’s Final Thoughts

The study’s call to suspend finasteride use for cosmetic purposes lacks sufficient clinical evidence, according to Dr. Bauman.

“Claims of ‘hundreds to thousands’ of suicides are speculative and not supported by real-world clinical data or my 28 years of practice,” he emphasized. “Patients who experience side effects should always contact their prescribing physician right away. Most symptoms resolve quickly once the medication is stopped.”

Bauman Medical remains committed to evidence-based, patient-centered hair restoration, combining medical therapy, surgical artistry, and regenerative medicine for natural, long-lasting results.

Concerned About Finasteride or Experiencing Side Effects?

If you’re currently taking FIN.481 oral finasteride, Propecia, generic finasteride, or our 82F topical finasteride and have questions or concerns about your treatment, please contact our office right away. Our medical team will review your case and provide personalized guidance to ensure your safety and peace of mind.

Call us at 561-394-0024

If you or someone you know has hair loss, hair thinning, baldness, or eyebrow / eyelash concerns, click to start either a long-distance virtual consultation OR an in-person, in-office consultation with Dr. Bauman. You can also Ask Dr. Bauman a Question or simply call Bauman Medical Group  at +1-561-394-0024.

*Each individual's treatment and/or results may vary