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Hair loss: Medical guides

Hair loss has identifiable causes and treatments with proven efficacy — and time matters: the sooner it is assessed, the more follicle there is to preserve. These guides explain how to tell androgenetic alopecia from alopecia areata, which drugs are approved and what to expect from each.

Treatments and medicines

Alopecia androgenética femenina: qué tratamiento tiene evidencia y cuál está autorizado en España

Female androgenetic alopecia: which treatments have evidence behind them and which is approved in Spain

In Spain, the only treatment approved specifically for female androgenetic alopecia is topical minoxidil 2%, and a Cochrane review backs it up. We explain what the trials show, what is known about the alternatives used off-label, and what a doctor looks at before suggesting treatment.

19 Oct 2026
Read more about Female androgenetic alopecia: which treatments have evidence behind them and which is approved in Spain
Alopecia androgenética en la mujer: por qué es distinta y qué opciones existen en España

Androgenetic alopecia in women: why it is different and what options exist in Spain

Female pattern hair loss is not a milder version of male baldness: it looks different, it is rarely explained by hormones alone and other causes have to be ruled out first. We go through what the evidence says about each treatment and where each one really stands in Spain.

06 Oct 2026
Read more about Androgenetic alopecia in women: why it is different and what options exist in Spain
Cuánto tarda en notarse un tratamiento capilar: cronología mes a mes y el shedding inicial

How long does hair loss treatment take to work: a month-by-month timeline and the initial shedding

In androgenetic alopecia, the changes brought about by hair loss treatment are usually measured in months, not weeks. This is the most realistic timeline for understanding when a temporary initial increase in shedding may appear, when stabilisation can usually be expected and over what timescales results become visible.

24 Sept 2026
Read more about How long does hair loss treatment take to work: a month-by-month timeline and the initial shedding
Minoxidil oral vs tópico: qué dicen los ensayos que los han comparado cara a cara

Oral vs topical minoxidil: what the head-to-head trials say

For years the comparison between oral and topical minoxidil was based on impressions. Since 2024 there has been a randomised trial and a meta-analysis that pit them directly against each other: the conclusion is similar efficacy, with a slight edge for the oral form at the vertex and one side effect that is clearly more frequent when taken by mouth. We explain what is known, what is not and why the difference matters.

09 Sept 2026
Read more about Oral vs topical minoxidil: what the head-to-head trials say
Minoxidil oral a dosis bajas: mapa de los efectos adversos reales

Low-dose oral minoxidil: a map of the real side effects

Oral minoxidil has become one of the most talked-about treatments for hair loss, but in Spain it remains a drug authorised only for severe high blood pressure. Here is what the data say about its side effects: which ones appear, how often, and what is known about the rare but serious ones.

21 Aug 2026
Read more about Low-dose oral minoxidil: a map of the real side effects
Baricitinib and JAK inhibitors: the new treatment for alopecia areata

Baricitinib and JAK inhibitors: the new treatment for alopecia areata

Baricitinib (Olumiant) is the first systemic drug authorised in Spain for severe alopecia areata: in adults and in adolescents aged 12 and over, and publicly funded in adults. Here is what it is, what the trials found and where the caveats lie.

24 Jul 2026
Read more about Baricitinib and JAK inhibitors: the new treatment for alopecia areata
Finasterida para la caída del pelo: cómo funciona, resultados y efectos

Finasteride for hair loss: how it works, results and side effects

Finasteride is one of the treatments authorised in Spain for androgenetic alopecia in men. We explain how it acts on DHT, what the trials show, which side effects the EMA has been monitoring since 2025 and why the decision is always an individual medical assessment.

24 Jul 2026
Read more about Finasteride for hair loss: how it works, results and side effects

Types and causes

Caída del pelo tras una dieta rápida o una cirugía bariátrica: por qué empieza meses después

Hair loss after rapid weight loss or bariatric surgery: why it starts months later

If your hair starts falling out months after losing weight quickly or having surgery, the most likely cause is telogen effluvium. This is diffuse, non-scarring hair loss that shows up late because of the way the hair follicle cycle works. We explain why it happens, which nutrients matter most and what the evidence says.

06 Nov 2026
Read more about Hair loss after rapid weight loss or bariatric surgery: why it starts months later
Alopecia androgénica en la mujer: por qué es distinta y qué opciones hay en España

Androgenetic alopecia in women: why it's different and what options exist in Spain

Female pattern hair loss rarely leaves bald patches; instead it widens the parting and thins the hair gradually. What the evidence says, how it is classified and what is authorised in Spain for women, with the figures from Cochrane and from the AEMPS product information.

12 Oct 2026
Read more about Androgenetic alopecia in women: why it's different and what options exist in Spain
Efluvio telógeno: la caída repentina que asusta y suele revertir

Telogen effluvium: the sudden hair loss that frightens and usually reverses

You notice more hair than usual on the pillow or in the shower and it gives you a fright. Telogen effluvium is the most common cause of diffuse hair loss: it appears after physical stress, childbirth or a hormonal change, and in most cases it resolves on its own. Here is why it happens, what the evidence says and what is actually known.

12 Aug 2026
Read more about Telogen effluvium: the sudden hair loss that frightens and usually reverses
Alopecia areata: qué es y en qué se diferencia de la caída común

Alopecia areata: what it is and how it differs from common hair loss

Alopecia areata is not the same as ordinary balding. We explain what defines it, why it happens, how it is diagnosed and how it differs from androgenetic alopecia, based on the evidence available today.

03 Aug 2026
Read more about Alopecia areata: what it is and how it differs from common hair loss
Alopecia androgenética: por qué se cae el pelo y hasta dónde llega

Androgenetic alopecia: why hair falls out and how far it goes

Androgenetic alopecia is the most common cause of hair loss and comes down to a mix of hormones and genetics. Here's what happens inside the follicle, how it progresses and which myths are worth leaving behind.

20 Jul 2026
Read more about Androgenetic alopecia: why hair falls out and how far it goes

Guides, prices and comparisons

Minoxidil y su precio en España: por qué varía tanto entre el tópico y el oral

Minoxidil prices in Spain: why topical and oral cost so differently

In Spain there are four brands of topical minoxidil 5%, an official preparation from the Spanish National Formulary, compounded formulations and an oral presentation. Here is what is authorised, what makes one pack cost more than another, and why you will not read a figure in euros here that we cannot verify.

04 Sept 2026
Read more about Minoxidil prices in Spain: why topical and oral cost so differently
Clínica capilar o telemedicina: qué cambia en el diagnóstico, el seguimiento y el precio

Hair clinic or telemedicine: what changes in diagnosis, follow-up and price

For typical androgenetic alopecia, remote hair consultations get the diagnosis right in the vast majority of cases. Types of hair loss that need trichoscopy still call for an in-person appointment. We look at what the studies say about diagnosis, why follow-up timelines are the same in both settings and what can honestly be said about price.

02 Nov 2026
Read more about Hair clinic or telemedicine: what changes in diagnosis, follow-up and price
Finasterida precio en España: coste real al mes con y sin marca

Finasteride price in Spain: the real monthly cost, branded and generic

In Spain, finasteride 1 mg for hair loss is prescription-only, and you should not assume it is funded by the National Health System. There is no verified official retail price (PVP) in the facts available, so the real cost is easier to understand by pack size and how long each pack lasts. At 1 mg a day, a 28-tablet pack lasts just under a month and a 98-tablet pack lasts just over three months.

09 Oct 2026
Read more about Finasteride price in Spain: the real monthly cost, branded and generic

Diagnosis and tests

Alopecia frontal fibrosante: signos de alarma, diagnóstico y qué tratamientos se plantean

Frontal fibrosing alopecia: warning signs, diagnosis and which treatments are considered

Frontal fibrosing alopecia is a primary scarring alopecia that usually shows up as a band-like recession of the frontal or frontotemporal hairline, often with loss of the eyebrows. Spotting it early matters because the realistic aim of treatment is to calm the inflammation and stabilise the loss, not to promise that the hair will fully come back.

30 Sept 2026
Read more about Frontal fibrosing alopecia: warning signs, diagnosis and which treatments are considered

Nutraceuticals and supplements

Suplementos para el pelo (biotina, saw palmetto…): qué funciona y qué no

Hair supplements (biotin, saw palmetto…): what works and what does not

Biotin, hair complexes, plant extracts: every month a new bottle appears promising to stop hair loss. We look at what the evidence really says, what effect nutraceuticals have and why biotin can give you a scare on a blood test.

04 Aug 2026
Read more about Hair supplements (biotin, saw palmetto…): what works and what does not

Assessment and follow-up

Learn about the medical assessment and follow-up process.

View the assessment