miameow said:
No single approach is going to be right for everyone. What matters most is figuring out what is actually driving your hair loss, then matching the strategy to that cause.
Hair loss comes in many forms, and the reasons behind it vary widely. A full lab panel is usually the smartest first step, checking for nutritional gaps, hormone levels, and how well the thyroid is functioning.
In general terms, I sort hair loss into 2 buckets: androgen-related and not androgen-related (stress, hormonal changes, nutritional shortfalls, illness, and so on).
When the loss is androgen-driven (androgenetic alopecia), DHT blockers like finasteride or dutasteride may slow it down or stop it from getting worse, and a subset of users see some modest regrowth. Spironolactone does not really belong in that group, since its anti-androgen action is wider and not specifically aimed at DHT. Some people do well on it, but it is a broader tool rather than a precise one. Pumpkin seed oil, as far as I know, also acts as a DHT blocker, though its effect is clearly far weaker than finasteride or dutasteride.
With non-androgen-driven loss, the root cause can be virtually anything. Good nutrition, enough sleep, and optimal ferritin are things people frequently overlook. Low ferritin, or even levels that are not quite optimal, is a recognized factor in shedding, and plenty of people begin DHT blockers and then wonder why shedding continues when the real problem lies elsewhere. In women, low estrogen is another very frequent cause of hair loss.
As for regrowth, whatever the cause and whether the person is male or female, minoxidil is still among the most effective choices available. It can be applied topically, taken orally, or in certain cases used both ways.