Anti‑androgens for women (spironolactone, bicalutamide) Cost in Korea
Mijan Mijan • August 6, 2025

Anti‑Androgens for Women (Spironolactone, Bicalutamide) Cost in Korea
Anti-androgen medications like Spironolactone and Bicalutamide are prescribed to women with androgenic alopecia, PCOS-related hair loss, or hirsutism. These drugs reduce the effect of DHT (dihydrotestosterone) and other androgens on hair follicles. In Korea, treatment typically requires a gynecologist or dermatologist's prescription and includes regular monitoring of hormonal levels and organ function.
Comprehensive Cost Overview
| Medication | Estimated Cost (KRW) | Estimated Cost (USD) |
|---|---|---|
| Spironolactone (25–100 mg/day) Standard generic option for androgen suppression. | ₩20,000 – ₩50,000/month | $17 – $42 |
| Bicalutamide (25–50 mg/day) Off-label use for female pattern hair loss or hirsutism. | ₩40,000 – ₩70,000/month | $33 – $58 |
| Branded or Imported Versions International formulations with stricter quality control. | ₩60,000 – ₩100,000/month | $50 – $83 |
Detailed Cost Analysis by Component
| Component | Description | Estimated Cost (KRW) | Estimated Cost (USD) |
|---|---|---|---|
| Active Ingredient (Spironolactone/Bicalutamide) | Daily dose for anti-androgenic effects on hair and skin. | ₩15,000 – ₩40,000 | $13 – $33 |
| Pharmacy Dispensing Fee | Prescription fulfillment, labeling, and packaging. | ₩5,000 – ₩10,000 | $4 – $8 |
| Tablet Formulation or Capsules | Coating and format-specific pricing difference. | ₩5,000 – ₩15,000 | $4 – $13 |
| Custom Hormonal Compound (Optional) | Clinic-prepared blends with anti-androgens and supportive ingredients. | ₩40,000 – ₩80,000 | $33 – $67 |
Additional & Optional Services Cost
| Service | Description | Cost (KRW) | Cost (USD) |
|---|---|---|---|
| Hormone Panel Blood Test | Estrogen, testosterone, DHT, and LH/FSH levels. | ₩60,000 – ₩120,000 | $50 – $100 |
| Gynecology or Endocrinology Consult | Specialist evaluation before starting hormonal treatment. | ₩30,000 – ₩70,000 | $25 – $58 |
| Ultrasound (Ovarian Screening) | Recommended for women with PCOS-related hair loss. | ₩60,000 – ₩100,000 | $50 – $83 |
| Medication Delivery Service | Refill courier option for patients under long-term care. | ₩10,000 – ₩20,000 | $8 – $17 |
Clinical Treatment Costs
| Clinical Service | Description | Estimated Cost (KRW) | Estimated Cost (USD) |
|---|---|---|---|
| Initial Diagnostic Visit | Scalp evaluation and hormonal history by a hair specialist. | ₩30,000 – ₩60,000 | $25 – $50 |
| Monthly Monitoring Checkup | Ensures safe dosing and absence of side effects. | ₩20,000 – ₩40,000 | $17 – $33 |
| Lab Test Review + Adjustment | Follow-up based on blood work and patient feedback. | ₩30,000 – ₩50,000 | $25 – $42 |
| Foreign Language Support | Translation and explanation during clinical consultation. | ₩20,000 – ₩30,000 | $17 – $25 |









