http://www.freepatentsonline.com/6482861.html
I'm not sure what all compounds exist for irreversible androgen antagonists, but assuming some do exist, and that hair follicles don't have some lame negative feedback mechanism like producing more AR (and I'm going to guess not, given that spironolactone and whatnot works), it would seem to me topical delivery of an irreversible androgen receptor antagonist would be a very long-lived hair loss treatment. Your average hair follicle lives about 4 years, so if this could be targeted to only affect the scalp topically, I think it would have the potential to be a very effective and infrequent treatment.
I've tried topical spironolactone, but it has a very short duration of effect, and is also quite unstable in a solution.
Other uses would be anti-acne, and so you wouldn't have to shave. (as much, vellous hair would still grow)
Anyone know of any other irreversible androgen antagonists than what's mentioned in this study?