5 mg/Day Finasteride Treatment for Normoandrogenic Asian Women with Female Pattern Hair Loss

June 2010 in “ Journal of The European Academy of Dermatology and Venereology ”

Jong Eun Yeon, J. E. Jung, J. Choi, Bobae Kim, S. W. Youn, K. S. Park, Changgi Huh

finasteride female pattern hair loss FPHL hair density hair thickness global photographic assessment double-blind placebo controlled study Propecia

TLDR Finasteride improves hair density and thickness in women with hair loss.

The study evaluated the effectiveness of 5 mg/day finasteride treatment for normoandrogenic Asian women with female pattern hair loss (FPHL). After 12 months of treatment, hair density and thickness significantly increased, and 81% of patients showed improvement in global photographic assessment. The treatment was generally well tolerated, and the study suggests that finasteride may be an effective treatment for some subgroups of FPHL. However, a double-blind placebo controlled study is required to identify accurate efficacy of high dose finasteride treatment for FPHL.

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Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

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