5α-Reductase Inhibitors in Androgenetic Alopecia

    Elizabeth Yim, Katherine L. Baquerizo Nole, Antonella Tosti
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    TLDR Finasteride and dutasteride effectively treat hair loss in men and women, but may cause side effects like low libido and depression.
    This document is a review of studies on the use of 5α-reductase inhibitors (5&RIs) in the treatment of androgenetic alopecia (AGA). The authors found that finasteride and dutasteride, two types of 5&RIs, were effective in treating AGA in both men and women. Studies showed that dutasteride was well-tolerated and effective in treating female pattern hair loss. The authors also noted that future clinical trials are needed to further evaluate the efficacy of 5&RIs in AGA treatment. The article also mentions potential adverse side effects of 5α-reductase inhibitors, such as persistent diminished libido and erectile dysfunction, depression, gynecomastia, and male breast cancer.
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