Trichology Features of Alopecia in Women of Reproductive Age Patients with Polycystic Ovary Syndrome

    December 2017 in “ Acta biomedica scientifica
    L. V. Belenkaya, L. V. Belenkaya, Oleg Ivanov, Oleg Ivanov, O. V. Krusko, O. V. Krusko, Мария Рашидова, M. A. Rashidova, Л. Ф. Шолохов, Л. Ф. Шолохов
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    TLDR Women of reproductive age with polycystic ovary syndrome often experience hair loss.

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      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

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      Hair loss varies due to genetic sensitivity to DHT and other factors. Treatments discussed include finasteride, minoxidil, RU58841, and microneedling.

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      High sugar diets may worsen hair loss by increasing 5α-reductase activity and androgen levels, especially in women with PCOS. A low sugar diet might reduce scalp DHT levels, similar to finasteride, but genetics also significantly influence hair loss.

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