Alterations in Androgen Conjugate Levels in Women and Men with Alopecia

    RS S. Legro, Enrico Carmina, F.Z. Stanczyk, Elisabet Gentzschein, Lobo Ra
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    Studysummary This article provides citations without reporting new findings on androgen conjugate levels in alopecia. Our plain-language summary of this paper — not a Tressless recommendation.
    The study assessed androgen metabolite levels in women with androgenic alopecia and men with premature balding, involving 10 normal ovulatory female controls, 50 hyperandrogenic women, 10 normal men, and 10 young men with premature balding. Hyperandrogenic women had elevated androgen metabolites compared to controls, while men with premature balding had lower levels of 3α-androstanediol glucuronide and altered androgen conjugate ratios. The findings indicated enhanced 5α-reductase activity and a disorder of androgen conjugation favoring sulfurylation over glucuronidation as features of scalp hair loss.
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