Androgenetic, Diffuse, and Senescent Alopecia in Men: Practical Evaluation and Management

    January 2015 in “ Current problems in dermatology ”
    Fernanda Torres
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    TLDR The conclusion is that treatments like finasteride and minoxidil can prevent baldness progression and improve hair density, but more research is needed on other therapies.
    The document from 2015 discusses male baldness, including androgenetic alopecia, diffuse baldness, and senescent alopecia, focusing on evaluation methods and management strategies. It highlights the role of dihydrotestosterone (DHT) in hair follicle miniaturization and the impact of genetics and environmental factors on hair loss. The document notes the association of male baldness with increased risks of coronary heart disease and prostate cancer. It details FDA-approved treatments like oral finasteride and topical minoxidil, which are effective in preventing baldness progression and improving hair density. Other treatments such as dutasteride, vitamins, minerals, herbal compounds, laser and light therapy, and hair transplant surgery are also discussed, though some lack strong evidence. The document calls for more research on these therapies, acknowledging that even senescent alopecia in the elderly may respond to treatments like finasteride.
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