Evidence-Based Guideline for the Treatment of Androgenetic Alopecia in Women and Men – Short Version
January 2018
in “
Journal of The European Academy of Dermatology and Venereology
”
![Image of study](/images/research/1f07eedf-f37e-442a-87b2-e267959f4015/medium/4197.jpg)
TLDR Use minoxidil for hair loss treatment; assess results after 6 months.
This document is a summary of an evidence-based guideline for the treatment of androgenetic alopecia (AGA) in men and women. The guideline recommends the use of minoxidil 2% solution twice daily for female patients, and either minoxidil 2% solution twice daily or minoxidil 5% solution or foam applied once daily for male patients. The response to treatment should be assessed at 6 months, and treatment should be continued to maintain efficacy. The main side-effect of topical minoxidil is hypertrichosis, and it is recommended to pause use during pregnancy and lactation. Combination therapy with finasteride 1 mg and 5% minoxidil topical solution led to better improvement than monotherapies in male patients. Dutasteride 0.5 mg daily was also found to be effective in treating AGA in both men and women.
View this study on onlinelibrary.wiley.com →
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research TOPICAL MINOXIDIL THERAPY FOR ANDROGENIC ALOPECIA IN THE MIDDLE EAST
Topical minoxidil is effective and safe for hair regrowth in Middle Eastern men with early baldness, with better results in younger patients and certain types of baldness.
![TREATMENT OF FEMALE ANDROGENETIC ALOPECIA WITH MINOXIDIL 2%](/images/research/834f24ca-1ab1-4a58-921b-84e28ef2717b/small/1993.jpg)
research TREATMENT OF FEMALE ANDROGENETIC ALOPECIA WITH MINOXIDIL 2%
Minoxidil 2% effectively treats female hair loss, promoting growth and density.
![The Biological Effects of a Pulsed Electrostatic Field with Specific Reference to Hair Electrotrichogenesis](/images/research/d02a39c0-1c05-49bb-9a17-22dd4e655a89/small/21133.jpg)
research The Biological Effects of a Pulsed Electrostatic Field with Specific Reference to Hair Electrotrichogenesis
A pulsed electrical field safely and effectively increased hair growth.
![AUSTRALIAN TRIAL OF TOPICAL MINOXIDIL AND PLACEBO IN EARLY MALE PATTERN BALDNESS](/images/research/594c4b96-c338-4550-b845-3807fc551cb1/small/21135.jpg)
research AUSTRALIAN TRIAL OF TOPICAL MINOXIDIL AND PLACEBO IN EARLY MALE PATTERN BALDNESS
Minoxidil modestly increases hair growth in men with early baldness and is safe to use.
![Five-year follow-up of men with androgenetic alopecia treated with topical minoxidil](/images/research/a48ea510-8bae-408f-845b-99922ba3c767/small/1934.jpg)
research Five-year follow-up of men with androgenetic alopecia treated with topical minoxidil
Minoxidil treatment increased hair growth for up to 5 years, requiring twice daily application.
![Topical Minoxidil in Androgenetic Alopecia Scandinavian and Middle East Experience](/images/research/e0f4cf57-4607-4901-8144-8ffcaa89d2e9/small/1892.jpg)
research Topical Minoxidil in Androgenetic Alopecia Scandinavian and Middle East Experience
The study found that using 2% minoxidil solution can help grow hair and is safe.
![Topical Minoxidil Therapy for Androgenetic Alopecia](/images/research/60aeeb52-48d7-420c-8a3f-425b63db869b/small/1884.jpg)
research Topical Minoxidil Therapy for Androgenetic Alopecia
The document concludes that topical minoxidil therapy is safe and effective in promoting hair growth for male pattern baldness.
![Long-term efficacy of topical minoxidil in male pattern baldness](/images/research/ffa35a99-04fc-4905-99b2-11b799125678/small/1866.jpg)
research Long-term efficacy of topical minoxidil in male pattern baldness
Topical minoxidil effectively treats male pattern baldness and prevents hair loss.
![Androgenetic Alopecia Treated With Topical Minoxidil](/images/research/111c0610-05b4-43a4-942a-40417cdcbd6f/small/1876.jpg)
research Androgenetic Alopecia Treated With Topical Minoxidil
Using minoxidil on balding men's scalps can increase hair growth, according to a 12-month study.
![Safety and efficacy of topical minoxidil in the management of androgenetic alopecia](/images/research/c242618d-00d2-4536-b4f9-4e2d8223ff80/small/1873.jpg)
research Safety and efficacy of topical minoxidil in the management of androgenetic alopecia
Minoxidil helps hair growth and prevents hair loss in androgenetic alopecia. It's safe and effective.
![Long-term follow-up of men with male pattern baldness treated with topical minoxidil](/images/research/1d636e6c-ddd3-4cac-b49f-3386db27eba3/small/1864.jpg)
research Long-term follow-up of men with male pattern baldness treated with topical minoxidil
Minoxidil keeps most hair growth from first year and twice-daily use is better with few side effects.
![Use of Topical Minoxidil in the Treatment of Male Pattern Baldness](/images/research/7084787f-ac14-49de-9005-62f37bd0f2b9/small/1868.jpg)
research Use of Topical Minoxidil in the Treatment of Male Pattern Baldness
Minoxidil effectively regrows hair in male pattern baldness.
![Androgenetic alopecia: Treatment results with topical minoxidil](/images/research/3f8cab4f-c18a-4ba2-b4a0-7ed5ff5877f3/small/1874.jpg)
research Androgenetic alopecia: Treatment results with topical minoxidil
Topical minoxidil is a safe and effective treatment for hair loss caused by androgenetic alopecia.
![Topical minoxidil in early androgenetic alopecia](/images/research/213124ad-e51f-4634-a46f-50bb1f24a16b/small/1875.jpg)
research Topical minoxidil in early androgenetic alopecia
Using minoxidil on balding scalps can stimulate hair regrowth and increase blood flow. It's an effective treatment for early hair loss.
![Dose-response study of topical minoxidil in male pattern alopecia](/images/research/8fbadd40-c203-4789-a0b3-b877bc381fb9/small/1861.jpg)
research Dose-response study of topical minoxidil in male pattern alopecia
Minoxidil 1% and 2% best promote hair growth and may prevent hair loss.
research Topical tretinoin for hair growth promotion
Tretinoin may help hair growth and works better when combined with minoxidil.
![Dose-response study of topical minoxidil in male pattern baldness](/images/research/c5d46a7e-523b-471f-b413-c761531420d8/small/1850.jpg)
research Dose-response study of topical minoxidil in male pattern baldness
Lowest effective minoxidil concentration is 1%, but 2% works better for male pattern baldness.
![Topical minoxidil in early male pattern baldness](/images/research/f48aa313-bd32-4edf-af6d-bdaf8520e385/small/1841.jpg)
research Topical minoxidil in early male pattern baldness
Minoxidil promotes hair growth in male pattern baldness.