Evidence-Based Treatments for Female Pattern Hair Loss: A Summary of a Cochrane Systematic Review

This document is a summary of a Cochrane systematic review on evidence-based treatments for female pattern hair loss (FPHL). The review found that minoxidil was the only treatment with evidence of effectiveness for FPHL, with a higher proportion of participants experiencing clinically significant hair regrowth compared to those on placebo. However, the quality of evidence was rated as low to moderate, and adverse effects were reported. Other treatments such as spironolactone, finasteride, cyproterone acetate, and laser comb therapy require high-quality, well-designed, and rigorously reported studies. The review suggests that cosmetic aids and hair transplant surgery should be included in the decision-making process, and physicians should address the psychosocial impact, coping mechanisms, and quality of life-related issues when treating women with FPHL.