Female Androgenetic Alopecia: An Update on Diagnosis and Management

    Michela Starace, Gloria Orlando, Aurora Alessandrini, Bianca Maria Piraccini
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    TLDR FAGA diagnosis uses blood tests and trichoscopy, with treatments like topical minoxidil, oral anti-androgens, and hormone-modulating drugs.
    This document provides an update on the diagnosis and management of female androgenetic alopecia (FAGA). The diagnosis of FAGA is usually made clinically, but blood examination is important to assess any associated diseases and trichoscopy is useful to follow up the patient. The most important drugs are topical minoxidil and oral anti-androgens. The document discusses various treatments, including topical and oral minoxidil, hormone-modulating treatments such as antiandrogen receptor antagonists and real antiandrogens, and inhibitors such as finasteride and dutasteride. The document notes that while some studies have shown effectiveness of these treatments, others have not, and more research is needed. The document also highlights potential side effects and contraindications for each treatment.
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      community Dutasteride is amazing even for women with FAGA!

      in Female  151 upvotes 6 months ago
      Dutasteride significantly improved hair health and reduced shedding for a woman with PCOS and hyperandrogenism, without causing depression or anxiety, unlike finasteride. Dutasteride also helped with PMDD symptoms and had no side effects, though it changed hair texture.

      community Please stop looking for a natural way to stop your hairloss

      in Chat  247 upvotes 4 years ago
      There is no natural way to stop hair loss; pharmaceuticals like minoxidil, finasteride, and RU58841 are the only effective treatments. Some users report success with minoxidil and microneedling, while others discuss the side effects of finasteride.

      community Dutasteride treatment in female 6 months

      in Treatment  5 upvotes 2 years ago
      A user reported worsening hair shedding and thinning after 6 months of daily dutasteride, despite also using minoxidil, bicalutamide, and recently adding RU58841. They are considering stopping dutasteride due to lack of improvement.

      community Pyrilutamide/KX-826 for women?

      in Treatment  1 upvotes 1 year ago
      Pyrilutamide/KX-826 is being considered as a potential treatment for female androgenetic alopecia (AGA), but its high cost and limited data on effectiveness are concerns. Kintor markets it for both men and women.

      community Bicalutamide vs Finasteride for female AGA plus TE

      in Female  3 upvotes 3 weeks ago
      OP is considering Bicalutamide for female AGA and TE but is concerned about its side effects and effectiveness compared to Finasteride. OP is also using Minoxidil and Spironolactone but is experiencing significant shedding and is unsure if it's androgen-driven or due to Minoxidil changes.

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