Female Androgenetic Alopecia: A Literature Review

    August 2022 in “ RECISATEC ”
    João Pedro Alencar Vieira Mariano, Gabriela Macari dos Santos, Marielle Katylle De Sousa Lima, Júlia Monteiro Luzzani, Thayslane de Carvalho Barbosa, Karen Olinto de Araújo Negreiros, Cleber Queiroz Leite
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    TLDR Female pattern hair loss is common, often starts in the 30s or 40s, worsens after menopause, and can negatively affect quality of life.
    Androgenetic alopecia is the most common cause of progressive hair loss, typically occurring in patients with a hereditary predisposition and circulating androgens. The female pattern of androgenetic alopecia is characterized by diffuse thinning of the hair, sparing the frontal hairline, and usually begins between the third and fourth decades of life, with progressive worsening after menopause. Initial stages may involve hair loss followed by a reduction in central scalp hair density. In these patients, it's important to observe signs of hyperandrogenism. It's also noted that patients with this condition often experience psychological and interpersonal relationship impacts, negatively affecting their quality of life.
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      Diffuse hair loss and scalp biopsies

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      in Research  692 upvotes 3 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 2 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community Anyone else realize how many younger guys are balding?

      in Chat  262 upvotes 1 month ago
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