Female Pattern Hair Loss: Therapeutic Update

    Paulo Müller Ramos, Daniel S. Fernandes, Henrique Radwanski, Rita Fernanda Cortez de Almeida, Hélio Amante Miot
    From the encyclopedia
    Spironolactone →

    powerful topical and oral anti-androgen used mostly by women

    Bicalutamide →

    a nonsteroidal anti-androgen, most commonly used orally for women

    Cyproterone →

    a synthetic anti-androgen and weak progestogen that inhibits DHT binding to androgen receptor

    Studysummary This article reviews treatment options for female-pattern hair loss, noting the limited evidence for most therapies and emphasizing that topical minoxidil remains the only well-supported option despite a significant non-response rate.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    The document reviews various treatments for female pattern hair loss (FPHL), highlighting the efficacy and safety of different therapeutic options. Topical minoxidil is the most supported treatment but is ineffective for about 40% of patients. Oral minoxidil shows promise but has potential side effects. Antiandrogens like spironolactone and bicalutamide are effective in certain cases, with cyproterone being more effective in hyperandrogenism. Emerging treatments like microneedling, platelet-rich plasma (PRP) therapy, and low-level laser therapy (LLLT) show potential but require more research. The review emphasizes the need for personalized treatment plans and further randomized clinical trials to improve FPHL management.
    Discuss this study in the Community →

    Research cited in this study

    76 / 76 results