Management of Androgenetic Alopecia in Postmenopausal Women

    January 2008 in “ Actas Dermo-Sifiliográficas ”
    Ryan Rivera, Aurora Guerra-Tapia
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    TLDR Treat hair loss in postmenopausal women with diet, avoiding certain drugs, and using medications like minoxidil or finasteride.
    The article discusses the management of androgenetic alopecia in postmenopausal women, which affects over 50% of women throughout their lifetime. The condition is caused by the conversion of testosterone to dihydrotestosterone (DHT) by the enzyme 5α reductase (5αR). Diagnosis is difficult and requires laboratory tests to exclude other causes of hair loss. Treatment options include a suitable diet, ruling out drugs that cause hair loss, and using minoxidil, cyproterone acetate, spironolactone, flutamide, or finasteride. Finasteride has been found to be effective in some cases, particularly in women with early-onset alopecia and hyperandrogenism. However, double-blind, placebo-controlled trials are needed to obtain definitive results in women. The article also highlights the psychological effects of alopecia on women and provides references for further reading.
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