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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      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  830 upvotes 1 year 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.
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      in Research  865 upvotes 10 months ago
      The treatment for androgenetic alopecia involves using finasteride and minoxidil with intense exercise and cold exposure to boost metabolism and reduce androgenic effects, potentially leading to hair regrowth. This approach may activate biological pathways for improved hair and overall health.

      community Losing Hair on Dutasteride? You might have LPP

      in Research/Science  99 upvotes 5 months ago
      Men with hair loss might have lichen planopilaris (LPP), which can mimic androgenetic alopecia, leading to misdiagnosis and ineffective treatment with finasteride or dutasteride. Proper diagnosis, including biopsies, is crucial to distinguish between androgenetic alopecia and conditions like LPP.

      community Summaries of Finasteride Studies

      in Research/Science  20 upvotes 2 months ago
      Finasteride is effective in promoting hair growth and reversing hair miniaturization in men with androgenetic alopecia, with improvements seen in various studies over different durations. Some users report initial side effects like ball ache, which often resolve as the body adjusts.

      community One year of progress (Fin, 1mg)

      in Is this regrowth?  281 upvotes 8 months ago
      The user started finasteride (1mg) a year ago for hair thinning, experiencing stabilization but not significant regrowth. Suggestions included adding minoxidil, microneedling, and considering a hair transplant for improved results.

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