An Overview of Female Pattern Hair Loss

This document provides an overview of female pattern hair loss (FPHL), including its clinical presentation, diagnosis, and treatment options. FPHL is characterized by a reduction in hair density over the crown and frontal scalp, and is often associated with androgen excess. Diagnosis is typically made through clinical examination and scalp biopsy, with a ratio of vellus to terminal hairs of less than 4:1 being indicative of FPHL. Treatment options include topical minoxidil, which is effective in both pre- and post-menopausal women, and antiandrogen therapy with agents such as spironolactone or cyproterone acetate. Hair transplantation can also be a viable option for women who have not had success with pharmacological treatments.