Androgenetic
alopecia (AGA) is the most common form of hair loss comprising receding frontal
hairline in men and diffuse hair thinning in women. It has a serious impact on
individual’s quality of life. While a variety of medical, surgical, light-based, and nutraceutical treatment options are available to slow or reverse the progression of AGA, selecting patient-specific therapy for this chronic condition
is challenging.It is important to note that the only FDA approved therapies
needed totreat AGA, are topical minoxidil, oral finasteride, and low-level
light therapy but there are several other treatments available in the form of
oral and topical modalities, hormonal therapies, nutraceuticals, PRP, and
exosome treatments, and hair transplantation.
The treatment
selection involves ethical, evidence-based decision-making and treatment
tailored to patient’s needs, compliance, financial considerations, extent of
hair loss, and aesthetic goals, independent of potential financial benefits to
the practitioners. Recently, minoxidil has received special attention because
of the good compliance of the patient. Minoxidil treatment in AGA patients is
more convenient and not associated with greater side effects. It is also
important for the health care practitioners to inform the patients about the
transitory hair shedding that occurs after 2 months of the treatment
initiation, to ensure patient compliance.
Reference
1.    Â
Nestor MS, Ablon G, Gade A, Han H, et al. J
Cosmet Dermatol. 2021; 20:3759-3781.
2.     Alves R. Clin Res, Dermatol Open Access. 2017; 4: 1-13.Â
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