Androgenetic Alopecia: An International Expert View on the Aetiopathogenesis, Quality of Life, and Current and Emerging Therapeutic Approaches

January 2026 in “ European Journal of Dermatology ”

Bianca Maria Piraccini, M. C. Dias, Leonardo Spagnol Abraham, Lidia Rudnicka

androgenetic alopecia hair follicles minoxidil finasteride dermocosmetics AGA Rogaine Propecia

TLDR Advanced dermocosmetics can effectively manage androgenetic alopecia and improve quality of life.

The document discusses androgenetic alopecia (AGA), a common form of hair loss, highlighting its complex causes and impact on quality of life. It emphasizes the importance of targeting both hair follicles and surrounding tissues for effective treatment, beyond traditional solutions like minoxidil and finasteride. The study, based on an analysis of 85 literature sources, suggests that advanced dermocosmetics with proven clinical efficacy can play a crucial role in managing AGA. These innovations offer promising early intervention strategies, potentially reducing the need for lifelong pharmaceutical treatments and improving patient outcomes.

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Compressed part of research of theory of androgenic/anabolitic balance. AGA h-responders analytic. Theory of physio-metabolitic method of anti AGA treatment

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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.

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Scalp tension from the occipitalis muscle is theorized to contribute to hair loss, but most believe DHT and genetics are the main causes. Treatments like finasteride and minoxidil are considered more effective than addressing scalp tension.

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The conversation discusses using 1% cetirizine, an antihistamine, as a potential treatment for androgenetic alopecia (hair loss). One user plans to try cetirizine instead of finasteride, while others are curious or skeptical about its effectiveness, discussing the role of inflammation in hair loss.

community Evidenced Based Meta-Analyses and Systemic Reviews of Androgenic Alopecia and Treatments

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