Guidelines of Care for Androgenetic Alopecia

    September 1996 in “ Journal of The American Academy of Dermatology ”
    Lynn A. Drake, Scott M. Dinehart, Evan R. Farmer, Robert W. Goltz, Gloria F. Graham, Maria K. Hordinsky, Charles E. Lewis, David M. Pariser, Stephen D. Webster, Duane C. Whitaker, Barbara A. Butler, Barbara J. Lowery, Vera H. Price, Howard P. Baden, Richard L. DeVillez, Elise A. Olsen, Jerome L. Shupack
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    TLDR Treat genetic hair loss early with FDA-approved medications and consider hair transplantation.
    The American Academy of Dermatology has developed guidelines for the diagnosis and treatment of androgenetic alopecia, a common form of hair loss caused by genetics. The guidelines recommend early diagnosis and treatment with FDA-approved medications such as minoxidil and finasteride. The document provides recommendations for diagnosing and treating male and female pattern hair loss, including physical examination, medical history, and laboratory tests. Treatment options include minoxidil, finasteride, and hair transplantation. The guidelines also address the use of hair transplantation and cosmetic camouflage. Patients should be counseled on realistic expectations and potential side effects.
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      in Chat  35 upvotes 1 year ago
      Key treatments for hair preservation include minoxidil, finasteride/dutasteride, and microneedling, with additional options like specific shampoos, oils, biotin, zinc, tretinoin, clascoterone, and low-level laser therapy. Maintaining a healthy lifestyle, reducing stress, and addressing nutrient deficiencies can also support hair health.

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      in Research/Science  416 upvotes 10 months ago
      Increased Malassezia and Cutibacterium in the scalp microbiome are linked to higher sebum production and inflammation in androgenetic alopecia (AGA). Treatments include ciclopirox shampoo, benzoyl peroxide shampoo, clobetasol propionate, calcipotriol, minoxidil, finasteride, and dutasteride.

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      in Progress Pictures  100 upvotes 1 week ago
      A user shared progress on hair regrowth using 5mg oral minoxidil and 0.5mg oral dutasteride daily, noting small hair growth and no significant side effects except bushier eyebrows. The conversation includes encouragement, personal experiences with hair loss treatments, and discussions on the effectiveness of microneedling.

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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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