Management of Androgenetic Alopecia

This 1999 document provides guidelines for diagnosing and managing androgenetic alopecia (AGA), the most common cause of hair loss in both men and women. Diagnosis can be made through medical history and physical examination, and a trichogram can be useful to assess hair loss progression. Treatment options include oral finasteride or topical minoxidil for men, and oral antiandrogens and/or topical minoxidil for women with signs of hyperandrogenism. Hair systems and surgery may be considered for severe cases in both men and women. Treatment should be continued indefinitely to maintain results. The document also discusses the causes and mechanisms of AGA, as well as the efficacy and potential side effects of various treatments.