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Androgenetic Alopecia

What is androgenetic alopecia?

Alopecia is the most common cause of hair loss. Androgenetic alopecia, commonly called baldness, is the most common form of alopecia in both men and women. It is estimated that a large percentage of men and women will develop androgenetic alopecia at some point in their lives. There is usually a genetic predisposition or environmental factors that influence its occurrence.

Androgenetic alopecia is usually characterised by hair loss at the temples, the top of the head and the hairline. Thinning may start gradually and then become more extended.

What are the causes of androgenetic alopecia?

The factors that causes androgenetic alopecia are considered to be the following:

  • heredity
  • stress
  • drug induced, drug abuse
  • mental illness
  • heart disease

Androgenetic alopecia in women results in thinning of the hair and thinning of the top of the scalp, without receding hairline. In women, the causes leading to hair loss, in addition to heredity, are a decrease in female hormones during menopause, polycystic ovary syndrome, diabetes mellitus, hypertension, psychological effects and stress.

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How is androgenetic alopecia diagnosed?

The diagnosis of androgenetic alopecia is made clinically. The trichoscope is also a diagnostic technique. Haematological and hormonal testing is important to exclude underlying diseases. Trichoscopy is the new method for the diagnosis of androgenetic alopecia.

What is the appropriate treatment for androgenetic alopecia?

Treatment for androgenetic alopecia can be topically or systemically administered drugs. Medication includes:

Minoxidil in the form of lotion or foam – in the early stages of the disease it has obvious results after 6 months of continuous use. Discontinuation of the drug stops the individual maintenance of the condition and may lead to continuation of the problem.

Finasteride in pill form. Quite an effective treatment as it stops hair loss and leads to hair regrowth. It is most effective in the early and middle stages of the disease and in young patients.

In case conservative treatment is not enough, the minimally invasive method of hair transplantation is recommended. Hair transplantation therapy is the only definitive treatment. In particular, the FUE method is the most painless and scar-free treatment that offers a completely natural result.

Other treatments against androgenetic alopecia include Low Level Laser Treatment (LLLT), as well as PRP (Platelet Rich Plasma) treatment.

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