Overview.
Androgenetic alopecia in women, also known as male pattern baldness in women, develops due to an excess of androgens, and heredity is also an important factor. Clinical manifestations include gradual thinning of hair at the top of the head and higher than normal levels of androgens in serum tests. It can be diagnosed. It can be treated with the anti-androgenic preparation cyproterone.
Etiology
The pathogenesis is due to an excess of androgens, and heredity is also an important factor.
Symptoms
The disease is less common and less severe than in men. It is found in 20% of Caucasian women, but accounts for 90% of all baldness in women. The alopecia is mainly located on the top of the head, with the temporofrontal region rarely involved. The alopecia is diffuse and prolonged, with gradual thinning of the hair on the top, but there is no total baldness on the top.
Examination
Serum test: androgens are above normal levels.
Diagnosis
According to the clinical manifestations, the hair on the top of the head is gradually thinning, and the serum test of androgen is higher than normal level. Diagnosis can be made.
Treatment
Antiandrogenic preparation cyproterone can be used, topical application of 0.05% hexestrol tincture or 2%~4% progesterone tincture can be used, or topical application of corticosteroid preparation can also be used.