Female pattern hair loss (FPHL) is the most common cause of alopecia in women. FPHL is characterized histologically with increased numbers of miniaturized, velluslike hair follicles. The goal of treatment of FPHL is to arrest hair loss progression and stimulate hair regrowth. The treatments for FPHL can be divided into androgen-dependent and androgen-independent. There is an important adjuvant role for nutritional supplements, light therapy, and hair transplants. All treatments work best when initiated early. Combinations of treatments tend to be more efficacious.
Key Points
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Female pattern hair loss (FPHL) is the most common cause of alopecia in women, and it is characterized by follicular miniaturization.
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Androgens and estrogens are the main hormonal regulators implicated in FPHL.
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Realistic expectations need to be set when treating patients with FPHL.
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All treatments seem to work best when initiated early and when used in combinations.

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