Androgenetic alopecia
The most common form of hair loss. Progressive, hereditary and hormonal-based. It benefits from early and continued treatment.
What is androgenetic alopecia
Androgenetic alopecia is the most common form of hair loss. It affects about 50% of men over 50 years of age and a significant proportion of women, especially after menopause.
It is a progressive condition but it is not a disease — hair follicles miniaturize over time by hormonal action, producing thinner, shorter and less pigmented hair until they cease to grow. Early treatment stabilizes the fall and, in many cases, allows recovery of density.
Typical patterns
The fall pattern differs between men and women:
- Man — Frontline recession (entry), rarefaction of the crown, evolution by scales (Norwood).
- Women — diffuse rarefaction in the central region (medium line), with preservation of the frontal line; Ludwig's classification.
- Beginning — in many cases still in the 3rd decade in men; in women, more frequent after 40.
- Progression — slow over years; it can accelerate at specific hormonal stages.
Causes
- Genetic predisposition — the determining factor.
- Action of androgen hormones on genetically sensitive hair follicles.
- Hair aging, with progressive decrease in the growth phase.
- In women, hormonal changes such as menopause or polycystic ovarian syndrome can accelerate the process.
Diagnosis
The diagnosis is essentially clinical. In an online consultation, the dermatologist evaluates photographs at standardized angles (frontal, crown, entries) and a questionnaire on evolution, family history and other symptoms.
In women, blood tests are often useful to exclude concomitant causes (deficits, thyroid or hormonal changes). In doubtful cases, a face-to-face trichoscopy confirms the diagnosis.
Options for treatment
Treatment is continued — there is no "point" or definitive solution. The goal is to stabilize the fall and recover some density. The earlier it starts, the better the results.
Topical application
Applied directly to the scalp, it is indicated in many patients with androgenetic alopecia. The choice and dose are defined by the dermatologist.
systemic treatment
Reserved for selected cases, with individual risk/benefit assessment. It requires regular medical monitoring.
Hair Procedures and Surgery
In selected cases, there are complementary options — from microneedling in the office to hair transplant. Evaluated case by case after optimization of medical treatment.
Talk to a dermatologist about your hair loss.
No months-long wait for an in-person appointment. Each case reaches the dermatologist already prepared with photographs, history and questionnaire answers. Choose a report in under 24h or a booked video consultation.
Start consultationFrequently asked questions
If you stop the treatment, will you fall back?
Yeah. Androgenetic alopecia is chronic — treatment stabilizes the fall while it is done. Stopping treatment leads to progressive return of the original pattern over months.
How long does it take to see results?
Usually 4-6 months for first visible improvement and 12 months for the complete result. Persistence and regularity are essential.
Do women also have androgenetic alopecia?
Yes, and it's common. The pattern is different (diffuse central rareefation rather than frontal recession) and the associated hormonal causes should be investigated.
Does the online consultation serve to evaluate androgenetic alopecia?
Yeah. It is a condition in which the pattern is recognizable by photographs and the treatment is continued — very suitable for online consultation, with long-term follow-up.
Stabilize your hair loss with a dermatologist
Send pictures of the scalp. A dermatologist evaluates the pattern, proposes plan and follows over the months.
- From 60€
- Personalized Plan
- Ongoing follow-up