Australian Prescriber Podcast E196 - Male and female pattern hair loss
Sep 1, 2025
In this discussion, Dr. Laxmi Iyengar, a research fellow and GP specializing in hair disorders, and Dr. Jane Li, a consultant dermatologist, delve into male and female pattern hair loss. They explore the differences in presentation between genders and the hormonal factors involved. The duo highlights the significance of trichoscopy for diagnosis and the importance of tailored treatment approaches. They discuss the efficacy of topical minoxidil and spironolactone, alongside the role of combination therapy. Insights on when to refer patients for specialized care are also shared.
AI Snips
Chapters
Transcript
Episode notes
AGA Is Genetic And Partially Reversible
- Androgenetic alopecia (AGA) is genetic and driven by dihydrotestosterone, making it common and only partially reversible.
- Treatments aim to stimulate regrowth or prevent further loss, so expectations must be carefully managed.
Use Trichoscopy To Differentiate Alopecia
- Use a dermatoscope (trichoscopy) to check for preserved follicular openings to distinguish scarring from non-scarring alopecia.
- Urgently refer to dermatology if scarring features or loss of follicular openings are present.
Men And Women Show Distinct Patterns
- Male and female AGA present differently: women get midline thinning and loss of ponytail volume, men get bitemporal recession and vertex loss.
- Recognize these patterns to improve diagnostic accuracy.