What is FAGA (Female Androgenetic Alopecia)?

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FAGA (Female Androgenetic Alopecia) refers to female pattern baldness, a female-specific alopecia caused primarily by hormonal changes and genetic factors. It is similar to androgenetic alopecia (AGA) in some respects, but the pattern and progression of hair loss is different.

1. Characteristics of FAGA

FAGA has the following characteristics

  • Overall thinning: FAGA is characterized by thinning of hair mainly at the crown and parting of the head, rather than a large recession in the frontal or M-shaped areas as in male AGA.
  • Slow progression: hair does not fall out rapidly as it gradually becomes thinner and less dense.
  • Causes: Hormonal imbalance (especially a decrease in female hormones ), heredity, stress, and poor nutrition are all involved. It is especially likely to develop after menopause due to hormonal fluctuations.

2. Causes of FAGA

Several factors contribute to the development of FAGA.

  • Hormonal balance changes: FAGA is known to be caused by dihydrotestosterone (DHT), a type of male hormone that causes hair follicles to shrink and hair to thin. In particular, the decrease in female hormones after menopause and the relatively stronger influence of male hormones are believed to be the cause of FAGA.
  • Genetic Factors: Being from a family that is genetically prone to hair thinning also increases the risk of developing FAGA.
  • Lifestyle and stress: Stress, irregular lifestyle, and poor nutrition are also factors that exacerbate FAGA.
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3. Treatment of FAGA

The following methods are used to treat FAGA

  • Topical minoxidil: stimulates hair follicles and promotes hair growth. Minoxidil for women is usually prescribed in a 2% concentration.
  • Hormonal treatment: medications that reduce the effects of male hormones (e.g., spironolactone) may be prescribed.
  • Mesotherapy: A treatment in which growth factors and vitamins are injected into the scalp to stimulate hair growth.
  • Improved lifestyle: Nutritionally balanced diet, stress management, and proper sleep are also important.

Difference between FAGA and AGA

  • Hair loss pattern: FAGA is characterized by an overall thinning of hair on the top of the head, whereas AGA is characterized by thinning especially in the frontal and parietal areas.
  • Hormonal effects: the effects of male hormones (DHT) are more pronounced in AGA, whereas in FAGA it is due to a decrease in female hormones and a relative increase in DHT.

Summary

FAGA is a female-specific alopecia, caused primarily by hormonal balance and genetic factors. Early and appropriate treatment can delay or improve the progression of hair loss.

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