Female baldness can be treated and the main result of the improvement is the recovery of self-esteem. The treatment aims to avoid hormonal action on the follicles, reversing the process of thinning and miniaturization and is done with the use of antiandrogens that combat the action of androgens: male hormones. They can be used orally or in the form of lotions applied to the scalp. Finasteride, a drug used successfully in treating men, has also been used off-label for women in the US successfully. Other antiandrogens are also being used efficiently as: cyproterone acetate, spirolactone, cimetidine, saw palmetto, among others.
In addition, hair growth is stimulated, with vitamin supplementation and locally used substances.
The treatment is continuous and the results may take a while to appear. It takes patience and perseverance. Often it is necessary to change the medication until the best result is obtained. If the treatment is interrupted, the process restarts and the fall will happen again.
A hormonal evaluation and tests that exclude other causes of hair loss, such as telogen effluvium and alopecia areata, may be necessary. The indication of the best treatment depends on each case and must be determined by the dermatologist.