Androgenetic alopecia is a common disorder in Malaysia. It is estimated that at least 50% of men develop androgenetic alopecia or male pattern hair loss at some point in their lives. Androgenetic alopecia has important psychosocial impact fects on patients. This translates into a significant economic impact in the household health expenditure. It is important that doctors including family practitioners be involved and trained in the diagnosis and treatment of androgenetic alopecia. This will help educate the public on the misinformation and myths being propagated and marketed by non-medical sources.The basic pathophysiology of androgenetic alopecia involves the miniaturization of scalp hair follicles in sitespecificareas due to a genetic predisposition being translated by a hormonal mechanism. Current evidence indicates that dihydrotestosterone(DHT) is the hormonal messenger. Currently, the only pharmacological agents that are scientifically proven effective are oral Finasteride and topical Minoxidil. Surgical treatment is an option for selected patients. Except for surgery, currently available pharmacological treatments are suppressive and not curative. Supporting the patients emotionally and ensuring that they understand the limitation of these treatments remains an important component of the management of androgenetic alopecia.
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