Female Androgenetic Alopecia: An Update on Diagnosis and Management

Michela Starace; Gloria Orlando; Aurora Alessandrini; Bianca Maria Piraccini


Am J Clin Dermatol. 2020;21(1):69-84. 

In This Article

Associated Diseases

Many endocrinological diseases can be associated with FAGA. Among them, the most frequently implicated in the development of hyperandrogenism are polycystic ovarian syndrome (PCOS), hyperprolactinemia, adrenal hyperplasia and rarely, ovarian and adrenal tumours.

Moreover, FAGA have been linked to insulin resistance, hypertension, diabetes mellitus and increased cardiovascular risk.[29] Higher aldosterone, C-protein, D-dimers and insulin levels in women with FAGA could explain this.[30] In female patients with early-onset FAGA, some authors recommend ruling out the presence of metabolic syndrome and/or cardiovascular disease.[30]