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JAAPA. 2018 Aug;31(8):20-24. doi: 10.1097/01.JAA.0000541476.24116.c4.

Alopecia due to high androgen index contraceptives.

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In the PA program at Florida State University in Tallahassee, Fla., Katelyn Y. Graves is on the research faculty, Benjamin J. Smith is director of didactic education, and Brigitta C. Nuccio is an assistant professor. The authors have disclosed no potential conflicts of interest, financial or otherwise.


Adverse reactions to hormonal contraceptives are a common patient concern. Alopecia, an adverse reaction to androgen activity caused by the progestin component of hormonal contraceptives, can cause considerable psychosocial distress for women. This article discusses how to identify the level of androgen activity in certain progestins, how increased androgen activity can lead to hair loss, and alternatives for patients experiencing androgenic alopecia due to high androgen index contraceptives.

[Indexed for MEDLINE]

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