Consensus Recommendations for the Management of Androgenetic Alopecia in Egypt: A Modified Delphi Study
Year: 2025
Type: article
Abstract: Sara M Mohy,1,2 Mohamed F Abozeid,1,3 Wael M Seoudy,1,2 Ahmed Elshahid,4 Alaa EA Moubasher,5 Ashraf Hassan,6 Eman Elmorsy,7 Eman RM Hofny,5 Essamelden M Mohamed,8 Hanan Mohammed Saleh,9 Hanan Sabry,10 Khaled Gharib,11 Mohamed Abdelwahed Gaber,12 Mohamed Saad Hegazy,13 Mona A Atwa,14 Nayera Moftah,15 Nermeen Ibrahim Bedair,16 Noha Ezzat Mohammed,17 Samia Esmat,18 Tarek Ameen,19 Tarek Hussein,7 Yasser Mostafa Gohary,20 Mahmoud A Rageh1,4 1Venus Research Center, The Egyptian Society for Woman Health (VENUS), Cairo, Egypt; 2Department of Dermatology, Faculty of Medicine, Misr University for Science and Technology, Giza, Egypt; 3Department of Plastic Surgery, Faculty of Medicine, Cairo University, Giza, Egypt; 4Department of Dermatology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; 5Department of Dermatology, Faculty of Medicine, Assiut University, Assiut, Egypt; 6Department of Dermatology, Faculty of Medicine, Mansoura University, Mansoura, Egypt; 7Department of Dermatology, Faculty of Medicine, Alexandria University, Alexandria, Egypt; 8Department of Dermatology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt; 9Department of Dermatology, Faculty of Medicine, Ain Shams University, Cairo, Egypt; 10Department of Dermatology, Faculty of Medicine, Benha University, Benha, Egypt; 11Department of Dermatology, Faculty of Medicine, Zagazig University, Zagazig, Egypt; 12Department of Dermatology, Faculty of Medicine, Menoufia University, Menoufia, Egypt; 13Department of Dermatology, Military Medical Academy, Cairo, Egypt; 14Department of Dermatology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt; 15Department of Dermatology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt; 16Department of Dermatology, Faculty of Medicine, Helwan University, Cairo, Egypt; 17Department of Dermatology, Faculty of Medicine, Fayoum University, Fayoum, Egypt; 18Department of Dermatology, Faculty of Medicine, Cairo University, Giza, Egypt; 19Department of Dermatology, Faculty of Medicine, Tanta University, Tanta, Egypt; 20Department of Dermatology, Faculty of Medicine, Beni-Suef University, Beni-Suef, EgyptCorrespondence: Mahmoud A Rageh, Department of Dermatology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt, Email [email protected]: Androgenetic alopecia (AGA) is a common dermatologic condition with significant psychological and social impact. Treatment remains challenging due to heterogeneity in patient response and limited long-term efficacy data.Objective: To develop expert consensus guidelines for the diagnosis and management of AGA tailored to the Egyptian population, considering region-specific clinical and systemic factors.Methods: A modified Delphi process was conducted in two rounds. Initially, a structured, evidence-informed questionnaire was distributed to 1,000 practicing dermatologists across Egypt; 723 completed the survey. Responses were analyzed and refined into consensus statements, which were subsequently evaluated by a panel of 20 senior dermatology professors. Statements achieving ≥ 75% agreement were considered consensus.Results: Twenty-seven consensus statements were established and categorized into seven key areas: diagnosis, minoxidil, antiandrogens, low-level laser therapy, adjuvant treatments, hair transplantation, and counseling/hair aids. These recommendations reflect a synthesis of current evidence and national clinical experience.Conclusion: This consensus provides a regionally relevant, evidence-based framework for AGA management in Egypt. It emphasizes individualized care, multidisciplinary strategies, and the integration of emerging therapies, and may serve as a model for practice in similar healthcare settings.Keywords: androgenetic alopecia, modified Delphi, consensus, hair loss
Authors: Mohy SM, Abozeid MF, Seoudy WM, Elshahid A, Moubasher AE, Hassan A, Elmorsy E, Hofny ER, Mohamed EM, Saleh HM, Sabry H, Gharib K, Gaber MA, Hegazy MS, Atwa MA, Moftah N, Bedair NI, Mohammed NE, Esmat S, Ameen T, Hussein T, Gohary YM, Rageh MA
Language: English
Topic: Hair Growth and Disorders
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7092115330
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