A 32-Year-Old Woman With Progressive Hair Loss Treated With Nutrafol and Supportive Care in Houston & Katy, TX
Introduction
Hair loss can be a frustrating and emotionally taxing experience, especially for young women. At Reena Jogi MD, we specialize in personalized hair loss solutions in Houston and Katy, Texas. In this case, we explore the journey of a 32-year-old female patient experiencing gradual scalp hair thinning and how targeted treatments and patient education made a difference.
Patient History
The patient, a 32-year-old woman, presented with generalized scalp hair loss that had persisted for several years. The hair loss was moderate in severity and gradual in onset. She had previously trialed an over-the-counter topical 2% minoxidil solution (Rogaine) but discontinued use after only two weeks. She had not pursued any other treatments prior to her visit.
Clinical Evaluation
A comprehensive scalp and skin exam was performed, including the use of a dermatoscope. The scalp exhibited signs consistent with androgenetic alopecia (AGA)—a genetically inherited, non-scarring form of hair loss that tends to worsen over time. A positive hair pull test supported this diagnosis.
In addition to hair loss, the patient showed symptoms of seborrheic dermatitis, including pink-orange scaly plaques along the scalp. This chronic inflammatory skin condition often coexists with hair loss and can exacerbate shedding if untreated.
Diagnosis and Treatment Plan
Androgenetic Alopecia
After an in-depth discussion covering causes, expectations, and treatment options, the patient chose to begin with Nutrafol Women’s Balance, a nutraceutical supplement designed to address hormonal imbalances, stress, and nutritional deficiencies that contribute to female pattern hair loss. A punch biopsy was recommended to confirm the diagnosis but deferred at the patient’s discretion.
Treatment options reviewed included:
Spironolactone
Low-level laser therapy (LLLT)
Alma TED ultrasound delivery system
Hair transplant options
The patient was provided a lab slip for optional hormonal and nutritional evaluation. She plans to return in 6–12 months for follow-up and will consider PRP therapy based on treatment response.
Seborrheic Dermatitis
The patient also began treatment for seborrheic dermatitis:
Ketoconazole 2% shampoo, to be used at least three times per week
Fluocinonide 0.05% solution, applied twice daily for up to two weeks during flares
She was advised to alternate with OTC anti-inflammatory shampoos for maintenance.
Results and Expectations
The patient left with a comprehensive care plan and a clear understanding of the expected course of her hair loss condition. Androgenetic alopecia is slowly progressive but can be managed effectively with consistent care. Nutraceutical support like Nutrafol, in combination with potential future interventions like PRP or laser therapy, offers a layered approach to treatment.
She is scheduled for a follow-up evaluation within 6 to 12 months, where options such as PRP or Alma TED can be considered to enhance outcomes.
📍 Hair Loss Treatment in Katy and Houston, Texas
If you or a loved one is experiencing hair loss, especially with underlying skin conditions like seborrheic dermatitis, visit Reena Jogi MD. We proudly serve patients throughout the greater Houston and Katy areas with expertise in diagnosing and treating female hair loss. Schedule your consultation now!
