Hair thinning can be frustrating, especially when supplements fail to produce noticeable results. A 35-year-old woman recently visited our dermatology clinic after experiencing years of progressive scalp thinning despite using Nutrafol.
After evaluating her hair loss, she decided to begin a combination of PRP hair restoration and spironolactone to address her female pattern hair loss.
Diagnosing Female Pattern Hair Loss
Based on her scalp examination and medical history, her hair loss was most consistent with androgenetic alopecia (female pattern hair loss).
This condition causes gradual follicular miniaturization, often resulting in thinning across the crown and widening of the central hair part.
Although supplements such as Nutrafol may support certain aspects of hair health, they do not consistently reverse genetically influenced hair loss.
Combining PRP and Spironolactone for Hair Restoration
Several treatment options were discussed, including topical and oral minoxidil, spironolactone, low-level laser therapy, PRP, and Alma TED.
The patient elected to begin two treatments:
1. Spironolactone: Prescribed at 50 mg twice daily to help reduce androgen-related effects on hair follicles. Potential side effects, including dizziness, breast tenderness, menstrual irregularities, and increased urination, were reviewed.
2. PRP Hair Restoration: During her first treatment, blood was drawn and processed to concentrate platelet-rich plasma. A total of 7 cc of PRP was injected into her scalp. She tolerated the procedure well without complications.
Baseline photographs were taken to monitor treatment response, and her second PRP session was planned for approximately one month later.
Treating Acne Alongside Hair Loss
The patient also had inflammatory and comedonal acne. She was prescribed tretinoin 0.025% cream to use gradually at bedtime, along with a gentle cleanser, moisturizer, and daily SPF 30+ sunscreen.
Spironolactone may also help certain women with hormonally influenced acne, allowing both concerns to be addressed within one treatment plan.
Looking for Female Hair Loss Treatment in Houston or Katy, TX?
If you continue to experience thinning despite using Nutrafol or other supplements, a dermatologist can help determine whether prescription treatments or PRP may be appropriate.
At Reena Jogi, MD / Village Dermatology, patients in Houston and Katy, Texas can explore personalized treatments for female pattern hair loss, including PRP, spironolactone, minoxidil, and other nonsurgical options.
Individual results vary. PRP does not guarantee hair regrowth. Spironolactone requires medical supervision and is not appropriate during pregnancy.
