Early Male Pattern Hair Loss in a 41-Year-Old Man: Androgenetic Alopecia Treated With PRP in Katy & Houston, Texas
Hair thinning in men often begins subtly, with gradual changes along the frontal hairline and crown. Early recognition and intervention can significantly improve long-term outcomes. At Reena Jogi MD in Katy and Houston, Texas, we provide comprehensive evaluation and advanced treatments for male pattern hair loss, including platelet-rich plasma (PRP) and other medical and procedural options.
This case highlights a 41-year-old male with early androgenetic alopecia who elected to begin PRP therapy.
Patient Presentation
The patient is a 41-year-old male who presented as a new patient for evaluation of gradual, generalized hair thinning on the scalp. The hair loss had been present for several months and was described as moderate in severity.
He reported a family history of hair loss on his paternal side, involving both his grandfather and grandmother. He was not using any hair-loss treatments at the time of presentation.
Clinical Examination
A detailed scalp and facial examination was performed with dermoscopy.
Key Findings
Thinning involving the crown and frontal hairline
Diffuse, non-scarring hair loss
Positive hair pull test, indicating active shedding
Clinical features most consistent with androgenetic alopecia (AGA)
To further confirm the diagnosis, a scalp punch biopsy was discussed as an option.
Diagnosis
Androgenetic Alopecia (Male Pattern Hair Loss)
Androgenetic alopecia is a genetically determined condition characterized by progressive thinning of hair at the vertex and frontotemporal scalp. Early treatment can help slow progression and preserve existing hair.
Treatment Discussion
A comprehensive discussion was held regarding available treatment options, including:
Oral minoxidil
Finasteride
Hair supplements (Viviscal, Nutrafol, Votesse)
Hair transplantation
The risks, benefits, side effects, and expectations of each option were reviewed in detail. The patient was counseled that procedural treatments such as PRP are cosmetic and not covered by insurance.
After shared decision-making, the patient elected to proceed with PRP therapy.
PRP Treatment
Platelet-Rich Plasma Injection – Session #1
Written consent was obtained, and risks including pain, infection, scarring, and incomplete improvement were reviewed.
Procedure details:
Venipuncture performed using sterile technique
Blood centrifuged to isolate platelet-rich plasma
PRP drawn into sterile syringes
7 cc of PRP injected into the scalp at the subdermal level
Pain control achieved with Zimmer cooling device
Patient tolerated the procedure well with no complications
Post-Procedure Instructions
Wash hair with warm water
Use sulfate-free shampoos
Continue any prescribed hair-loss medications or supplements
Avoid hair dye for 2–3 days
Patient Counseling & Expectations
The patient was counseled that:
Male pattern hair loss is slowly progressive
PRP helps improve hair density and thickness, not instant regrowth
Best results typically require a series of PRP treatments
Combination therapy often yields optimal outcomes
Follow-Up Plan
Follow-up in 1 month for PRP session #2
Ongoing monitoring of response to therapy
Consider additional medical treatments if needed
Advanced Hair Loss Treatment for Men in Katy & Houston, Texas
Early evaluation is key for men experiencing hair thinning. At Reena Jogi MD, we offer personalized treatment plans for androgenetic alopecia, including PRP, AlmaTED, and medical therapies to help preserve and strengthen hair.
If you’re noticing thinning at the crown or hairline, expert care can make a lasting difference.
