Managing Male Pattern Hair Loss: A 46-Year-Old Case from Houston, Texas
Hair loss can have a gradual but significant impact on confidence and self-image, especially when it runs in the family. A 46-year-old male patient recently visited Dr. Reena Jogi, board-certified dermatologist and hair restoration specialist in Houston and Katy, Texas, seeking help for persistent scalp hair thinning.
Case Overview
The patient reported a four-year history of diffuse hair loss, which had worsened gradually over time. He noted a strong family history of male pattern baldness in his father and paternal grandfather. Previous treatments included oral minoxidil (2.5 mg)—which he discontinued due to leg swelling—and spironolactone (25 mg), which he stopped after minimal improvement.
Examination and Diagnosis
A comprehensive scalp examination with dermatoscopy revealed findings consistent with androgenetic alopecia (AGA), also known as male pattern hair loss. The hair pull test was positive, indicating active shedding. To further confirm the diagnosis, Dr. Jogi discussed performing a scalp punch biopsy, though the clinical presentation alone strongly supported AGA.
Treatment Discussion
Dr. Jogi reviewed the full spectrum of treatment options with the patient, including both medical and procedural therapies:
Topical Minoxidil (Rogaine®) – to stimulate follicle activity and improve hair density.
Finasteride (oral or topical) – to address hormonal causes of thinning by blocking DHT.
Low-Level Laser Therapy (LLLT) – a noninvasive way to boost scalp circulation and follicle health.
Platelet-Rich Plasma (PRP) or Alma TED Treatments – advanced, in-office options for targeted hair regrowth.
Nutritional Supplements such as Nutrafol, Viviscal, or Votesse – to support follicle strength and reduce shedding.
Hair Transplant Surgery – for advanced, treatment-resistant cases.
The patient was counseled that some procedures, such as PRP and Alma TED, are considered cosmetic and are not covered by insurance. Risks, benefits, and expected results were discussed in detail.
Personalized Treatment Plan
After thorough discussion, the patient elected to start compounded topical therapy containing:
Minoxidil 7% – to stimulate hair growth
Tretinoin 0.0125% – to enhance absorption and follicle turnover
Finasteride 0.1% – to locally reduce DHT effects on the scalp
This compounded topical medication is to be applied once daily, offering a multi-targeted approach to stimulate regrowth while minimizing systemic side effects.
The patient will return in one year for re-evaluation, or sooner if he experiences side effects or changes in his hair loss pattern.
Expert Insight from Dr. Reena Jogi
Dr. Jogi emphasizes that androgenetic alopecia is a genetically driven, slowly progressive condition. Early and consistent treatment is key to preserving existing hair and improving thickness. She combines medical, procedural, and lifestyle interventions to help patients achieve lasting, natural results.
Advanced Hair Loss Treatment in Katy and Houston, Texas
At Reena Jogi MD Dermatology, patients receive comprehensive evaluations and customized treatment plans for all forms of hair loss, including androgenetic alopecia, telogen effluvium, alopecia areata, and more. Whether you’re interested in topical therapies, oral medications, or procedures like PRP and Alma TED, Dr. Jogi provides evidence-based, compassionate care to restore your confidence and scalp health.
If you’re experiencing thinning hair or progressive baldness, schedule your consultation at Village Dermatology in Katy or Houston, Texas today.
