Treating Diffuse Hair Loss in a 41-Year-Old Female with PCOS Symptoms and Alma TED Therapy
At Reena Jogi MD Dermatology, we often see patients experiencing various types of hair loss. In this case study, we share the story of a 41-year-old woman from Houston, Texas, who came to our office with diffuse scalp hair thinning that had developed gradually over the past 2.5 years.
Patient Background
The patient had never pursued treatment for hair loss prior to her visit. She reported no family history of hair thinning, but her history included infertility and IVF treatments for a recent pregnancy with triplets. She also described unwanted facial hair and persistent acne, classic signs suggestive of polycystic ovarian syndrome (PCOS)—a common cause of hormonal imbalance-related hair loss in women.
Clinical Evaluation
On examination, she was healthy and not in distress. A dermatoscopic evaluation revealed signs consistent with androgenetic alopecia (female pattern hair loss). A positive hair pull test indicated active shedding. We discussed the option of a confirmatory scalp biopsy, though clinical findings were compelling enough to move forward with treatment.
Treatment Plan
We created a tailored multi-modal treatment approach, incorporating:
Oral Minoxidil 2.5 mg (half tablet daily): An internal vasodilator known to stimulate hair growth
Spironolactone 50 mg (twice daily): A hormonal therapy that blocks androgen receptors
Alma TED Therapy: A cutting-edge ultrasound-based device that enhances absorption of growth factors into the scalp—done without needles or pain
The patient was counseled thoroughly about the potential side effects of both oral medications, including dizziness, fluid retention, and, in the case of spironolactone, menstrual irregularities. We advised caution during any potential future pregnancy.
Alma TED Therapy: A New Frontier in Hair Restoration
Our team recommended the Alma TED system, a non-invasive and comfortable treatment that uses ultrasound and air pressure to deliver a specialized growth serum deep into the scalp. Unlike PRP or other procedures, Alma TED doesn’t involve needles or downtime, making it a preferred option for women who want effective yet low-discomfort solutions.
Patient Commitment and Follow-Up
The patient was eager to begin therapy and left with prescriptions sent to her local pharmacy. She will begin Alma TED sessions shortly, and we anticipate her return in the coming weeks to monitor progress and deliver additional sessions.
Conclusion
This case illustrates the importance of a comprehensive, personalized approach to female hair loss in Houston and Katy, TX. By addressing both internal and external contributors to hair thinning, we aim to deliver sustainable results that restore not just hair—but confidence.
