Treating Male Pattern Hair Loss in a 23-Year-Old Patient in Houston, TX
Patient Background
A 23-year-old male presented to our dermatology clinic in Houston, TX with concerns of generalized scalp hair loss. He reported that the issue had gradually worsened over the past year. The onset coincided with a particularly stressful period of academic preparation for the MCAT. He noted a family history of hair loss on both maternal and paternal sides.
Clinical Evaluation
Upon examination by Dr. Reena Jogi, the patient was alert, well-nourished, and in no acute distress. A comprehensive scalp evaluation confirmed androgenetic alopecia (L64.8), a genetic form of hair loss commonly referred to as male pattern baldness. There were no signs of scarring or inflammation, suggesting non-scarring, patterned hair loss.
Treatment Plan
Given the patient's age and clinical presentation, Dr. Jogi discussed several evidence-based treatment options, including:
Finasteride
Supplements (e.g., Nutrafol)
AlmaTED treatment
After reviewing the risks, benefits, and expected outcomes of each approach, the patient chose to begin treatment with oral minoxidil (2.5 mg daily) and finasteride (1 mg daily). He was counseled on potential side effects, such as unwanted hair growth (minoxidil) and sexual side effects or mood changes (finasteride).
Patient Counseling and Follow-Up
Dr. Jogi emphasized the importance of consistency and patience, noting that improvements in hair density typically take 3–6 months to appear. Patients are encouraged to take baseline photos and monitor progress over time. The patient will follow up in one year for evaluation and possible regimen adjustment.
This case exemplifies how early intervention and personalized care can help manage hair loss in young adults, especially those with strong genetic predispositions.
