Hi, Since I was 19, I started noticing thinning and hair loss. My starting point before treatment is the first photo, where I realized something was wrong. I didn't even know it was possible for a woman to go bald until I started researching and went to a dermatologist who diagnosed me with androgenetic alopecia. To this day, this has been a major issue affecting my self-esteem, and there isn't a day that goes by that I don't think about it. It's something I truly hate about myself. I was prescribed topical minoxidil, and I saw improvement up until the second photo, where I had very good changes. However, I got tired of applying it topically and went to another dermatologist to get a prescription for oral minoxidil. He didn't listen to me much and said I was doing very well and that I probably also had telogen effluvium. I told him I wanted the combination of a DHT blocker and minoxidil, but he said that since I was young and responding well, it wasn't necessary, and he prescribed 0.5 mg of oral minoxidil. Four months passed, and I got worse, like in the third photo. I didn't get back to where I started, but I did lose what I had regained. Reading some comments, I see that doctors don't like to prescribe spironolactone to young women. I restarted the topical minoxidil and I'm going to an appointment to have my minoxidil dose increased and to start spironolactone. I'll keep you updated. In the meantime, how do you manage in your daily lives so that it doesn't affect you and you don't have obsessive thoughts? I notice everyone's hair and compare myself, and I can't stop thinking about how beautiful I would be if I just had a long mane. It's tiring to think that every day. How do you cope?