What does my scalp biopsy results mean?

In  my opinion, hair loss in women is multifactorial. Your biopsy is suggestive of an androgenic alopecia. You should consult a hair loss expert who will do a good examination with magnification, history and possibly additional blood work and try to determine all the factors involved. There are excellent treatments including finasteride, dutasteride, spironolactone, minoxidil, low level laser, nutraceuticals and PRP. Work with your hair loss expert.

This needs an in-person evaluation. I suggest seeing a hair loss expert now to go over your condition, test results and provide you information about your best treatment options. There are great non-invasive options like prp/progesterone which can help with hair regrowth and/or hair transplantation. See an expert. Best, Dr. Emer

The important thing to remember about a scalp biopsy is we never generally interpret it in isolation. A scalp biopsy must always be taken in context with the clinical history and scalp examination and blood tests. So when all four of those things are considered we can interpret the biopsy. In preliminary form, your pathologist has suggested patterned hair loss (androgenetic alopecia). You’ll of course want to sit down with the physician who has your full history and who has reviewed your scalp up close to determine if this makes sense. Certainly, one can develop this type of hair loss in the 20s. 

With difficulty, I read the biopsy report. The changes appear non-specific and from the report conclusions must be drawn by your doctor