Chronic telogen effluvium. 6 months of Minoxidil and Spironolactone, no improvement. Is there anything else I can do? (Photo)

I think the key question is whether you have CTE or AGA or both CTE + AGA. The options are all a bit different.  You may wish to see a dermatologist. There are options for higher doses of antiandrogens, oral minoxidil or higher doses of topical minoxidil or other treatments. If it’s only been 6 months one needs to keep in mind that more beneficial changes could occur simply with time.

For thinning hair, once the treatments have failed in women, Scalp Micropigmentation works very well as shown below