What is the next course of action if Rogaine and 200mg Spironolactone doesn't help androgenetic alopecia?

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

I'd suggest you meet with physician to review all your details. You certainly may have androgenetic alopecia, but other causes need to be excluded. Your story would suggest spironolactone helped you given that your hair loss accelerated nd you developed shedding with stopping spironolactone.  This would suggest you need to explore this further with your physicians. Other anti androgens, laser, higher minoxidil concentrations, PRP are options for androgenetic alopecia. If any other condition is present, that needs to be addressed.

Women are complicated to treat when they have hair loss and should be under the management of a skilled dermatologist for it