Is this CTE or AGA? (Photo)

In order to answer this question, you will need to meet with a hair transplant surgeon for a consultation. Due to the severity of your symptoms as well as the length of time you’ve been dealing with them, we need to make sure there isn’t an underlying medical condition causing the hair loss. The best way to prevent and fight hair loss is to be as proactive as possible. This means meeting with a doctor to discuss your options. Your primary priority at this point is going to be to save and maintain the hairs you still have. You may want to look into PRP therapy, laser therapy, and/or minoxidil. If you are interested in reversing the hair loss, you will want to see if you are a candidate for hair transplant procedure. Feel free to contact our office for an appointment

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

Female pattern hair loss or genetic alopecia is the most common reason of hair loss in women and it is more common than it is thought to be. 25% of the women at the ages of 35-40, 50% of the women at the ages above 40 suffer from hair loss. 20% of the women with hair loss have a positive relative who suffered/is suffering from hair loss. Other reasons of hair loss are: Hypo- and hyper-tiroidism (hair loss may be one of the early signs of thyroid dysfunction, and hair loss stops after treatment); polycystic ovarian syndrome (an inherited ovarian disease, seen in 10% of the women during adulthood); pregnancy-related hormonal changes (temporary hair loss which can be seen during pregnancy stops after birth)..
The reason of the hair loss may related with factors other than genetic like connective tissue disorders, stress, anemia, lupus, medications, hormonal and seasonal changes, nutritional problems, severe diets, bulimia, protein/calorie deficiency, zinc and essential amino-acid deficiency, mal-absorption (intestinal and digestive problems), A-vitamin excess, general anesthesia, affective mood disorders.

Drugs that may cause hair loss in woman 

Anti-coagulants such as warfarin and heparin  
Epilepsy drugs, especially dilantin
Gout drugs, allopurinol and colchicum
Antihypertensive drugs, diuretics, beta blockers.... etc

So you may need to have a full exam with an hair surgeon, skin biopsy to rule out scarring alopecias and  internalist or endocrinologist to find out any reason for hair loss.

Differentiating CTE from AGA is important. In my mind, it's never is this CTE or AGA but rather 4 possibilities. Is this CTE, or AGA  or both or something else completely.  Determining this can't come from a photo. It can only come from a detailed review of the history of the patient's hair loss and examination up close. I would advise seeing a dermatologist for review. A biopsy or hair collection can sometimes guide your physician if the diagnosis remains unclear.

I am very sorry to hear that you have been dealing with these symptoms for so long! There are multiple causes for hair loss, particularly in women. It is best to meet with a hair expert face-to-face in consultation. Given your complaints of burning sensation, hair loss, itching and tingling of the scalp, a proper physical exam, some lab work and possible scalp biopsy is necessary to determine the cause of your symptoms.  I wish you the best of luck.