IMPROVEMENT IN EARLY ANDROGENETIC ALOPECIA AFTER CONSTITUTIONAL HOMOEOPATHIC TREATMENT WITH LIFESTYLE INTERVENTION: A CASE REPORT

Abstract

Background: Female androgenetic alopecia (AGA) is the most common cause of chronic progressive hair thinning in young women. Apart from hereditary predisposition, nutritional deficiencies, seborrhoeic scalp inflammation, stress, and disturbed lifestyle habits contribute significantly to disease progression. Long-term management remains challenging because treatment often requires sustained improvement in both follicular health and systemic susceptibility. Case Presentation: A 20-year-old female student presented with progressive hair thinning predominantly over the frontal and vertex scalp for nearly two years. Hair density had reduced by approximately 60%, accompanied by daily hair shedding of around 60 strands. Previous therapies had failed to provide satisfactory long-term stabilization. Clinical examination demonstrated diffuse miniaturization with oily scalp and intermittent seborrhoeic dandruff. Hair Pull Test was positive. Constitutional assessment revealed a calm disposition, emotional sensitivity with easy weeping, reduced self-confidence related to hair loss, ambithermal constitution, thirstiness, desire for spicy food, sound sleep, and absence of major psychological stress. Laboratory investigations showed mild anemia (Hb 10 g/dL) with normal thyroid profile. Intervention: The patient received individualized constitutional homoeopathic treatment using Calcarea carbonica as the constitutional remedy, supported by Wiesbaden Aqua and Thuja occidentalis, along with dietary counselling, correction of nutritional deficiencies, scalp-care advice, stress management, and lifestyle optimization. Outcome: Over one year of follow-up, hair shedding reduced from approximately 60 hairs/day to nearly 10–20 hairs/day. Hair Pull Test became negative, seborrhoeic dandruff markedly improved, scalp itching subsided, and serial photographs demonstrated substantial improvement in hair density and cosmetic appearance. The patient also reported improved confidence and satisfaction with treatment. Conclusion: This case illustrates that individualized homoeopathic treatment integrated with lifestyle optimization and scalp-care measures may help stabilize early female androgenetic alopecia associated with seborrhoeic scalp changes, resulting in sustained clinical and cosmetic improvement.