hi ladies! posted earlier regarding on and off shedding on Spironolactone (general hair loss question) and finasteride. just to give you a little history, always had a full head of hair..wavy and very thick..no Androgenetic Alopecia in my family, father started losing his at 50 so not awful. around 8 years ago (at 23) started noticing more than usual shedding (im naturally not a big shedder), acne around my jawline and hair on my chin...sought out an obgyn at a friend's recommendation. blood work came back normal but she diagnosed me with pcos based on ultrasound. prescribed diane 35 and within a few weeks my hair loss totally stopped and acne went away although hair on the chin stayed which is not a big problem since i wax it every two weeks. that was my regimen basically for the next 6 years with no loss experienced during this time. my hair loss had only lasted 4-5 months before starting diane 35 so my overall density was not affected at all. decided to get pregnant and got off diane 35. conceived right away, hair was amazing during pregnancy, had a baby via c-section and as expected post partum hair loss began two months after birth/surgery. acne came back full force a month later. i decided to go back on diane 35 thinking the TE would last another couple of months and i should just ride it out and in the meantime the diane 35 would start working as it always had. without fail. boy was i in for a true awakening! lol...hair loss did not subside..my hair loss was never severe..never lost more than 80..and 80 was on bad days..my average was 50-60 most of the time. i also had to start washing my hair everyday in order to keep it looking healthy and full. even 8 months into the loss no one but me could really tell i was losing hair. i was really confused at this time because a year into the loss i could not understand what was wrong. got everything checked out..iron, ferratin, thyroid, hormones, vitamin levels. everything except vitamin d came back totally normal. my vitamin d was low. 13. so i was put on 50,000ius a week. for three months. at the same time a year into the loss. i got a scalp biopsy done right on my crown where i could see the most thinning and it came back NEGATIVE for Androgenetic Alopecia...my vellus to terminal hair ratio was 1:16..no miniaturization seen as well or inflammation. basically my scalp biopsy report was totally clean. by this time i had obvious thinning, my part has been getting less dense and runs to the back of my head. i have to play around with my hair to make it look good. overall density probably reduced by 50%. three months after the biopsy shedding seemed to go down..i was losing more in the 20s range than my normal 50-60...sometimes 30s...this lasted a good three months..thought watever the heck was causing my hair loss was subsiding but a trip to another dermatologist and she tells me i have Androgenetic Alopecia even though i showed her my biopsy report...starts me on 5% rogaine ...i have a crazy shed...130-160 hairs a day that lasted a good month...i got off it within a month since i am STILL NOT SURE what is causing the hair loss. been tested for auto immune conditions and those have also come back negative. also i do see new regrowth everywhere...really small hair to 1inch long ones..they are not less thick than the longer hair i have. dr redmond also didnt really tell me anything else except Androgenetic Alopecia. my questions are: -are scalp biopsies to be trusted with Androgenetic Alopecia diagnoses? if mine was negative could this just be chronic TE? -im on Spironolactone and finasteride and have seen some reduced shedding that waxes and wanes but not sure if that is just the rogaine shed subsiding? - diane 35 worked on me like a true god send. why is it not working now if i do have Androgenetic Alopecia? - can chronic TE mimic Androgenetic Alopecia? i know this is really long but im really desperate, confused and teetering on hopelessness. my hair has gone from beautiful to something im very insecure about. and all this happened within 2 years. i appreciate your thoughts on this! thank you!