I am 42 from Australia & noticed my hair shedding in April, visited a derm who booked me in for a biopsy - confirmed female pattern hair loss. My blood is normal, low ferritin of 10 was the only negative. Started Spironolactone 25mg in May, did not want to use topical Minoxidil / Rogaine, so started on a natural spray which did volumize my hair and reduced hair shedding. It did though increase head tingling so by June the head sensation was out of control. I visited a second derm in August a leader in hair loss in Australia. He too diagnosed me with FPHL along with trichodynia associated with FPHL. I have been taking oral Minoxidil .25/ Spironolactone .25 since August and have recently increased to .50 minoxidil/ .50 Spironolactone. I have experienced further hair shedding with the minoxidil along with the head tingling/sensation. From all accounts, Spironolactone is meant to stop the shedding and minoxidil is supposed to push out the damaged hair to allow for the new - it's a hard pill to swallow, as it should be getting better but in fact its getting worse. I am also using Nizoral 2% as it apparently attacks the DHT but this does cause my hair to shed in the shower and inflames my scalp. I wish I had the answers, at this stage, I am 4 months into the treatment and its sucks every day. I hate my hair and what this is doing to me as a person, a mother and a wife, it is consuming me and I feel as if the diagnosis may be incorrect and that there may something else going on. Have thought about getting a second biopsy and communicating with a derm in Canada who is also renowned in hair loss. I will crack on with treatment and asses at 6-8mths, and hopefully, there is an improvement. Would love to hear from anyone else who is taking oral minoxidil, Spironolactone and suffering from trichodynia and any advice would be greatly appreciated. Much love to everyone on this journey.