Clinical trichology, explained properly

Evidence-based reference material on hair-loss diagnosis, scalp pathology, and trichological practice — written for working clinicians and the patients they treat.

Clinical trichology sits between dermatology and cosmetology: it focuses on the non-pharmacological assessment and management of hair and scalp disorders, and on knowing when to refer.

Open clinical atlas with anatomical hair-follicle diagrams, a fountain pen, trichoscope, and reading glasses

If you're losing hair, the first useful question isn't "what should I take" — it's "what's actually happening on my scalp." A trichologist's job is to answer that question with the same rigor a dermatologist would, then either treat what's treatable non-pharmacologically or refer you on.

This library exists so you can walk into that consultation understanding the terms on the page — pattern loss, shedding, scarring, scalp inflammation — and recognize whether the practitioner in front of you is using them correctly.

The three pillars

Every clinical decision in trichology comes down to one of these three questions. Start with the one most relevant to the case in front of you.

Diagnosis

Hair-loss patterns, scalp pathology, trichoscopy findings, and the differential between common presentations.

  • Androgenetic alopecia
  • Telogen effluvium
  • Alopecia areata
  • Scarring alopecias

Treatment

Evidence-based non-pharmacological protocols, topical regimens, and the clinical reasoning behind each.

  • Topical minoxidil response
  • Scalp microbiome care
  • Nutritional support
  • PRP & LLLT evidence

Referral & scope

Knowing when a presentation needs dermatology, endocrinology, or psychiatry — and how to make the referral land.

  • Red flags for scarring
  • Endocrine workup triggers
  • Body-focused repetitive behaviors
  • Pediatric red flags

Glossary

The terms that appear most often in trichology consults, in plain language.

Trichology
The clinical study of hair and scalp health, including diagnosis and non-pharmacological treatment of hair-loss disorders.
Androgenetic alopecia
Pattern hair loss driven by genetic sensitivity to androgens; the most common form of progressive hair loss in adults.
Telogen effluvium
Diffuse shedding triggered by a physiological or psychological stressor 2–4 months prior; typically reversible.
Alopecia areata
Autoimmune patchy hair loss with distinctive 'exclamation-point' hairs at active borders.
Seborrheic dermatitis
Inflammatory scalp condition driven by Malassezia yeast, presenting as greasy yellow scale and pruritus.
Trichoscopy
Dermoscopic examination of hair and scalp using a magnified, illuminated lens to identify diagnostic patterns.
Hair shaft disorder
Structural abnormality of the hair shaft itself, often congenital, causing breakage or unusual appearance.
Scarring alopecia
Permanent hair loss caused by destruction of the follicle, requires urgent referral to dermatology.

Find a clinical trichologist

Reference material only goes so far. Every professional recognised in the Trichology Professional Directory has been credential-verified against their issuing institution.

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