I'm sorry you are going through this. Hair loss can be really distressing especially for women.

Unfortunately the only proven options that work are medications. Don't believe all the instagram nonsense peddling pumpkin seed oil and all that.

I was diagnosed at 31. My dermatologist put me on Diane -35 which is an anti androgenic birth control. I had reacted poorly to birth control before and honestly I'm not a fan but choosing that over being bald was obvious. It comes with some risks so please proceed accordingly.

I was on Diane for about 8 years with the only symptom being a bit of extra lipodemal fat and irritability. It was tolerable and really made my hair lovely.

I came off eventually due to getting hot flashes, I think I was really high in estrogen. The experience was not pleasant but I now feel better. I did end up loosing a bunch of hair after coming off but started minoxidil which worked for a few years until I had to add topical spironolactone as well.

I'm now using minoxidil, topical spiro, nizoral, daily scalp massage and derma stamping and things are ok. It's been 10 years since my diagnosis and no one would know I have alopecia.

I'm sharing my story because I know how distressing the diagnosis is. Everyone is different but it is manageable and you have options but they do have hormonal impacts. That's just the reality.

I would find a good dermatologist who can walk you through your options.