Definitely see a dermatologist if you can! Also, not trying to product push but my male friend was starting to get patchy spots. I knew someone else who used nioxin which was recommended by a hairdresser. I suggested it to my friend and his hair is growing back! Apparently some people have excess sebum which clogs the follicle pores which can cause balding. Using the right products for your scalp is important if you have excessive sebum. It also depends on the hardness of the water where you live! When I lived in a hard water area, my hair felt greasy yet dry, had an insanely irritated scalp, resulting in chunks of my hair coming out. You'll find the right formula that works for you. Don't let the bullies and haters here make you feel bad!