What criteria should I use to refer a patient with androgenetic alopecia to a specialist?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Criteria for referring a patient with androgenetic alopecia to a specialist:

  • Referral is generally considered when the diagnosis is uncertain or if there are atypical features suggesting an alternative diagnosis.
  • Patients with rapid hair loss, scarring alopecia, or associated systemic symptoms should be referred for specialist assessment.
  • Referral may also be appropriate if initial treatments in primary care fail or if the patient requires advanced therapeutic options or specialist advice.
  • Psychological distress or significant impact on quality of life due to hair loss can also justify referral to specialist care.

Note: The provided UK guidelines do not explicitly detail referral criteria for androgenetic alopecia; however, standard clinical practice aligns with these principles based on the nature of hair loss conditions and the need for specialist input in complex or atypical cases.

Educational content only. Always verify information and use clinical judgement.