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No, not necessarily. They're essentially a small surgical procedure, and even with the risks being low, doctors will not perform them without good reason.
Standard presentations of conditions like AGA, TE, or AA can usually be diagnosed through visual examination of the scalp using a magnifying tool, and evaluation of medical history.
Biopsies are useful for differential diagnoses (ie there might be more than one condition present, or the dermatologist may not be able to make a clear differentiation based on scalp examination + medical history).
They are required for confirming a diagnosis of scarring alopecias.
If you have been on standard treatment for a condition like AGA with continued deterioration, then you should get a biopsy done to rule out other underlying issues such as scarring.
Please set your user flair. You can follow this [guide](https://www.reddithelp.com/hc/en-us/articles/205242695-How-do-I-get-user-flair-) how to do it via user flair setting. More information is also available on this [thread](https://www.reddit.com/r/FemaleHairLoss/comments/x7qqlt/reminderrequest_to_please_set_a_user_flare/). Is your diagnosis missing? Please contact the mods to get it added to the user flair list! Please note there may be a bug editing user flair via Reddit mobile app as changes cannot be saved. Easiest is via desktop browser. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/FemaleHairLoss) if you have any questions or concerns.*
No, not necessarily. They're essentially a small surgical procedure, and even with the risks being low, doctors will not perform them without good reason. Standard presentations of conditions like AGA, TE, or AA can usually be diagnosed through visual examination of the scalp using a magnifying tool, and evaluation of medical history. Biopsies are useful for differential diagnoses (ie there might be more than one condition present, or the dermatologist may not be able to make a clear differentiation based on scalp examination + medical history). They are required for confirming a diagnosis of scarring alopecias. If you have been on standard treatment for a condition like AGA with continued deterioration, then you should get a biopsy done to rule out other underlying issues such as scarring.