Are there options that do not use microneedling?

Yes. Scalp cleansing, oil control and hydration, relaxation and stress relief are all non-invasive services: no skin breakage, low pain, adjustable operation intensity, and you can stop at any time during the process.

Microneedling is a minimally invasive procedure (spot bleeding and brief stinging are normal reactions), but not everyone must do it - institutions should respect your choice and not recommend microneedling as "the only effective item". You can do a single non-invasive service first, and then decide on subsequent arrangements after confirming your comfort level.

Reference: "Techniques in the Evaluation and Management of Hair Diseases"