One process, every category
A licensed doctor reviews your history and suggests a suitable treatment plan. If a treatment isn’t safe for you, they’ll tell you at no cost.Weight loss
A medical consultation on your weight goal. Treatment if appropriate.
Sexual health
An absolutely discreet consultation for intimate concerns.
Hair growth
Medical assessment and tailored treatment for hair loss.
Treatments a doctor considers
Propecia (finasteride)
A daily tablet, EU-authorised for male pattern hair loss, that lowers DHT. The reviewing doctor sets the dose.
Topical minoxidil
A scalp solution or foam, EU-authorised for pattern hair loss, applied twice daily.
Finasteride for female hair loss
Off-label use in women, with strict pregnancy safeguards. The reviewing doctor sets the dose.
Hair transplant
Why this is surgery, not something a doctor here can prescribe.
How the medicines work
While finasteride and minoxidil have been used for decades, their biological actions at receptor and cellular level are distinct and explain both their efficacy and their limitations.Finasteride — androgen receptor pathway
Finasteride — androgen receptor pathway
Finasteride competitively inhibits the type II isoform of steroid 5α-reductase (SRD5A2), the enzyme that converts testosterone into dihydrotestosterone (DHT). The crystal structure of SRD5A2 bound to finasteride reveals a covalent adduct with the NADPH cofactor at the catalytic site, mediated by residues E57 and Y91, which renders the inhibition irreversible (PMID 33110062). In the scalp, DHT binds to androgen receptors on dermal papilla cells, shortening the anagen (growth) phase of the hair cycle and progressively miniaturising terminal hairs into vellus-like hairs (PMID 34157805). By lowering DHT concentrations in the scalp and serum, finasteride reverses this miniaturisation signal.
Minoxidil — potassium channel and growth-factor pathway
Minoxidil — potassium channel and growth-factor pathway
Minoxidil is a prodrug: it requires sulphation by sulfotransferase SULT1A1 in the outer root sheath of the hair follicle to form the active metabolite minoxidil sulphate (Front Pharmacol 2025;16:1718208). Inter-individual variation in SULT1A1 activity is the main reason some people respond poorly to topical minoxidil. The active metabolite opens ATP-sensitive potassium (K_ATP) channels of the Kir6.1/SUR2B subtype expressed in dermal papilla cells (PMID 18258787), causing membrane hyperpolarisation and vasodilation. Beyond vasodilation, minoxidil upregulates vascular endothelial growth factor (VEGF), promotes nuclear accumulation of β-catenin, and prolongs the anagen phase so that existing hairs grow longer and thicker before shedding.
Common questions
What happens during a hair-loss consultation?
What happens during a hair-loss consultation?
You answer a 4-minute questionnaire about your health and hair-loss pattern. A licensed EU doctor reviews it within 24 hours and, if treatment is appropriate, issues an electronic prescription. If the doctor does not approve treatment, the consultation fee is refunded in full.
What treatments does a doctor consider for hair loss?
What treatments does a doctor consider for hair loss?
A doctor may consider finasteride (a daily tablet that lowers DHT), topical minoxidil (a scalp solution applied twice daily), or a combination of both. In specific cases, oral minoxidil, dutasteride or a personalised compounded formulation may be considered. The choice depends on your pattern of loss, medical history and the EU authorisation status.
How long does hair-loss treatment take to work?
How long does hair-loss treatment take to work?
Most treatments need 6 to 12 months of consistent use before the effect can be judged. In the first few months, some shedding is normal and means the treatment is active. Visible regrowth is assessed at around 12 months.
Can women use hair-loss treatment?
Can women use hair-loss treatment?
Topical minoxidil is authorised for female pattern hair loss. Finasteride is authorised for men only and is contraindicated in women of childbearing potential because it can cause abnormalities in a male foetus. A doctor may consider finasteride or spironolactone off-label in specific cases with strict pregnancy safeguards.
Is hair transplant covered?
Is hair transplant covered?
No. Hair transplant is surgery and is not something a doctor here can prescribe. The treatment page covers the medical options a doctor can prescribe after an online consultation.
How Hi-Doctor handles it
The process is online from consultation to ongoing follow-up. See how it works for the step-by-step process, and pricing for the consultation fee — medication, if prescribed, is paid separately, at a pharmacy of your choice. Related: androgenetic alopecia · finasteride · minoxidil · dutasteride · side effects of hair-loss medicines · SafetyStart a consultation
Hair-growth consultation
Answer the hair-growth questionnaire and a registered doctor reviews it.
They decide whether treatment is appropriate, which one, and at what dose —
and declining is a normal outcome. See what it costs
and how the review works.