Program · HR
Hair loss treatment
A clinician checks the pattern and the cause, then explains the medicines that can slow male pattern hair loss, how long they take and what they can do to you.
In plain words.
Most hair thinning in men is male pattern hair loss, driven by genes and hormones. Some is not: thyroid problems, low iron, stress, medications and some scalp conditions can look similar. So the first step is an exam.
Treatment can slow loss for many men and regrow some hair for some. It takes 6 to 12 months to judge, it only works while you take it, and the medicines have side effects worth knowing before you start.
What men usually notice
- A receding hairline at the temples
- Thinning at the crown
- More hair on the pillow or in the shower drain
- A wider part or more visible scalp under bright light
What it might also be
We check for these before treating anything.
- Thyroid problems
- Low iron
- A recent illness, surgery or high stress
- Scalp conditions, including scarring hair loss
- Testosterone or anabolic steroid use
Candidacy
Decided by your labs and a licensed clinician.
Not by a quiz, and not by what you ask for. These are the questions the clinician works through with you.
It may fit if
- Your hair loss follows the male pattern
- You can stay on treatment for at least a year to judge it
- You are comfortable with the side effects after we go over them
Not the right call if
- Patchy, sudden or scarring hair loss. We refer to dermatology
- You are trying to conceive and have concerns about finasteride. We discuss options first
How it works here
What happens, and when.
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Visit 1
Scalp exam
History, exam and standard photos under the same light, kept in your private chart.
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If needed
Labs
Thyroid and iron if your history points that way.
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Months 3, 6 and 12
Photo check-ins
Same light, same angles, so we compare like with like.
Treatments we discuss.
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Finasteride
A daily tablet, or a topical form, that lowers the hormone that shrinks hair follicles.
It halves your PSA reading. Tell any doctor who checks your PSA.
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Minoxidil
A topical foam or liquid, or a low-dose tablet for some men.
Shedding in the first weeks is common and usually temporary.
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Referral
To dermatology for unusual patterns, or to a surgeon if you want to discuss a transplant.
Safety
Side effects, stated plainly.
- Sexual side effects
- A small share of men on finasteride notice a lower sex drive, erection changes or less ejaculate. These usually ease after stopping. Rarely, men report they persist.
- Mood
- Low mood has been reported with finasteride. Tell us, or anyone close to you, if your mood changes.
- Minoxidil effects
- Scalp irritation, early shedding and unwanted hair on the face. The tablet form can cause dizziness, fluid retention or a faster heartbeat.
- It only works while you take it
- Stop treatment and the hair it kept will usually thin again over the following months.
Monitoring
How we keep an eye on it.
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01
Photo check-ins at 3, 6 and 12 months
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02
Blood pressure at visits if you take minoxidil tablets
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03
Yearly review, and a PSA note for any doctor checking your prostate
What it costs · Hair loss care
$75 to $120 first visit
Included
- Exam and standard scalp photos
- A plan with side effects explained
- Messages with the care team
Not included
- Medication, filled at your pharmacy
- Labs if needed ($59 to $99)
- Ongoing care after the first visit: $20 to $35 a month, including the photo check-ins
Common questions.
All questionsWill I get my hair back?
Some men regrow some hair. More often, treatment slows or stops further loss. We will not promise regrowth, and we will tell you honestly at the 6 and 12 month check-ins how it is going.
Can I take finasteride while on testosterone?
Often yes, and some men on testosterone notice faster thinning. We go over it at your visit.
Do you do transplants?
No. We can refer you to a surgeon if you want to discuss one.
Other programs
Labs + consult · $189 to $249
Start with a number, not a guess.
Book two morning draws and a 40-minute results visit with a clinician. If treatment does not fit, we say so, and you leave with your results and a plan.
Rather talk first? (918) 555-0143, weekdays 7 a.m. to 5:30 p.m.
Important safety information
Every treatment here is prescribed only after a licensed clinician reviews your history and labs. This is a summary, not medical advice. Questions
- Finasteride and minoxidil
- Finasteride can cause sexual side effects and mood changes, and it halves PSA readings. Minoxidil can cause shedding at first, scalp irritation and, as a tablet, dizziness or fluid retention. Benefits fade after stopping.
- Testosterone therapy
- Not for men with normal testosterone, prostate or breast cancer, or a high hematocrit. Can cause infertility that does not always reverse, raise red blood cell counts and PSA, and worsen sleep apnea. Requires blood work at 6 to 8 weeks, 3 to 6 months, 12 months and every 6 to 12 months after. Gel can transfer to others by skin contact. Testosterone is a Schedule III controlled substance.
- ED medication
- Never take with nitrates or poppers: blood pressure can drop dangerously. Get emergency care for sudden vision or hearing loss, or an erection lasting more than 4 hours. Common side effects are headache, flushing and a stuffy nose.
- GLP-1 medicines
- Not used with a personal or family history of medullary thyroid cancer or MEN2. Nausea and constipation are common early. Severe belly pain can signal pancreatitis or gallbladder problems and needs urgent care.