What causes hair loss?
Male pattern baldness occurs when longer, darker hairs that once grew on the scalp are replaced by thinner, shorter, less pigmented hairs. This is due to dihydrotestosterone (DHT), a hormone derived from testosterone.
Hair Loss
More hair, less hassle. Get medication prescribed by a real,
US-licensed healthcare professional. All from the comfort of home.
Treatments starting at $20/month
US-licensed healthcare professionals
Finasteride was effective at stopping hair loss in 83% of men compared to 28% of men in the placebo group
Next, we will ask some questions about your symptoms and medical history to see if treatment is right for you.
About hair loss
COMMON QUESTIONS
Can hair loss be treated?
Early on, it’s possible to stop or even reverse this hair loss. However, at a certain point, the hair follicle also loses attachment to the small muscles in the skin (called the arrector pili muscles). When this happens, hair loss is permanent.
Our doctors and nurse practitioners may prescribe finasteride (generic Propecia) to treat male pattern hair loss (androgenetic alopecia). This medication helps patients maintain the hair they have or possibly even regrow some hair they have lost.
You can also get minoxidil topical solution 5% (generic Rogaine), an over-the-counter topical treatment, to slow or even stop hair loss at the crown of the head.
Your doctor or nurse practitioner may recommend the use of finasteride combined with minoxidil topical solution 5%.
How long does it take for hair loss treatment to work?
Finasteride and minoxidil typically take three to four months of daily use to start seeing visible changes. It can take up to a year to see the maximum results. As long as you don’t experience side effects, it’s best to continue the medication for one full year before deciding on whether the medication is doing all it can for you. Like all medications, finasteride and minoxidil will work differently for different people. To sustain benefits, you have to continue using hair loss medication. If you stop, your hair loss may return.
42% of men experience moderate to extensive hair loss in their lifetime (Rhodes, 1998).
Treatments for hair loss
We offer prescription and over-the-counter medications clinically proven to help you prevent and reverse hair loss.
Requires prescription through online visit with a US-licensed healthcare practitioner
Finasteride & Minoxidil
$35/month
Starting at
A daily combination of finasteride (generic Propecia), a prescription treatment for male pattern baldness, and minoxidil (generic Rogaine), a topical treatment for the crown of your head.
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Important Safety Information
Finasteride
Generic Propecia
$20/month
Starting at
Prescription treatment used for receding hairline. Made by Ascend in India.
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Important Safety Information
Minoxidil
Generic Rogaine
$16/month
Starting at
Over-the-counter treatment used for thinning crowns. Made by Teva in Canada.
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Important Safety Information
What to expect
1-2 Months: Save it
There will likely be no visible change in the first two months. Though some people may shed more fine hairs than before. This is temporary and normal.
3-6 Months: Regrow it
At this point, it may become noticeable that hair loss has slowed, stopped, or in some cases maybe even reversed. Take a photo to track your progress.
6 Months and Beyond
By now, hair loss may have considerably slowed or stopped, and some people may see signs of regrowth (usually at the crown of the head). Consistent daily treatment is required to maintain results and increase the chance of regrowth.
Start free online visit
Next, we will ask some questions about your symptoms and medical history to see if treatment is right for you.
Results
Our treatments are backed by real data and trusted by real medical professionals. No snake oil, no gimmicks.
In one study, finasteride was effective at stopping hair loss in 83% of men compared to 28% for the placebo group (McClellan,1999).
70.6% of men using 5% minoxidil for 16 weeks reported improvement in hair loss (Olsen, 2007).
Before & After
Photos from Roman members taken after 6 months on finasteride.
Side effects
We believe in transparency. These are the recorded side effects that patients may experience as a result of using hair loss medication.
In clinical trials, less than 2% of men experienced sexual dysfunction due to finasteride. In addition, finasteride can lower serum prostate-specific antigen (PSA) and may increase the risk of high-grade prostate cancers. Finasteride is not approved for use in women, and pregnant women should not handle finasteride.
If any of these severe side effects occur, seek medical care immediately.
These are not all the possible side effects of
finasteride. See Important Safety Information for more.
The most common side effects associated with minoxidil topical solution 5% are local skin irritation. Systemic side effects are rare as less than 2% of it gets absorbed. Minoxidil topical solution 5% is not intended for use in women.
Discuss it all with your healthcare provider
Concerned about the potential side effects of treatment? Not a problem. You’ll be matched with a U.S.-licensed healthcare professional who will offer guidance, answer your questions, and help if you experience any side effects.
Pricing
With Roman, all you’ll ever pay for is the cost of your medication. No co-pays, no insurance claims, no hassles.
- Monthly price for the Finasteride + Minoxidil Combination Bundle*$35
- Your first visit with a doctorFree
- 2-day shipping on medicationsFree
- All future visits with your doctorFree
- Total$35 per month
* Note that price may vary based on quarterly or monthly plan
How Roman Works
Technology has enabled a massive shift in the way healthcare can be provided. With Roman, you can receive expert quality care from your phone or computer, without ever leaving the comfort of home.
Do everything right from your mobile device
Free 2-day shipping (discretely packaged)
No commitments – cancel whenever you want
The roman way
- Answer a few questions about your health. Report your symptoms and medical history to a U.S.-licensed healthcare professional who will determine the treatment best suited for you and then follow up via secure messaging in your Roman portal.
- Receive free, 2-day shipping for treatment. If treatment is prescribed, you’ll receive it within 2 days—packaged discreetly and shipped for free.
- Get free follow ups for ongoing care. Continue to take and adjust your treatments. Schedule follow-ups with your physician or nurse practitioner. Note: you should continue to receive regular, in-person care in addition to using Roman.
Is Roman legit?
5 Million Virtual Visits
Everything Roman does is scientifically backed and vetted by leading experts in men’s health. We’re changing healthcare for good, and we know it’s worth it. Because when men feel better, the people who love them do, too.
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Next, we will ask some questions about your symptoms and medical history to see if treatment is right for you.
FAQs
For any additional questions, please reach out to [email protected] We can also be reached by phone at (888) 798-8686, Monday – Friday, 9:30am-5pm EST.
How does hair loss treatment work with Roman?
Roman is a telemedicine company that provides a discreet, convenient, and affordable way for you to receive hair loss treatment from a doctor or nurse practitioner—all without leaving the couch. Minoxidil (generic Rogaine) is available for purchase directly from the website as an over-the-counter (OTC) product. If you are interested in prescription treatment, it starts with an online visit. The online visit will ask you about your symptoms, your medical history, and other basic information. You’ll also be asked to upload a photo of your ID to verify your identity. Once you have done all of this, a doctor or nurse practitioner will review everything, determine if you’re a candidate for hair loss treatment through telemedicine, and craft a personalized treatment plan for you.
Which medications are available through Roman for hair loss?
There is one prescription-strength medication for hair loss available on the Roman platform: finasteride (generic Propecia). This medication helps patients maintain the hair they have or possibly even regrow some hair they have lost. Finasteride can be used for a receding hairline as well as hair loss at the crown.
In addition to finasteride, minoxidil (generic Rogaine) is an over-the-counter treatment for hair loss that you can purchase directly from the website without going through an online visit. Minoxidil can be used for hair loss at the crown. The specific form of minoxidil offered by Roman is minoxidil topical solution at the 5% strength.
In some cases, your doctor or nurse practitioner may recommend using finasteride and minoxidil together.
How does minoxidil work?
Scientists aren’t entirely sure how minoxidil works, but it is thought that it helps increase blood flow to the hair follicle. This helps more nutrients to get to the follicle, which can support hair growth. Minoxidil is applied to the scalp daily.
What is male pattern baldness?
Male pattern baldness (also called androgenetic alopecia) is a common form of hair loss. It is typically associated with a receding hairline and hair loss at the crown (top) of the head. Not all men experience male pattern baldness but some men are genetically susceptible.
Male pattern baldness occurs when hair follicles undergo a process called follicular miniaturization. This is when the longer, darker hairs that once grew on the scalp get replaced by thinner, shorter, less pigmented hairs. This process occurs as a result of a hormone called dihydrotestosterone (DHT), which is derived from testosterone. Early on, it’s possible to stop or even reverse this hair loss. However, at a certain point, the hair follicle also loses attachment to the small muscles in the skin (called the arrector pili muscles). When this happens, hair loss is permanent.
How long does it take for hair loss treatment to work?
Finasteride and minoxidil typically take three to four months of daily use to start seeing visible changes. It can take up to a year to see the maximum results. As long as you don’t experience side effects, it’s best to continue the medication for one full year before deciding on whether the medication is doing all it can for you. Like all medications, finasteride and minoxidil will work differently for different people. To sustain benefits, you have to continue using hair loss medication. If you stop, your hair loss may return.
How does finasteride work?
Male pattern baldness is due to a hormone called dihydrotestosterone (DHT). DHT is formed when testosterone is exposed to an enzyme called 5-alpha reductase. Finasteride works by blocking the ability of 5-alpha reductase to convert testosterone to DHT.
What is the difference between Proscar (finasteride 5 mg) and Propecia (finasteride 1 mg)?
Proscar and Propecia are two brand-name medications that have the same active ingredient: finasteride. However, the medications come in different doses and are used for different things. Proscar comes in 5 mg tablets and is used to treat benign prostatic hyperplasia (BPH). Propecia comes in 1 mg tablets and is used to treat male pattern baldness. Currently, Roman only offers finasteride in the 1 mg dose (a.k.a. generic Propecia), which is intended for the treatment of male pattern baldness.
