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Hair loss treatment

The truth is, hair loss isn’t a physical health concern. But it can be very emotional; whether you embrace it, shave it, or treat it. If hair loss is bothering you, we want to help with FDA-approved medication and a doctor who can put you on the right treatment plan.

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~~$15~~ Free online visit

Treatment overview

Free 2-day shipping

Rx + OTC treatments

Free + unlimited doctor follow ups

No commitment / cancel anytime

Treatments for hair loss

Complete an online visit and submit photos and a doctor in our network will evaluate whether prescription hair loss treatment is right for you. If appropriate, we’ll send your personalized treatment with free 2-day shipping.

Finasteride + minoxidil*

Prescription + over-the-counter

Prescription treatment used for receding hairline starting at $35/month (shipped and billed quarterly).

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.

First month free (on a quarterly plan)

*If your doctor recommends combined use

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Important safety information

Finasteride is not appropriate for all men and should not be used by women or handled by pregnant women. Learn more about finasteride

Finasteride

Generic Propecia

Prescription treatment used for receding hairline starting at $20/month (shipped and billed quarterly).

First month free

48% of men treated with finasteride experienced visible regrowth after 1 year of treatment.

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Important safety information

Finasteride is not appropriate for all men and should not be used by women or handled by pregnant women. Learn more about finasteride

Minoxidil

Generic Rogaine

Over-the-counter treatment used for thinning crowns starting at $16/month (shipped and billed quarterly). Learn more about minoxidil.

First month free

76% of men using 5% minoxidil for 16 weeks reported hair loss improvement.

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Transparent manufacturing

Finasteride manufactured by Ascend in India.
Minoxidil manufactured by Teva in Canada.

What to expect

There will likely be no visible change before 3 months. After 3-4 months of daily use, you may notice that hair loss has slowed, stopped, or maybe even starting to regrow.

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.

Help with side effects

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.

Treatment results

Photos from Roman members taken after 6 months on finasteride.

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Let’s take care of it

Losing your hair can be very emotional; whether you embrace it, shave it, or decide to seek treatment. Truthfully, hair loss is not a health concern. But if it’s bothering you, we want to help.

1. Online visit

Report your symptoms and medical history to a US-licensed physician for evaluation.

2. Free deliveries

Your treatment will be sent in discreet packaging, always with free 2-day shipping.

3. Ongoing care

Send your doctor a message any time to discuss updating your treatment, solving for side effects, or any other questions or concerns.

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FAQ

For more information about hair loss, Roman, Ro and more, visit our FAQ page. To speak to a care representative, give us a call at (888) 798-8686 or email us at [email protected].

How does hair loss treatment with Roman work?

We use telemedicine technology and US licensed physicians to provide hair loss treatment that’s reliable, convenient, and discreet.

It starts with your dynamic online visit. Your Roman-affiliated doctor needs to know about your health (current prescriptions, lifestyle, habits, medical history, and symptoms) and see pictures of your current hair loss. They also need to see an official ID to confirm your identity. They review everything, determine if telemedicine is safe for you , and either approve your treatment request or follow up within 24 hours.

If you qualify, our doctors will provide a diagnosis and prescribe the right course of treatment to help you stop hair loss—and you may even regrow hair.
If approved, your FDA-approved medication will come with a treatment plan with a great deal of information about hair loss. It is important you take the time to read it all.

What type of hair loss treatment do you prescribe?

Our physicians may prescribe finasteride (generic Propecia) to treat male pattern hair loss (androgenic alopecia). This medication helps patients maintain the hair they have or possibly even regrow some hair they have lost.

You can also get minoxidil (generic Rogaine), an over-the-counter topical treatment, to slow or even stops hair loss at the crown of the head.

Your doctor may recommend the use of finasteride combined with minoxidil.
Finasteride is not appropriate for all men and should never be used by women or handled by pregnant women. To learn more about who should not use finasteride and the potential side effects, please see the FAQ below regarding side effects and the important safety information.

Are there side effects of hair loss medication?

The most common side effects associated with minoxidil are local skin irritation. Systemic side effects are rare as less than 2% of it gets absorbed.

Like most medications, finasteride is not safe for everyone. In clinical trials, less than 2% of men experienced sexual dysfunction due to finasteride. In addition, finasteride can lower serum prostate-specific antigen and may increase the risk of high-grade prostate cancers. If you decide to seek care through Roman, your Roman-affiliated physician will be available to answer your questions about side effects. Finasteride is not approved for use in women, and pregnant women should not handle finasteride. To learn more about risks associated with the use of finasteride, please see important safety information.

Just as no drug works on everyone, no drug is 100% safe, and finasteride is no exception. Becoming familiar with the possible side effects will help you identify if you are one of the men who experiences them. If you do, you should stop immediately and inform your doctor.

Is hair loss treatment effective?

Hair loss treatment can work to preserve hair and possibly even regrow hair. In one study, Finasteride was effective at stopping hair loss in 83% of men compared to 28% for the placebo group.

Finasteride is not appropriate for all men and should never be used by women or handled by pregnant women. To learn more about who should not use finasteride and the potential side effects, please see the FAQ below regarding side effects and the important safety information.

How long does it take for hair loss treatment to work?

Finasteride and minoxidil typically take 3 to 4 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 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. View the important safety information.

Frequently asked questions

How long does finasteride take to regrow hair?

Finasteride takes 3 to 4 months to show any benefit. It can take up to a year to see the maximum results. Moreover, as finasteride enters the system, it may even cause more shedding of fine hairs. Do not be concerned – this is expected. Also, some men do not respond to the medication; this can be as high as 1 out of every 10 men or more.

As long as you do not experience side effects, it is best to continue medication for one full year before deciding whether the medication is doing all it can for you.

What are the side effects?

Sexual side effects can include a decrease in sexual desire (libido), a decrease in semen volume, or erectile dysfunction (ED). These side effects were noted in 3.8% of men taking finasteride and in 2.1% of men taking a placebo (“sugar pill”) and are the ones that concern men most.

The PDR states, “Resolution occurred in men who discontinued therapy with finasteride tablets due to these side effects and in most of those who continued therapy. The incidence of each of the above adverse experiences decreased to < 0.3% by the fifth year of treatment with finasteride tablets.” This all sounds easy and straightforward—the sexual side effects are transient and manageable—but that is not the point. The point is that these side effects can happen. That is why it is so important to think about what it would mean if you were one of those few men who has an issue. A tiny decrease in semen volume may be trivial, but erectile dysfunction may not be, even if it goes away with time. Lastly, there is the possibility a side effect can persist after the drug is stopped. It is rare, but possible. And again, “rare” is meaningless if it happens to you. There are other side effects and they can reviewed here.

What is the difference with male pattern baldness?

The normal hair follicle is more complex than most people realize. Among other elements, it consists of a central primary hair and several secondary hairs, bound together by a very important muscle at the base called the arrector pili muscle. Hair loss begins slowly under the influence of DHT, which is made when testosterone is converted to DHT in the nearby glands.

First, the secondary hairs begin to shed and peel away in Male Pattern Baldness. As you can see in the drawings, all the smaller hairs, or secondary hairs, are lost before that primary hair gives out (Phases 1–3). When the arrector pili muscle shrivels up and loses its grip on that central primary hair, the scalp is bald in that area. With many other types of baldness the arrector pili muscle stays strong so new hairs can crop up even in areas that are totally bald.

In Male Pattern Baldness, that arrector pili muscle shrivels away and is replaced by fat. New hairs will never grow back. That little muscle is what makes Male Pattern Baldness so difficult to manage once it has progressed too far.

That is why so many people will experience thinning hair long before they start to see any true baldness. That is why going bald can sneak up on you. And that is why treating MPB before it progresses is so important.

What this means is that the best time to start to deal with hair loss is before the thinning has progressed too far. To preserve hair, the attempt is best made when the arrector pili muscle–the muscle responsible for holding your hairs–is still attached to that last standing, primary hair.

How does Finasteride work?

Hair loss is due to dihydrotestosterone (DHT), the hormone testosterone becomes when it is exposed to an enzyme called 5 alpha reductase. DHT makes the hair follicles vacate a man’s scalp by slowly destroying clusters of hair follicles. DHT causes the hair follicles to miniaturize over many years. The process may begin slowly but the progression is relentless.

At first, only thinning of hair is noticed, not clear baldness. Some men embrace the process, shaving their heads in response, but many regret the appearance of aging while they still feel young and vital. Fortunately, we have an understanding of how DHT undermines hair growth and finasteride works by blocking the conversion of testosterone to DHT. It does this by inhibiting the ability of 5 alpha reductase to convert testosterone to DHT. That is why it is called a 5 alpha reductase inhibitor.

Will Finasteride stop hair loss?

In many cases, finasteride slows or stops hair loss. In some cases, it may even regrow hair.

In one European study, men treated with 1 mg finasteride over a five year period “led to a 93% decrease relative to placebo in the 5-year likelihood of developing further hair loss.”

It regrows hair less well but does provide a benefit for some men. In another study, the authors found that “the chances of mild to moderate visible regrowth are 61% on the vertex (the top of the head) (with an additional 5% achieving great visible regrowth) after 2 years and 37% on the frontal area after 1 year.”

Hair loss treatment

Treatments for hair loss

Finasteride + minoxidil*

Finasteride

Minoxidil

Transparent manufacturing

What to expect

1-2 months: save it

3-6 months: regrow it

Help with side effects

Treatment results

Let’s take care of it

1. Online visit

2. Free deliveries

3. Ongoing care

FAQ

How does hair loss treatment with Roman work?

What type of hair loss treatment do you prescribe?

Are there side effects of hair loss medication?

Is hair loss treatment effective?

How long does it take for hair loss treatment to work?

Have a question?

Important safety information: Finasteride

What are the possible side effects of finasteride

Frequently asked questions

How long does finasteride take to regrow hair?

What are the side effects?

What is the difference with male pattern baldness?

How does Finasteride work?

Will Finasteride stop hair loss?