• Zugelassene ÄrzteLicensed doctorsMédecins agréésBevoegde artsen
  • Rezept nach ärztlicher PrüfungPrescription after medical reviewOrdonnance après évaluation médicaleRecept na medische beoordeling
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Treatment area: Hair loss

Understanding male hair loss

Hereditary hair loss is common in men and often begins at a young age. Our doctors will use your questionnaire to determine if treatment with finasteride tablets or minoxidil solution is suitable for you. The assessment is conducted online and confidentially.

Behandlungsoptionen vergleichenCompare treatment optionsComparer les options de traitementBehandelopties vergelijken
Ratgeber lesenRead the guideLire le guideGids lezen
  • online questionnaire
  • Medical examination
  • Discreet Shipping
  • Money back if not suitable

BehandlungsoptionenTreatment optionsOptions de traitementBehandelopties

Preparations for hereditary hair loss

Finasteride is a prescription medication, while minoxidil 5% solution is available only from pharmacies in Germany; both preparations are intended for use by men only. After making your selection, please complete the medical questionnaire in full. A doctor will then decide whether the treatment is suitable for you.

Selbst einschätzenAssess it yourselfFaire le point vous-mêmeZelf inschatten

Which treatment might be suitable?

  1. 1 If you are a man and your hair is gradually thinning on the top of your head For hereditary hair loss in its early stages, a finasteride tablet (once daily) or a minoxidil solution applied to the scalp (twice daily) may be considered. Both treatments are only effective as long as they are continued. Your doctor will determine which treatment is suitable based on your questionnaire.
  2. 2 If you have suddenly lost hair in circular or patchy areas Speak to a local doctor beforehand. Such patterns are more likely to point to other causes, such as alopecia areata, infections, or nutritional deficiencies. The doctor will decide on the appropriate diagnostic procedure.
  3. 3 If you are a woman and suffer from hair loss Finasteride is not approved for use in women, and the 5% minoxidil solution offered here is intended for men only. Consult a doctor to rule out any underlying causes such as hormonal imbalances, iron deficiency, or thyroid disorders. A doctor will then determine the appropriate treatment.
  4. 4 If you have high blood pressure or heart disease, have had depression, notice changes in your chest, or are planning a PSA test Speak to a local doctor beforehand and indicate this on the questionnaire. Minoxidil solution is not suitable for high blood pressure and can affect the heart and circulatory system. Finasteride can lower PSA levels and affect mood; the doctor will decide whether the treatment is appropriate.

Diese Hinweise helfen bei der Orientierung und ersetzen keine ärztliche Beratung. Ob und welche Behandlung für Sie geeignet ist, entscheidet der Arzt anhand Ihres Fragebogens.This guidance helps you get your bearings and does not replace medical advice. Whether a treatment is suitable for you, and which one, is decided by the doctor on the basis of your questionnaire.Ces indications vous aident à vous orienter et ne remplacent pas un avis médical. C’est le médecin qui décide, sur la base de votre questionnaire, si un traitement vous convient et lequel.Deze aanwijzingen helpen u op weg en vervangen geen medisch advies. Of en welke behandeling voor u geschikt is, bepaalt de arts aan de hand van uw vragenlijst.

Die Präparate in diesem Bereich verordnen wir nur für Männer.We only prescribe the medicines in this area for men.Nous ne prescrivons les médicaments de ce domaine qu’aux hommes.De middelen in dit gebied schrijven wij alleen voor aan mannen.

Tablets for hereditary hair loss

Finasteride 1 mg for daily use, available as the brand name Propecia or as a generic.

finasteride RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Propecia (Finasterid)

Film-coated tablet containing 1 mg finasteride for hereditary hair loss, exclusively for use in men.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Visible usually after 3 to 6 months
WirkdauerDurationDurée d’actionWerkingsduur
only while taking
FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Finasteride inhibits the enzyme 5-alpha reductase, which converts testosterone into dihydrotestosterone (DHT). In individuals with a hereditary predisposition, DHT causes the hair follicles to gradually shrink. By lowering the DHT level in the scalp, the progression of hair loss can be slowed.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you are a man and notice the beginning of hair loss on the top or front of your head
  • If you prefer a tablet to a topical solution.
  • If you are prepared to perform the treatment daily for an extended period of time
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: One film-coated tablet daily (Propecia or generic finasteride), regardless of meals. The treatment is intended to be long-term and is only effective as long as it is continued.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 1 mg

For men only: Women who are pregnant or could become pregnant must not touch broken or crushed tablets. If you experience mood changes, depressed mood, or suicidal thoughts, stop taking the medication and seek medical advice immediately.

abfromà partir devanaf 52,32 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Scalp solutions

Minoxidil 5% solution for application to the affected scalp, applied twice daily.

Minoxidil RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Minoxidil

Minoxidil 5% solution for application to the scalp in cases of hereditary hair loss in men.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Visible usually after 2 to 4 months
WirkdauerDurationDurée d’actionWerkingsduur
only during use
FormFormFormeVorm
Solution for application to the skin

So wirkt es:How it works:Mode d’action :Zo werkt het: Minoxidil shortens the resting phase of hair follicles and lengthens their growth phase. This can allow thinning hair to grow back stronger, and the progression of hair loss can slow down. The exact mechanism of action is not fully understood.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you are a man between 18 and 49 years old and the hair on the top of your head is gradually thinning
  • If you prefer a topical solution instead of a tablet.
  • If you do not have high blood pressure and your scalp is healthy
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Solution for topical application, 1 ml twice daily to dry scalp, maximum 2 ml per day. The treatment is intended to be long-term and will only be effective as long as it is continued.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 5%

For men only. Do not use if you have high blood pressure, an inflamed scalp, sudden, patchy hair loss, or are using this product on your scalp with other medications. Discontinue use and seek medical advice if you experience chest pain, rapid heartbeat, dizziness, or swollen hands and feet.

abfromà partir devanaf 48,94 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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RatgeberGuideGuideGids

What you should know about hair loss

Not all hair loss is hereditary. The cause determines which treatment is appropriate.

Causes and typical signs

Losing up to about 100 hairs a day is considered normal. In men, hereditary hair loss (androgenetic alopecia) is the most common form. In this condition, the hair follicles are sensitive to the hormone dihydrotestosterone (DHT): the hair becomes thinner, shorter, and eventually falls out. Typical symptoms include:

  • receding temples on the forehead
  • a thinning area on the top of the head
  • a slow progression over years

Other causes include stress, infections, iron deficiency, thyroid diseases, or medications.

Treatment options

Hereditary hair loss cannot be cured, but its progression can be slowed. Medical options include:

  • Finasteride (Propecia or generic): A tablet that inhibits the formation of DHT. The tablet is taken once daily and is only approved for men.
  • Minoxidil: Solution or foam for application to the scalp. The active ingredient prolongs the growth phase of the hair follicles. The 5% minoxidil solution offered here is applied twice daily and is approved for use by men only in Germany.
  • Hair transplantation: Surgical procedure, usually for advanced hair loss.

Drug treatments are only effective as long as they are continued, and initial results usually only become apparent after several months.

Possible side effects

Finasteride: Occasionally, decreased libido, erectile dysfunction, or reduced semen volume may occur; it has been reported that such symptoms can persist after discontinuation of the medication. Other possible side effects include breast tenderness or enlargement, skin rash, and mood changes, including depression and suicidal thoughts. Finasteride lowers PSA levels in the blood. Therefore, inform your doctor before any prostate examination.

Minoxidil: Common side effects include headaches, itching or flaking of the scalp, and unwanted hair growth, for example on the face. Increased hair loss may occur temporarily during the first few weeks. Dizziness, rapid heartbeat, or swollen hands and feet are also possible.

Please provide complete information about all illnesses and medications in the questionnaire.

When you should see a local doctor

Have hair loss examined in person if it occurs suddenly, in patches, or in circular patterns, if the scalp is itchy, flaky, red, or scarred, or if symptoms such as fatigue, weight changes, or fever occur. Hair loss in women and children should also be investigated in person.

Consult a doctor promptly if you experience lumps, pain, or discharge in the chest, or a depressed mood while taking finasteride. This also applies to minoxidil if you experience chest pain, rapid heartbeat, shortness of breath, fainting, dizziness, or swollen hands and feet. Call emergency services 112 (Switzerland: 144) if you experience severe chest pain, suicidal thoughts, or signs of a severe allergic reaction such as swelling of the lips, tongue, or face with difficulty breathing.

Hair and everyday life

Patience is part of the treatment

Hair grows in long cycles, so the effects of treatment only become apparent after months. Realistic expectations help to put changes into perspective. The primary goal is to slow the progression of hair loss. Finasteride is approved for early stages; its effectiveness in advanced stages of hair loss has not been proven.

  • Take photos in the same lighting conditions at the beginning to reliably compare the progress after 6 and 12 months.
  • Ensure you have a balanced diet with sufficient protein and iron, as strict diets can promote hair loss.
  • Treat your hair gently: use minimal heat, avoid tightly bound hairstyles, and employ mild shampoos.

According to the product information, the effects achieved with finasteride are lost again within approximately 9 to 12 months once it is discontinued. If you are unsure whether your hair loss is hereditary, have it assessed by a doctor beforehand. Hair loss can be emotionally distressing. Take it seriously and talk about it. Our online doctor answers general medical questions..

Zu den BehandlungsoptionenView treatment optionsVoir les options de traitementNaar de behandelopties

AblaufHow it worksDéroulementWerkwijze

In vier Schritten zur BehandlungFour steps to your treatmentEn quatre étapes vers votre traitementIn vier stappen naar uw behandeling

Ärztlich geprüft, diskret und ohne Wartezimmer.Reviewed by a doctor, discreet and without a waiting room.Examiné par un médecin, discret et sans salle d’attente.Door een arts beoordeeld, discreet en zonder wachtkamer.

  1. 1Behandlung wählenChoose a treatmentChoisir un traitementBehandeling kiezenWählen Sie Ihr Anliegen und das gewünschte Präparat oder stellen Sie eine allgemeine Anfrage.Choose your concern and the medicine you want, or send a general request.Choisissez votre problème et le médicament souhaité, ou envoyez une demande générale.Kies uw klacht en het gewenste middel, of stuur een algemene aanvraag.
  2. 2Fragebogen ausfüllenFill in the questionnaireRemplir le questionnaireVragenlijst invullenDie medizinischen Fragen beantworten Sie online, vertraulich und in Ruhe.You answer the medical questions online, confidentially and at your own pace.Vous répondez aux questions médicales en ligne, en toute confidentialité et à votre rythme.U beantwoordt de medische vragen online, vertrouwelijk en in alle rust.
  3. 3Ärztliche PrüfungMedical reviewÉvaluation médicaleMedische beoordelingEin zugelassener Arzt prüft Ihre Angaben. Ist die Behandlung nicht geeignet, erhalten Sie Ihr Geld zurück.A licensed doctor reviews your answers. If the treatment is not suitable, you get your money back.Un médecin agréé examine vos réponses. Si le traitement ne convient pas, vous êtes remboursé.Een bevoegde arts beoordeelt uw gegevens. Is de behandeling niet geschikt, dan krijgt u uw geld terug.
  4. 4Diskreter VersandDiscreet deliveryLivraison discrèteDiscrete verzendingNach Ausstellung des Rezepts versendet eine EU-Partnerapotheke Ihr Arzneimittel meist innerhalb eines Werktages.Once the prescription has been issued, an EU partner pharmacy usually sends your medicine within one working day.Une fois l’ordonnance établie, une pharmacie partenaire de l’UE expédie votre médicament généralement sous un jour ouvré.Na het uitschrijven van het recept verstuurt een EU-partnerapotheek uw geneesmiddel meestal binnen één werkdag.

Häufige FragenFrequently asked questionsQuestions fréquentesVeelgestelde vragen

Questions about hair loss

Haben Sie eine andere Frage? Unsere Ärzte und unser Service-Team helfen Ihnen gerne weiter.Have another question? Our doctors and our service team will be glad to help.Vous avez une autre question ? Nos médecins et notre équipe de service vous aident volontiers.Heeft u een andere vraag? Onze artsen en ons serviceteam helpen u graag verder.

Frage an einen ArztAsk a doctorPoser une question à un médecinVraag stellen aan een arts
Can women also take finasteride?

No. Finasteride is only approved for use in men. In women who are pregnant or could become pregnant, the active ingredient can interfere with the development of the sex organs of a male fetus. These women should therefore not touch broken or crushed tablets. Hair loss in women should be evaluated by a doctor.

Hair grows slowly. With finasteride, daily use typically requires three to six months before it becomes apparent whether hair loss stabilizes. With minoxidil solution, it usually takes two to four months to see if the treatment is effective; more hair may fall out temporarily during the first few weeks. The effect varies from man to man. Your doctor will decide whether to continue treatment based on your individual progress.

The effect only lasts as long as treatment is continued. According to the product information, after discontinuing finasteride, the effects achieved are gradually lost; after about 9 to 12 months, the condition usually returns to its baseline level. With minoxidil, the effect is lost within about 3 to 4 months. If you experience side effects, please consult your doctor.

Occasionally, decreased libido, erectile dysfunction, or reduced semen volume may occur; persistent symptoms after discontinuation have also been reported. Changes in semen quality have also been described. Indicate any desire to have children and any existing symptoms in the questionnaire. The doctor will decide whether the treatment is suitable for you.

Yes, finasteride is prescription-only. Minoxidil 5% solution is available only from pharmacies in Germany; regulations may vary in other countries. For both preparations, you will complete a medical questionnaire after making your selection, and a licensed physician will assess whether the treatment is suitable for you. This assessment is free of charge. If the treatment is not suitable, you will receive a full refund.

Medizinische ExpertiseMedical expertiseExpertise médicaleMedische expertise

Jede Anfrage in ärztlichen HändenEvery request in a doctor’s handsChaque demande entre des mains médicalesElke aanvraag in medische handen

Dr. Viktor Simunovic
Medizinischer GutachterMedical assessorMédecin évaluateurMedisch beoordelaarDr. Viktor SimunovicAllgemeinmedizin & digitale GesundheitGeneral medicine & digital healthMédecine générale et santé numériqueHuisartsgeneeskunde en digitale zorg
Dr. Codruta Anca Pandalache
Medizinische GutachterinMedical assessorMédecin évaluatriceMedisch beoordelaarDr. Codruta Anca PandalacheReproduktionsmedizin & FrauengesundheitReproductive medicine & women’s healthMédecine de la reproduction et santé des femmesVoortplantingsgeneeskunde en vrouwengezondheid
Lernen Sie unsere Ärzte kennenMeet our doctorsFaites connaissance avec nos médecinsMaak kennis met onze artsenHintergrund, Erfahrung und FachgebieteBackground, experience and specialismsParcours, expérience et spécialitésAchtergrond, ervaring en vakgebieden

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