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Medical Assessment for Hair Loss

Complete this short online consultation so our medical team can show you suitable treatments.

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Tell us about yourself
Are you male and aged between 18-65?
Have you been taking Finasteride for more than 3 months?
About Your Symptoms
Are you suffering from hair loss?
Could your hair loss be explained by any medication, dietary matter or illness?
Do you have a healthy scalp?
  • no inflammation on the scalp
  • no redness
  • no medical dressings
Do you have hair loss in patches, or have an itchy or sore scalp?
Do you have sudden unexplained hair loss or complete hair loss?
Is your hair loss limited to the temple area?
Your Health Information
Are you allergic/hypersensitive to minoxidil, finasteride/propecia, ethanol, propylene glycol or lactose?
Do you have a history of depression, suicidal thoughts and/or any other mental illness?
Have you ever been diagnosed with one of the following conditions:
  • Heart disease (including chest pain, angina, heart attack or any history of cardiovascular event)
  • High blood pressure
  • Pheochromocytoma (cancer of the adrenal glands)
  • Male breast cancer
  • Acute porphyria (a rare hereditary disease affecting haemoglobin)
  • Prostate problems (prostate enlargement, prostatitis, prostate cancer)
  • Any liver disease
  • Obstructive uropathy (difficulty urinating)
Your Current Medication
Are you currently taking any medication (over-the-counter or prescription) or any recreational drugs?
Patient Declaration & Agreements
Do you understand that if you are prescribed finasteride and your partner is (or may be) pregnant, they should not handle crushed or broken tablets, and that you should always wear a condom during sex?
Do you understand that if you are prescribed finasteride, you should inform your GP of this before undergoing a PSA blood test for your prostate?
Do you understand that if you and/or your partner are planning to conceive, finasteride may temporarily impact your fertility? However, this is not common and usually resolves over time after stopping the treatment.
Do you understand that taking finasteride can cause side effects such as depression and may lead to suicidal thoughts? If you experience these symptoms, stop taking finasteride and contact your doctor for further medical advice as soon as possible.
Do you understand that taking finasteride can cause side effects like decreased sex drive and erectile dysfunction which may continue after treatment is stopped?