Hereditary hair loss in men

Finasteride is prescription only in Germany, so there is no reputable way to obtain the active ingredient without a prescription. There is a good reason for this: a doctor checks beforehand whether finasteride is suitable for you and whether side effects or interactions argue against it. At Cureal you get the prescription after a real conversation with a doctor, online or on site. Minoxidil, by contrast, is available without a prescription.

Finasteride is well studied and is well tolerated by most men. In a small proportion, sexual side effects such as reduced desire or erection problems can occur, above all at the beginning, and these usually subside after stopping. That is exactly why we discuss your medical history before prescribing and explain the benefits and risks openly.

The two work differently and do not exclude each other. Finasteride acts on the cause by lowering the messenger substance DHT and is often the basis of the treatment. Minoxidil stimulates the hair follicles locally and works well as a supplement, especially at the crown. Which combination makes sense for you depends on your hair and is decided by the doctor in the initial consultation.

Hereditary hair loss cannot be cured, but with early treatment it can be halted in many cases and partly pushed back. The earlier you start, the more hair can be preserved. Long-standing bald patches, by contrast, hardly respond any more. There is no guarantee, and the doctor tells you realistically what to expect in your case.

Patience is part of it. Hair loss coming to a standstill often shows after about three months, visibly denser hair usually only after six to twelve months. In the first few weeks there can even be increased loss, the so-called shedding, which is normal and no reason to stop. Keep at it and stay in touch with your doctor.

Propecia is the well known brand name for finasteride, Regaine the one for minoxidil. The active ingredient is the same as in the generic, only the manufacturer and the price differ. Generics are generally considerably cheaper and just as effective. Which product you receive is something you discuss in the initial consultation.

Receding temples are usually the first sign of hereditary hair loss and often respond well to early treatment. Finasteride can halt the progression, although experience shows that regrowth at the hairline is harder than at the crown. What matters is the early start, while the hair follicles are still active.

Yes. After an initial consultation by video consultation, the doctor can issue you an e-prescription for finasteride if suitable, which you redeem at any pharmacy. Unlike a purely online process without contact with a doctor, you speak to a real doctor who assesses your hair and your history.

Finasteride only works for as long as you take it. If you stop, the DHT level rises again and within a few months the hereditary hair loss continues where it would have been without treatment. The treatment is therefore intended for the long term. Whether and when stopping makes sense is something you discuss with your doctor.

For men, according to current knowledge, finasteride at the usual dosage has no relevant effect on fertility. Something else matters: pregnant women must not handle damaged or split finasteride tablets. Raise an existing or planned wish to have children openly in the initial consultation, and the doctor will advise you individually.

You book an appointment online and, if you wish, upload photos of your hairline beforehand. In the initial consultation in Munich, at further practices across Germany or by video, a doctor takes time, assesses your hair loss pattern and clarifies whether finasteride, minoxidil or a further assessment makes sense. If suitable, you receive your prescription right afterwards.

At Cureal you meet a real physician in private practice, in Munich, at further practices across Germany or by video, wherever you live. No anonymous prescription conveyor belt that automatically spits out a prescription, but a medical conversation with a medical history and complete documentation. And if your hair loss does have a different cause, that is noticed here.