Hair Loss Treatment for Men

A licensed doctor reviews your answers before issuing this prescription.

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Prescription

Hair Loss Treatment for Men

€25 — reviewed by a licensed doctor before your prescription is issued.

Patient details

Patient full nameEmailPhone

Date of birth

Enter a date up to 17/10/2026.

PPS number (optional)

Needed on medical documents in your country. You can also fill it in on your profile later.

Preferred pharmacy (optional)

Type at least 2 characters to search.

My pharmacy is not listed

IE · Hair loss · Full

This form is for typical male pattern hair loss (receding hairline and/or thinning at the crown). Please upload a clear photo of your scalp/hairline. If your hair loss doesn't fit the usual pattern — patchy bald spots, or sudden all-over shedding — the doctor may direct you to a video consultation instead, since that needs a different assessment.

About your hair loss

Please upload a clear photo of your hairline and crown

How would you describe your hair loss?

How long has this been happening, and does anyone in your family have a similar pattern of hair loss?

Do you have any scalp conditions — psoriasis, eczema, or dandruff/seborrheic dermatitis — or any irritation, redness, or broken skin on your scalp right now?

Any known allergy to minoxidil, finasteride, or propylene glycol?Write "None" if you have none.

Your health

Have you ever been diagnosed with depression, anxiety, or another mental health condition, or has a doctor previously raised concerns about your mood?

Are you currently having thoughts of harming yourself or that life isn't worth living?

Are you currently experiencing any erectile difficulties, low libido, or other sexual difficulties?

Do you have any liver disease?

Are you currently being monitored for prostate problems, have you ever had an elevated PSA test, or is there a family history of prostate cancer?

Are you and a partner currently trying to conceive?

ConfirmationI have read the finasteride patient information about mood and sexual side effects.

Patient address

Required for medical documents and any physical materials.

Street addressApt / unit (optional)CityEircode (optional)

Data sharing consent (GDPR)

I confirm the details above are accurate and consent to a video consultation with the selected clinician.I consent to my personal and medical data being processed by Global Health and shared with its treating clinics and medical network — including clinics in other countries — for the purpose of my care, service improvement, and security. Privacy PolicySend me appointment updates via WhatsApp (optional)