Hair loss is one of the most common medical concerns — and one of the most commonly dismissed. Most people who notice significant thinning or shedding never speak to a doctor about it, either because they assume nothing can be done, or because they do not know where to start.
Both assumptions are wrong. In the vast majority of cases, hair loss has an identifiable medical cause — and the earlier it is assessed, the better the outcome. Hair follicles that have been inactive for a prolonged period are significantly harder to recover than follicles that are thinning but still active.
Our doctors, registered with the Romanian College of Physicians (CMR), offer comprehensive hair loss assessments by secure video call— identifying the underlying cause, advising on evidence-based management, and issuing an electronic prescription where clinically indicated.
Why Early Assessment Matters
Hair loss almost always follows a progressive pattern — particularly androgenetic alopecia in both men and women. The clinical argument for early assessment is straightforward: the earlier the cause is identified and appropriate management initiated, the better the outcome. Waiting until hair loss is advanced significantly reduces the treatment options available.
If you have noticed changes in your hair density, hairline, or shedding pattern — even if you are not sure whether it is significant enough to see a doctor about — book a consultation. Your doctor tells you honestly whether intervention is warranted and what the options are.
Who This Service Is For
This consultation is appropriate for adults experiencing:
- Gradual thinning of hair on the scalp — in men or women
- Receding hairline or temporal thinning
- Thinning at the crown or top of the scalp
- Sudden or patchy hair loss
- Diffuse shedding — more hair in the shower, on the pillow, or in the brush
- Hair loss following a significant life event — illness, surgery, childbirth, or intense stress
Hair loss associated with other symptoms — fatigue, weight changes, skin or nail changes — that may indicate an underlying condition
- Scalp health concerns — dandruff, seborrhoea, or inflammation affecting hair growth
- Hair loss that has not responded to over-the-counter treatments
Conditions Commonly Assessed
- Male hair loss
Androgenetic alopecia — the most common cause of hair loss in men, assessed and managed at GP level including discussion of evidence-based treatment options
- Alopecia areata — patchy, autoimmune-basis hair loss
- Telogen effluvium — diffuse shedding following illness, stress, or nutritional deficiency
- Seborrhoeic dermatitis and scalp inflammation contributing to hair loss
- Medication-related hair loss — assessment and management
- Female hair loss
- Female pattern androgenetic alopecia
- Telogen effluvium — particularly post-partum, following significant illness, or after major stress
- Alopecia areata
Hair loss related to hormonal changes — PCOS, thyroid dysfunction, menopause, or post-partum hormonal changes
- Hair loss related to nutritional deficiency — iron, ferritin, vitamin D, B12, and zinc
- Traction alopecia — related to hairstyling practices
- Medication-related hair loss
- Both
- Tinea capitis — fungal scalp infection causing hair loss, requiring treatment
- Scarring alopecia — requires urgent dermatology referral
- Hair loss as a symptom of systemic conditions — thyroid disease, autoimmune conditions, anaemia
What Your Consultation Includes
Full hair loss assessmentYour doctor reviews the history of your hair loss in detail — onset, pattern, rate of progression, family history, associated symptoms, current medications, nutritional status, recent life events, and general health — building a complete picture as the basis for identifying the cause.
Identification of underlying causeHair loss is frequently a symptom of something systemic — not just a cosmetic concern. Your doctor assesses hormonal, nutritional, autoimmune, and medication-related contributors that may be causing or accelerating your hair loss.
Evidence-based management planBased on the assessment, your doctor advises on the most appropriate approach for your specific type of hair loss — which may include nutritional optimisation, topical treatments, clinical recommendations at the doctor's professional discretion, and referral where indicated.
Investigation requests where indicatedWhere blood tests are clinically indicated — thyroid function, ferritin, iron studies, hormonal panel, vitamin levels — your doctor issues the request on the same day.
Electronic prescription — where clinically appropriateWhen clinically indicated, your doctor issues an electronic prescription through the Romanian Electronic Prescription System (SIPE). You present it at any pharmacy of your choice in Romania.
Note: Special-regime prescriptions covering certain medications cannot be transmitted electronically under Romanian law. Your doctor advises if this applies to your situation.
Dermatology referral where neededCertain hair loss conditions — including scarring alopecia, complex alopecia areata, and presentations requiring scalp biopsy — require specialist dermatology assessment. Your doctor advises clearly if this is your case and coordinates referral.
Hair Loss and Romania — What to Expect
Dermatology and trichology services in Romania are available in the private sector in major cities — but English-speaking dermatologists and trichologists are limited even in Bucharest, and waiting times for non-urgent dermatology appointments are typically several weeks.
For the majority of hair loss presentations — androgenetic alopecia, telogen effluvium, nutritional deficiency-related hair loss, and hormonal hair loss — GP-level assessment covers the primary clinical need. Our service provides this assessment same day, from anywhere in Romania, in English, Romanian When specialist dermatology input is genuinely needed, your doctor issues a formal referral letter on the same day.
Why Hair Loss Is Dismissed Too Often
Hair loss is frequently met with "it is normal" or "it is just stress" — sometimes correctly, but too often without proper investigation. A doctor who genuinely assesses hair loss does not start with a generic answer. They start with a complete history, assess the hormonal and nutritional picture, and identify the specific cause before proposing an approach tailored to that cause.
The difference between "it is probably stress" without investigation and "your ferritin is low and this is causing telogen effluvium, which is treatable" with a blood test is not a small one. It is the difference between a dismissed concern and an identified, manageable condition.
Frequently Asked Questions
Can hair loss really be assessed by video call?Yes — for the vast majority of presentations. A detailed clinical history is the most powerful diagnostic tool in hair loss assessment and a full history can be taken by video call. Your doctor also asks you to show the affected areas during the call. Where physical examination findings or scalp biopsy are needed, your doctor advises on appropriate in-person referral.
Do I need blood tests before my consultation?No. Your doctor assesses during the consultation whether blood tests are indicated and issues the request on the same day if so. Bring any recent blood test results you have — your doctor reviews them in full.
Can hair loss be reversed?It depends on the type and how long it has been progressing. Androgenetic alopecia responds best to treatment initiated early, when follicles are thinning rather than already lost. Telogen effluvium is generally self-limiting and resolves once the underlying cause is treated. Nutritional deficiency-related hair loss responds well to deficiency correction. Scarring alopecia requires urgent specialist assessment as it can cause permanent loss if untreated.
Is this service suitable for women experiencing hair loss?Yes. Female hair loss is a core part of this service. The clinical picture in women is frequently more complex than male androgenetic alopecia — involving hormonal, nutritional, and autoimmune factors — and benefits significantly from structured clinical assessment.
What if my hair loss is related to medication I am taking?Medication-related hair loss is assessed as part of this consultation. Your doctor reviews your current medications, identifies whether any are contributing to your hair loss, and advises on appropriate management — including whether medication adjustment is clinically appropriate in the context of your overall health.
Can I get a dermatology referral through this service?Yes. Where specialist dermatology input is clinically indicated, your doctor issues a formal referral letter on the same day — addressed to a dermatologist or clinic of your choice in Romania.
Do I need Romanian health insurance?No. This is a private-pay service. Prescriptions issued through this service are dispensed at full private cost regardless of insurance status.
I am not in Bucharest — can I still use this service?Yes. This service is available from anywhere in Romania. All you need is a stable internet connection and a device with a camera.