Understanding the Hamilton-Norwood Scale for Hair Loss
Concerned about hair loss? Understand your stage on the Hamilton-Norwood Scale and explore effective treatments like finasteride and minoxidil. Get an online consultation with an EU-licensed doctor for just €25.

DIRECT ANSWER
An online consultation lets an EU-licensed doctor review your case and, if appropriate, issue a prescription that is valid across the EU.
Less than 4 hours on average
Prescription issued in less than 4 hours on average if approved.
EU-licensed doctors
Every case is reviewed by a licensed clinician.
Valid across the EU
Approved prescriptions can be used at any EU pharmacy.
In this article
Dealing with male pattern baldness? Understanding your stage on the Hamilton-Norwood Scale is the first step towards effective treatment. You can get a finasteride or minoxidil prescription online from an EU-licensed doctor at Hi-Doctor. Our €25 online consultation provides a prescription in under 24 hours if appropriate, valid at any EU pharmacy. If the doctor determines treatment isn't for you, your €25 is refunded — no risk.
How it works — get your hair loss medication prescription in 4 steps
- Fill out the online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
- A licensed EU doctor reviews your case in private. If the doctor decides the treatment is not appropriate, your €25 is refunded automatically — you pay nothing.
- If approved, you receive a REMPE electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours.
- Print the PDF or show it on your phone — present it at any pharmacy in the EU to collect your finasteride, minoxidil, or dutasteride medication.
Who qualifies for hair loss medication like finasteride or minoxidil?
EU-licensed doctors at Hi-Doctor assess your individual case to determine if treatments like finasteride, dutasteride, or minoxidil are appropriate. They look for specific criteria:
- Male pattern baldness (Androgenetic Alopecia): These medications are specifically for this type of hair loss, not other forms.
- Norwood Scale Stage: Early to moderate stages (typically 1-5) often respond best to medical treatments. Advanced stages (6-7) may have more limited results from medication alone.
- Overall Health: Doctors check for any underlying health conditions or medications that could interact negatively with finasteride, dutasteride, or minoxidil.
- No Contraindications: Specific conditions, such as certain liver issues or known allergies to the medication components, would prevent a prescription.
The doctor will review your medical history through the online questionnaire to ensure the treatment is safe and effective for you.
What finasteride and minoxidil actually do (and don't do)
These medications work differently to combat hair loss:
- Finasteride (and Dutasteride): These are oral medications that work by blocking the conversion of testosterone into dihydrotestosterone (DHT), a hormone that shrinks hair follicles in genetically susceptible men. By reducing DHT, they help slow hair loss and, for some, promote regrowth.
- Minoxidil: Available as a topical solution or oral tablet, minoxidil is a vasodilator. It is thought to improve blood flow to hair follicles and extend the anagen (growth) phase of hair. It can stimulate hair growth and thicken existing hairs.
Realistic Timelines: Expect to use these medications consistently for at least 3-6 months before seeing noticeable results. Full effects can take 12 months or more. They primarily slow or stop further hair loss and can promote regrowth, but they won't bring back hair in completely bald areas.
Side effects and when to stop treatment
Like all medications, finasteride, dutasteride, and minoxidil can have side effects. It's important to be aware of them:
- Finasteride/Dutasteride: A small percentage of men may experience sexual side effects such as decreased libido, erectile dysfunction, or ejaculation disorders. These are often reversible upon stopping the medication.
- Minoxidil (topical): Common side effects include scalp irritation, itching, or dryness. In rare cases, unwanted hair growth on other body parts can occur.
- Minoxidil (oral): Can cause lightheadedness, swelling of the hands/feet, or increased heart rate.
If you experience any severe or concerning side effects, stop the medication and consult your doctor immediately. Your Hi-Doctor account includes a private, RGPD-compliant chat for direct communication with your doctor.
Why Hi-Doctor vs. walking into a clinic for your prescription
Choosing Hi-Doctor for your hair loss medication prescription offers distinct advantages over traditional clinic visits:
- Speed: Get your finasteride or minoxidil prescription in under 24 hours, compared to weeks of waiting for an in-person appointment.
- Price: A flat €25 online consultation fee. No hidden costs, and a money-back guarantee if treatment isn't appropriate. Traditional private clinic fees can vary significantly.
- Privacy: Everything happens securely within your Hi-Doctor account – no waiting rooms, no reception desks, no awkward conversations.
- Convenience: Access an EU-licensed doctor from anywhere, anytime, using your phone or computer. No travel, no time off work.
- Trust: Over 50,000 patients served with a 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.
COMMON QUESTIONS
Frequently asked questions
If the doctor determines that finasteride, dutasteride, or minoxidil treatment is not appropriate for you, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved.





