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Hair-loss guide

Hair loss treatment online in Virginia and West Virginia

This guide is for gradual pattern hair loss (androgenetic alopecia) in adults, not for sudden or patchy loss, inflamed or painful scalps, or hair loss during pregnancy or breastfeeding.

Start online

Start a $59 online review for Hair loss.

Pattern hair loss is the most common kind of hair loss in men and women, and the classic gradual form can often be treated online. After screening and required photos of your hairline, crown, and part line, treatment can include topical minoxidil 5% for men and women, and finasteride 1 mg for men. Fills cover up to 90 days, and continuing treatment includes a full re-evaluation at least every 12 months.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Quick facts

  • You must be physically in Virginia and West Virginia at the time of request
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • Gradual thinning over months to years
  • Receding temples or front hairline
  • Thinning at the crown
  • A slowly widening part line

May fit online care

  • Adults 18 and older
  • Adult with gradual, pattern-type thinning
  • Able to upload clear photos of the hairline, crown, and part line
  • No scalp pain, redness, pustules, or smooth shiny patches
  • Not pregnant, trying to conceive, or breastfeeding

Look for another care setting

  • Sudden, patchy, or circular bald spots, or loss of eyebrows or eyelashes
  • Scalp redness, pain, pustules, or scarring-type smooth patches
  • Heavy shedding within 6 months of illness, surgery, major weight loss, childbirth, or a new medication
  • Pregnancy, trying to conceive, breastfeeding, or signs of a hormonal condition (new facial hair, deepening voice, severe new acne)

What to have ready

  • Clear photos of your front hairline, crown, and part line
  • When the thinning started and how fast it has changed
  • Any prior minoxidil or finasteride use and how it went
  • Medication allergies and current medications

What happens next

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Which hair-loss treatments can be prescribed online here?

Topical minoxidil 5% for men and women, and finasteride 1 mg tablets for men only. Oral minoxidil, spironolactone, and compounded products are not offered through this lane. Every fill is limited to a 90-day supply, and continuing treatment requires a re-check, with a full re-evaluation at least every 12 months.

Why are photos required?

The physician confirms the hair-loss pattern from your hairline, crown, and part-line photos before prescribing. Pattern hair loss looks different from alopecia areata, scarring alopecia, and other conditions that need in-person care — if the photos are unclear or the pattern looks atypical, the request is redirected instead of treated.

Can women get finasteride here?

No. In this lane finasteride is prescribed to men only. It can cause birth defects, and this async service cannot provide the monitoring that off-label use in women requires. Women with pattern hair loss can be treated with topical minoxidil 5% when screening fits.

Why does the intake ask mood questions before finasteride?

Low mood and depression have been reported rarely with finasteride, so this lane uses a two-question mood screen first. If either answer is positive, finasteride is not prescribed — the physician will recommend topical treatment instead. Anyone in crisis should call or text 988 right away.

When should hair loss be seen in person instead?

Sudden or patchy loss, round bald spots, eyebrow or eyelash loss, a painful or inflamed scalp, shedding after a major trigger like childbirth or surgery, hair loss with new facial hair or voice changes, and any hair loss during pregnancy or breastfeeding should be evaluated in person rather than treated through this online lane.