Online Hair Loss Subscriptions for Women: Questions Before You Sign Up

Hair loss telehealth companies now market to women with sleek subscription boxes: upload photos of your part, answer a questionnaire, and a prescription ships to your door each month. That can be convenient, especially if dermatology appointments are hard to get. But thinning hair after 50 has many causes, and some need a closer look. Here is what to ask first.

What dermatologists say a good service should offer

The American Academy of Dermatology (AAD)¹ has published standards for teledermatology, meant as guiding principles for doctors, not a legal standard of care.¹ They’re a useful checklist for consumers too. The AAD recommends that platforms:¹

• Offer care directed by a board-certified dermatologist
• Give you the option of an in-person visit when needed or preferred
• Collect an adequate history and examination before prescribing
• Use clinicians licensed in your state
• Be transparent about the business model and the credentials of the person advising you

The AAD says it doesn’t support services that put business interests ahead of quality and safety, such as those without dermatologist supervision or any in-person option.¹

Questions to ask before you subscribe

1. Who will review my case, and what are their credentials? Is a board-certified dermatologist involved?
2. Can I see someone in person if the photos aren’t clear or the treatment isn’t working?
3. Will anyone order blood tests? Thinning can be linked to thyroid problems, low iron and other conditions. Our guide on why hair thins lists causes worth checking.
4. Can I talk with a clinician live, not only by message? The AAD suggests live communication when an in-person first visit isn’t possible.¹
5. Will you have my full medical history? The AAD says the physician should have access to current and past records and be able to coordinate with your other providers.¹ List every medicine and supplement you take.
6. What monitoring comes with the prescription? Some hair loss medicines need follow-up. See our articles on oral minoxidil and spironolactone.
7. What does it cost each year, and how do I cancel? Check whether the price covers the medicine, the consultations or both, and whether a cheaper generic from a local pharmacy is an option.

When to see someone in person

Ask for an in-person dermatology visit if you have patchy bald spots, scalp pain, burning, itching, scaling or redness, sudden heavy shedding, or a hairline that’s moving back. These can point to types of hair loss that photos may not sort out.

Track your results either way

Hair treatments take months. Take dated photos of your part in the same light every month, and write down any side effects.

Try: “Before I start an online hair loss subscription, can we check my thyroid and iron, and confirm what type of hair loss this is?”

Hair, Everywhere includes a Hair Check, a monthly Hair Log and a visit script. Use them to record your treatments and photos, and to bring clear questions to any visit, online or in person. See the book.