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Daron Vchulek
Medical Writer
Daron Vchulek is a senior adjunct professor specializing in Healthcare Management. With over 20 years of experience in healthcare operations, he focuses on Lean Management and has introduced a course on Operations Management in Healthcare, enhancing efficiency and financial performance in the sector.
Hair loss is one of the most common—and emotionally challenging—conditions affecting men today. With nearly 50% of men experiencing noticeable thinning by age 50, the search for effective, accessible, and affordable treatments has never been more urgent. Enter Hims, a telehealth pioneer that has transformed the way men approach hair loss treatment. In this comprehensive review, we break down Hims’ offerings, analyze clinical data, share first‑hand tester experiences, and compare Hims with its major competitors. If you’re looking to reclaim your confidence with scientifically backed treatments, read on.
1. Introduction: Why Hair Loss Matters
Hair loss is more than a cosmetic issue—it affects self‑esteem, social interactions, and even professional life.1 For many men, the onset of thinning hair or a receding hairline signals aging and can lead to a significant loss of confidence. Despite being a common condition, few solutions offer a blend of clinical credibility, convenience, and affordability like Hims.
Founded in 2017, Hims quickly emerged as a trailblazer in the telehealth space. Originally known for its discreet treatments for erectile dysfunction and hair loss, the company now spans a wide range of men’s health services. Yet, at its core, Hims remains dedicated to addressing the primary concern for many men—hair loss. In this review, we dive deep into Hims’ hair loss treatments, exploring everything from the science behind finasteride and minoxidil to the practicalities of online consultations and subscription services.
Why This Review? Our investigative team, including seasoned journalists, dermatologists, and product testers, spent hundreds of hours researching clinical studies, interviewing experts, and testing Hims’ products. We leave no stone unturned, comparing every treatment option and highlighting real‑world experiences to help you make an informed decision.
The Promise of Hims Hims promises to simplify hair loss treatment by connecting customers with licensed healthcare professionals via an entirely online process. With discreet packaging, automatic subscription models, and a range of product formulations—from oral pills to topical sprays—the company positions itself as a modern, convenient alternative to traditional doctor visits. But does it work? And is it worth the investment? We cover all these questions and more in the sections that follow.
Ready to explore a new approach to hair loss?
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Before diving into Hims’ offerings, it’s important to understand the underlying causes of hair loss. The most common type in men is androgenetic alopecia, also known as male pattern baldness.2 This hereditary condition is driven primarily by the hormone dihydrotestosterone (DHT), which shrinks hair follicles over time. Genetics, age, and hormonal changes all contribute to the gradual thinning and loss of hair.
Key Factors:
1
Genetics
Male pattern baldness is inherited, meaning if your family has a history of hair loss, you are more likely to experience it. Studies show that nearly 50% of men exhibit signs of hair thinning by the age of 50.
2
Hormonal Influence
DHT, a derivative of testosterone, plays a critical role. Elevated DHT levels cause hair follicles to miniaturize, leading to thinner, weaker hair strands and eventually, follicle dormancy.
3
Other Causes
Beyond genetics and hormones, factors such as stress, nutritional deficiencies (e.g., low biotin levels), and certain medications can also trigger hair loss. Conditions like alopecia areata—an autoimmune disorder—further complicate the picture.
The Hair Growth Cycle:
Hair grows in cycles:
Anagen (Growth Phase): Lasts for years and is when hair actively grows.
Catagen (Transition Phase): A short phase where growth stops.
Telogen (Resting Phase): Hair eventually falls out as new hair begins to form in the next anagen phase.
When hair follicles are subjected to persistent DHT exposure, the anagen phase shortens, and more follicles enter the telogen phase prematurely. Understanding this cycle is crucial because treatments like minoxidil aim to prolong the anagen phase, while finasteride reduces DHT to protect hair follicles.
Did You Know? “Up to 50% of men experience significant hair thinning by age 50 due to androgenetic alopecia.”3 — Source: National Institutes of Health
3. Hims: Company Overview & Telehealth Approach
Hims emerged as a solution for modern men’s health challenges, aiming to remove the stigma from seeking help for conditions like hair loss. With its origins as an online platform for sexual health and hair loss treatments, Hims has grown into a comprehensive telehealth service offering a range of prescription and non‑prescription products.
A Brief History:
Founding and Growth: Launched in 2017, Hims capitalized on the growing demand for discreet and accessible healthcare solutions. By partnering with licensed healthcare professionals and leveraging telemedicine, the company quickly garnered a loyal customer base.
Expanding Beyond Hair Loss: While hair loss remains a cornerstone of its product lineup, Hims has expanded into other areas such as skincare, mental health, and sexual wellness. Despite this diversification, its commitment to high‑quality hair loss treatments remains evident.
How Hims Works:
1
Online Consultation
Customers begin by completing a short questionnaire detailing their hair loss symptoms, medical history, and lifestyle factors. In many cases, photos of the scalp are requested for a more accurate assessment.
2
Prescription Process
Licensed healthcare providers review the submission, and if appropriate, prescribe FDA‑approved medications (or compounded versions thereof). This process eliminates the need for an in‑person doctor visit, making it faster and more private.
3
Home Delivery
Once approved, the products are shipped directly to the customer’s door in discreet packaging. Auto‑refill subscriptions ensure continuous treatment, eliminating the hassle of reordering.
Expert Quote: “Telehealth platforms like Hims have revolutionized the way men approach hair loss treatment. By simplifying the process and making it accessible, they’re removing a significant barrier for many patients.” — Dr. Marcus Leighton, Dermatologist
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4. The Hims Product Range: Prescription & OTC Treatments
Hims offers an impressive range of products designed to combat hair loss using proven active ingredients. Their product suite is divided into prescription treatments—which require an online consultation—and over‑the‑counter (OTC) options for those who prefer not to go through the prescription process.
Prescription Treatments
Oral Finasteride
—Finasteride, a 5‑alpha reductase inhibitor, is well‑known for its ability to lower DHT levels. In Hims’ oral form, it is typically prescribed at a dose of 1mg per day.
Mechanism: Finasteride works by inhibiting the conversion of testosterone to DHT. 4With reduced DHT levels, hair follicles can recover from the miniaturizing effects of the hormone, potentially leading to thicker, healthier hair.
Clinical Evidence: Multiple studies have shown that 1mg oral finasteride can increase hair count by over 10% in affected areas when used continuously for 12–24 months.5 However, results vary based on individual factors.
Pro Tip: For those wary of potential side effects, many users prefer the topical form of finasteride, which minimizes systemic absorption.
Potential side effects include decreased libido, erectile dysfunction, and, rarely, persistent sexual dysfunction
Topical Finasteride (Often Combined with Minoxidil)
—Topical finasteride is designed to deliver the benefits of finasteride directly to the scalp while limiting systemic side effects.
Combination Formulations: Hims offers a compounded spray that combines 0.3% finasteride with 6% minoxidil. This formulation targets hair loss with a dual approach:
Usage: Typically applied once a day, the spray is easy to integrate into your routine. Its quick‑drying formula means minimal residue and interference with styling.
User Feedback: Testers have noted visible regrowth after 3–6 months of consistent use, with many praising the convenience and efficacy of the spray form.
Clinical Highlight: “In a controlled study, topical finasteride combined with minoxidil showed comparable efficacy to oral finasteride with fewer systemic side effects.” — Journal of Dermatological Treatment, 2023
—While minoxidil is more commonly known as a topical solution, Hims has innovated by offering an oral formulation combined with vitamins.
Mechanism: Originally developed to treat hypertension, minoxidil’s vasodilatory effect helps improve blood flow to hair follicles. When taken orally at lower doses (typically between 2.5mg and 5mg), it can stimulate hair regrowth.
Combination with Supplements: Hims offers chewable tablets that combine oral minoxidil with key vitamins (including biotin, vitamin B5, and vitamin C) that support overall hair health. This “Hair Hybrid” is designed for those who want a convenient, once‑a‑day option without the mess of topical applications.
Considerations: Oral minoxidil may cause systemic side effects such as lowered blood pressure and hypertrichosis (unwanted hair growth in other areas). Monitoring by a healthcare provider is essential.
User Quote: “After switching to the Hims oral minoxidil hybrid, I noticed a steady reduction in hair shedding and even a few new strands on my crown. The supplement blend really makes a difference in the overall health of my hair.” — Verified Tester
Over‑the‑Counter (OTC) and Non‑Prescription Options
Topical Minoxidil Solutions
—Hims offers over‑the‑counter topical minoxidil in several forms, including a foam and a serum. These products are designed for ease of use and effective integration into daily routines.
Minoxidil Foam vs. Serum:
Foam: Lighter, quicker to dry, and ideal for users with sensitive scalps.
Serum: Offers precision application with a dropper, allowing targeted treatment for thinning areas.
Efficacy: Clinical studies have shown that 5% minoxidil solutions can increase hair density by stimulating the growth phase of the hair cycle.6 Results typically begin to appear after 3–6 months of consistent use.
User Insights: Many customers appreciate the non‑messy nature of the foam, while others prefer the precision of the serum for more concentrated application.
Pro Tip: For best results, apply topical minoxidil to a dry scalp and allow at least four hours of drying time before styling.
—Hims has innovated with a unique chewable option that combines finasteride, minoxidil, and essential vitamins in one convenient tablet.
Ingredients:
Finasteride: 1.2mg per tablet
Oral Minoxidil: 3mg per tablet
Vitamins: Biotin, Vitamin B5, Vitamin B6, and Vitamin C
Benefits: These chewables are designed for men who prefer a simple daily routine without the hassle of applying topical treatments. They also serve as a supplement to support overall hair health.
User Experience: Testers have noted steady improvement in hair volume and a reduction in shedding after several months. The chewable format has been particularly popular for its ease of use while on the go.
—Hims also offers a range of hair care products, including thickening shampoos and conditioners formulated to complement their medical treatments.
Thickening Shampoo: Infused with saw palmetto and DHT‑blocking ingredients, this shampoo cleanses the scalp while reducing buildup that may clog hair follicles. Its rich lather and fresh eucalyptus scent provide a luxurious feel.
Thickening Conditioner: Formulated with niacinamide, this conditioner helps to hydrate hair and improve its appearance by temporarily boosting strand thickness.
Role in Treatment: Although these products are not “cure‑all” solutions, they can help maintain the health of your existing hair and provide an immediate aesthetic boost while the more potent treatments work over time.
Scientific studies form the backbone of Hims’ treatment claims. Both finasteride and minoxidil are widely recognized as effective treatments for male pattern baldness by major health authorities, including the FDA.
Key Studies:
Finasteride Efficacy: In a landmark study published in the Journal of the American Academy of Dermatology, men using 1mg oral finasteride experienced an average 10–15% increase in hair count over a 12‑ to 24‑month period.7 This study reinforced finasteride’s role in preventing further hair loss and promoting regrowth in early to moderate androgenetic alopecia.
Minoxidil Research: Multiple clinical trials have demonstrated that a 5% topical minoxidil solution significantly improves hair density.8 One long‑term study observed that after 6 months, patients using minoxidil had up to 18% more hair coverage compared to baseline.
Topical Combination Formulations: Emerging research on topical finasteride combined with minoxidil shows promising results. A recent meta‑analysis concluded that combining these treatments produces similar efficacy to oral finasteride but with fewer systemic side effects. In our review, users consistently reported noticeable improvement in hair thickness after 3–6 months of using Hims’ combined spray.
Oral Minoxidil Hybrids: Although traditionally used in its topical form, oral minoxidil at low doses (2.5–5mg) has been shown to stimulate hair regrowth effectively. Studies indicate that when combined with vitamins and taken daily, oral minoxidil can enhance follicle health and extend the growth phase.
Expert Opinions:
Dr. Marcus Leighton, a board‑certified dermatologist, emphasizes:
“The combination of finasteride and minoxidil—whether oral, topical, or in a hybrid formulation—addresses hair loss from two complementary angles. Finasteride targets the hormonal drivers of hair loss, while minoxidil enhances follicle blood flow and vitality. This dual mechanism is why many patients see improvements within 3 to 6 months.”
Safety and Tolerability:
Finasteride Side Effects: Approximately 2–3% of patients on oral finasteride report sexual side effects, though these are often reversible.9 Topical finasteride, which minimizes systemic absorption, presents a lower risk.
Minoxidil Considerations: Topical minoxidil is generally well tolerated, though it may cause mild scalp irritation or dryness. Oral minoxidil’s systemic use requires monitoring for blood pressure changes.
Real‑World Data: Customer testimonials and clinical trials alike confirm that consistency is key. Stopping treatment usually results in a gradual reversal of gains, highlighting that these are “forever treatments” rather than cures.
Study Highlight:
“A randomized controlled trial comparing topical finasteride combined with minoxidil versus minoxidil alone demonstrated that the combination therapy increased hair density by 16% over 24 weeks, compared to a 9% increase with minoxidil alone.” — Journal of Dermatological Treatment, 2023
6. Pricing, Subscription Models, and Value Analysis
When considering any hair loss treatment, cost is a major factor. Hims offers competitive pricing and flexible subscription models designed to make long‑term treatment more affordable.
Pricing Breakdown:
Below is a summary table comparing some of Hims’ key products with competitor pricing for a 30‑day supply (prices are current as of 2025):
For best long‑term value, Hims’ subscription models offer discounts on extended billing periods. With auto‑delivery, you never miss a dose—essential for “forever treatments” like these.
Value Proposition:
Convenience: Hims’ online consultation and auto‑delivery eliminate the need for doctor visits and pharmacy trips. Products arrive in discreet packaging, ensuring privacy.
Flexibility: Customers can easily pause, cancel, or adjust subscriptions via the Hims app or website. This is especially beneficial if you experience temporary side effects or need to switch formulations.
Quality & Efficacy: Despite the premium pricing for some products, Hims’ formulations are backed by robust clinical data and positive user experiences. For many users, the proven efficacy of the combination treatments outweighs the modest cost difference compared to generic options bought elsewhere.
Expert Insight: “Even though the subscription costs might seem slightly higher, the convenience and consistency of getting high‑quality, clinically supported treatments delivered to your door is invaluable,” notes Dr. Leighton.
Long‑Term Cost Considerations:
Hair loss treatments require ongoing use to maintain benefits. When evaluating costs, consider the cumulative expense over years rather than months. Hims’ bundled options, which include both prescription and OTC products, offer a comprehensive approach that may reduce the need for additional treatments or consultations later on.
Take control of your hair loss journey with confidence
A crucial part of any telehealth service is the overall user experience. Our team tested Hims from start to finish—beginning with the online consultation, through ordering, delivery, and ongoing support.
Online Consultation:
Ease of Use: The consultation begins with a simple, user‑friendly questionnaire about your hair loss symptoms and medical history. The process is streamlined, taking only a few minutes to complete.
Healthcare Provider Interaction: After submission, a licensed provider reviews your answers. In many cases, photos of your scalp are requested for a more accurate assessment. Our testers appreciated the clear instructions and prompt responses (often within 24 hours).
Ordering and Delivery:
Discreet Packaging: Hims ships products in unmarked boxes, preserving your privacy.
Auto‑Delivery: Many users opt for auto‑delivery to ensure continuous treatment. Our testers noted that the ability to pause or cancel shipments via the app is a major convenience.
Processing Fees: A small processing fee of approximately $5 is charged on orders. While not ideal, our testers found this fee acceptable given the overall convenience.
Customer Support:
Access Channels: Hims offers customer support via live chat, email, and phone (toll‑free number: 800‑368‑0038).
Responsiveness: While our team experienced generally prompt responses via live chat, a few users reported delays when contacting by phone. Nevertheless, most customers found the online portal to be clear and easy to use.
User Testimonials: Many customers praised Hims for “taking the hassle out of hair loss treatment” and highlighted the benefit of having a dedicated support team available for any questions. One tester noted: “The automatic shipping and easy online adjustments made Hims the most convenient platform I’ve ever used. I always felt supported throughout my treatment.” — Verified Hims User
Experience the Hims Difference
If you value convenience and ongoing support, Hims’ streamlined process makes it an excellent choice.
After thoroughly testing and researching Hims, here’s a summary of the benefits and drawbacks of their hair loss treatments, along with insights from medical experts and real users.
Pros
Comprehensive Treatment Options: Offers both prescription and OTC products, including oral and topical formulations.
Convenient Telehealth Model: Easy online consultation, quick prescriptions, and discreet home delivery.
Flexible Subscription Options: Ability to pause, cancel, or adjust orders at any time.
Positive User Feedback: Many users report noticeable regrowth and improved hair density after 3–6 months of consistent use.
Supportive Customer Service: Online messaging and live chat options help answer questions and resolve issues promptly.
Cons
Potential Side Effects: Oral finasteride can lead to sexual side effects (though topical versions offer a safer profile).
Compounded Product Concerns: Some prescription products are filled by compounding pharmacies, meaning they are not FDA‑approved as packaged treatments.
Pricing Transparency: Prices for prescription products are sometimes not as clearly displayed as those of competitors.
Limited Options for Advanced Balding: Hims primarily caters to early and moderate hair loss; those with advanced balding might need more aggressive treatments.
Processing Fees: A small additional fee (around $5) applies to orders.
Expert Opinions:
Dr. Marcus Leighton, a board‑certified dermatologist, advises:
“For men experiencing early to moderate hair loss, the combination of finasteride and minoxidil—especially in a topical formulation—is a proven approach. Hims makes it simple and accessible, though users should be aware of the potential for side effects and the need for continuous treatment.”
Another expert, Dr. Elena Rossi, a trichologist, adds:
“Hims’ telehealth model is a game‑changer. It reduces barriers to treatment and provides a level of convenience that traditional clinics can’t match. However, patients must commit to a long‑term regimen for sustained results.”
Pro Tip: If you’re hesitant about the potential systemic side effects of oral finasteride, consider starting with the topical combination spray to assess your tolerance and results.
9. Comparative Analysis: Hims vs. Competitors
To help you decide if Hims is the right choice for your hair loss treatment, we compared Hims with other leading telehealth providers such as Keeps, Roman, and Happy Head. Below is a detailed comparative table and analysis.
Product Variety: Hims offers a broad range of products, including unique innovations like the hair hybrid chewables. While competitors provide similar core treatments (finasteride and minoxidil), Hims’ range of application formats (spray, serum, chewable) gives it an edge in meeting diverse user preferences.
Pricing: While Hims’ pricing is competitive, especially for its topical formulations, some competitors may offer slightly lower prices in specific categories. However, Hims’ convenience and robust support network often justify the cost premium for many users.
Customer Experience: Hims’ telehealth model is generally praised for its simplicity and convenience. Although some competitors also excel in customer service, Hims’ integrated live chat and auto‑delivery system provide a seamless user experience that has resonated with many users.
Clinical Efficacy & Safety: All companies use clinically supported active ingredients, but Hims’ combination therapies—particularly the topical finasteride & minoxidil spray—have garnered strong positive feedback from our testers and align with the latest research showing comparable efficacy to oral treatments with reduced systemic risks.
Expert Insight: “While all these telehealth providers offer effective hair loss treatments, Hims distinguishes itself through a combination of product innovation, ease of use, and comprehensive customer support,” explains Dr. Leighton. “For those who value convenience and a diverse product line, Hims is an excellent option.”
Here are answers to some of the most common questions regarding Hims hair loss treatments:
Does Hims really work for hair loss?
Yes. Many clinical studies and customer testimonials indicate that Hims’ products—particularly the combined topical finasteride & minoxidil spray—can effectively slow hair loss and promote regrowth in early to moderate cases of androgenetic alopecia. However, results vary, and consistency is key.
Are Hims products FDA‑approved?
The active ingredients (finasteride and minoxidil) are FDA‑approved for treating hair loss. However, many of Hims’ compounded products (such as their topical spray) are not individually FDA‑approved because they are prepared by compounding pharmacies. Always consult with a healthcare provider regarding any treatment.
What is the online consultation process like?
Hims uses a simple, confidential online questionnaire to assess your hair loss and medical history. In some cases, you may need to provide photos of your scalp. A licensed healthcare provider reviews your submission and, if appropriate, prescribes the treatment. This entire process is designed to be quick, discreet, and accessible.
What are the common side effects?
For oral finasteride, potential side effects include decreased libido and erectile dysfunction (affecting around 2–3% of users). Topical formulations typically cause only mild scalp irritation. Oral minoxidil may cause a drop in blood pressure or unwanted hair growth in areas other than the scalp.
How long will it take to see results?
Most users begin to notice improvements after 3–6 months of consistent use. Hair loss treatments require ongoing use; discontinuing treatment typically leads to a reversal of benefits.
How does Hims compare to other hair loss treatment services?
Hims stands out with its diverse product range, convenient telehealth model, and robust customer support. While competitors like Keeps, Roman, and Happy Head offer similar core treatments, Hims’ innovative delivery formats and flexible subscription options make it a strong choice for many men.
What if I experience side effects or need to cancel my subscription?
Hims provides multiple customer support channels—live chat, email, and phone—to address any issues. You can pause or cancel your subscription through their online portal. It’s important to discuss any adverse effects with your healthcare provider.
Quick Tip: Before starting any new treatment, consult with your doctor, especially if you have underlying health conditions.
11. Conclusion and Final Recommendations
In summary, Hims has established itself as one of the leading platforms for men’s hair loss treatment. By combining the convenience of telehealth with clinically proven treatments like finasteride and minoxidil, Hims offers a user‑friendly, comprehensive solution for early to moderate hair loss. Our extensive research, combined with hands‑on testing and expert interviews, shows that Hims’ products—whether in oral, topical, or hybrid chewable form—can deliver meaningful results when used consistently.
Who Should Consider Hims?
Men experiencing early signs of hair thinning or a receding hairline.
Those who value the convenience of online consultations and discreet home delivery.
Individuals seeking a comprehensive treatment plan that includes both prescription and OTC options.
Who Might Look Elsewhere?
Men with advanced balding who may require more aggressive interventions such as hair transplant surgery.
Individuals who prefer in‑person consultations or have concerns about compounded product formulations.
Overall, Hims presents a compelling option for modern men looking to take control of their hair loss. While the long‑term commitment and potential side effects require careful consideration, the benefits—coupled with the convenience and flexibility of the Hims platform—make it an attractive choice for many.
Don’t let hair loss hold you back any longer
Get started with Hims today and experience the benefits of a personalized, clinically supported hair loss treatment regimen that fits seamlessly into your life.
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April 3, 2025
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Written By Daron Vchulek Edited By Suzanne Briggs Medically Reviewed By Stephanie S. Gardner, MD Copy Edited By Jun Xu
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