Hair Loss

Effective in over 9/10 men, our hair treatments are clinically proven to help you keep and grow your hair.
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“I saw results in three months! Now even more hair at six.”
Laszlo, Trustpilot
UK licenced medication
Ongoing clinician support
Free, discreet delivery
Special strength formulas

Success stories

“Manual is the most straightforward, easy and reassuring company when it comes to Finasteride and Minoxidil, I’ve had help every step of the way if I’ve required it and I couldn’t be happier with the results!”
The Complete Hair Loss Plan
Join more than 30,000 happy customers who have used Manual
5 stars out of 5
This has honestly revived my hair. I was going bald from the age of 19 and by 21 my hairline was completely gone. I’ve been taking this for 6 months and my hair line has grown back completely to how it was.
Alex. Trustpilot

How it works

Quick questionnaire

We’ll ask you a couple of quick medical questions. Tick the boxes and a clinician will review your answers and issue you a prescription.

Free fast delivery

Your selected treatments will be delivered for free in discreet packaging. There’ll be some helpful info included to make sure you get the best out of it.

Clinician support

Chat with a medical expert whenever you need. On the phone or via email. With support throughout your treatment.

Choose a plan

Alternatively, if you are unsure, start your free online consultation
Premium Treatments

Take an online consultation. Our experts will then recommend the best treatments in the UK for you.

Access to special strength treatments
Unlimited clinician support
Free hair tracking functionality
Alternatively, choose from one of our standard plans
Best for

overall thinning hair

The complete hair loss plan

Maximises success: increasing hair growth & reversing hair loss

Over 9/10 men

One-a-day tablets: Finasteride
Daily spray: Regaine
Delivery frequency:
Every month
Save 30%
Every 3 months
Dr. Earim Chaudry
"Strongly recommend a 3 month order as first results take time"
Earim Chaudry, Medical Director
£60 for the first delivery
£114 per delivery thereafter
You already have a product that requires a prescription. You'll have to submit different orders for separate prescription medicine. Please proceed to your cart
Cancel-any-time subscription
Best for

receding hairlines

Finasteride hair loss plan

Daily tablet that increases hair growth and helps reverse hair loss

9/10 men

One-a-day tablets: Finasteride
Delivery frequency:
Every month
Save 17%
Every 3 months
Dr. Earim Chaudry
"Strongly recommend a 3 month order as first results take time"
Earim Chaudry, Medical Director
£45 for the first delivery
£84 per delivery thereafter
You already have a product that requires a prescription. You'll have to submit different orders for separate prescription medicine. Please proceed to your cart
Cancel-any-time subscription
Best for

thinning at the crown

Minoxidil hair loss plan

Hair Spray that targets the follicles and promotes growth

2/3 men

Daily spray: Regaine
Delivery frequency:
Every month
Save 21%
Every 3 months
Dr. Earim Chaudry
"Strongly recommend a 3 month order as first results take time"
Earim Chaudry, Medical Director
£57 for the first delivery
£108 per delivery thereafter
You already have a product that requires a prescription. You'll have to submit different orders for separate prescription medicine. Please proceed to your cart
Cancel-any-time subscription
Alternatively, if you are unsure, start your free online consultation
Premium Treatments

Take an online consultation. Our experts will then recommend the best treatments in the UK for you.

Access to special strength treatments
Unlimited clinician support
Free hair tracking functionality
Alternatively, choose from one of our standard plans
Our medical team work round the clock to bring you the most effective treatments available in the UK
Dr. Earim Chaudry, Medical Director

What to expect

1-2 months

There will likely be no visible change in the first two months. Though some people may shed more fine hairs than before. This is temporary and normal.

3-6 months

At this point, it may become noticeable that hair loss has slowed, stopped, or in some cases maybe even reversed. Take a photo to track your progress.

6 months +

By now, hair loss may have considerably slowed or stopped, and some people may see signs of regrowth, usually at the crown of the head.

Frequently asked

From stress to vitamin deficiency, there are many possible causes of hair loss. However, male pattern baldness (MPB), or androgenetic alopecia, is the most common culprit, causing 90% of male hair loss cases. This is caused by the hormone, DHT, which weakens and shrinks the hair follicles – and ultimately makes them unable to produce hair. That’s MPB and it happens to most men in our lifetimes.

You’ll probably know the main signs of balding already. From a receding hairline to a balding crown, the key signs are familiar to us all. However, overall, expect your hair to be thinner, weaker, and more brittle. And you may see that it grows more slowly on top – or that more hair falls out in the shower or when styling. Crucially, sudden onset hair loss or inflamed/sore scalp that causes bald spots or patchy hair loss is not MPB.

Dihydrotestosterone (DHT) is what powers MPB. Derived from testosterone by an enzyme known as 5α-Reductase, it helps your body develop sex organs, muscle mass, and facial hair in your youth. However, as you age, DHT weakens your hair follicles, and stops them producing hair. Prevent 5α-Reductase from working, though, and your follicles can be saved – which means fuller and thicker hair for longer.

You bet that hair loss is reversible. Thanks to our understanding of DHT and hair follicles, new hair loss treatment options are available. Finasteride and Minoxidil are the market-leaders, with Finasteride being effective in the treatment of MPB for 9/10 men. So, men don’t need to put up with hair shedding, thinning, or bald spots anymore – as these medical treatments offer an easy way to regrow healthy hair.

With MPB treatment, the trick is to start as soon as possible. While Minoxidil and Finasteride have a big impact in the battle against that androgen, DHT, they can only do so much. If you’re completely bald and have been for a long time, it is unlikely that treatment will work. DHT will have made the follicles unable to produce hair – and permanent hair loss is the result. Start treatment as soon as you can.

Meet our medical team
Enabling the mission of revolutionising how men approach health, they are at the core of the men’s wellness platform. Meet our team.
Earim Chaudry, MD
Medical Director
Ryan Benbow
Pharmacist, Ind. Prescriber
Noor Alsati
Pharmacist, Ind. Prescriber
Soheb Ganchi
Pharmacist, Ind. Prescriber
Get a free consultation
Speak with one of our clinicians and get personalised advice. Monday to Friday 9am-4:30pm
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Male Hair Loss: Everything You Need to Know
Curated by Dr. Earim Chaudry, Manual Medical Director
Male pattern baldness (MPB) is common – and probably more common than you think. 30% of men aged 30 have it to some degree. By the age of 70, that proportion is 70%. While some of us can even see it in our 20s, others can hold out until their older years. The chances are that you will almost certainly see some degree of thinning.
But what are the common causes of hair loss? And is it treatable? Read on to find out more.
The Causes of MPB and Other Hair Loss
In 90% of cases, though, male hair loss is caused by MPB (also known as androgenic alopecia). This is a result of your hormones and genes – and your follicles’ sensitivity to dihydrotestosterone (DHT). DHT is a male hormone that gives your male characteristics when young, but it impacts hair growth as you age.
DHT binds to hair follicles on your scalp, and causes them to shrink, weaken, and stop producing healthy hair. It also affects your hair growth cycle, meaning that your follicles are in their resting phase for longer and stay in the growth phase (or anagen phase) for a shorter time. MPB is treatable and even reversible.
There are other reasons why you can lose your hair – and, unfortunately, not all of them are treatable. Alopecia areata is one possibility, caused by autoimmune disease, in which hair falls out in clumps. Another cause is traction alopecia, where hair falls out due to tension at the root. This is usually the result of wearing a tight-fitting helmet for too long, or wearing hairstyles such as braids, cornrows, or hairpieces too tightly. It’s usually accompanied by itchiness and redness on the scalp.
Trichotillomania, or obsessive hair pulling, is another of the types of hair loss, caused by physically pulling out hair from the scalp or eyebrows. Meanwhile, telogen effluvium is the name of hair loss caused by stress. Other medical conditions and treatments – including fungal infection and chemotherapy – can also cause hair loss. Consult your GP or a dermatologist before treatment.
Is my hair loss treatable?
If you’re male and in the 90% of hair loss cases, take a deep breath. It’s okay. MPB is easily treated using widely approved treatments.
You’ll be able to recognise if you have MPB. It first affects either the hair above your temples or on your crown. You’ll see your hairline receding into a “widow’s peak”, a v-shaped hairline at the front of your head. Elsewhere, thinning hair will be seen across the top of the head. Importantly, it won’t fall out suddenly or in clumps, and it won’t leave behind a rash.
There are two effective and approved treatments for a receding hairline. Known as Finasteride (often sold as Propecia) and Minoxidil (Rogaine or Regaine).
The first, Finasteride, tackles the root cause of MPB by blocking the production of the hormone DHT. Effective in 90% of men and usually taken orally as a daily pill, Finasteride intervenes to prevent the shrinkage of hair follicles before they become permanently damaged.
Minoxidil, meanwhile, is applied topically as a spray. It’s a “vasodilator”, widening blood vessels on the scalp to facilitate the transport of nutrients and oxygen. Use the spray twice daily – and it’s shown to help regrowth in two thirds of men. We recommend that men use both of these treatments together.
Note: MPB Treatments are available in different strengths. If the licensed strengths aren’t effective for you, we also have premium options. Just ask a specialist at Manual for more information.
While female pattern baldness (or female pattern hair loss) does exist, consult a doctor for treatment options. While women can use Minoxidil, they should never use Finasteride.
What are the side effects of the treatments?
Finasteride and Minoxidil are licensed as safe and effective treatments for hair loss. Like all medications, they can have side effects. However, the good news is that these side effects are rare, and the vast majority of people do not experience them.
The side effects of Minoxidil usually come as a result of overapplication. They include dizziness and drowsiness – as the increased blood flow lowers your blood pressure slightly – as well as irritation in the area where it has been applied. More serious side effects – including heart palpitations, nausea, and changes to your vision – are very rare.
Over 98% of men experienced no serious side effects to Finasteride in clinical trials. However, weight loss and weight gain, dizziness and weakness, erectile dysfunction, and decreased libido have all been reported as side effects.
Why wouldn’t I have a hair transplant?
Hair transplants are not quite as permanent as they may seem. As MPB is a progressive condition, there’s no guarantee that your hair loss won’t continue post-op. And, as a result, you might find yourself saving up for a second or a third transplant.
Hair transplants are also accompanied by treatment with Finasteride and Minoxidil. These drugs tackle the root cause of hair loss, where hair transplants only manage the symptoms. You’re increasing the chances of further hair loss if you don’t follow surgery with these treatments. You’re the best judge of what you need, but if you’re getting a transplant, you’ll be taking these medications afterwards anyway.
Can a shampoo treat my hair loss?
Yes, it’s true. Shampoos can be effectively used to treat hair loss. However, with many duff products on the market, it’s important that you know what you are looking for.
Manual’s Power Shampoo includes ingredients known to encourage healthy hair. Caffeine is known to stimulate hair follicle activity. Biotin is an essential vitamin for hair health, as it plays a role in the production of keratin, the protein of which hair is made. Meanwhile, saw palmetto is thought to reduce the amount of DHT in the body, too. But Finasteride and Minoxidil are the only proven treatments.

Read me, I’m important

Male pattern baldness (MPB) is the most common form of hair loss, caused by your genetics primarily. It accounts for 95% of male hair loss, and is treatable.

In MPB hair follicles gradually shrink, your hair becomes thinner and sheds more quickly. At the hair follicle there is an enzyme called 5-alpha-reductase (5AR) which changes testosterone into DHT (a more potent hormone). Hair follicles susceptible to MPB are more sensitive to DHT, and it causes them to shrink. The hair at the back of the head are more resistant to the effects of DHT and as a result receding hairlines and the crown usually are the areas of MPB.

We provide hair clinic expertise at your fingertips, and deliver the most effective hair loss treatments directly to you at less than half the cost of expensive private clinics.

All you need to do is select which you want, and answer an online consultation which our clinicians assess. In addition, we will provide unlimited clinical support from our hair clinicians directly from your personal account. There you can also upload photos of your hair for a clinical opinion and track your hair growth journey with before and after treatment pictures.

There is one simple and convenient subscription plan which is particularly important as a treatment for hair loss does not occur instantly, it takes time and commitment. It typically takes 3-6 months to start seeing visible changes and 12 months+ to see the maximum results.

These are the most effective official treatments on the market. To give yourself the best chance of tackling your hair loss, using BOTH the treatments gives you the most potent effect as they work on different parts of the hair loss problem.

Regaine for men extra strength 5% solution - contains the proven treatment minoxidil. This is a potent hair growth stimulant which works to increase blood flow to the scalp, enriching and boosting hair follicles to promote hair growth and prevent hair loss.

Finasteride - a proven effective treatment blocker of the DHT producing enzyme 5-alpha reductase, which protects your hair follicles from shrinking, reduces the risk of hair shedding and optimises hair regrowth.

So you are attacking the problem from both angles with a combination treatment, combined it should work in over 90% of men! This is huge.

Finasteride and Minoxidil are both proven and highly effective treatments for male hair loss. Studies have shown that the earlier you start, the better the results!

Research shows that Finasteride halts hair loss or regrows hair in 9 out of 10 men, whilst Minoxidil is effective in over 6 out of 10 men. Combined it should work in over in >90% of men.

Consistency and perseverance are the key to successful treatment outcomes. Results start to be seen within 3-6 months of regular use, with maximal benefit being seen in 12months+. For this reason, we strongly advise quarterly plans for continuity. If the treatment is stopped the beneficial effects can start to reverse after 6 months and usually completely disappear after 9-12 months.

Like all medicines there are risks of unwanted side effects. The good news is that with our hair loss treatments these are uncommon.

The most common side-effects with minoxidil are local skin irritation, a full list is outlined in the patient information leaflet.

98.6% of men who took Finasteride in clinical trials, continued to do so as they experienced no significant adverse effects to the medication. Finasteride side effects include a rash, tenderness around the nipples, decrease in libido, testicular pain, erectile dysfunction, poor seminal quality, depression/low mood and palpitations.

More Information:
Finasteride Side Effects
Minoxidil Side Effects

It is important to read the treatment plans and information supplied before starting treatment.

The following are not suitable for our treatment:

  • Women or Men under 18 yrs old, or over 65 for minoxidil
  • Men who don’t have male pattern baldness or are completely bald
  • Minoxidil should not be used if you have scalp soreness, redness or low blood pressure problems
  • Finasteride is not suitable for men with benign prostate enlargement and if you currently are receiving treatment with an 5-alpha reductase inhibitor (e.g. finasteride, dutasteride).
  • Finasteride should not be used whilst trying to conceive a baby
  • If you are or have suffered from gynaecomastia, male breast or prostate cancer you should not take Finasteride.
  • Finasteride should not be used in anyone who suffers from severe depression/suicidal thoughts.

Other treatment options are available such as PRP (platelet-rich plasma) injections and low-level laser treatment (LLLT) have worked for some people but don’t have clear evidence to show their effectiveness.

Hair transplants have shown rapid improvement over the last few years, but they can be expensive and success rates vary greatly. Also usually even after your hair transplant your surgeon will recommend prescription medication such as finasteride and minoxidil to ensure you keep the hair that is still there.

Hair pigmentation treatments and hair fibres are another possible treatments/applications to disguise your hair loss, although they don’t actually prevent the hair loss itself they can really improve your look.

There is no clinical evidence to suggest that herbal pills help with male pattern baldness.

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If you have a clinical question but don't want to complete a consultation yet, sign up for a Manual account and send us a message to speak to one of our clinicians.