women experience hair loss

of women saw improvement after using a prescription

Female hair loss is normal. And now, so is treating it. Whether you’re noticing more hair on your brush or thinning near your part, we’ve got you—and your hair—covered.

How the Hers process works

Answer some questions

Tell us about your hair so a provider can make the best recommendation.

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If prescribed, it ships free right to your door.

Complete a free online visit

Connect with a medical provider who can guide you to the right treatment.

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Message a provider with question at any time for free.

Prescription hair loss treatments

Oral Spironolactone

Starting at $30/month

Stops excess shedding and regrows hair.

Topical Finasteride & Minoxidil Spray

$50/month

Delivers two doctor-trusted ingredients with a simple spray to treat hair loss postmenopause.

Important Safety Information

What is the most important information that I should know about Spironolactone for the treatment of female pattern hair loss (androgenic alopecia):
  • Spironolactone is FDA-approved for the treatment of:
    • Heart failure
    • Hypertension
    • Primary hyperaldosteronism
    • Edema
  • Although spironolactone is not FDA-approved for the treatment of female pattern hair loss, it is often used in dermatologic healthcare for this reason.
  • Spironolactone is not used for the treatment of hair loss in men due to side effects (e.g., enlargement of breast tissue) related to its anti-androgenic properties.
  • Through the Hers platform, spironolactone is only available to premenopausal women, born female, between the ages of 18-43.
  • If you have the potential to become pregnant, you must be on a reliable form of birth control while taking spironolactone due to the risk of birth defects associated with spironolactone. Please see below for more information about this.
Are there any dietary restrictions that I should follow while taking spironolactone?
While taking spironolactone, excessive potassium intake should be avoided. This includes avoiding potassium-containing supplements in addition to salt substitutes that contain potassium. Coconut water contains high amounts of potassium and should be avoided. Most other foods, including bananas, are safe to consume in moderation. Drinking alcohol may increase certain spironolactone side effects, such as headache or dizziness.
Do not use spironolactone for the treatment of your female pattern hair loss if you:
  • Are allergic or hypersensitive to spironolactone or any component of spironolactone’s formulation
Active ingredient:
spironolactone
Inactive Ingredients:
lactose monohydrate, dibasic calcium phosphate, povidone, peppermint oil, purified talc, pregelatinized starch, colloidal anhydrous silica, magnesium stearate, hypromellose, polyethylene glycol 400, titanium dioxide, iron oxide yellow, iron oxide red
  • Are currently taking eplerenone
  • Have hyperkalemia
  • Have Addison’s disease
  • Are pregnant or breastfeeding or are planning to become pregnant
If any of the following apply to you, please speak with a healthcare provider in-person about seeking treatment for your female pattern hair loss:
  • Younger than 18 years of age
  • You are taking any of the following medications:
    • Cholestyramine
    • Daily use of acetylsalicylic acid (aspirin) or NSAIDS (e.g., ibuprofen, advil, aleve, naproxen).
    • Potassium supplements
    • Drugs that increase serum potassium levels (e.g., ACE-inhibitors, angiotensin-receptor blockers, Heparin or low molecular weight heparin)
    • Lithium
    • Digoxin
  • You have any of the following conditions:
    • Kidney or liver disease
    • Electrolyte imbalances
    • Heart disease
    • Gout
    • Adrenal gland disorder
    • Irregular menstrual periods that have not been evaluated by a healthcare provider in-person
    • Recent onset of excessive hair growth on the face or body, enlargement of the clitoris, and/or deepening of the voice
These are some of the more common side effects of spironolactone:
  • Headache, dizziness, drowsiness, confusion
  • Nausea, vomiting, diarrhea
  • Abdominal pain
  • Irregular menstrual periods
  • Breast tenderness/enlargement
  • Decreased libido
Contact your healthcare provider right away if you experience any of these side effects:
Hyperkalemia (elevated potassium level in your blood) is a reported serious side effect of spironolactone. Hyperkalemia is rarely seen in young, healthy individuals under 45 without underlying kidney or heart disease. Contact your healthcare provider right away if you experience any of the following symptoms of hyperkalemia:
  • Confusion
  • Fatigue
  • Muscle pain or weakness
  • Difficulty with breathing
  • Irregular heartbeat
  • Nausea
  • Tingling or numbness in the arms, hands, legs, or feet
These are not all of the possible side effects of spironolactone. For more information, ask your healthcare provider or pharmacist.
Contract your healthcare provider for medical advice about side effects. You can message a healthcare provider through your Hers account if you have any questions about your treatment, including any side effects you may be experiencing. You may report side effects to FDA by calling 1-800-FDA-1088 or visiting http://www.fda.gov/MedWatch.
If I am sexually active, is it important to use an effective form of contraception while taking spironolactone?
Yes, spironolactone can potentially cause birth defects in a developing fetus (e.g., feminization of a male fetus). If you are concerned that your birth control method was ineffective or failed, over-the-counter emergency contraception is available but must be taken within 72 hours (3 days) following the sexual act. Prescription emergency contraception (ella®) is also available through a healthcare provider and must be taken within 5 days following the sexual act.
Oral contraceptive pills are often prescribed with spironolactone as a form of birth control and to help maintain regular menstrual periods while preventing side effects, such as breast tenderness.
If you become pregnant while taking spironolactone, you should immediately stop taking spironolactone and inform a medical professional.

Important Safety Information

Through the Hers platform, topical finasteride + minoxidil spray is only available to women aged 43 and over, who are on a reliable form of birth control.
Read this patient information before you start using this medication and each time you get a refill. There may be new information. This information does not take the place of talking with your healthcare provider about your medical condition or treatment.
Topical finasteride + minoxidil spray is a prescription medication used for the treatment of female pattern hair loss (androgenetic alopecia).
Unlike oral finasteride (which is FDA-approved only for use in men), topical finasteride + minoxidil spray is a compounded product and has not been approved by the FDA. It is only available if prescribed after an online consultation with a medical provider through the Hers platform.
The use of topical finasteride to treat hair loss has not been as comprehensively studied as oral finasteride. While research has shown that serum DHT levels decrease while using topical finasteride, the systemic side effects (e.g., sexual dysfunction) typically associated with oral finasteride were not reported in the studies of topical finasteride.
Do not use other topical minoxidil or topical finasteride products while you are using this topical finasteride 0.3% + minoxidil 6% spray.
Do not allow individuals who are pregnant or breastfeeding, individuals who have the potential to become pregnant, or children handle this medication. Do not allow any of these individuals to come into contact with the treatment site (your scalp) after the medication has been applied. If they do, they should immediately clean the site of contact on their skin with soap and water.
What should I tell my healthcare provider before using topical finasteride + minoxidil?
  • If you are pregnant, planning to become pregnant, or are breastfeeding
    • Topical finasteride + minoxidil spray should not be used or handled by individuals who are pregnant or breastfeeding, individuals who have the potential to become pregnant, or individuals under the age of 18.
  • If you have any other medical conditions
  • If you have ever had a hypersensitivity or allergic reaction to topical minoxidil or topical finasteride + minoxidil
  • All of the medications that you are currently taking, including prescription and nonprescription medications, vitamins, and herbal supplements.
    • Know the medications you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medication.
Who should not use topical finasteride + minoxidil?
  • Do not use topical finasteride + minoxidil if you:
    • are currently taking oral finasteride for hair loss or for treatment of an enlarged prostate (Propecia®, Proscar®). Oral finasteride and topical finasteride + minoxidil spray cannot be used at the same time
    • are currently taking other medications in the same class as finasteride (5-alpha reductase inhibitors: e.g., dutasteride, Avodart®, Jalyn®)
    • are pregnant, trying to get pregnant, or may become pregnant
    • due to the possibility of absorption of finasteride and the subsequent potential risk to a male fetus
    • are breastfeeding
    • are allergic to any of the ingredients of topical finasteride + minoxidil
    • have a history of breast cancer, uterine, cervical or ovarian cancer in the last 5 years
    • are younger than 18 years of age
What are the possible side effects of topical finasteride + minoxidil spray?
The most common side effects of topical finasteride + minoxidil spray typically occur at the site of medication application (scalp). These side effects include:
  • Itching
  • Redness
  • Irritation
  • Burning sensation
  • Contact dermatitis
  • Dry and flaky scalp
If you develop any of the following side effects, please stop using this topical medication and contact your healthcare provider right away:
  • Chest pain
  • Rapid heart beat
  • Faintness or dizziness
  • Sudden and unexplained weight gain
  • Swelling of hands or feet
  • Breast tenderness/enlargement
  • Unwanted facial hair growth
  • Sexual dysfunction (e.g., low libido, erectile dysfunction, decreased volume of ejaculate)
  • Symptoms of depression
  • No scalp hair regrowth after 6 months of use
  • Severe scalp irritation
These are not all of the possible side effects of topical finasteride + minoxidil spray. For more information, ask your healthcare provider or pharmacist.
Contact your healthcare provider for medical advice about side effects. You can message a healthcare provider through your Hers account if you have any questions about your treatment, including any side effects you may be experiencing. You may report side effects to FDA by calling 1-800-FDA-1088 or visiting http://www.fda.gov/MedWatch.
How do I use the topical finasteride + minoxidil spray?
  • Use this medication exactly as your healthcare provider tells you to use it.
  • Do not use this medication more than once a day as it will not improve results and can increase the risk of side effects.
  • Wash your hands with soap immediately after applying this medication to your scalp.
What should I do if this medication gets on my face?
There is the potential for hair growth to occur on any skin that this medication comes into contact with after repeated use. For this reason, only apply the topical finasteride + minoxidil spray to the scalp, and carefully blot any excess to avoid it running onto your face. If it does get on your face, clean off the medication with gentle soap and water.
How should I store the topical finasteride + minoxidil spray?
  • Store this medication at room temperature between 59˚F to 86˚F (15˚C to 30˚C).
  • Keep this medication and all other medications out of the reach of children.
  • Individuals who are pregnant or breastfeeding, individuals who have the potential to become pregnant, and individuals under the age of 18 should not handle this medication
  • Discard any unneeded medication
General information about the safe and effective use of the topical finasteride + minoxidil spray:
  • Do not use this medication for a condition for which it was not prescribed.
  • Do not give this medication to other people, even if they have the same symptoms you have. It may harm them.
  • Minoxidil is suspected to be toxic to cats and dogs. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988634/ Please do not allow cats, dogs, or other pets to ingest this medication or to come into contact with the treatment site after the medication has been applied. If these occur, consult your pet's veterinarian.

Curated hair care

Minoxidil 2% Solution

From $15/mo

Promotes hair growth by shedding old hairs and replacing them with new, stronger ones.

Additional fees may apply

Biotin Gummies

from $16/mo

Packed with vitamins for thicker hair, stronger nails, better skin & key nutrients.

Additional fees may apply

Better hair days with Hers

4.5 average rating

Before/after images shared by customers who have purchased varying products, including prescription based products. These customers’ results have not been independently verified. Individual results will vary. Customers were given free product.

Female hair loss explained

Androgens and hair

Some of us have higher levels of androgens that can bind to follicles and weaken them over time.

Shed happens

As follicles weaken, hair sheds more easily and starts to thin at the top of the head near the part.

Doctor-trusted treatments help

Treatments like oral spironolactone and topical finasteride inhibit androgens, slowing or stopping hair loss, while minoxidil can stimulate regrowth.

Answer some questions, get a personalized plan

Get the most out of your treatment plan by telling us more about your hair needs. Your answers will help us guide you to curated hair care kits stacked with salon-quality products.

Get the facts on female hair loss.

Learn more about female pattern hair loss, regrowth treatments, and medication options specifically designed for women.

Hair Loss in Young Women: Causes...

Vicky Davis, FNP

Iron Deficiency and Hair Loss

Kristin Hall, FNP

Thicker hair awaits

Doctor-trusted prescription treatments
Multiple treatment options for the perfect fit
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