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Does the Hims pill actually work? An Evidence-Based Review

4 min read

By age 50, as many as 85% of men experience significantly thinning hair, and about 40% of men in their 40s are affected by erectile dysfunction (ED). So, does the Hims pill actually work for these common issues? The answer depends on the specific medication and the condition it treats.

Quick Summary

Hims offers prescription medications for erectile dysfunction and hair loss. The effectiveness of these pills relies on clinically proven active ingredients like Sildenafil, Tadalafil, Finasteride, and Minoxidil.

Key Points

  • Proven Ingredients: Hims pills use FDA-approved active ingredients like Sildenafil (Viagra) and Tadalafil (Cialis) for ED, and Finasteride (Propecia) and Minoxidil (Rogaine) for hair loss.

  • ED Efficacy: Sildenafil and Tadalafil are clinically proven to be effective for ED by increasing blood flow to the penis. Tadalafil offers a longer duration of action, up to 36 hours.

  • Hair Loss Efficacy: Finasteride works by blocking the hair-loss-causing hormone DHT, while Minoxidil stimulates follicles. Studies show combination therapy is more effective than using either alone.

  • Convenience Model: Hims' primary advantage is its telehealth platform, which offers a convenient and discreet way to get prescriptions for these common conditions.

  • Side Effects Exist: The medications are effective but have potential side effects. ED pills can cause headaches and flushing, while Finasteride can, in some cases, cause sexual side effects.

  • Not a Magic Pill: The effectiveness of Hims treatments is identical to the effectiveness of the active ingredients themselves; the Hims brand does not add unique efficacy.

  • Consultation is Key: Before starting any treatment, a consultation with a healthcare professional is essential to assess suitability and discuss potential risks.

In This Article

Understanding Hims and Its Offerings

Hims is a telehealth company that provides access to prescription and over-the-counter treatments for various men's health concerns, most notably erectile dysfunction (ED) and hair loss. Rather than a single "Hims pill," the company offers several medications whose active ingredients are well-established in the medical community. The platform's primary appeal is providing convenient, discreet access to these treatments through online consultations.

Hims Pills for Erectile Dysfunction (ED)

For ED, Hims offers generic and brand-name phosphodiesterase-5 (PDE5) inhibitors. These medications work by increasing blood flow to the penis in response to sexual stimulation. They do not cause erections without stimulation.

  • Sildenafil The active ingredient in Viagra, Sildenafil is available in various strengths. It is typically taken as needed before sexual activity, and its effects can last for a certain duration. Clinical trials have repeatedly demonstrated its effectiveness. One major dose-response study found that a significant percentage of men taking a particular dose reported improved erections, compared to those on placebo.
  • Tadalafil The active ingredient in Cialis, Tadalafil is known for its longer duration, lasting up to 36 hours. Hims offers it in strengths for as-needed use and as a lower-strength daily pill. The daily option allows for more spontaneity. Studies show that daily Tadalafil significantly improves erectile function and sexual quality of life for both patients and their partners.
  • Hard Mints Hims also provides compounded chewable mints that contain Sildenafil, Tadalafil, or a combination of both. These offer an alternative delivery method but it's important to note that combinations of multiple active ingredients are not typically FDA-approved, unlike the individual generic drugs.

Hims Pills for Hair Loss

The primary treatments Hims offers for male pattern baldness (androgenetic alopecia) are Finasteride and Minoxidil. These are considered the gold standard in hair restoration medication.

  • Finasteride This is a daily oral pill (also known by the brand name Propecia) that works by blocking the conversion of testosterone to dihydrotestosterone (DHT, a hormone that shrinks hair follicles and leads to hair loss. Hims states that users may see results within a few months. Clinical studies confirm its efficacy, with one large-scale trial showing significant improvements in hair count over time with consistent treatment.
  • Minoxidil More commonly known as Rogaine, Minoxidil is a topical treatment available as a solution or foam. It works as a vasodilator, thought to increase blood flow to hair follicles and extend the hair's growth phase.
  • Combination Therapies Hims also offers topical sprays and serums that combine Finasteride and Minoxidil. Research suggests that using both medications together is more effective than using either one alone. A study comparing combination therapy to monotherapy found that a significantly higher percentage of users on the combined treatment showed improvement after a year, versus those using Finasteride or Minoxidil alone.

Efficacy: A Comparison

The effectiveness of Hims pills is fundamentally the effectiveness of their active ingredients, which are backed by extensive clinical research. The convenience of the telehealth model does not change the science behind the medications.

Medication Condition Treated How It Works Common Onset/Results
Sildenafil Erectile Dysfunction PDE5 inhibitor; increases penile blood flow Typically works within an hour
Tadalafil Erectile Dysfunction PDE5 inhibitor; increases penile blood flow Can work within 30 minutes, effects last longer
Finasteride Hair Loss 5-alpha reductase inhibitor; blocks DHT hormone Visible results may take several months
Topical Minoxidil Hair Loss Vasodilator; improves blood flow to follicles Visible results may take several months
Combined Topicals Hair Loss Blocks DHT and improves blood flow Results may be seen earlier than with single treatments

Potential Side Effects and Considerations

While effective, these medications carry potential side effects. It is crucial to consult a healthcare provider before starting any treatment.

  • Sildenafil/Tadalafil: Common side effects include headache, flushing, upset stomach, nasal congestion, and back pain. A rare but serious side effect is an erection lasting longer than four hours (priapism), which requires immediate medical attention. These drugs can interact dangerously with nitrates used for chest pain and can cause a significant drop in blood pressure.
  • Finasteride: Potential side effects can include decreased libido, erectile dysfunction, and ejaculation disorders, though these are reported in a small percentage of users. There are also reports of these sexual side effects persisting after stopping the medication. Pregnant women should not handle broken or crushed Finasteride tablets as it can cause birth defects.
  • Topical Minoxidil: Can cause scalp irritation, itching, or dryness at the application site. Some users may experience an initial period of increased hair shedding, which is typically temporary.

Conclusion

So, does the Hims pill actually work? Yes, the medications offered by Hims are effective because they use FDA-approved active ingredients like Sildenafil, Tadalafil, and Finasteride, which are clinically proven to treat erectile dysfunction and male pattern hair loss. The Hims platform serves as a convenient and discreet way to access these established treatments.

The effectiveness for any individual depends on the specific condition, its severity, consistent use of the medication, and individual health factors. While many users report positive results, side effects are possible, and some customer reviews mention issues with subscriptions and customer service. It is essential to engage in an honest and thorough consultation with a healthcare provider—whether through Hims or in person—to determine the appropriate and safe treatment plan.

Authoritative Link: For more information on ED medications, visit the Mayo Clinic.

Frequently Asked Questions

For erectile dysfunction, the main active ingredients are Sildenafil (the active ingredient in Viagra) and Tadalafil (the active ingredient in Cialis). For hair loss, they are Finasteride and Minoxidil.

For ED, Sildenafil can take effect in 30-60 minutes, while Tadalafil's effects can last up to 36 hours. For hair loss treatments like Finasteride and Minoxidil, it may take 3 to 6 months of consistent use to see noticeable results.

Hims offers Sildenafil, which is the generic, active ingredient in Viagra. It is therapeutically equivalent, meaning it works the same way and has similar effectiveness and side effects.

Yes, and clinical studies suggest that combining Finasteride and Minoxidil is more effective for treating male pattern hair loss than using either medication on its own.

The most common side effects for Hims' ED medications (Sildenafil, Tadalafil) are headache, flushing, upset stomach, nasal congestion, and back pain.

The individual generic ingredients like Sildenafil, Tadalafil, and oral Finasteride are FDA-approved. However, compounded products, such as Hims' 'Hard Mints' or topical sprays that mix multiple ingredients, are not individually approved by the FDA, though they are prepared in regulated pharmacies.

Yes, a prescription is required for most of Hims' key offerings, including Sildenafil, Tadalafil, and Finasteride (both oral and topical). The Hims platform facilitates an online consultation with a licensed healthcare provider to obtain this prescription.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.