| Service | 🇺🇦 Ukraine | 🇨🇿 Czech Republic | 🇹🇷 Turkey |
|---|---|---|---|
| Trichologist (dermatovenereologist) consultation with trichoscopy | from USD 31 | from USD 50 | from USD 40 |
| Scalp PRP therapy, one session | from USD 56 | from USD 150 | from USD 100 |
Prices in the “Ukraine” column come from MediUkraine’s partner clinics. The Czech Republic and Turkey columns show the lower bounds of prices published by clinics there (for Turkey, also the Turkish Dental Association’s recommended 2026 tariff), collected in August 2026 and converted to US dollars at the rate on the day of collection. A dash means we could not find a comparable published price. In any country, the final cost is set by the clinic after an examination.
Hair grows in cycles, and some follicles are always in the resting phase, so losing up to about 100 hairs a day is normal. What usually causes concern is not the amount of hair on the brush but a change: the ponytail has become thinner, the parting wider, and there is noticeably more hair in the drain after washing than a year ago.
Hair loss looks different in women than in men. Diffuse thinning across the whole head is more common than a clearly receding hairline at the temples, the front hairline is usually preserved, and the first noticeable sign is a widening parting at the crown. Because the changes are so gradual, women spend a long time blaming shampoo, water or stress and often see a doctor a year or more late.
The second difference is that there are almost always several causes at once. Iron deficiency after years of heavy periods combines with rapid weight loss, a recent infection and stopping contraceptives, and each factor on its own seems minor. That is exactly why investigating hair loss in women starts not with choosing a medicine but with looking for triggers.
Timing adds to the confusion. Hair reacts to an event with a delay: after childbirth, surgery or an illness with a high fever, shedding starts 2–3 months later, when the event itself has been forgotten, so the connection is easy to miss. The doctor pieces together the timeline while taking your history, and it is often the conversation, not the tests, that holds the key to the diagnosis.
MediUkraine is a service that finds and coordinates treatment; it is not a clinic. We choose the clinic and a doctor with the right specialism, arrange the appointment date, add an endocrinologist or gynaecologist consultation if needed, and support you if you are travelling from abroad. Diagnosis and prescriptions are decided by the doctor after an in-person examination.
Travel. Ukrainian airspace is closed, so there are no commercial flights. Patients enter Ukraine overland, most often from Poland (Rzeszów and Kraków airports are the usual entry points), and continue to Dnipro by train. Dnipro is in the east of the country, a long journey from the border, so plan the route and timing with us before you book.
Visas. Citizens of the EU, the United Kingdom and the United States do not need a visa for short stays in Ukraine. Rules depend on your citizenship, so check your own before booking.
Safety, plainly. Ukraine is at war. Dnipro is attacked more often than western Ukraine, and an appointment can be interrupted by an air raid alert. Several governments advise against travel to Ukraine, and while that advice stands, ordinary travel and medical insurance is often void — confirm your cover with your insurer before you commit to anything.
Before you travel. The centre offers an online consultation, so the plan and the number of grafts can be estimated from photos before you decide to make the trip.
Language. MediUkraine handles correspondence, scheduling, the written treatment plan and the quote in English. The centre's team communicates with international patients in English.
Payment. You pay the centre directly. Our coordination service is free of charge for you.
More on travel, safety and insurance: Safety and travel.
Telogen effluvium (telogen shedding) is the most common scenario in women. A trigger pushes a large proportion of follicles into the resting phase at once, and 2–3 months later those hairs fall out together: in handfuls when washing, evenly across the whole head. The follicles are alive, so once the trigger is removed, density usually recovers within 3–6 months, with no need for any "stimulating" course.
If increased shedding continues for more than six months, it has become chronic telogen effluvium, which calls for a repeat investigation rather than more waiting. It can continue in waves for years, and the trigger is not always found. The doctor's task here is not to miss androgenetic alopecia hidden behind a picture of diffuse shedding.
Postpartum shedding is a form of telogen effluvium and the most common reason young women seek help. During pregnancy, hair stays in the growth phase longer, and after childbirth the accumulated hair falls out almost all at once. It starts 2–4 months after the birth, peaks in the third or fourth month, and in most women density returns by the child's first birthday. Breastfeeding neither causes nor prolongs it.
Iron deficiency is checked in every woman with hair loss, and the key measure is not haemoglobin but ferritin, the iron store that runs low long before anaemia develops. A level below 30 ng/mL is regarded as deficiency. The catch is that ferritin is an acute-phase protein: during inflammation or after surgery it is falsely high, so a normal result proves nothing. That is why it is tested together with C-reactive protein or 2–4 weeks after recovery, and "preventive" iron without a confirmed deficiency is not needed.
The thyroid can cause hair loss in both directions: hair thins with both an underactive and an overactive thyroid. Hypothyroidism also brings fatigue, sensitivity to cold and swelling; hyperthyroidism brings palpitations, tremor and weight loss despite a normal appetite. The minimum to check is TSH and free T4, and hair recovers once hormone levels are corrected. Strict diets and protein deficiency act in a similar way: losing 5–7 kilograms quickly or following very restrictive diets often ends in shedding.
An infection with a high fever, surgery, blood loss and prolonged stress work through the same mechanism: they push follicles into the resting phase at the same time. Medicines are checked separately: anticoagulants, retinoids, anticonvulsants and high doses of vitamin A. Stopping combined contraceptives is a typical trigger: shedding starts a few months after the last pack and usually settles on its own, although it sometimes reveals inherited thinning.
Excess androgens and PCOS are a reason to look beyond the hair. Warning signs are acne after the age of 25, excess hair on the face and body, an irregular or absent cycle, and difficulty conceiving. With this combination, the doctor adds hormone tests and refers you to a gynaecological endocrinologist. An important caveat: thinning on its own with normal androgen levels is not proof of a hormonal disorder.
Traction alopecia is hair loss caused by the constant pull of everyday hairstyles: tight ponytails, tight braids and cornrows, dreadlocks, extensions and heavy clip-in hairpieces. Hair thins above the forehead, at the temples and behind the ears; a typical sign is a surviving fringe of short hairs along the edge of the hairline. At an early stage it is fully reversible: removing the tension is enough, and the hair grows back within a few months. If the tension continued for years, the follicle openings are replaced by scar tissue and the loss becomes permanent.
Inherited thinning in women looks different from the male pattern: the parting gradually widens, the scalp shows through at the crown, and the front hairline is usually preserved. The hairs become thinner rather than falling out. This is a separate topic: once the diagnosis is confirmed, the doctor chooses a topical treatment, and treatment details are beyond the scope of this page.
Scarring forms are where delay costs hair permanently. In menopausal women the most common is frontal fibrosing alopecia: the hairline recedes in a band, the skin there is pale and smooth, no follicle openings can be seen, and the eyebrows thin or disappear years before changes on the scalp become obvious. Pain, burning or itching of the scalp, scaling and pustules around the follicles are also warning signs. A biopsy is done as soon as possible, and treatment starts without waiting for the histology: inflammation destroys the follicle's stem cell zone, and lost follicles cannot be brought back.
Straight after the examination you receive a preliminary conclusion, the trichoscopy images and a list of tests. Routine test results are ready within 1–3 working days, so the follow-up visit is scheduled for the end of the same week; only biopsy histology takes longer, about 1–2 weeks.
At the follow-up visit, the test results are compared with the examination findings, and this is when the diagnosis becomes clear. If iron deficiency or a thyroid disorder is found, treatment starts there: while the cause is still at work, topical products will give at best a partial response.
Hair responds slowly because its cycle is measured in months, not weeks. In telogen effluvium, shedding eases roughly 6–8 weeks after the trigger is removed, the first regrowth along the hairline appears after 3–4 months, and density returns within 6–12 months. Iron stores are rebuilt over a course lasting several months, and the hair catches up once ferritin is back to normal.
Judging the result by eye is unreliable, so phototrichograms or standardised photos taken under the same lighting and from the same angle are compared. Follow-up examinations are scheduled at three and six months, with repeat trichoscopy of the same areas. If there is no change, the doctor reviews the diagnosis or the treatment plan.
A temporary increase in shedding in the first weeks of topical treatment is an expected reaction as the hair cycles synchronise. There is also no need to worry if shedding continues for another month or two after the cause has been removed: follicles that have already entered the resting phase will complete their cycle.
If you live abroad, follow-up can conveniently be done remotely: you keep the conclusion, the images and the report. If needed, MediUkraine arranges a video consultation with the same doctor and helps coordinate repeat tests at home.
Step 1. Conversation and timeline. The doctor asks when the shedding became noticeable and how it has changed, and whether in the past year you have had a baby, surgery, an illness with a high fever, sudden weight loss or a change in medication. A separate set of questions covers your menstrual cycle, pregnancies, contraception and any early thinning in the family. This takes up more than half of the appointment and sets the direction of the search.
Step 2. Examination and pull test. The doctor assesses exactly where the hair has thinned (the parting, the crown, the temples, the hairline, behind the ears), checks the skin for scaling, redness and scarring, and looks separately at the eyebrows. The pull test shows how many hairs are loosely anchored.
The first appointment takes about 30–40 minutes in total. No anaesthesia, hospital stay or recovery time is needed: straight after the visit you can wash your hair and return to your usual activities. All the diagnostics are non-invasive, apart from a scalp biopsy, which is rarely needed.
The price difference comes down to the clinic's cost structure: in a Ukrainian clinic, rent, non-medical staff salaries, utilities and administration make up a smaller share of costs, and this shows in its prices. It is best to compare the specific amounts in the table above.
The second saving is on laboratory tests. A basic hair loss panel is paid for at a Ukrainian laboratory; on request, the clinic provides the list of markers, the method used to measure each one and the name of the laboratory.
The third factor is competition. Private clinics with dermatology departments operate across Ukraine, including Kyiv and Dnipro, and they compete for patients on price, appointment length and service, not just reputation.
Cheaper does not mean shorter: the first appointment takes about 30–40 minutes, and the clinic confirms this before you book. The scope of the investigation, the clinical guidelines the doctor follows and the schedule of follow-up examinations are given to you in writing together with the conclusion.
Logistics also save money. The examination, tests, related consultations and follow-up visit all take place in one place, without separate referrals or queues between facilities, so patients from abroad need fewer days for the trip and spend less on travel and accommodation.
The examination and trichoscopy are non-invasive: the skin is not broken, no pain relief is used and no recovery is needed. The dermatoscope probe is disinfected between patients, and single-use tips are used. The clinics we recommend hold a Ministry of Health of Ukraine licence for medical practice, which you can check in the Licensing Register without asking the clinic.
With hair loss in women, the main risk is not the procedure but a cause that has not been found. While a patient goes through a course of injections, untreated hypothyroidism or iron deficiency continues to do damage. That is why a clinic that offers a course of procedures before the test results are in is not acting in your interest.
Iron supplements are prescribed only for a confirmed deficiency, with a follow-up ferritin test after the course. Self-prescribing is risky here: excess iron builds up in the organs, and taking it "as prevention" when stores are normal does nothing for the hair.
Finasteride is not used in women of childbearing age. The tablets must not be split or crushed and should be kept away from pregnant women: the coating of an intact tablet prevents contact with the active substance, but from a crushed tablet it can be absorbed through the skin and affect the development of a male foetus. If the medicine has been prescribed to someone in your family and is kept at home, this is worth remembering.
The use of minoxidil is discussed separately, taking pregnancy and breastfeeding into account. Its most common side effects are scalp irritation and allergic contact dermatitis (the reaction may be to minoxidil itself or to the propylene glycol in the solution, in which case a foam formulation is considered) and growth of fine vellus hair on the face, which resolves once the medicine is stopped.
You receive a written conclusion and have the right to a second opinion: the images and the examination report can be shown to another specialist. It is worth asking directly about the evidence behind each method. PRP therapy has moderate evidence and is an addition to the main treatment, not its foundation; scalp mesotherapy has no standard formulation and no single protocol, and systematic reviews describe small, unblinded studies and conclude there is not enough data to recommend it.
📍 Dnipro, Ukraine
A hair treatment and transplant centre in Dnipro: 430 m², two surgical zones, an SMP room and its own HairHub. Transplants are performed by Ivan Baranov, PhD (member of ISHRS and the World FUE Institute) and transplant surgeon Svitlana Nedbailo. Therapy is led by a team of trichologists and dermatologists.
This is postpartum telogen effluvium. During pregnancy, hair stays in the growth phase longer, and after childbirth the hair accumulated over nine months falls out almost all at once, which is why it feels as if it is coming out in handfuls. It usually starts in month 2–4, peaks in the third or fourth month, and in most women density is back to normal within a year. Breastfeeding has nothing to do with it. It is worth checking ferritin: blood loss during childbirth and depleted iron stores make the shedding worse and last longer.
The basic set is a full blood count, iron and ferritin, TSH and free T4, and vitamin D. Hormone tests are not added for everyone but only where indicated: an irregular cycle, acne after the age of 25, excess hair on the face and body, or difficulty conceiving. There is no point doing everything in advance: the doctor draws up the list after the examination, based on the trichoscopy findings and the timeline of events, because these determine which markers will actually change the treatment approach.
Yes, and this is common in women. Ferritin reflects your iron stores, which run low long before haemoglobin falls, so a normal full blood count does not rule out deficiency. A level below 30 ng/mL is regarded as deficiency. One caveat: ferritin is an acute-phase protein, and during inflammation, infection or after surgery it is falsely raised, so it is best tested together with C-reactive protein or 2–4 weeks after recovery; otherwise a genuine deficiency can be missed.
An appointment with trichoscopy costs from USD 31. In the Czech Republic a comparable appointment costs from around USD 50, in Turkey from USD 40. Altogether, an examination in Ukraine usually costs less than a single private dermatology consultation in Western Europe. Prices are a guide; the clinic confirms the final cost.
It depends on how long the tension lasted. At an early stage, traction alopecia is fully reversible: giving up tight ponytails, braids, dreadlocks and clip-in hairpieces is enough, and the hair above the forehead and at the temples grows back within a few months. If the tension continued for years, the follicle openings are replaced by scar tissue and that loss is permanent: treatment stops it spreading but does not bring the hair back. That is why the hairline should be checked as soon as it starts to thin, not once the skin has become smooth.
Book a routine appointment if your hair is gradually thinning: the parting is widening, the scalp shows through at the crown, your ponytail is half as thick as it was, or the hairs look weaker than a few years ago.
Do not put it off if you notice any of these signs: pain, burning or persistent itching of the scalp; redness, scaling, pustules or crusts around the follicles; an area of smooth skin with no visible follicle openings; a hairline receding in a band; thinning or loss of the eyebrows; a patch that is spreading quickly.
The reason for the urgency: in scarring forms, including frontal fibrosing alopecia in menopausal women, inflammation destroys the follicle openings permanently. Eyebrow loss here often comes years before changes on the scalp, and every month of waiting means hair that will not grow back in that area.
Only if there is something to replace. If tests show a deficiency of iron or vitamin D, it is corrected with treatment doses and checked with a repeat test, and the hair responds a few months later. Without a deficiency, a "hair" supplement will not make a difference, and high doses of vitamin A, including in supplements, can themselves cause shedding. That is why it is worth showing your doctor the ingredients of all the supplements you take at your very first visit.
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