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Genetic Hair Loss Test (TrichoTest)

A cheek swab that predicts which treatments suit your follicles — interpreted by a doctor

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Medically Reviewed By:
GMC 7451097 - GP & Hair Surgeon
Updated on:
Updated on:
Cotton swab on glass vial with double-helix shadow

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Trusted by Patients, Accredited by Professionals

Most hair loss treatment starts with an educated first choice and refines from there. Genetic testing shortens that road. TrichoTest analyses variations in the genes that govern how your follicles handle androgens, inflammation and the medicines we prescribe — and returns a profile of which treatment families you are most likely to respond to, before you have spent months finding out the slow way. For the right patient it is genuinely useful; for the wrong one it is an expensive certificate. This page is honest about which is which.

At Hair GP the test is never sold on its own: results are interpreted by Dr Amy alongside your scalp examination and blood panel, because genetics are one input into a diagnosis — not a substitute for one.

Key Takeaways - Genetic Hair Loss Testing
  • – TrichoTest examines gene variants involved in androgen sensitivity, inflammation and drug metabolism from a simple cheek swab
  • – The output predicts treatment response — which medication families suit your biology — not whether you will lose hair
  • – Most useful when treatment has underperformed, when choosing between several reasonable options, or when you want the first choice to be the informed one
  • – It does not diagnose the cause of your loss — examination and bloods still do that work
  • – Swab, examination and interpretation all happen inside the standard £300 consultation pathway (but the test itself is an additional cost)

What the test measures — and what it can’t tell you

The swab reads a panel of gene variants with known relevance to hair: how strongly your follicles convert and respond to androgens, how you metabolise treatments such as minoxidil and the anti-androgens, and factors touching inflammation, insulin and micronutrient handling. From that profile comes a ranked picture of treatment families — the biology-based case for, say, prioritising an anti-androgen over another stimulant, or expecting more from one minoxidil route than another. What it cannot do matters just as much: it will not tell you why you are shedding this year — that is the job of bloods and trichoscopy — and it is not a crystal ball for future loss. Anyone marketing genetic testing as a diagnosis is overselling it, and we would rather you heard that from a clinic that offers the test.

TrichoTest (genetics)Blood panelTrichoscopy examination
Question it answersWhich treatments suit my biology?What’s depleting or disrupting my hair?What kind of hair loss is this?
SampleCheek swabBlood drawScalp under magnification
Changes over time?No — done once, valid for lifeYes — re-tested as levels correctYes — tracked against photographs
Diagnoses the cause?NoContributors, not patternYes — with history
Best usedChoosing or rescuing treatmentEvery diagnostic work-upEvery diagnostic work-up

The three answer different questions, which is why the swab is offered inside the consultation rather than instead of it.

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Hair loss is easier to treat when it's caught early. If you're noticing changes, a proper diagnosis is the first step toward the right treatment.

Our consultation includes a full clinical assessment, dermoscopy, and a personalised treatment plan — all in a single appointment.

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Who actually benefits from genetic testing

Three groups get real value. Women whose treatment has underperformed — six months of diligent minoxidil with little to show — where the profile often explains the shortfall and points at the family we should have led with. Women facing a genuine fork in the road: more than one reasonable option, perhaps a conception timeline or a medication sensitivity complicating the choice, where biology-based ranking beats coin-tossing. And women starting treatment who simply want the first choice informed rather than average — a defensible luxury, bought once, valid for life. If you are outside those groups — your diagnosis is clear, the first-line choice is obvious and untried — we will usually tell you to keep your money and spend it on the treatment itself. A test that cannot change your next decision is not worth running.

What Patients Say

"Finally the first hair expert that looks through the lens of also a GP and can advise considering other factors ongoing in your health. She instilled a great level of confidence — I have decided to move my treatment over to Dr Amy."
★★★★★ Verified review Sonya · verified patient review, August 2026
"So much knowledge and advice shared with me that left me feeling informed and confident. It didn't feel like a service where you're just being sold the most expensive option. I could not recommend highly enough."
★★★★★ Verified review Brian · verified patient review, August 2026

How it works at Hair GP

The swab takes a minute at consultation (the test is £280); results return in a few weeks and are interpreted by Dr Amy against your examination, bloods and history — then folded into the written plan: which treatment, at what dose, reviewed when, and what the genetics contributed to the choice. Because the profile never changes, it keeps paying its way at every future decision — a treatment swap, a post-pregnancy restart, a perimenopause re-plan all get made against your biology rather than population averages. Still deciding whether testing has anything to offer your situation? Whether it has anything to offer you is a consultation question, answered alongside trichoscopy rather than in isolation. Questions about how the test works or what it costs are welcome on WhatsApp.

Reading a TrichoTest report the way a doctor does

The raw report is a set of category scores — androgen pathway, minoxidil response, inflammation, micronutrient handling and so on — and, read naively, it invites two mistakes. The first is treating a percentage as a promise: “high predicted response to minoxidil” raises the odds we lead with it and shapes which route we choose; it does not guarantee your parting a date. The second is reading categories in isolation: a strong anti-androgen signal matters far more in a woman whose bloods also show a raised free androgen index than in one whose androgens are quiet, which is why the swab is interpreted with your panel on the same desk. What the report is genuinely superb at is tie-breaking — two defensible treatment options, one biology-based reason to prefer one — and explaining historical mysteries, like why a previous clinic’s standard protocol did so little. Expect Dr Amy’s interpretation to be one page of decisions, not twenty pages of genome.

Your mother’s hair is a clue — not a sentence

Most women who ask about genetic testing are really asking about inheritance: my mother’s hair thinned, is that my future? The honest answer is that pattern hair loss is strongly heritable — from both sides of the family, not the mythical maternal grandfather alone — but inheritance sets a susceptibility, not a schedule. What you inherit is follicles more or less sensitive to androgens; what happens next is negotiated with your hormones, iron stores, thyroid and decades — which is why sisters with identical DNA anxieties can have entirely different hair at fifty. The practical use of a family pattern is urgency: a strong history plus early thinning is the textbook case for assessing sooner, because early treatment protects follicles that waiting spends. The swab then makes the treatment choice informed — a better question than whether you drew the family card at all.

Dr Amy Vowler, GMC-registered hair loss doctor at Hair GP London

Not sure where to start? Ask the clinic first.

Dr Amy Vowler · GMC-registered GP · GMC 7451097

Message us on WhatsApp or give us a ring. We can't give clinical advice over a message, but we can tell you how the consultation works, what it costs and whether Dr Amy is the right person for you. No obligation, nothing to prepare.

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A 50-minute consultation with Dr Amy includes scalp microscopy, and a personalised treatment plan—giving you definitive answers rather than continued guessing.

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