Happy Head vs Sesame
Happy Head scores higher overall (8.8 vs 8.5).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Happy Head
Happy Head scores 8.8/10 against 8.5 for Sesame, ahead on price and price transparency. Sesame can still be the better fit: it is best for men who want a prescription from a clinician they pick and are happy to fill it at a pharmacy.
Side by side
| Happy Head | Sesame | |
|---|---|---|
| Lowest price | $18/mo ($108 every 6 months) | Not published |
| Our score | 8.8/10 | 8.5/10 |
| Treatments | Hair loss | Erectile dysfunction (ED), Hair loss |
| Medication in price | Included | Extra |
| Drugs dispensed | FDA-approved + compounded | FDA-approved |
| Labs | Not stated | Free annual lab with Everyday Rx; labs in Skincare Rx |
| Membership | None found | Everyday Rx: $29 a month on an annual plan or $59 month to month. Skincare Rx: $59 a month. None for a single visit |
| Insurance | Not stated | No, Sesame does not bill insurance; HSA and FSA funds can be used |
| States | Not published | All 50 states, on its own statement |
| Cancellation | Pause, skip or cancel any time; standard (higher) pricing applies if a subscription is cancelled, paused or interrupted | Cancel a subscription any time before the next billing cycle; fees already paid are not refunded, except a full refund if cancelled 3 hours before the first visit |
| Trustpilot | 4.4/5 (1,892 reviews) | 4.6/5 (4,617 reviews) |
| Best for | Men who want hair loss care from a dermatologist and will prepay six months for the lowest monthly price. | Men who want a prescription from a clinician they pick and are happy to fill it at a pharmacy. |
| Prices checked | 2026-11-07 | 2026-11-07 |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | Happy Head | Sesame |
|---|---|---|
| Hair loss | $18/mo ($108 every 6 months) source, 2026-11-06 | No all-in price published |
Happy Head: a closer look
Dermatologist-led hair loss care: oral finasteride from $18 a month on a 6-month supply.
In its favour
- Oral finasteride from $18 a month with a dermatologist consult
- Supply length and total shown with every price
- FDA-approved finasteride and dutasteride tablets
To weigh
- Best prices need a 6-month prepayment
- Compounded topicals are the headline products
- No state list published
Sesame: a closer look
Video visits with medication paid at your pharmacy, or Everyday Rx from $29 a month with sildenafil and tadalafil at $1.
In its favour
- Choose your own clinician, with same-day visits
- Sildenafil and tadalafil at $1 on Everyday Rx
- Prescription can go to the pharmacy you choose
To weigh
- Medication is paid separately from the visit or subscription
- The lowest subscription price is an annual plan
- Pack size per $1 fill is not stated
Which should you choose?
Choose Happy Head
Best for men who want hair loss care from a dermatologist and will prepay six months for the lowest monthly price. Its lowest all-in plan is $18/mo ($108 every 6 months).
Check Happy Head's priceChoose Sesame
Best for men who want a prescription from a clinician they pick and are happy to fill it at a pharmacy.
Check Sesame's priceHappy Head vs Sesame: questions people ask
Which is better, Happy Head or Sesame?
On our published score Happy Head rates 8.8 and Sesame rates 8.5. Happy Head is best for men who want hair loss care from a dermatologist and will prepay six months for the lowest monthly price; Sesame is best for men who want a prescription from a clinician they pick and are happy to fill it at a pharmacy.
Do Happy Head and Sesame offer the same treatments?
Happy Head: Hair loss. Sesame: Erectile dysfunction (ED), Hair loss.
Does either include the medication in the price?
Happy Head: included. Sesame: extra.
Men's Health Watchdog is for information only and is not medical advice. Sildenafil, tadalafil, finasteride, oral minoxidil and testosterone are prescription drugs (testosterone is a federally controlled substance); talk to a licensed clinician about whether one is right for you and at what dose. Compare other programs.