Hair thinning and hair loss are common but often distressing symptoms of perimenopause and menopause. Many women notice reduced hair volume, increased shedding, or changes in hair texture. These changes can affect confidence and wellbeing, yet are frequently under-discussed.
Understanding the causes can help guide effective treatment.
Why Does Hair Loss Happen in Menopause?
Hair growth is influenced by hormones, particularly oestrogen and androgens.
During menopause:
- Oestrogen levels decline, reducing hair growth support
- Relative androgen activity increases
- Hair follicles may shrink over time
- Hair growth cycles shorten
This can lead to thinning hair, particularly at the crown or along the parting.
Other Contributing Factors
Hair loss during menopause is often multifactorial.
Additional factors may include:
- Stress and cortisol levels
- Nutritional deficiencies, particularly iron, vitamin D and B vitamins
- Thyroid dysfunction
- Genetics
- Rapid weight loss or illness
A comprehensive assessment is important to identify contributing causes.
Types of Hair Loss Seen in Menopause
The most common pattern is female pattern hair loss, which presents as gradual thinning rather than sudden shedding.
Some women may also experience telogen effluvium, a temporary increase in shedding triggered by stress, illness or hormonal shifts.
Treatment Options
Address underlying causes
Blood tests may be useful to check iron levels, thyroid function and vitamin status.
Hormonal support
In some women, HRT/MHT may help support hair health by stabilising hormone levels, although it is not a primary treatment for hair loss [1].
Medical treatments
Topical or oral minoxidil is commonly used and can help stimulate hair growth in some women.
Nutritional support
Ensuring adequate protein intake and correcting deficiencies in iron, vitamin D and B vitamins is essential.
Lifestyle support
Reducing stress, improving sleep and avoiding harsh hair treatments can help minimise further damage.
When to Seek Help
You should consider medical advice if:
- Hair loss is rapid or severe
- You notice patchy hair loss
- There are other symptoms such as fatigue or weight change
- Hair loss is affecting your confidence or wellbeing
Support at The Menopause Medic
At The Menopause Medic, we assess hair loss within the wider context of menopause and overall health. We provide personalised treatment plans in Berkhamsted and St Albans, with remote consultations across Hertfordshire and the UK.
References
[1] British Menopause Society. Menopause and long-term health considerations.
https://thebms.org.uk/publications/