*Content reviewed by HotPause Health Medical Advisor & Board-Certified Dermatologist Dr. Marisa Chapman

Hair Loss In Menopause

Hair loss can be an emotional and upsetting symptom of menopause. Studies suggest [1] that about half of menopausal women notice accelerated hair loss and changes in hair texture in menopause. Menopause hair and scalp expert and board-certified Dermatologist, Dr. Marisa Chapman explains that most women experience overall hair thinning rather than noticeable bald spots. The thinning can occur on the front, sides, or top of the head. Hair may also fall out in large clumps during brushing and showering.

Why Does Hair Loss Happen in Menopause?

Studies indicate that hair loss in menopause is primarily due to hormonal imbalances, particularly the reduced secretion of estrogen and progesterone. These hormones are crucial for promoting quicker hair growth and extending the duration hair remains attached to the scalp. As estrogen and progesterone levels decline, hair growth slows down and strands become finer. Simultaneously, this hormonal shift stimulates a rise in androgens, male hormones, which cause hair follicles to contract and shrink, leading to noticeable hair thinning on the scalp.

What Can You Do About Hair Loss in Menopause?

• Ask a dermatologist for a full examination and possible blood work to evaluate whether the changes are hormonal or if there are other confounding factors.
• Prioritize your overall well-being. Reduce your stress where possible. Exercise. Eat a well-balanced diet that prioritizes whole foods over processed options. Drink lots of water.
• Reduce the heat. As much as possible, avoid blow dryers, curling irons, straighteners, and hot rollers that damage your hair. Avoid hair extensions as well. Use high-quality hair products to protect your hair from damage.
• Keep your scalp healthy by minimizing build-up; increased oil production on the scalp creates inflammation and increased levels of naturally occurring yeast. This increase in yeast production leads to further inflammation, which can contribute to hair loss. Over-the-counter “dandruff” shampoos help to balance out yeast overgrowth on the scalp; prescription shampoos are also available.
• Over-the-counter topical minoxidil (commonly, Rogaine) can be beneficial. It can help promote new hair growth and thicken existing hair.
• Talk to your doctor about exploring prescription options such as the pill form of minoxidil, or other oral medications like spironolactone or finasteride.
• Vitamin supplements like collagen and biotin may also help, along with specific hair growth supplements. However, the role of nutritional supplements is still under debate, and there is little, high-quality evidence to identify which supplements might be of most value.