HomeBlogHair LossHair Loss in WomenUnderstanding Hair Loss Due to Menopause: Causes and Treatments

Understanding Hair Loss Due to Menopause: Causes and Treatments

Hair loss due to menopause is a condition that silently affects millions of women, marking a significant transition in their lives both physically and emotionally. With the onset of menopause, a number of physiological changes occur, one of which can lead to noticeable thinning and shedding of hair. This phenomenon not only alters a woman’s appearance but often impacts her self-esteem and emotional well-being. 

Understanding why menopause causes hair loss and what you can do for hair loss due to menopause is crucial for those experiencing these changes, as it empowers them to take proactive steps towards managing their symptoms and improving their quality of life.

In addressing the multifaceted nature of hair loss and menopause, this article delves into the underlying causes of menopausal hair loss, offers insights on how to identify it, and explores a comprehensive range of treatments and strategies. From nutritional adjustments and the strategic use of hair care products to more involved medical interventions and therapies, the text aims to provide a thorough overview. Furthermore, it extends into the realms of alternative and holistic treatments, non-surgical restoration options, and crucially, the importance of emotional support and coping mechanisms. Through this detailed exploration, readers seeking hair loss due to menopause treatment options, including supplements for hair loss due to menopause, will find valuable guidance and support tailored to their needs and circumstances.

Causes of Menopausal Hair Loss

Hair loss during menopause is primarily attributed to hormonal imbalances, but genetics and lifestyle factors also play significant roles. Understanding these causes can help women address and manage this condition more effectively.

Hormonal Imbalances

The most significant cause of hair loss in menopausal women is the change in hormone levels. As women enter menopause, the production of estrogen and progesterone decreases, which can disrupt the hair growth cycle. This reduction in hormones fails to protect hair follicles from the effects of androgens (male hormones), such as testosterone and dihydrotestosterone (DHT). These androgens can shrink hair follicles, leading to thinner hair and increased shedding. Additionally, the hormonal shifts can trigger an increase in hair growth on the face, commonly resulting in peach fuzz or small sprouts of hair on the chin.


Genetic predisposition plays a crucial role in how significantly menopause affects hair loss. Women with a family history of hair thinning or baldness are more likely to experience similar issues. Genetic factors influence the sensitivity of hair follicles to androgens, which can exacerbate hair thinning. The interaction of genetic factors with hormonal changes can lead to various patterns of hair loss, including the widening of the part and overall thinning.

Lifestyle Factors

Beyond genetics and hormones, several lifestyle factors can impact hair health during menopause. High levels of stress, poor nutrition, and certain medications can contribute to hair thinning. Stress can exacerbate hormonal imbalances, further affecting the hair growth cycle. Nutritional deficiencies, particularly in iron, calcium, and vitamin B6, are also linked to hair loss. Ensuring a balanced diet and managing stress through relaxation techniques or counseling can be part of an effective strategy to mitigate hair loss.

By understanding these underlying causes, women can seek appropriate treatments and make lifestyle adjustments to manage the effects of menopausal hair loss more effectively.

How to Identify Menopausal Hair Loss

Identifying menopausal hair loss involves recognizing specific symptoms and undergoing diagnostic tests to confirm the underlying causes. This section provides a clear understanding of the common signs to watch for and the medical assessments useful in diagnosing this condition.

Common Symptoms

Menopausal hair loss may not be immediately noticeable since individuals typically lose 50 to 100 strands of hair daily. However, during menopause, this shedding may increase, and subtle signs can become apparent. Women might find themselves cleaning their hairbrush more frequently or noticing more hair accumulating in the shower drain. 

Additionally, increased hair on pillows, clothing, or around the house can be a sign of escalated hair loss. Hair may also appear thinner on the scalp, particularly at the part line, and may take on a lackluster appearance. In some cases, menopausal women may observe thin patches on the top center of the scalp, near the hairline, or at the crown and nape of the neck. Observing these changes over time is crucial for early identification and management.

Diagnostic Tests

To accurately diagnose hair loss during menopause, healthcare providers may recommend a series of blood tests. These tests are essential to rule out other causes of hair loss and to identify hormonal imbalances typical of menopause. Common hormones tested include androstenedione, DHEA, follicular stimulating hormone (FSH), luteinizing hormone, prolactin, and testosterone. Checking thyroid hormone levels can also be informative, as thyroid issues can contribute to hair loss. Additionally, levels of iron, ferritin, vitamin D, and vitamin B are often evaluated to address any deficiencies that could be affecting hair health. Through these diagnostic measures, healthcare professionals can provide targeted treatments that address both the symptoms and the root cause of hair loss during menopause.

Nutritional Strategies to Combat Hair Loss

Key Vitamins and Minerals

To effectively manage hair loss due to menopause, incorporating specific vitamins and minerals into one’s diet is crucial. Essential nutrients such as iron, zinc, and the B vitamins, including biotin (B7) and folate, play significant roles in hair health. Iron is vital for producing hemoglobin, which helps deliver oxygen to hair follicle cells, crucial for their growth and regeneration. Zinc aids in hair tissue growth and repair, and its deficiency can lead to hair thinning and loss.

B vitamins, particularly biotin, support metabolism and are involved in the production of keratin, which constitutes the hair fiber. Folate assists in the creation of red blood cells and promotes the rebuilding of hair follicle cells. A lack of these nutrients can lead to exacerbated hair loss during menopause.

Vitamin C is another critical element; it aids in iron absorption and is integral to collagen production, which strengthens the hair shaft. Vitamin D promotes the creation of new hair follicles, enhancing hair density, while selenium’s antioxidant properties help protect the hair from environmental and physiological stress.

Healthy Eating Habits

Adopting healthy eating habits is essential for mitigating hair loss. A balanced diet rich in proteins, essential fatty acids, and antioxidants is beneficial. Foods high in omega-3 and omega-6 fatty acids, such as fish, flaxseeds, and walnuts, support scalp health and may reduce the impact of hormonal fluctuations on hair loss. Incorporating lean meats, legumes, and dairy provides the necessary amino acids for keratin production, crucial for hair strength and resilience.

It is also vital to avoid excessive intake of simple sugars and saturated fats, which can exacerbate hormonal imbalances and inflammation, contributing to hair loss. Instead, focus on complex carbohydrates found in whole grains and vegetables, which help stabilize blood sugar levels and support overall health, including that of the hair.

Staying hydrated is equally important; adequate water intake maintains the hair’s moisture balance, supporting healthy hair growth. Lastly, green tea and other sources of polyphenols can improve hair health by extending the growth phase of hair follicles and providing antioxidant protection.

The Role of Hair Care Products

Shampoos and Conditioners

Selecting the right shampoo and conditioner is crucial for managing hair loss associated with menopause. While ingredients in your current shampoo may not directly cause hair thinning, some components can exacerbate the issue. For instance, DMDM hydantoin and selenium sulphide have been identified as potentially damaging to hair health. Switching to shampoos that avoid harmful chemicals and instead contain beneficial ingredients could help mitigate hair loss and improve hair health.

Several shampoos have been specifically formulated to address the needs of menopausal hair. Products like Redken Stemoxydine 5% Thickening Treatment Shampoo and L’Oréal Elvive Full Resist Reinforcing Shampoo use active ingredients such as Stemoxydine and Aminexil to reduce hair shedding and boost hair density. Similarly, Nizoral 2% Shampoo with its antifungal and anti-androgenic properties, and Plantur 39 Phyto-Caffeine Shampoo, designed for fine, brittle hair, can provide targeted benefits by addressing the underlying causes of hair loss during menopause.

Specialized Hair Treatments

Beyond regular shampoos and conditioners, specialized hair treatments can offer additional support. Minoxidil, a medication initially used for high blood pressure, has been widely recognized for its ability to stimulate hair growth. Available in 2% and 5% concentrations, Minoxidil can be an effective treatment for female pattern hair loss, although it requires consistent application and may take several months to show results.

For women experiencing more pronounced effects of androgenic alopecia, anti-androgens like spironolactone might be prescribed. This medication is particularly beneficial for women with polycystic ovary syndrome (PCOS) who are prone to producing excess androgens. It is often used in conjunction with oral contraceptives to ensure safety in women of reproductive age.

Additionally, iron supplements may be recommended if tests indicate an iron deficiency, which can be a contributing factor to hair loss. Ensuring adequate iron levels can significantly impact hair health and growth.

For those seeking alternatives when traditional treatments prove ineffective, options such as laser therapy or platelet-rich plasma injections may be explored. These treatments can offer new avenues for stimulating hair growth and improving scalp health.

By understanding and utilizing the appropriate hair care products and treatments, individuals can effectively manage hair loss during menopause, enhancing both the health and appearance of their hair.

Medical Interventions and Therapies


Medications play a pivotal role in the treatment of hair loss due to menopause. Minoxidil, commonly known by its brand name Rogaine, is a widely recognized option. Initially developed for high blood pressure, its hair growth-promoting properties were discovered incidentally. It is available over-the-counter in 2% and 5% solutions, with the latter offering a stronger approach for more severe cases. To apply, ensure the scalp is dry, then evenly distribute the solution using the provided dropper or spray, massaging gently into the scalp to reach the follicles. It’s important to avoid washing the hair for at least four hours after application to maximize absorption.

Another medication, Spironolactone, serves as an anti-androgen, which can be particularly effective for women experiencing hair loss related to androgenic alopecia or those with polycystic ovary syndrome (PCOS). It is often prescribed alongside oral contraceptives to safeguard against potential side effects during childbearing years.

Iron supplements may also be recommended if tests indicate an iron deficiency, a common contributor to hair loss in women. However, unnecessary supplementation should be avoided due to possible side effects like digestive discomfort.

Laser Therapy

Low Level Laser Therapy (LLLT) is another therapeutic option for managing hair loss, particularly in cases where traditional medications are ineffective. LLLT devices, including combs, helmets, and caps, use specific wavelengths of light to stimulate hair follicles and promote regrowth. These devices can be used at home, making them a convenient part of daily routines.

LLLT is recognized for its safety and efficacy, often producing results within months of consistent use. Studies have shown that combining LLLT with topical treatments like minoxidil can enhance hair regrowth synergistically. The therapy works by stimulating the anagen phase of the hair cycle, prolonging growth phases, and increasing follicle size.

For those seeking in-office treatments, options such as platelet-rich plasma injections and advanced laser therapies provide alternative solutions. These methods focus on stimulating the scalp’s natural healing processes and enhancing follicle function, offering hope for those struggling with persistent hair loss.

Alternative and Holistic Treatments


Acupuncture, a traditional Chinese medical practice, has been utilized for centuries to address various health issues, including certain types of hair loss. This method involves the insertion of fine needles into specific points on the body to enhance qi, the vital energy flow, which when blocked, can lead to health problems. While acupuncture’s effectiveness in treating male pattern baldness lacks substantial research support, it shows promise for conditions like alopecia areata. This autoimmune disorder causes patchy hair loss, and acupuncture may aid by improving blood flow and circulation in the skin, potentially stimulating hair follicles and promoting regrowth.


Aromatherapy utilizes essential oils to improve physical and emotional well-being, and it can also play a role in treating hair loss. Essential oils such as rosemary, lavender, and peppermint are known for their ability to stimulate blood circulation at the scalp, which can enhance hair growth. Rosemary oil, in particular, is noted for reducing dihydrotestosterone (DHT) levels, which are often associated with hair thinning. Incorporating these oils through scalp massages or adding them to shampoos and conditioners can provide a natural and therapeutic approach to managing hair loss during menopause. Additionally, oils like ylang-ylang and tea tree offer benefits for balancing scalp oil production and providing antimicrobial properties, creating a healthier environment for hair growth.

Non-Surgical Hair Restoration Options

Hair extensions and wigs represent vital non-surgical solutions for women experiencing hair loss due to menopause. These methods not only enhance appearance but also significantly boost self-esteem and emotional well-being.

Wigs and Hairpieces

Wigs offer a transformative solution for those facing menopausal hair loss. Modern wigs and hairpieces come in a variety of styles, colors, and materials, including human hair and synthetic options. For individuals with sensitive scalps, lightweight and comfortable wigs designed specifically for hair loss, such as those from Hair Society Wigs, prioritize comfort without sacrificing style. These wigs provide an immediate and effective way to restore one’s appearance and confidence. Additionally, hairpieces like toppers, which attach seamlessly to existing hair, offer subtle enhancements by covering thinning areas and blending naturally with one’s hair.

Hair Extensions

Hair extensions have evolved from their historical origins to modern solutions that offer a natural appearance and easy maintenance. Techniques such as tape-in, micro-ring, and pre-bonded extensions allow for a customizable approach to achieving desired volume and length. These extensions are particularly beneficial for those with naturally fine or thinning hair, as they can add significant body and bounce without the need for extensive styling. It is crucial, however, to choose high-quality human hair extensions and professional installation to avoid potential damage like traction alopecia. A professional consultation can determine the most suitable type and amount of extensions, ensuring a natural look while minimizing risks to scalp health.

By incorporating these non-surgical methods, individuals can effectively manage the aesthetic challenges of hair loss during menopause, enhancing their quality of life and self-perception.

Emotional Support and Coping Mechanisms

Support Groups

Many individuals find solace in sharing their experiences with others facing similar challenges. Support groups provide a therapeutic environment where people can discuss the emotional impact of hair loss due to menopause. Institutions like NYU Langone offer weekly support groups specifically for those dealing with various types of alopecia. These groups not only facilitate emotional support but also keep members informed about effective treatments and adjustments as their symptoms or health changes. Additionally, the National Alopecia Areata Foundation (NAAF) organizes support groups worldwide, offering a safe and supportive space to connect with others and share personal experiences.

Mental Health Resources

The emotional toll of hair loss can significantly affect one’s self-esteem and social interactions. Consulting with a mental health professional can be beneficial for those who find their hair loss distressing. Mental health experts can provide strategies to cope with the emotional difficulties associated with this condition. Moreover, managing stress is crucial, as it can exacerbate hair loss. Engaging in stress-reduction activities such as mindfulness, meditation, or yoga can help alleviate the anxiety associated with the fear of worsening symptoms. For those looking for more structured support, many clinics and hospitals offer referrals to therapists or specialized support groups that address the psychological aspects of dealing with hair loss.


Through the comprehensive exploration of menopausal hair loss, we’ve traversed the multifaceted causes, from hormonal imbalances and genetic predispositions to lifestyle factors that exacerbate this condition. Equally, we’ve delved into the realm of treatments and strategies, ranging from nutritional adjustments and the judicious use of hair care products to medical interventions and therapies. This journey not only provides a beacon of hope but also arms affected individuals with the knowledge and tools needed to navigate this challenging phase.

 By embracing the discussed approaches, including dietary enrichments and suitable hair care regimens, one can significantly mitigate the impacts of hair loss, thereby enhancing their quality of life and fostering a positive self-perception.

Moreover, recognizing the importance of emotional support and the benefits of exploring non-surgical restoration options underlines our commitment to offering comprehensive care and assistance. Acknowledging the sensitivity of hair loss and its emotional toll, it’s crucial to approach this journey with empathy, understanding, and the right support by your side. For those seeking personalized advice and solutions tailored to their unique condition, our experts are here to help. Get a Free Hair Analysis and Quote, and don’t miss out on the opportunity to reclaim your confidence. With the right information and resources, managing hair loss during menopause can transform from a daunting challenge into a journey of self-renewal and empowerment, guiding you towards a path of wellbeing and self-acceptance.


What are effective treatments for hair loss during menopause?

Various treatments are available for managing hair loss due to menopause. One option is the use of low-level light lasers, which help stimulate hair growth. Additionally, prescription treatments like Minoxidil (commonly known as Rogaine) are effective. Minoxidil works by enhancing blood flow to the scalp and hair follicles, promoting hair growth.

What supplements can help with hair loss during menopause?

Supplements that are beneficial for hair loss associated with menopause include biotin, iron, vitamin D, vitamin C, zinc, and omega-3 fatty acids. These nutrients help combat hair thinning. Taking a comprehensive multivitamin can ensure you receive these essential nutrients in optimal levels.

Which hormone is linked to hair loss in menopause?

Hair loss during menopause is often related to hormonal changes. The decline in estrogen levels can lead to a relative increase in androgens (hormones associated with male sex characteristics), which can exacerbate female pattern hair loss. This type of hair loss can be hereditary or occur unexpectedly.

How can one thicken hair after menopause?

There are several methods to thicken hair post-menopause:

  • Consider hormone replacement therapy.
  • Use medications such as Finasteride or Minoxidil.
  • Take Spironolactone.
  • Avoid heat styling to reduce hair damage.
  • Massage your scalp to stimulate hair growth.
  • Consider a hair transplant for more severe cases.
  • Use essential oils that promote hair health.

Fahmida is an intern doctor in Bangladesh with eight high-impact publications in Q1 journals on emerging health issues and was awarded the “Inspiring Women Volunteer Award” in 2022 by the UN Bangladesh.

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