What changes
Hair grows more slowly and each strand gets finer. The parting widens and the ponytail thins. Some women also notice more hair on the chin or upper lip. It builds over years, not weeks.
Check it isn't something else
Thyroid problems become more common at this age and cause thinning too, as does low iron. Sudden shedding, patches, or a hairline moving back with a sore or shiny band of skin all need a GP. A receding hairline in women after the menopause can be frontal fibrosing alopecia, a scarring condition that should be treated early.
Does HRT help?
HRT is prescribed for menopause symptoms, not for hair. Some women find their hair improves on it and some don't. Don't start or stop HRT for your hair alone: talk it through with your GP.
Looking after thinner hair
- A shorter cut and layers make fine hair look fuller.
- Colour adds a little body, but go easy on bleach.
- Volumising products and hair fibres hide a wide parting well.
- Keep tight styles and heavy extensions off fragile hair.
- A topper clips in over the crown on days you want more cover.
None of this treats the cause, but it buys comfort while a medicine has the four to six months it needs.
What does help
Minoxidil on the scalp (€50 to €85 for three months) slows the thinning and thickens some hair. A dermatologist may suggest tablets. PRP is available at €225 to €400 a session, with mixed evidence. More in treatment for women.
Questions people ask
Does menopause hair loss grow back?
It tends to stay without treatment. Minoxidil can improve it while you use it.
Is it normal to lose hair in perimenopause?
Yes. Thinning can start in the years before periods stop.
Which doctor should I see?
Your GP first, for blood tests. They can refer you to a dermatologist if needed.
Can low iron after the menopause cause hair loss?
It can at any age, though it is less common once periods stop. A blood test settles it.