Hair loss · 5 min read · 20 May 2026

Hair loss after menopause, why it happens and what you can do

For many women, thinning hair is one of the more unexpected and distressing changes around menopause. It often creeps up: the part widens, the hair feels thinner and flatter. Behind it lies a clear hormonal explanation.

The hormonal background

During and after menopause, oestrogen levels fall. Oestrogen keeps hair in the growth phase longer, so when it decreases the hair cycle shortens. At the same time the relative effect of androgens (male hormones) becomes greater, which can trigger or worsen female pattern hair loss in those predisposed to it. The result is diffuse thinning, mainly at the crown, while the hairline is usually preserved.

It is common, and manageable

This affects a large proportion of women and is not a sign that something serious is wrong. But it rarely resolves completely on its own if there is an underlying pattern, so it is worth acting early.

What helps

The first step is an investigation. We recommend blood tests for thyroid and iron (ferritin), since these often play a part at the same time and are treatable. Once the cause is mapped, PRP treatment is often the first choice to stimulate the follicles, ideally combined with microneedling. With clear pattern hair loss, medication can complement, after a doctor's assessment.

At a free consultation we do a trichoscope assessment and lay out a plan based on your hormonal situation and your goals.

Want to know more? Read about female hair loss or book a free consultation.

Frequently asked questions about hair loss

Why am I losing hair during menopause?

Oestrogen levels fall, which disturbs the balance against androgens and can trigger or worsen female pattern hair loss, diffuse thinning with a wider part. It is very common and usually manageable.

Does menopausal hair loss resolve on its own?

The hormonal transition stabilises over time, but pattern hair loss that has been "unmasked" tends to persist if untreated. PRP, medication and the right nutrition can slow it and densify.

What should I do first?

Start with an investigation (including thyroid and iron) and a trichoscope assessment, so the right cause is treated. Then treatment is chosen, often PRP, sometimes complemented with medication.

Considering a treatment?