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Hair changes in menopause: why they happen and how to look after your hair

Cambios en el cabello mujer a partir de los 40

Marta Hifas da Terra |

For many women, menopause brings unexpected changes beyond hot flushes and sleep – including finding more hair than usual in the shower or on the hairbrush. Hair thinning affects around 40–50% of women during the menopausal transition and can have a real impact on confidence.

For an overview of this stage of life, see our complete guide to perimenopause.

Why does more hair fall out during menopause?

Hair follicles are sensitive to hormones. During the reproductive years, oestrogens help prolong the growth phase of the hair cycle. As oestrogen and progesterone decline, this phase shortens and the relative influence of androgens increases, which can lead to finer hair and lower density. Stress, lack of sleep and low levels of certain nutrients can also increase daily shedding.

When to see your GP or a dermatologist

Some increase in shedding during perimenopause is common, but it should not simply be assumed to be 'part of ageing'. Speak to your GP or a dermatologist if you notice:

  • Sudden or rapid hair loss.
  • Clearly defined or patchy areas of hair loss.
  • Redness, pain or scaling of the scalp.
  • Hair loss together with other changes, such as in weight, energy or periods.
  • A loss of density that keeps getting worse.

Low iron, thyroid problems, low vitamin B12 and some medicines can also cause hair loss, so it is worth having these checked.

How to look after your hair

  • Eat enough protein, which provides the amino acids needed to make keratin.
  • Include iron-, zinc- and selenium-rich foods, and plenty of colourful fruit and vegetables.
  • Prioritise sleep and find ways to manage stress.
  • Exercise regularly, avoid smoking and limit alcohol.
  • Use gentle haircare products and limit heated styling tools.

Nutrients for hair

Zinc and biotin contribute to the maintenance of normal hair. Our Optimum formula contains zinc and selenium, and Hifas-Menopause contains zinc.

Hifas-Menopause

Hifas-Menopause is a hormone-free food supplement that combines organic Reishi, Lion's Mane and Cordyceps sinensis with Ashwagandha root extract, green tea extract, live cultures, vitamins B6 and D and zinc. Vitamin B6 contributes to the regulation of hormonal activity and to normal psychological function. Vitamin D contributes to the maintenance of normal bones, and zinc contributes to the normal function of the immune system. Take two capsules a day as directed on the label.

If you are taking any medication, are under medical supervision or have a hormone-sensitive condition, please speak to your doctor before taking any food supplement. Food supplements should not be used as a substitute for a varied, balanced diet and a healthy lifestyle.

Frequently asked questions

Answers to the most common questions

Yes. Many women notice increased hair shedding or a loss of hair density during perimenopause and menopause, as hormonal changes can disrupt the normal hair growth cycle.

In many women, hair loss stabilises over time. The degree of regrowth will depend on the underlying cause and the presence of other factors, such as nutritional deficiencies or changes in thyroid function.

A varied, balanced diet that includes enough protein is important for general health. Biotin, selenium and zinc contribute to the maintenance of normal hair. If you are concerned about hair loss, speak to your GP, who can check for possible causes such as low iron levels or changes in thyroid function.

Hormonal hair loss usually causes a gradual reduction in hair density on the top of the head and a progressive widening of the parting. In contrast, clearly defined bald patches are more characteristic of alopecia areata.

It is advisable to seek medical advice if hair loss is sudden, occurs in patches, causes pain, is associated with scalp inflammation or is accompanied by symptoms that may indicate an underlying medical condition.

Not necessarily. Many women experience stabilisation as hormone levels become more balanced, although some degree of reduced hair density may persist.

Yes. Chronic stress can raise cortisol levels, potentially disrupting the hair growth cycle and contributing to increased shedding. Managing stress through healthy lifestyle habits may therefore be helpful.

References

  • https://www.swanstudy.org/
  • Kravitz HM, Janssen I, Bromberger JT, Matthews KA, Hall MH, Ruppert K, Joffe H. Sleep Trajectories Before and After the Final Menstrual Period in The Study of Women's Health Across the Nation (SWAN). Curr Sleep Med Rep. 2017 Sep;3(3):235-250. doi: 10.1007/s40675-017-0084-1. Epub 2017 Aug 5. PMID: 28944165; PMCID: PMC5604858.
  • Siobán D. Harlow, PhD,1 Ellen B. Gold, PhD,2 Michelle M. Hood, MSc,1 Alain A. Mukwege, MD, MSc,1 John F. Randolph, MD,3 and Gail A. Greendale, MD. 2025. Abnormal uterine bleeding is associated with fatigue during the menopause transitio. Menopause • Volume 32, Number 6, June 2025
  • Mary Ann Lumsden, Olaf M Dekkers, Stephanie S Faubion, Angelica Lindén Hirschberg, Channa N Jayasena, Irene Lambrinoudaki, Yvonne Louwers, JoAnn V Pinkerton, Antoan Stefan Sojat, Leonie van Hulsteijn, European Society of Endocrinology clinical practice guideline for evaluation and management of menopause and the perimenopause, European Journal of Endocrinology, Volume 193, Issue 4, October 2025, Pages G49–G81
  • Harlow SD, Karvonen-Gutierrez C, Elliott MR, Bondarenko I, Avis NE, Bromberger JT, Brooks MM, Miller JM, Reed BD. It is not just menopause: symptom clustering in the Study of Women's Health Across the Nation. Womens Midlife Health. 2017;3:2. doi: 10.1186/s40695-017-0021-y. Epub 2017 Jul 27. PMID: 29326841; PMCID: PMC5760187.