WhatsApp
Book a consultation
Português
English
Español
Français
Deutsch
Italiano
Nederlands
Svenska
Norsk
Dansk
Suomi
Polski
Română
Українська
Русский
Ελληνικά
Türkçe
עברית
العربية
简体中文
繁體中文
日本語
हिन्दी
नेपाली
বাংলাNo language found.
Hair problem
In perimenopause and menopause, many women notice that their hair falls out more, becomes finer and loses density. It is usually linked to falling hormone levels and can be monitored and supported. Here we explain why it happens, what helps and what the clinic can offer.
Reviewed by Dr Michelle Campagnoli, clinical director
How to recognise it
Hormonal hair loss follows a pattern: the hair gradually becomes finer and thinner, especially on the top of the head. These signs help you see whether it may be your case.
Tick what you recognise
Tick the signs you recognise in your case. This is not a diagnosis, it is only meant to give you an idea.
You recognise some of the signs. It may be linked to hormones or have another cause. Only a medical assessment can say for sure.
Several signs match menopausal hair loss. It is common and can be supported, but an assessment is worthwhile to see what else is contributing. Only a medical assessment can confirm it.
Book an assessment consultationSudden hair loss in patches, a painful or sore scalp, or tiredness and other symptoms that worry you should be seen without delay. Also talk to your doctor about your menopause symptoms.
Parting. It is usually the first sign: it widens because the hair becomes sparser and finer.
Top of the head. Thinning shows here, with the scalp becoming more visible under light.
Temples. Hair may also thin near the ears, but without the marked gaps seen in other types of alopecia.
Why it happens
It is almost never just one thing. Choose a cause to see what makes it worse and what helps.
As oestrogen and progesterone fall, hair grows more slowly, becomes finer and spends more time in the shedding phase. Androgens, which do not fall as much, gain relative weight.
Sudden hormonal changes in perimenopause.
Working out with the doctor what is changing and what can be supported.
At this stage it is common to lack iron, vitamin D, zinc or protein, which matter for hair. Only a blood test can confirm this.
Very restrictive diets and meals low in protein.
Protein at every meal and blood tests when useful.
Thyroid changes are more common at this stage and can cause hair loss and thinning. A simple blood test helps clarify.
Ignoring symptoms such as tiredness, feeling cold or changes in weight.
Requesting thyroid tests when the hair loss persists.
Hot flushes, night sweats and poorer sleep increase tiredness and stress, which also affect the hair cycle.
Poorly slept nights and accumulated tension.
A regular sleep routine, breaks and moderate physical activity.
Hair loss can have other causes at the same time, such as medicines, deficiencies or other types of alopecia. That is why it is worth having an assessment rather than assuming it is only menopause.
Putting everything down to menopause and postponing assessment.
A consultation to look at the whole picture, not just hormones.
Linked to hormones or needs assessing
In most cases, menopausal hair loss is gradual and diffuse. These signs help tell it apart from hair loss that deserves a consultation.
How it looks. The hair gradually becomes finer and thinner, especially on the top of the head. The parting widens and the ponytail becomes thinner.
Course. It tends to be gradual and may persist, but there are care routines and treatments that help improve the density and thickness of the hair.
What the clinic does. The doctor confirms the pattern, requests blood tests if useful and proposes the plan.
At home. Protein at every meal, gentle hair care and patience.
How it looks. The hair loss is sudden, leaves bare patches or comes with an inflamed or painful scalp.
Attention. Hair loss in patches, sores, extreme tiredness or other symptoms call for assessment.
What the clinic does. The doctor looks for other causes, such as deficiencies, the thyroid or other types of alopecia.
Tell us at the consultation. When it started, your menstrual cycle, the medicines you take and what else has changed: it helps in choosing.
Are you in perimenopause or menopause? Tell us when booking, so that the doctor has the full picture. If you are on hormone therapy, always mention it.
Book an assessment consultationWhat the clinic can do
When hair loss is linked to menopause, the first step is to understand what else is contributing. These are the treatments the doctor may propose to strengthen the follicle, always after looking at your case.
Regeneration
Vitamins, amino acids, minerals and hyaluronic acid, to nourish the scalp and support finer hair.
Suitable when
the hair is finer and the doctor considers scalp nourishment appropriate.
Find out more→
Regeneration
Platelet-rich plasma, obtained from your own blood, to stimulate the follicle. The doctor first assesses whether it is appropriate.
Suitable when
the hair continues to thin and the doctor considers follicle stimulation appropriate.
Find out more→
Advanced regeneration
Regenerative solution to support follicle repair and improve hair thickness.
Suitable when
the doctor considers it useful to reinforce the plan with a regenerating active ingredient.
Find out more→What about oral and hormone therapy? Oral therapy can replace what is lacking. As for hormones, the decision always lies with the doctor who follows your menopause. Our doctor assesses the whole picture and coordinates the plan with you. Results are gradual.
What the journey looks like
No treatment starts without an assessment consultation with the doctor. This is how it works.
The doctor asks when the hair loss began, how your menstrual cycle is, which medicines you take and how you sleep, and examines the scalp.
If useful, requests blood tests for iron, vitamins, zinc and the thyroid, and explains what to expect and how long it may take.
It combines what to replenish, care at home and, if justified, a treatment, adapted to where you are right now.
We look at the hair again after a few months and adjust, because the response is slow and follows the stage you are going through.
Day to day
Nourishing the body, sleeping and caring for your hair gently count for more than any product. These are the habits that matter most.
The golden rule
Hair reflects what is happening in the body. Eating well, sleeping and slowing down help the hair and the rest of the body through this stage.
Hair is made of protein.
In practice: include eggs, fish, pulses or yoghurt at every meal.
Moving your body helps sleep, mood and circulation.
In practice: walk and do strength exercise two or three times a week, if your doctor agrees.
Sleeping badly worsens tiredness and stress.
In practice: keep regular hours and a cool bedroom.
Finer hair breaks easily.
In practice: brush slowly, use moderate heat and wear loose hairstyles.
Cutting calories worsens hair loss and the lack of nutrients.
In practice: eat enough and favour nutrient-rich foods.
Taking several supplements on your own may not solve anything and can do harm.
In practice: speak to the doctor before taking supplements, especially iron.
Already fine hair breaks with a very hot hairdryer, straightening and bleaching.
In practice: use moderate heat and space out colouring.
Pulling the hair weakens the strand and the scalp.
In practice: prefer loose hairstyles and soft hair ties.
Who will look after you
At Luxmed, the first step is always an assessment consultation with Dra. Michelle Campagnoli. She works out what is contributing to the hair loss, requests tests if useful and designs the plan with you.
Hair medicine
Why hair changes with hormones and what can be done.
Read the article →Hair medicine
The values that matter most for hair at this stage.
Read the article →Hair medicine
Daily habits that help finer hair.
Read the article →Other hair problems
Book a consultation
Choose how you prefer to get in touch. We will arrange the assessment consultation with Dr Michelle Campagnoli.
New Life Miraflores, Algés · Office Center, R. Santa Teresa do Menino Jesus n.º 6, 9.º C, 1495-048
Your details are used only for this contact. Any treatment depends on a prior medical assessment.
It can. As hormone levels fall, hair tends to become finer and to fall out more. Every woman is different, and only an assessment can say what is contributing in your case.
Often in perimenopause, in the years before periods stop, and it may continue after menopause.
It tends to be gradual and may persist, but there are care routines and treatments that help improve the density and thickness of the hair. The doctor assesses what is appropriate in your case.
In many cases it can improve in density and thickness with the right plan, although the response is slow. If there are bare patches or the hair loss does not stop, it is worth looking at other causes.
Menopausal hormone therapy is a decision for the doctor who looks after each woman, and the effect on hair varies. If you are on it, always tell us at the consultation.
Depending on the case: oral therapy to replenish what is lacking, hair NCTF, hair PRP and hair exosomes. The doctor sets the plan after the assessment.
Often, yes. The doctor may request iron, vitamin D, zinc, vitamin B12 and thyroid tests, because deficiencies and thyroid changes are common causes of hair loss at this stage.
When the hair loss lasts more than a few weeks, leaves the hair visibly thinner or comes with other symptoms that worry you. Hair loss in patches or a painful scalp should be seen without delay.
They can help when a deficiency is confirmed, but taken without criteria they do not solve anything and can do harm. The best approach is to have blood tests and speak to the doctor.
Eat protein at every meal, sleep well, exercise regularly and care for your hair gently. These are simple habits that help the hair and the rest of the body.
We could not find that question. Ask us on WhatsApp
The assistant does not give diagnoses or replace a consultation. The plan and cost of any treatment are set at the medical assessment.