03/07/2026
Hair thinning, hair loss, and changes in hair texture are common concerns during the menopausal transition and after menopause. Studies show that up to 50% of women may experience these symptoms. They are primarily attributed to a decline in estrogen levels, as estradiol helps prolong the anagen phase of the hair cycle and supports hair growth.
However, the exact mechanisms are complex and may involve genetic predisposition, changes in the hair growth cycle, and increased sensitivity to androgens.
The aging process also reduces scalp metabolism and blood flow to hair follicles, potentially affecting the availability of vital nutrients. In addition to hormonal changes, other factors such as genetics, stress, diet, and the scalp microbiome condition may influence hair health [1,2].
Hair loss during menopause may manifest as diffuse thinning or widening of the parting. The most common diagnoses in these patients include female pattern hair loss (FPHL), frontal fibrosing alopecia (FFA) and telogen effluvium [1–3].
Menopause-related hair loss should not be considered irreversible by default. A thorough clinical evaluation is essential, as coexisting factors such as iron deficiency, thyroid disorders, nutritional deficiencies, or certain medications may contribute to hair loss and require specific treatment. Evidence-based treatments can often slow disease progression, reduce further hair loss, and improve hair density and quality of life [1–4].
References:
[1] Fabio Rinaldi, Anna Trink, Giorgia Mondadori, Giammaria Giuliani, Daniela Pinto. The menopausal transition: is the hair follicle “going through menopause”? Biomedicines. 2023;11(11):3041.
[2] Zouboulis CC, Blume-Peytavi U, Kosmadaki M, Roó E, Vexiau-Robert D, Kerob D, Goldstein SR. Skin, hair and beyond: the impact of menopause. Climacteric. 2022;25(5):434–442.
[3] Katie Roster, Lauren Fleshner, Turkan Banu Karatas, Anna Ecanow, Alyssa Sayegh, Banu Farabi, Shoshana Marmon. Menopause and common dermatoses: a systematic review. Am J Clin Dermatol. 2026;27(1):67–84.
[4] Stephano Cedirian, Francesca Pampaloni, Federico Quadrelli, Luca Rapparini, Francesca Bruni, Ginevra Martelli, Bianca Maria Piraccini, Michela Starace. Efficacy of skin patting and iontophoresis with dutasteride gel in male and menopausal female androgenetic alopecia: a pilot study. Dermatol Ther (Heidelb). 2025;15(11):3419–3424.