Hair loss during menopause: what to know

Around menopause, changes in hormone levels can alter the hair-growth cycle and make individual hairs finer. You may notice more scalp showing at the part or crown, a smaller ponytail, or increased shedding while washing. Menopause does not explain every pattern: female pattern hair loss, telogen effluvium, alopecia areata, scalp ringworm, and traction from tight styles can look different and need different care. A clinician will consider the timing, pattern, scalp appearance, medicines, recent illness, and menstrual or menopausal changes.

Book a medical assessment if thinning is persistent, progressive, or affecting your confidence. Bring a list of medicines and supplements, and mention recent weight change, illness, dietary restriction, or major stress. Use gentle washing, detangle carefully, and limit tight braids, extensions, high heat, and repeated chemical treatments. Do not start hormone products or hair-loss medicines without discussing suitability, pregnancy potential, medical history, and interactions. A clinician may suggest targeted tests or treatment after examining the scalp.

Arrange prompt review for sudden bald patches, scalp pain, scaling, redness, pustules, or eyebrow loss. Seek timely medical advice when shedding is accompanied by fatigue, unexplained weight change, or other new symptoms. Hair loss that follows a clear parting pattern can still merit assessment, because early treatment may protect density and reveal a cause that is not menopause itself.

Does my pattern fit female pattern hair loss, telogen effluvium, or another condition? Should I have any tests? Could my medicines or diet contribute? Which treatments are appropriate with my health history? How should I protect my scalp and monitor change?