Hormones take centrestage
Maria Dowling, founder of Mariadowling Salon Dubai, explains: “With both oestrogen and progesterone decreasing during this time of life, the hair can become thin. In some cases, there can even be increased facial hair growth, like on the chin or upper lip, as androgens act differently on various hair follicles.”
“Oestrogen helps hair grow by keeping it in its growth phase longer,” Dowling explains. “When oestrogen drops, hair grows for a shorter time before shedding, so it becomes thinner and finer.” Progesterone helps balance male hormones like testosterone, but as progesterone falls, hair thinning can increase.
The difference between menopause and medical conditions
However, not all hair loss during midlife is menopause-related. Women are also at higher risk for thyroid imbalances, iron deficiency, vitamin D deficiency, or low protein intake, Zinc deficiency all of which can worsen hair thinning.
Other causes of diffuse hair loss are sudden and severe weight loss, medications, underlying autoimmune disorders, weight loss medications, following a febrile illness ( fever). It is essential to rule out these causes with simple blood tests, as addressing them can significantly improve hair health.
Menopausal hair thinning typically presents as a diffuse reduction in volume across the scalp rather than distinct bald patches. Alopecia areata, for instance, causes well-defined circular or oval bald spots, sometimes overnight.
Androgenetic alopecia, another common condition, shows patterned thinning, usually on the crown. A dermatologist can perform a scalp examination, sometimes with trichoscopy or blood work, to differentiate these causes, as Dr. Jobeetha Yoosuf, Specialist Dermatologist at Medcare Royal Speciality Hospital explains.
Hair rescue: Treatments that work
Healthy hair starts with a healthy scalp, says Dowling. Keeping your scalp in top shape is key. Supplements can boost thicker, fuller hair, while treatments such as topical minoxidil, oral medications, or low-level laser therapy can slow thinning and even encourage regrowth. “You may not fully reverse hair loss, but these treatments can help keep what you have and improve overall hair density,” Dowling adds.
Dr. Yoosuf, adds that regenerative and hormonal therapies like platelet-rich plasma (PRP), microneedling with growth factors, and emerging exosome treatments are showing promise. Some women may also benefit from anti-androgen medications like spironolactone, prescribed under medical supervision.
Managing expectations and emotions
Hair loss can feel upsetting, but knowing what’s happening makes the journey easier. As Maria Dowling reassures, “Your hair is not just about beauty—it’s a reflection of overall health. With the right care, you can navigate these changes gracefully.”
And there’s hope: Dr. Hannabi Hashimkutty reminds women that while menopausal thinning may not fully reverse, there’s plenty you can do. “Menopause is a natural transition. Treatments, diet, and scalp care can make a real difference in how your hair looks and feels.”
Menopause brings change—sometimes subtle, sometimes stark—but knowledge and proactive care put you back in the driver’s seat. From scalp detoxes to targeted nutrition, stress management, and professional treatments, it’s possible to maintain hair that is healthier, thicker, and resilient.
Lakshana is an entertainment and lifestyle journalist with over a decade of experience. She covers a wide range of stories—from community and health to mental health and inspiring people features.
A passionate K-pop enthusiast, she also enjoys exploring the cultural impact of music and fandoms through her writing.