Menopause and hair loss: why it occurs and what to do about it

Experts report that falling oestrogen and progesterone during midlife can shift hair follicles toward miniaturisation and increased shedding, and that multiple factors — hormones, nutrition, stress and micronutrients — influence thinning. A small 2025 evaluation of the Calecim Professional Advanced Haircare System showed participant‑reported improvements between six and 12 weeks, but the study was limited and used subjective measures.

Many women notice hair thinning around menopause, yet it is discussed less often than other symptoms and can feel isolating. Experts interviewed for the article explain that falling oestrogen and progesterone change the hormonal environment at the follicle, which often coincides with visible thinning. Clinicians say this usually presents as a widening central parting, crown thinning or temple recession, and that multiple internal and external factors commonly contribute. Treatments range from hormone stabilisation to targeted scalp and follicle support, and some clinic‑based systems are used both in professional settings and at home. Key facts: - Falling oestrogen and progesterone during midlife is described as a central factor that can shorten the hair growth phase and increase shedding. - Two main processes are highlighted: follicle miniaturisation (thicker hairs becoming finer) and disruption of the hair growth cycle. - The article notes other contributors, including stress, poor sleep, inadequate protein or calories, and low levels of iron, ferritin, vitamin D, B12, folate, zinc or thyroid dysfunction. - The article mentions a 2025 evaluation of the Calecim Professional Advanced Haircare System in 12 perimenopausal women; most reported visible improvement between six and 12 weeks, largely from at‑home application with a dermastamper. - That evaluation relied on participant reports and had a small sample size without objective measures such as hair counts or imaging, and reported side effects were generally mild (temporary redness, tenderness or short‑lived sensitivity). Summary: Reported midlife hair thinning can affect appearance and personal identity, and clinicians in the article say it often involves a mix of hormonal change plus lifestyle and nutritional factors. Evidence cited for one topical micro‑stamping system shows participant‑reported improvement but is limited by small sample size and subjective assessment; further determination of outcomes is undetermined at this time.