Can hair loss in the menopause be helped?
Often there is something that can help, though it depends on what is behind it. Hormone changes around the menopause are a common reason for thinner hair, but iron levels, thyroid problems, stress and some medicines can play a part too. A trichologist can look closely at your hair and scalp, talk through what may be going on and suggest sensible care, and it is worth seeing your GP as well so that anything medical is checked.
Why hair can thin in the menopause
Hair grows in cycles, and hormones help shape them. As oestrogen and progesterone levels change around the menopause, many women notice hair getting finer, shedding more or thinning at the crown and parting. It is common, and it can be upsetting. It is not always the menopause alone, which is why it helps to look at the whole picture.
What a trichologist does
- Listens to your story. When the change began, your health, medicines, diet, stress and family history.
- Looks closely at hair and scalp. Often with a magnifying camera, to see the pattern of thinning and the state of your scalp.
- Explains what they see. Which things may be contributing, in plain words.
- Suggests a plan. This may include gentle hair and scalp care, advice on styling and heat, and food and lifestyle ideas.
- Points you onward when needed. A good trichologist will tell you if another route is better first, such as blood tests with your GP.
Or see someone: find trichologists near you
Search the Practitioner directory by town or postcode for trichologists near you.
Or by what you would like help with: hair loss and thinning · Also: nutritionists
What a first appointment is like
Expect a conversation of 45 to 60 minutes, with a gentle look at your scalp and hair. Nothing painful is done. You may be asked about recent blood test results, so bring them if you have them. You leave with a clearer idea of what may be happening and what to try first.
How many visits and how long to wait
Hair grows slowly, so changes take months rather than weeks. Many people have a first appointment and then a review every few months. Be wary of anyone who promises fast or guaranteed results. A good trichologist will be honest about what is realistic for you.
Roughly what does it cost?
A first trichology consultation in the UK is commonly from £60, and often more in big cities. Follow-up appointments are often a little less. Ask what is included, how long the appointment lasts, and whether any products are recommended, so you know the full cost before you book.
Where it fits alongside NHS care
Your GP can check for common causes of hair loss, such as low iron or an underactive thyroid, and can talk with you about menopause care, including whether hormone replacement therapy is right for you. Trichology can sit alongside that, giving you time and focus on your hair and scalp. Please don't stop or change any treatment on the strength of a hair consultation.
When to see your GP first
Please see your GP if your hair is falling out in patches, quickly or in large amounts, if your scalp is sore, red, scaly or itchy, or if you also feel very tired, cold or unwell. The same goes if the hair loss began after starting a new medicine. It is also worth a check if you have not yet spoken to anyone about menopause symptoms.
This page is general information, not medical advice. If you have symptoms that haven't been checked, or you are under medical care, please talk to your GP as well.
More questions
Will my hair grow back?
It depends on the cause. Some thinning eases once the underlying reason is found and looked after, and for some people it is more lasting. A trichologist can give you an honest view of what to expect.
Is a trichologist a doctor?
No. Trichologists specialise in hair and scalp but are not medical doctors. A dermatologist is a doctor, and your GP can refer you if a skin condition is suspected.
Can food and supplements help?
Eating enough protein, iron and other nutrients supports healthy hair for many people. Check with your GP or pharmacist before taking supplements, as too much of some can do harm.
Is it just stress?
Stress can make hair shed more, and so can illness or big life changes. Several things often overlap, which is why a full picture is useful.
Can I try anything myself in the meantime?
Gentle washing, avoiding tight hairstyles and cutting down on high heat are kind to fragile hair. Many people also find a calmer routine helps them feel more in control.