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Hair concerns

Hair fall and thinning around menopause

Hair often becomes thinner or falls more in the years around menopause. It's common, and the cause can usually be found.

Why it happens

Falling estrogen leaves hair follicles more sensitive to androgens (male-type hormones), so hair can thin, especially at the crown and parting. Some women also notice new facial hair. Thyroid problems, low iron, low vitamin D or B12, stress, illness and crash dieting can all add to hair fall.

What we check

  • Pattern and duration of hair loss
  • Thyroid function
  • Iron stores (ferritin) and blood count
  • Vitamin D and B12
  • Androgen levels and PCOS where relevant
  • Medicines and recent illness or stress

How it can be treated

  • Correcting any deficiency or thyroid problem
  • Medicated treatments applied to the scalp
  • HRT, which may help some women
  • Nutrition with enough protein and iron
  • Referral to a dermatologist for procedures when needed

Treatment is decided after a consultation and depends on your health, tests and preferences.

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