Menopause and Hair Loss: Causes, Solutions, and Nutritional Guidance

Menopausal hair loss

In December 2022, I went to the hospital for a blood test and received an injection to induce menstruation.
My period came, but two weeks later, it came again, and then it stopped.
In July of this year, I went for another blood test, and the doctor said it was a sign of menopause.
I would like to ask the doctor: 1.
Can menopause cause severe hair loss? I previously saw a dermatologist who tested my iron levels, and the doctor said they were only 9.5 and over 14, which is too low.
After receiving three iron injections, my levels rose to 196, but I am still experiencing significant hair loss, especially when washing my hair.
2.
If the hair loss is caused by menopause, what should I supplement to improve it? 3.
My sister has breast cancer; what nutrients can I supplement safely?

candy, 40~49 year old female. Ask Date: 2023/08/29

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, hair loss is not necessarily related to menopause.
Regular exercise is beneficial, and it's not always necessary to take supplements.
Wishing you good health!

Reply Date: 2023/08/29

More Info

Menopause can indeed lead to significant hair loss, primarily due to hormonal changes that occur during this transitional phase in a woman's life. As estrogen levels decline, many women experience changes in hair growth patterns, including thinning hair and increased shedding. This condition is often referred to as androgenetic alopecia, which is influenced by both genetics and hormonal changes.
1. Causes of Hair Loss During Menopause: The primary cause of hair loss during menopause is the decrease in estrogen and progesterone levels. These hormones play a crucial role in maintaining hair growth. When their levels drop, hair follicles can shrink, leading to thinner hair and increased shedding. Additionally, other factors such as stress, nutritional deficiencies, and underlying health conditions can exacerbate hair loss during this time. Your mention of low iron levels is particularly relevant, as iron deficiency can contribute to hair loss.
2. Solutions for Hair Loss: To address hair loss associated with menopause, consider the following approaches:
- Hormone Replacement Therapy (HRT): Some women find relief from hair loss through HRT, which can help balance hormone levels. However, this should be discussed thoroughly with your healthcare provider, considering the potential risks and benefits.

- Topical Treatments: Minoxidil is a topical solution that can stimulate hair growth and is often recommended for women experiencing hair thinning. It is essential to consult with a dermatologist before starting any treatment to ensure it is appropriate for your specific situation.

- Nutritional Support: A well-balanced diet rich in vitamins and minerals is vital for hair health. Focus on foods high in iron (like leafy greens, beans, and lean meats), vitamin D, and biotin. Supplements may also be beneficial, but it’s crucial to consult with a healthcare provider before starting any new supplements, especially considering your family history of breast cancer.

3. Nutritional Guidance: Given your history of low iron levels, it’s essential to maintain adequate iron intake. Foods rich in vitamin C can enhance iron absorption, so consider pairing iron-rich foods with sources of vitamin C, such as citrus fruits or bell peppers. Additionally, omega-3 fatty acids found in fish, flaxseeds, and walnuts can promote scalp health and potentially improve hair growth.

- Biotin: This B vitamin is often recommended for hair health. Foods rich in biotin include eggs, nuts, and whole grains. Supplements are also available, but again, consult your doctor before starting any new regimen.

- Zinc and Selenium: These trace minerals are essential for hair growth and can be found in foods like nuts, seeds, and whole grains.

4. Family History Considerations: Since you mentioned a family history of breast cancer, it’s crucial to approach any supplementation or hormonal treatments with caution. Discuss your family history with your healthcare provider, who can guide you on safe options for managing hair loss without increasing your risk.

In conclusion, hair loss during menopause can be distressing, but understanding the underlying causes and exploring various treatment options can help. A combination of hormonal management, topical treatments, and nutritional support can significantly improve hair health. Always consult with healthcare professionals to tailor a plan that considers your unique health profile and family history.

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