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ARTICLES / HAIR TREATMENTS

Menopause and Hair Loss: Proven Ways to Reduce Shedding

Yoram Harth, MD
By Yoram Harth, MD | Sep 14, 2025

Key Points:

  • Hormonal shifts during menopause trigger shedding and thinning.
  • Nutrition, stress control, and scalp health play essential roles.
  • Multivitamins alone are not enough for significant menopausal hair loss.
  • Oral minoxidil pills can help, but carry risks.
  • Personalized treatment systems provide a holistic, side-effect–free option, backed by clinical results showing up to 37% less shedding and 23% more density.

Menopause is a natural life stage, but for many women, it comes with unexpected hair changes. Beyond hot flashes and mood shifts, more than 50% of postmenopausal women experience hair thinning or shedding. For some, this can mean losing 200–300 hairs per day compared to the usual 50–100. The result is a visible scalp, weaker strands, and often, a significant drop in confidence.

This article explores why menopause causes hair loss, the role of nutrition and stress, and compares multivitamins, oral minoxidil pills, and personalized treatment systems—with clinical evidence on what really works.

Why Menopause Causes Hair Loss

  • Hormonal Changes:
  • Estrogen and progesterone decline, shortening the growth (anagen) phase.
  • Androgen activity (DHT) increases, shrinking follicles and causing female pattern hair loss (FPHL).
  • Telogen Effluvium:
  • More hairs enter the telogen (resting) phase, leading to excess shedding.
  • Nutrient Depletion:
  • Biotin, vitamin D, zinc, and iron deficiencies are common in midlife.
  • Psychosocial Impact:
  • Around 60% of postmenopausal women with FPHL report lower self-esteem, highlighting the emotional impact.

Natural and Supportive Strategies

  • Balanced Diet & Supplements:
  • Focus on protein, leafy greens, nuts, and seeds. Correct deficiencies in biotin, vitamin D, zinc, and iron.
  • Anti-Inflammatory Support:
  • Omega-3 fatty acids, green tea, and antioxidants reduce follicular inflammation.
  • Gentle Hair & Scalp Care:
  • Use sulfate-free shampoos, avoid harsh chemicals, and protect fragile strands.
  • Stress Management:
  • Chronic stress increases cortisol, which forces follicles into the rest phase. Yoga, meditation, and mindfulness lower cortisol and help maintain hair growth.

Advanced and Clinical Options

1. Multivitamins

  • Support overall health.
  • May help correct mild deficiencies.
  • Not tailored for hair loss, often too low in DHT-blocking botanicals.

2. Oral Minoxidil Pills (Low-Dose)

  • FDA-approved for female pattern hair loss.
  • Can improve density when used consistently.
  • Risks: unwanted facial hair, ankle swelling, changes in blood pressure.
  • Requires doctor prescription and monitoring.

3. Personalized Treatment Systems

  • Combine DHT-blocking serums, supplements, and scalp therapies.
  • Contain saw palmetto, biotin, peptides, caffeine, niacinamide, and antioxidants for follicle stimulation and repair.
  • Supplements tailored to needs:
  • Targeted Regrowth formulas (biotin, vitamin D, MSM, saw palmetto, pygeum, ashwagandha).
  • Restore formulas (broad-spectrum multivitamins with iron, magnesium, K2, and antioxidants).

Clinical Study Results

Two clinical studies on personalized hair treatment kits showed:

  • 37% reduction in hair shedding after 3 months.
  • 23% increase in hair density.
  • 22% improvement in scalp barrier hydration (TEWL reduction).
  • 90% of participants reported healthier hair and scalp.
  • No adverse events reported.

At 24 weeks:

  • Shedding decreased by >37% at 12 weeks and 32% at 24 weeks.
  • TEWL was reduced by up to 69%, showing scalp barrier repair.
  • Nearly 90% reported overall hair improvement.

Comparison Table: Multivitamins vs Minoxidil Pills vs Personalized Systems

Treatment Pros Cons Best For
Multivitamins Low cost; supports general health; corrects deficiencies Not hair-specific; lacks strong DHT blockers Women with mild thinning or nutritional gaps
Oral Minoxidil Pills May increase density in FPHL Not FDA approved, Side effects (facial hair, swelling, blood pressure changes); medical monitoring required Women who are interested in oral medications
Personalized Hair Systems Multi-targeted (DHT blockers, peptides, nutrition, scalp care); clinically proven to reduce shedding and increase density Requires daily commitment; visible results in 3–6 months Postmenopausal women with visible thinning, breakage, or androgen-driven loss

Final Word

Hair thinning during menopause is common, but effective solutions exist. Women no longer have to choose between basic multivitamins or risky medications—personalized treatment systems provide a safe, clinically validated, and holistic path to stronger, fuller hair.

More Info:

Shop:

MDhair Regrowth Hair Supplements
MDhair Regrowth Serum
MDhair Marine Collagen peptides
MDhair Peptide Bond Repair Oil
MDhair Conditioner
Minoxidil 2%

References

  1. Bhardwaj V, Rodgers N, Harth O, Harth Y. Artificial Intelligence-Based Personalization of Treatment Regimen for Hair Loss: A 6-Month Clinical Trial. J Drugs Dermatol. 2025;24(3):233-238. doi:10.36849/JDD.8611.
  2. Suchonwanit P, Thammarucha S, Leerunyakul K. Female pattern hair loss: therapeutic update. Dermatol Clin. 2023;41(1):49-63. doi:10.1016/j.det.2022.08.006.
  3. Ramos PM, Miot HA. Female pattern hair loss: a clinical and pathophysiological review. An Bras Dermatol. 2015;90(4):529-543. doi:10.1590/abd1806-4841.20153484.
  4. Olsen EA, Dunlap FE, Funicella T, et al. A randomized clinical trial of 5% topical minoxidil vs 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in women. J Am Acad Dermatol. 2002;47(3):377-385. doi:10.1067/mjd.2002.124088.
  5. Vañó-Galván S, Saceda-Corralo D, Rodrigues-Barata AR, et al. Efficacy and safety of low-dose oral minoxidil for hair loss: a systematic review and meta-analysis. J Am Acad Dermatol. 2021;84(3):737-746. doi:10.1016/j.jaad.2020.08.124.
  6. Suchonwanit P, Thammarucha S, Leerunyakul K. Topical minoxidil and systemic treatments for female pattern hair loss: an evidence-based review. Drugs Context. 2019;8:212560. doi:10.7573/dic.212560.
  7. Levy LL, Emer JJ. Female pattern alopecia: current perspectives. Int J Womens Health. 2013;5:541-556. doi:10.2147/IJWH.S49337.
  8. Trüeb RM. Hormonal changes in menopause and their impact on hair: evidence-based treatment options. Dermatol Ther. 2008;21(5):340-353. doi:10.1111/j.1529-8019.2008.00212.x.
  9. Rossi A, Cantisani C, Melis L, Iorio A, Scali E, Calvieri S. Minoxidil use in dermatology, side effects and recent patents. Recent Pat Inflamm Allergy Drug Discov. 2012;6(2):130-136. doi:10.2174/187221312800166751.
  10. Adil A, Godwin M. The effectiveness of treatments for androgenetic alopecia: a systematic review and meta-analysis. J Am Acad Dermatol. 2017;77(1):136-141.e5. doi:10.1016/j.jaad.2017.02.054.

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