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Menopause hair changes: what happens and what helps

9 min read Life stages Updated 5 October 2026 By Anna Sophie Schulenburg

Middle-aged woman relaxing in an armchair with a cup
Part of our topic guide: Thinning hair: care routine and when to see a dermatologist

During menopause, many women find their hair becomes finer, drier and thinner at the parting, because falling oestrogen shortens the hair's growth phase and the scalp produces less sebum over the years. Match your care to the change that bothers you most, meaning moisture for rough lengths, protection against breakage for the finer fibre, or more lift at the roots. Photos of your parting, taken every four weeks in the same light, show you whether the new routine is working.

The change usually creeps in over months and years. If hair comes out in clumps within a few weeks, there is often an extra trigger behind it, such as the thyroid, depleted iron stores or a new medication.

What happens to your hair when oestrogen drops

Each hair grows for several years, then rests for about three months and falls out while the next one pushes up in the same follicle. Oestrogen keeps hairs in the growth phase for longer. When levels fall, that phase ends sooner, more hairs enter the resting phase at the same time, and two to three months later you find more of them in your brush.

At the same time, the male hormones every woman produces in small amounts carry more weight. With a hereditary tendency, the follicles on top of the head shrink over many cycles, each new hair grows back a little thinner, and the parting shows more scalp while the hairline at the forehead usually stays put. The sebaceous glands slow down with age as well. That is why the scalp feels tight more easily and the lengths dry out faster and lose their shine.

Going grey often falls in the same years, and it depends mainly on age and genes. Grey hair feels wirier, sticks out more easily and turns yellowish faster, so caring for grey hair calls for a little more moisture and a silver shampoo now and then. To judge whether you are losing more hair than usual right now, try the pull test for thinning hair.

Menopause hair loss: what you may notice in each phase

The transition through menopause takes many years. Menopause itself is a single point in time, your last period, and you can only be sure of it after twelve months without bleeding.

Phase Roughly when What you may notice in your hair What to do now
Perimenopause often from your mid-40s, over several years; your cycle becomes irregular Weeks with more hair in your brush, lengths that dry out faster Switch your care to moisture, take the first photo of your parting
Menopause your last period, on average in your early 50s The parting looks thinner, regrowth is finer or frizzier Blow-dry the roots first, turn the heat down when styling
Postmenopause the years after For many women, bouts of shedding become rarer; the fibre stays finer and the scalp drier Keep up the routine, have a steadily widening parting checked by a doctor

Heavy periods during perimenopause can deplete your iron stores. If you are losing more hair during this time and often feel tired too, ask your GP to check your ferritin.

Which change comes first for you, and what to change in your care

Two or three changes often arrive together. Use the row that bothers you most as your base and borrow one step at most from a second row. Every treatment at once weighs down hair that has become finer until it lies flat at the roots.

What you notice What is usually behind it What to change in your care
Fine hair, rough lengths, dull ends Less sebum on a thin fibre A light moisturising conditioner from ear level down, a mask instead of conditioner once a week
Strong, thick hair that looks rough and straw-like Less sebum on a thick fibre that takes up more care A richer conditioner, a mask once a week for ten minutes under a warm towel
The parting shows more scalp, your ponytail is thinner A shorter growth phase, hair growing back finer Blow-dry the roots upside down, a light volumising conditioner, never conditioner or oil at the roots
Regrowth is frizzier or wirier A changed fibre, often alongside greying Moisture in the lengths, one or two drops of oil on the ends
Short, broken hairs stick out of your style The finer fibre breaks more easily Heat protection before every blow-dry, straighteners at 160 to 180 °C, a wide-tooth comb
Your scalp feels tight or itchy after washing Less sebum, water that is too hot or shampooing too often Wash with lukewarm water, shampoo only once, use a soothing scalp treatment

Short hairs at the parting can be broken or shed, and that changes what you do. Look at the end of one of them. A pale bulb is the root; a blunt or frayed end points to hair breakage rather than hair loss.

Do several rows fit you? The free hair analysis asks about your scalp, hair thickness and main goal one by one.

A hair care routine for menopause

Four steps are enough. The amounts are for shoulder-length hair; for chin-length hair use about half, for chest-length hair double.

Step 1 — Wash the scalp. Wash with lukewarm water and as often as your roots need; because less sebum comes through, every two to three days is now enough for many women. A hazelnut-sized amount of shampoo goes on the wet scalp only and is worked in with your fingertips, and the lengths get clean as you rinse. For fine hair the MONAT Advanced Hydration Shampoo suits, for example, and for thick, very dry hair the Renew™ Shampoo.

Step 2 — Condition the lengths. A hazelnut-sized amount of conditioner goes in from ear level down. Leave it for two minutes and use that time to detangle with a wide-tooth comb, working from the ends upwards. Then rinse with cool water. Once a week the Super Moisture Masque replaces the conditioner, for five minutes on fine hair and ten on thick hair. Whether Advanced Hydration or Renew suits you better depends on your hair thickness: fine hair needs the lighter line, thick hair the richer one. If your lengths hang limp and stringy once dry, you used too much or applied the conditioner too high up.

Step 3 — Seal the ends. On towel-dried hair, rub one or two drops of REJUVENIQE® Oil between your palms and smooth them through the ends only. Thick hair can take three to four drops. Keep the roots free.

Step 4 — Blow-dry with heat protection. Spray the Studio One™ Thermal Protect Shield evenly through your lengths. Dry the roots first, upside down or against the direction of growth, on a medium setting and 15 cm away, then the lengths. Set straighteners and curling tongs to 160 to 180 °C.

Four habits cost the finer fibre more hair than necessary:

  • Washing in hot water → lukewarm, with a cool final rinse.
  • The richest mask on fine hair → a light conditioner, the mask once a week.
  • Brushing wet hair → a wide-tooth comb, from the ends upwards.
  • A tight ponytail or bun → loose at the nape with a spiral hair tie, changing the height every day.

If you care for your hair with MONAT: when it has become finer but is still dense, the volumising Revive™ line gives the roots more lift. When density is thinning at the parting, the IR Clinical™ system with its scalp serum is designed for hair that looks fuller; it does not treat hereditary hair loss. That distinction decides whether Revive or IR Clinical suits you. If your scalp feels tight, the MONAT Scalp Comfort™ Rebalancing Serum rounds off the routine, though with redness or crusts it does not replace a visit to the doctor.

After the first wash with the new routine, check whether the comb glides through your lengths more easily and whether the roots stand higher after blow-drying. After four weeks, count whether fewer short, broken hairs stick up at the parting. After three months, put the first and the last photo of your parting side by side. Hair grows about a centimetre a month; if hair is regrowing after a bout of shedding, that is when you see it as short fuzz along the parting.

Biotin, rosemary oil, hormones: what actually helps

Remedy or belief Verdict Why
Biotin or hair vitamins just in case Only with a proven deficiency Biotin deficiency is rare, and high-dose biotin distorts some lab results, including thyroid tests.
Rosemary oil Worth a try diluted, benefit uncertain The research on rosemary oil is thin, and neat oil can irritate the scalp.
Caffeine shampoo Does no harm, benefit against shedding unclear Shampoo only stays on the scalp for one to two minutes. You can still use it as a mild cleanser.
Plant oestrogen capsules, such as soy or red clover Unproven for hair Only take them after talking to your gynaecologist, especially if you have had a hormone-dependent condition.
Washing less often to save hair Makes no difference Washing only loosens hairs that are in the resting phase and would soon fall out anyway.
Hair should be short after 50 A matter of taste You decide the length. A blunt line between chin and shoulder looks fuller than thinned-out ends at chest height.
Hormone therapy for your hair A question for your gynaecologist Whether HRT is an option is something you decide with your gynaecologist based on all your symptoms; it is not approved for hair loss.

When to see a doctor: hormones, thyroid, iron

Hair care can neither find a cause nor treat one. Have your hair looked at by a doctor if any of these apply:

  • Your hair comes out in clumps within a few weeks.
  • Round, smooth bald patches appear. Alopecia areata belongs with a dermatologist, because it can be treated and may spread without treatment.
  • Your scalp is red, burns, hurts or has crusts.
  • Your parting has been widening steadily for months. The earlier a dermatologist sees it, the more options she can discuss with you.
  • The shedding began two to three months after a new medication, or after starting or stopping hormone therapy. Never stop a medication on your own; talk to the doctor who prescribed it.
  • You notice other things besides your hair: constant tiredness, feeling cold or a racing heart, new acne or more hair on your chin.

At your GP, gynaecologist or dermatologist you can raise three areas. For the thyroid, the TSH level, because an underactive or overactive thyroid becomes more common at this age and both can make hair fall out. For your iron stores, ferritin together with a full blood count; depleted stores do not always show up in the blood count alone. As for hormones, a single reading says little during perimenopause, because levels swing from week to week. If new acne or chin hair appear as well, the doctor can have your male hormones tested. She judges which tests make sense and what a result means. If you take biotin, mention it before the blood test, and bring your parting photos.

What care can do

Support cleansing, conditioning, manageability, shine, frizz control, protection from avoidable breakage and a fuller-looking appearance, depending on the product and its substantiated claims.

What it cannot do

Diagnose disease, correct hormonal causes, create new follicles or permanently fuse fully split hair ends.

Quick questions

Will my hair get thicker again after menopause?

Partly. A bout of shedding caused by the hormonal shift or by iron deficiency eases off, and the hair grows back. Hair that grows back finer because of a hereditary tendency stays finer; there, a dermatologist talks you through the options, and blow-drying technique and light care give the hair you have more lift.

How many hairs a day is it normal to lose?

Around 50 to 100 hairs a day count as normal. On wash days it is more, because the loosened hairs from the previous days come out too. What tells you something is the change over several weeks.

Can I keep colouring my hair during menopause?

Yes. A colour close to your natural shade often makes the finer fibre feel fuller to the touch, and a slightly lighter shade reduces the contrast with your scalp at the parting. Heavy bleaching at the roots weakens the hair and increases breakage.

Why does more hair grow on my chin while my head gets thinner?

Both come from the same male hormones, to which the follicles on the chin and on top of the head react in opposite ways. A few dark hairs on the chin are common in this phase. If many appear at once or together with acne, get it checked by a doctor.


The free hair analysis asks whether dryness, breakage or a lack of fullness comes first for you right now, and suggests a routine for this stage of life.

What your consultant can answer after the analysis

  • Does Advanced Hydration or Renew™ suit my hair thickness better?
  • Do I need the Revive™ line or the IR Clinical™ system for my parting?
  • How much conditioner and oil do I need for my hair length?

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