Dermatology · Menopause
Menopausal hair thinning: causes, workup, treatment
Female pattern hair loss (FPHL) accelerates when estrogen falls and the androgen-to-estrogen ratio shifts. A structured workup rules out thyroid, iron, and autoimmune contributors; then a stacked treatment plan restores density.
Standard workup
- Ferritin (target >70)
- TSH, free T4
- Vitamin D
- Total testosterone, DHEAS if hyperandrogenism suspected
Frequently asked questions
Is hair loss part of menopause?
Yes — FPHL affects up to 50% of women by age 60.
Does HRT help?
Often. Estrogen and progesterone support the anagen (growth) phase.
What else helps?
Topical minoxidil 5%, low-dose oral minoxidil, spironolactone, PRP.
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Written and medically reviewed by the Kindr Health Clinical Team · Published 2026-06-19 · Last reviewed 2026-07-01. Compounded medications are prepared by FDA-registered 503A pharmacies and are not FDA-approved drug products.