Thin Hair and Menopause

Many women find that thin hair becomes a problem around the time of the menopause, usually in their late forties or early fifties. This is partly due to the natural process of ageing and also to the marked fall in levels of the female hormones oestrogen and progesterone. Women often ask me: "Would Hormone Replacement Therapy help my hair to thicken?"

Well... yes and no. Most versions of HRT have two main ingredients: oestrogen, which normally helps the hair and encourages thicker growth, and a progestogen which, as in the Pill, also contains a form of the male hormone testosterone. So a similar problem is created with HRT as with the Pill - the decision faced by women is whether to take it for its oestrogen benefits or reject it because of the male hormone content. (This decision does not affect women who have had a hysterectomy, as they are prescribed oestrogen on its own anyway).

Many women ask: "As the oestrogen content helps my hair, can't I take oestrogen on its own - even if I have not had a hysterectomy?" The answer here is no - if you have an intact womb it is important to take a progestogen as part of HRT, as it gives addes protection against the possibility of cancer of the endometrium.