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Menopause & The Estrogen-Hair Connection: How to Keep It Thick, Strong, and Thriving

Dr. Lisa Lawless

Dr. Lisa Lawless, CEO of Holistic Wisdom
Clinical Psychotherapist: Relationship & Sexual Health Expert

Estrogen & Hair: What Your Hormones Have to Do with Thicker, Stronger Strands

If you’ve ever picked up your hairbrush and thought, Wait… was that much hair there yesterday?, you're certainly not alone. Estrogen has been key when it comes to keeping our hair full, strong, and actually staying on our heads. 

But when hormone levels start shifting (shoutout to perimenopause and menopause for this fun plot twist), your hair might start acting differently—thinning out, shedding more, or just deciding to do its own thing.

But before you start pricing out wigs or embracing the “artsy headscarf” phase, take a breath. Trust me, your hair isn’t ghosting you, it’s just going through some hormone stuff. Understanding how estrogen affects your strands means you can take action, whether that’s exploring HRT, switching up your haircare routine, or accepting that your ponytail might not be as thick as it was in your 20s, but hey, neither is your patience for nonsense, and that’s a bonus!

How Estrogen Impacts Hair Growth

Think of estrogen as your hair’s personal trainer, keeping it in the growth phase (anagen) longer and minimizing the time it spends in the shedding phase. That’s why during pregnancy, when estrogen levels are soaring, many women notice their hair feeling thicker and shinier than ever.

But when estrogen levels start to dip (which naturally happens as we age), the hair cycle speeds up. Strands don’t stay in the growth phase as long, shedding becomes more noticeable, and new hair may come in finer or weaker. This is why so many women feel like their ponytails are shrinking over time.

The Role of Hormone Replacement Therapy (HRT) in Hair Health

For some women, Hormone Replacement Therapy (HRT) with estrogen can help slow down hormone-related hair thinning. Research suggests that estrogen therapy may help extend the growth phase of hair follicles, which can result in less shedding and improved hair density over time.

However, HRT isn’t a quick fix or a magic solution. Results vary from person to person, and genetics, overall health, and lifestyle habits also play a role in hair health. But for those who qualify, HRT can be a game-changer in maintaining not just hair thickness, but overall well-being during menopause.

Nervous About Hormone Therapy?

If the thought of hormone therapy has you spiraling into a full-blown Google doom scroll, take a deep breath and check out this study from the American Heart Association. Seriously—it’s a game-changer. Turns out, starting HRT before age 60 or within 10 years of menopause can actually reduce your risk of:

  • Heart disease (which, let’s be honest, is always in the back of our minds)

  • Dying from any cause (yes, really—HRT has been linked to a longer, healthier life)

  • Certain cancers (because that’s always something we want on our side)

The study lays it all out in black and white, no fear-mongering included. If HRT is something you’re considering, print it out, underline the juicy bits, and take it to your doctor. Because when it comes to your health, having real, solid science in your corner is the ultimate power move.

More Ways to Support Hair Health

Not ready for HRT or looking for additional ways to keep your hair thriving? Here are a few expert-backed strategies:

  • Prioritize Scalp Care: A healthy scalp is the foundation for healthy hair. Look for products with ingredients like peptides, niacinamide, and caffeine to nourish the roots.

  • Eat Hair-Loving Nutrients: Protein, biotin, iron, and omega-3 fatty acids all play key roles in hair growth. Load up on salmon, eggs, nuts, and leafy greens.

  • Reduce Heat & Chemical Damage: Excessive heat styling and harsh chemical treatments can weaken hair over time. Opt for heat protectants and embrace low-maintenance styles to give your strands a break.

  • Try Topical Treatments: Minoxidil (the active ingredient in Rogaine) is FDA-approved for female pattern hair loss and may help support regrowth if thinning is significant.

Aging Doesn’t Mean Saying Goodbye to Great Hair

Yes, our hormones change as we age, but that doesn’t mean we have to accept hair thinning as an inevitable part of the process. Whether it’s exploring HRT, optimizing your nutrition, or upgrading your scalp care routine, there are plenty of ways to support strong, healthy strands at every stage of life.

Because feeling like yourself—confident, vibrant, and strong—includes loving your hair, too. 

Learn more about how menopause can impact your brain health!

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