Perimenopause - hair thinning

[Sally]

I am in perimenopause and noticed that my hair has started to thin quite noticeably all over. Firstly, is there anything I can do about this, or do I have to just accept that my hair is going to become finer as I grow older? Are there any supplements I can take or changes to my diet/lifestyle that will help? thanks

[Dr Alia Ahmed]

Dear Sally
Thank you for your question. There are many options for women in this stage of life:
1. It is worth checking for deficiencies in iron and thyroid dysfunction via your GP
2. Topical minoxodil 5% foam can be helpful but needs to be used consistently and long term
3. If you are unable to have a balanced diet then hair supplements can help to correct nutritional and vitamin deficiencies
4. If not contraindicated then HRT may be something you can consider discussing with your GP
5. Overall protective hair practices include - not sleeping with wet hair, minimise heat styling (or use good heat protectant sprays), avoid tight hair styling, do not brush wet hair, nourish long lenghts of hair with penetrative hair oils
6. Other options include oral treatment (e.g. minoxidil, finasteride - these are off license and must be prescribed by a specialist), hair fibres, hair extensions and thickening shampoos.
Please see a dermatologist to discuss in detail which options are best for you.
Regards
Dr Alia