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Q: It seems that my hair is getting thinner since menopause. I don’t notice any more hair on my brush over the past few years. Is this natural? Why does it happen? Any suggestions?
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Rebecca Campen, M.D., J.D., is an assistant professor of dermatology at Harvard Medical School. She divides her time between clinical practice of dermatology at the Massachusetts General Hospital and private practice in Savannah, Ga.

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January 05, 2012
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A: tm

Menopause comes with hormone changes and clinical symptoms.

These may include:

  • Hair thinning
  • Loss of skin elasticity, which can cause the skin to sag
  • Unwanted hair growth on the chin and other areas
  • Hot flashes
  • Vaginal dryness
  • Mood changes
  • Loss of bone density, which raises your risk of fractures

During this time, it’s very important to take good care of your hair. First, wash your hair with a gentle shampoo and rinse well. Do not comb your hair while it’s wet. Then, shake hair, blot gently with a towel, and air dry or blow dry on a low-heat setting. Don’t twist or pull hair. And try not to use curling or flat irons. Short hairstyles will be easier to maintain without too much stress on hair follicles.

Over time, the effects of menopause on hair thinning may become less pronounced. But other factors can still contribute to hair thinning or loss. These include aging, scalp conditions, medicines, stress, medical conditions, and radiation therapy. If your hair thinning continues, see your doctor to check for any other conditions that may be playing a role.

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