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Does Hair Loss Occur During Menopause

What Can I Do

How to prevent hair loss during menopause
  • The appearance of menopausal hair loss can sometimes be improved by cosmetic practices, e.g. reducing the use of straighteners, hair dryers and other heat damaging tools. This along with the use of thickening shampoos and conditioners may improve hair appearance.
  • A healthy, varied diet is a contributing factor to a healthy body, so a nutritional review may be helpful.
  • Topical solutions to increase hair growth can be purchased. These take several months to take effect and must be used on an ongoing basis, or hair loss will return.
  • Laser devices that emit low-energy laser light may stimulate hair growth to help fight thinning hair. Laser therapy is best carried out by a hairdresser or therapist with experience and training on these devices. The long-term safety and effectiveness are unknown.
  • Some medications have side effects that could include hair loss. Make sure to talk to your doctor if youve noticed significant hair loss and you think that your medicine might be the cause.
  • An important function of hair is to protect the scalp from sunlight it is therefore important to protect any bald areas of your scalp from the sun to prevent sunburn and to reduce the chances of developing long-term sun damage.
  • Be reassured. Most menopause related hair loss does slow down with time.

The Typical Hair Loss Experience

On average, a person loses around 100-200 hairs a day to allow for new hair growth. During menopause, when your hair is breaking, it may seem that you are losing more than the average amount. In reality, however, your hair is not falling out but breaking somewhere along the hair strand itself, giving the appearance of thinner hair.

What Can Be Done To Minimize The Weight Gain Caused By Menopause

Start adopting healthy lifestyle practices before menopause by exercising and eating well, so those good habits are in place. Aging is associated with changes in metabolism, decreased muscle and increased body fat. We are often less physically active the older we get, which is a large contributor to weight gain. Weight tends to deposit around the midsection, which can increase the risk of diabetes, high cholesterol, cardiovascular disease, osteoarthritis and certain types of cancer . In addition to the negative impact on health, weight gain often leads to poor self-image and depression.

It is important to your overall health and well-being to adhere to a healthy diet and engage in regular physical activity. A healthy diet includes watching portion control and limiting amounts of sugar, processed carbohydrates, fat and processed foods. The Mediterranean diet has been shown to help with weight loss, improve cognition and decrease the risk of dementia and osteoporosis, as well as improve heart health. Weight-bearing exercises such as walking, Pilates and yoga help maintain posture, balance and core strength.

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Hair Loss Is An Important Symptom Of The Menopause Re: Non

We read with interest the above article by Hickey et al. which provides a comprehensive overview of non-hormonal therapies for menopausal symptoms. However, this article does not discuss an important issue experienced by many women around the time of menopause: female pattern hair loss , also referred to as androgenetic alopecia. Furthermore, there exists an excellent non-hormonal treatment for this condition, which is discussed below.

Being the commonest cause of hair loss in women, FPHL is a non-scarring alopecia which typically presents with progressive hair thinning at the vertex of the scalp, with sparing of the frontal hairline. Although FPHL can occur at any time after puberty, it most commonly begins at, or soon after, menopause . The significant psychological distress associated with hair loss is well-recognised. Symptoms of depression, anxiety, low self-esteem, and obsessional behaviour have been commonly associated with FPHL .

The exact role of hormones in the aetiology of FPHL is not fully understood. Although the role of androgens and genetic susceptibility is recognised in male-pattern hair loss, it is less well understood in FPHL. What is known, is that the majority of women with FPHL have neither clinical nor biochemical features of hyperandrogenism .

Competing interests: No competing interests

13 December 2017

Managing Menopause: Tips To Help With Weight Gain Sex Hair Loss And More

Hair Loss during Perimenopause

    Its something natural, but many people dont like to talk about: menopause.

    Menopause is the natural end to the menstrual cycle, when the ovaries stop producing estrogen and progesterone. Some will experience menopause naturally, and for others, menopause will result from surgical removal of the ovaries, or because of medical treatments or genetic disorders that stop ovarian function.

    The decline of those hormones in the body can cause unpleasant side effects ranging from night sweats to weight gain. No experience is the same. Some will have severe symptoms, while others will only experience mild changes.

    The menopause transition doesnt have to be horrible. Because of the bothersome symptoms, often menopause is feared however, it shouldnt be. Its just a different phase of life. Menopause isnt good or isnt bad, it just is. And for those struggling with symptoms, they shouldnt be afraid to ask their doctor about treatment options. At the University of Chicago Medicine, a custom care plan is created for each individual based on their symptoms, medical history and personal preferences.

    Here are answers to some common questions I hear from patients about menopause.

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    How Will A Healthcare Provider Diagnose Hair Loss In Women What Tests Are Done

    The tests performed to diagnose hair loss in women can be simple or complicated:

    • Gently pulling on your hair to see how many hairs come out.
    • Blood tests. These check for vitamin and mineral levels and hormone levels .
    • Scalp examination under a microscope and trichoscopy.
    • Scalp biopsy to remove and examine a very small piece of scalp skin.

    Preventing Menopause Hair Loss Tip #: Be Gentle With Your Hair

    With your hair growing more slowly, its important to take care of the hair you already have on your head. That means being extra gentle with hot tools and dyes! Overstyling and over-processing can cause hair to break off, which will make your hair appear more thin.

    One easy change you can make to help prevent menopause hair loss is to swap out your regular comb for a Wet Brush. The Wet Brush has soft silicone bristles that gently detangle your hair with far less breakage than a traditional comb.

    Detangle Wet Brush, Rose

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    Preventing Hair Loss: Over

    The simplest solution is to start using 5 percent minoxidil, which is available without a prescription, says Bruce. The trade name is Rogaine, but there are also generic versions available. This treatment is effective in about two out of three people who use it, she says.

    Compliance can be an issue, because you have to use it every day to retain the benefits, she says. There are medications marketed to both men and women, but women can use the mens formulation and it is often less expensive.

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    Oral prescription drugs have been shown to help with female pattern hair loss. These drugs have been approved for use in other conditions, but are used by doctors off-label for FPHL, according to the American Academy of Dermatology Association .

    Spironolactone, a blood pressure medication that is a diuretic can prevent hair loss from worsening and restore hair growth, according to the AAD. Other drugs block the effects of circulating androgens or lower androgen levels.

    These oral medications should not be used by women who are pregnant or planning to become pregnant, according to the AAD.

    High Stress Can Cause Hair Loss

    Hair loss & facial hair during the menopause – The Menopause Minutes

    Extreme stress can be a problem and cause hair loss, says Faubion. The condition is called telogen effluvium, and fortunately, the hair loss it causes is temporary, she says.

    All hair follicles are on a cycle, and significant physical or emotional stress can push more follicles than usual into a resting phase, which can lead to a significant amount of hair loss at one time, says Faubion. It can take a while after that stress for the cycle to go back to normal, she says.

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    The pandemic seems to have increased stress levels and subsequent hair loss for a lot of women, says Ablon. I saw a lot of patients about hair loss pre-pandemic, and I probably see about three times that many compared to a year ago, she says.

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    Common Menopause Skin And Hair Changes

    These are the most common changes people can expect in their skin and hair post-menopause.

    Sagging and loss of plumpness

    Collagen is a protein that holds the bodys tissues together. And when estrogen drops, your skins collagen production decreases, too. Loss of collagen means the skin loses its youthful volume and tightness.

    To combat this problem, many people take collagen supplements or eat high-collagen foods like bone broth. But the jury is still out on this strategy. We dont have enough controlled studies to prove that consuming collagen will help post-menopausal skin, Dr. Williams says.

    Dont give up, though. You can help fight collagen loss at home with a simple facial massage. Dr. Williams recommends taking your favorite moisturizer or facial oil and giving yourself a facial rubdown each night. The massaging motion stimulates your skins collagen production, she says.

    Dryness, flakiness and itching

    If you see redness or rashes, see your doctor. A dermatologist can rule out issues like eczema, rosacea or allergic reactions and help you find a solution.

    Dark spots

    Those pesky dark marks, sometimes called age spots, often appear after menopause and theyre hard to treat at home.

    Unwanted facial hair

    As hormones shift, you may notice hair on the upper lip or chin. If you want it gone, the tried-and-true methods of tweezing, waxing, hair removal creams and threading will get rid of it until it grows back.

    Post-menopause acne breakouts

    Hair loss and thinning

    Does Menopause Cause Emotional Changes Too

    Yes. Emotional symptoms can begin as early as the perimenopause time frame. Difficulty with memory , irritability, mood swings, increased anxiousness and depression are commonly experienced. These symptoms often cause significant distress and can negatively affect personal and professional relationships. Some patients say the emotional toll is the most distressing. A history of depression or anxiety disorder is a risk factor for recurrence or exacerbation of symptoms during the menopause transition. Lifestyle modifications such as exercise, relaxation techniques and dietary changes can help. For those experiencing severe symptoms, seeing a therapist and possibly taking medication like mood stabilizers or hormone replacement therapy can help.

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    Nutrients For Healthy Hair During Menopause

    For many women, hair loss during menopause is a stressful and all too common occurrence and bio-identical hormone replacement therapy can be an excellent treatment option. However, your diet can also play a huge role in maintaining healthy hair during menopause. These ten nutrients can make excellent additions to your diet.

    Hair Nails And Chronic Kidney Disease

    Does Hormone Replacement Therapy Help With Hair Loss ...

    When you look your best, you will likely feel your best. But sometimes conditions such as chronic kidney disease can get in the way of that feeling. Changes to your body, such as hair loss or nail discoloration, may happen when you have CKD and are on dialysis.

    Others can notice theses change, too, which can affect some peoples self esteem when their outward appearance is affected. But there are steps people with CKD can take to help keep their hair and nails healthy.

    Hair and CKD

    Like a persons skin, hair can become visibly abnormal when you develop a disease. Some people experience hair breakage or find that their hair falls out, or sometimes both. For some patients, hair problems can occur before starting dialysis or after being on dialysis. In contrast, for people who dont have CKD and lose their hair, its usually due to aging, stress or heredity.

    Nails and CKD

    Both fingernails and toenails can be affected by kidney disease. Nail changes patients may experience include abnormal:

    • Color
    • Texture
    • Thickness

    Nitrogen waste products build up in people with CKD, which can lead to damaged fingernails and toenails. Show your doctor if you have any abnormal change in your nails such as:

    • Yellow or opaque coloring
    • Raised ridges, thin and concave shaped
    • White streaks, spots on the nails

    Why hair and nails change for people with CKD

    Switching your dialysis modality can also cause changes in your hair.

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    What Are Some Tips For Dealing With Hair Loss In Women

    There are some things you can do on your own. You might check with your stylist or try some of these:

    • Coloring your hair adds volume to the strands, making your hair seem fuller.
    • Massaging your head, like when you are washing your hair, can stimulate blood flow to the scalp and hair follicles.
    • Getting your hair cut shorter, and having layers added, can make your hair seem fuller.
    • Using the right kind of shampoo can also help. Look for a shampoo that adds volume without using sulfate detergents.
    • Using the right kind of product at the right time can also help. There are products that add volume that you add while your hair is still wet. However, using too much product can add weight.

    How Common Is It

    Female hair loss is a common condition, especially in the years surrounding menopause. According to the Cleveland Clinic, it is estimated that over 50% of women experience hair loss. Age, diet, ethnicity, and genetic factors all influence your chances of experiencing hair loss throughout your life, including during and after menopause.

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    Ways Your Hormones Affect Hair Loss

    Hair loss due to stress is so common that almost everyone has experienced it or knows someone who has. This type of stress-induced hair loss can occur through an intense change in the body like pregnancy, postpartum, menopause, or obsessing over life.

    These occurrences bring about high levels of change within your body, which can result in hair loss. While many of us have noticed these changes throughout the ebbs and flow of life, many still do not understand what is happening within.

    Knowing what we know thus far, I think it is time to ask the really important questions like how do hormones affect us. Here is a closer look.

    Menopausal Hair Loss: Is It Reversible

    Hair Loss During Menopause

      Menopause is a time of extreme hormonal changes that typically occurs around the late 40s and early 50s. After menopause, many different physical symptoms can appear, including menopausal hair loss. These symptoms can also include hot flashes, night sweats, mood swings, insomnia, and vaginal dryness.

      Many people want to know if hormonal hair loss can be reversed. The answer is yes! Fortunately, unlike genetic hair loss, most hair loss caused by hormonal imbalances is reversible.

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      What Treatment Options Are Available For Menopausal Hair Loss

      There are many treatments available that may help combat menopausal hair loss. Non-surgical solutions include Minoxidil lotion, foam and even tablets. Finasteride is an oral medication licenced for mens hair loss, however, in some menopausal women, it may help as well.

      Low-Level Laser Therapy, where the scalp is bathed in light to encourage cells to produce more protein, can also work nicely on thinning hair. Another popular option is Platelet-Rich Plasma therapy, which involves a patients blood being re-injected into their scalp to stimulate growth.

      Although many women do find that the shedding will gradually slow down, if you are looking for a permanent solution to thinning hair, hair transplant surgery can be very effective.

      If menopausal hair loss is getting you down, why not get in touch with our team to find out how we can help?

      Hair Loss On Arms Menopause

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        How Can I Stop Hair Loss During Menopause

        So what are the ways you can do to help this? Look at hormonal balance. As you start in the peri-menopause, if your hormones are starting to change, then you know that that’s the sort of start of the whole menopause, peri-menopause scenario.

        So you can look at balancing hormones by things like Menopause Support, have plenty of fermented soya foods in your diet. Look at things that maybe Black Cohosh as well, if they’re appropriate. You could start to eat fermented soya foods, and these are foods that are eaten on a regular basis in the Far East, so it would be things like tempeh, and miso, and maybe some kinds of fermented tofu as well.

        So you can get these particular foods in health food shops and maybe some of the oriental supermarkets as well.

        Vascular Disorders And Connective Tissue Disease

        Hair Loss in Women Over 40

        Vascular disorders commonly play a role in the development of renal failure. Vascular damage may result from infection, rheumatologic disease, tumors, emboli, medication, and multiple other causes.

        Systemic lupus erythematosis was the most commonly reported rheumatologic cause of ESRD in the United States in 2015 . Renal failure most commonly occurs in patients with anti-double stranded DNA noted on antibody testing. Multiple cutaneous markers for systemic lupus erythematosis may be seen including a butterfly eruption consisting of facial erythema over the malar region of the face, photosensitivity, hypopigmentation or purplish discoloration of digits with Reynauds phenomenon, alopecia , and mucosal ulceration.

        Another rheumatologic disorder that may result in renal failure is systemic sclerosis. Acute or chronic renal disease occurs in fewer than 20% of these patients but is often precipitous and associated with malignant hypertension. Renal involvement may be preceded by rapidly progressive fibrotic skin change, seen as a thickening of the skin on examination . Other skin signs of systemic sclerosis include cutaneous calcinosis, pigmentary disorders, Reynauds phenomenon, telangiectasia, and sclerodactyly .

        Table 1.

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