Hair Thinning and Hair Loss During Perimenopause: Causes and Natural Solutions

Hair Thinning and Hair Loss During Perimenopause:

Hair thinning and hair loss are common concerns during perimenopause, and they can be both emotionally and physically challenging. As your body undergoes hormonal changes, you might notice that your hair appears thinner, falls out more easily, or loses its previous fullness and shine. While hormonal shifts are a key factor, other contributors like stress, poor nutrition, thyroid and liver health, and even your microbiome can all play a role in changes to your hair.

Understanding the root causes of hair thinning or loss during perimenopause is the first step towards regaining confidence and supporting your hair health. By embracing a holistic approach, you can nourish your body, balance your hormones, and create the conditions for healthy hair growth.

The Role of Hormones in Hair Loss During Perimenopause

One of the primary drivers of hair thinning during perimenopause is hormonal imbalance. As you approach menopause, the levels of oestrogen (a hormone that supports hair growth) naturally decline. At the same time, androgen (male hormones such as testosterone) levels can increase. This shift in hormonal balance can lead to thinning hair, particularly along the hairline and crown of the head.

Oestrogen typically promotes hair growth by extending the hair growth phase (anagen), while its decline during perimenopause can shorten this phase, leading to hair shedding and thinning. Additionally, as progesterone levels also decrease, overall hormonal harmony becomes disrupted, which can further affect hair health. Addressing hormonal imbalances with the right lifestyle, diet, and holistic support is crucial for preventing or managing hair loss.

Stress: A Silent Contributor to Hair Thinning

Stress can have a profound impact on hair health, particularly during the hormonal fluctuations of perimenopause. When you're under chronic stress, your body produces excess cortisol, a stress hormone that can disrupt the natural hair growth cycle. The condition known as telogen effluvium, in which hair prematurely enters the shedding phase, is commonly triggered by stress.

Managing stress is essential for supporting your hair health. Practices such as mindfulness, deep breathing exercises, yoga, and regular physical activity can help lower cortisol levels and restore balance to the body. Additionally, getting enough sleep and prioritising self-care are vital for reducing stress and promoting overall wellness during perimenopause.

Thyroid and Liver Health: Key Players in Hair Growth

Your thyroid and liver health are also integral to hair growth. Hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid) can both contribute to hair thinning and loss. The thyroid regulates metabolism and hormones, and any imbalance can negatively affect hair follicles, leading to thinning hair.

Supporting your thyroid with nutrients like iodine, selenium, and zinc can help maintain thyroid function. If you suspect thyroid issues, it’s essential to work with a healthcare provider to monitor your thyroid levels.

Your liver also plays a vital role in detoxification and hormone regulation. A sluggish liver can result in an accumulation of toxins, which may disrupt hormonal balance and contribute to hair thinning. Incorporating liver-supporting herbs such as milk thistle, dandelion root, and foods like leafy greens and cruciferous vegetables can help nourish the liver and promote healthy hormone function.

The Microbiome and Its Impact on Hair Health

Your gut health plays a significant role in your overall well-being, including hair health. A balanced gut microbiome ensures optimal nutrient absorption, hormone regulation, and immune function—all of which are important for healthy hair. Dysbiosis (imbalance in gut bacteria) can lead to inflammation and nutrient deficiencies that negatively affect the hair growth cycle.

Poor gut health can also contribute to conditions like low ferritin (iron stores) and zinc deficiency, both of which are essential for hair growth. Incorporating probiotics and prebiotics into your diet can help support a healthy microbiome. Fermented foods like kimchi, sauerkraut, kefir, and yogurt are excellent sources of beneficial bacteria, while fiber-rich foods support gut health and nutrient absorption.

Low Ferritin and Nutrient Deficiencies

Low ferritin levels (a marker of iron deficiency) are a common cause of hair thinning, especially during perimenopause. Ferritin is a protein that stores iron, which is essential for transporting oxygen to hair follicles. Without adequate iron, hair follicles cannot function properly, leading to hair loss.

Other nutrients critical for hair health include zinc, biotin, omega-3 fatty acids, and vitamins A and D. These nutrients support hair follicle function, reduce inflammation, and improve scalp health. To nourish your hair from the inside, include iron-rich foods like leafy greens, legumes, and lean meats, as well as foods rich in zinc, such as nuts, seeds, and whole grains.

Circulation and Genetics: Underlying Factors to Consider

Blood circulation to the scalp is essential for maintaining healthy hair. Poor circulation can restrict oxygen and nutrient flow to hair follicles, contributing to hair thinning. Regular physical activity improves blood circulation, which is beneficial not only for your overall health but also for nourishing your scalp. Scalp massages can also stimulate blood flow to the follicles, promoting hair growth.

While lifestyle factors like diet and stress management can significantly impact hair health, genetics also plays a key role. If hair thinning or baldness runs in your family, you may be genetically predisposed to experiencing hair loss during perimenopause. However, even genetic factors can be managed through the right combination of lifestyle changes, nutrition, and self-care practices.

Actionable Steps to Support Hair Health During Perimenopause

  1. Balance Your Hormones: Work with a naturopath or healthcare provider to monitor your hormone levels. Natural remedies, herbal support, or hormone therapy can help restore balance.

  2. Reduce Stress: Incorporate relaxation practices such as yoga, meditation, or deep breathing into your routine. Managing stress is vital for overall health and hair growth.

  3. Support Thyroid and Liver Health: Focus on a nutrient-rich diet that supports thyroid and liver function. Include foods high in iodine, selenium, and zinc, and incorporate liver-supporting herbs like milk thistle.

  4. Focus on Gut Health: Maintain a healthy gut microbiome by eating fiber-rich foods and including fermented foods in your diet. Probiotics and prebiotics can help restore balance and improve nutrient absorption.

  5. Nourish Your Hair: Ensure you’re getting sufficient iron, zinc, biotin, and omega-3 fatty acids in your diet. Regularly monitor ferritin and other blood markers to address any deficiencies.

  6. Exercise and Scalp Care: Incorporate regular physical activity to improve circulation and scalp massages to encourage blood flow to your hair follicles.

Embrace Your Journey with Confidence

Hair thinning or hair loss during perimenopause is a natural part of the transition, but it doesn’t have to define how you feel about yourself. By addressing the underlying causes of hair thinning—such as hormonal shifts, stress, nutrient deficiencies, thyroid and liver health, and gut balance—you can support healthy hair growth and regain confidence in your appearance.

Remember, a holistic approach that nourishes the body as a whole will empower you to thrive during this time of change. You deserve to feel vibrant, balanced, and beautiful, no matter what stage of life you're in.

Take the Next Step
If you're ready to support your hair health naturally and holistically, reach out for a personalised consultation. Together, we can create a tailored plan to help you feel your best, inside and out.

See you soon,

Ayelet

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