Hair health significantly influences self-image and overall well-being, yet it's often overlooked until noticeable changes occur. More than 20 million women in the U.S. experience hair thinning or loss, particularly during the menopause transition.(1)
As hair naturally becomes finer with age, hormonal shifts during menopause can cause further thinning. Understanding these changes and learning how to manage them effectively is vital for maintaining not just hair health but also overall self-esteem and well-being.
Strategies for Managing Thinning Hair
While hair thinning during menopause is common, it's not inevitable. A multi-faceted approach, including lifestyle changes and hormone replacement therapy (HRT), can help manage and potentially reverse hair thinning.
Nutrition
Eating nutrient-dense foods rich in vitamins, minerals, and antioxidants can support the hair growth cycle. Here are key nutrients that promote hair health and their sources:
Vitamins A and C
These vitamins are essential for the production of sebum, the natural oil produced by the scalp that helps keep hair moisturized and healthy.
Sources: Sweet potatoes, spinach, bell peppers, and citrus fruits(4)
B Vitamins
Critical for hair growth, B vitamins (including biotin, niacin, and vitamin B12) play a crucial role in creating red blood cells that transport oxygen and nutrients to the scalp and hair follicles.(7)
Sources: Lean meats, fish, whole grains, and leafy green vegetables
Protein
Hair is primarily composed of a protein called keratin, and a protein deficiency can lead to hair loss.
Sources: Nuts, seeds, legumes, eggs, and lean meats
Essential Minerals
Minerals like zinc, iron, and selenium are important for the growth and repair of hair follicles.
Sources: Shellfish, legumes, nuts, and seeds(7)
Incorporating these nutrient-dense foods into a regular diet can help promote hair growth and overall hair health.
Regular Exercise
Engaging in regular physical activity can significantly enhance circulation throughout the body, including the scalp. Improved circulation ensures that essential oxygen and nutrients reach the scalp, nourishing hair follicles and supporting healthy hair growth.
Forms of exercise that can benefit hair health include the following:
Aerobic Exercises: Activities like brisk walking, running, cycling, and swimming can boost overall circulation and promote hair growth.
Strength Training: Weight lifting and resistance training improve circulation and help maintain balanced hormone levels. By reducing cortisol — the stress hormone known to negatively impact hair growth — and improving insulin sensitivity, these exercises create a healthier environment for hair development.(5)
Yoga: This practice emphasizes mindfulness and relaxation, which can help lower stress — a significant factor in hair thinning. Incorporating yoga into a routine can indirectly promote healthier hair by reducing stress levels.(5)
Regular exercise also contributes to better sleep, which is crucial for overall health and well-being, including hair health. Quality sleep helps repair and regenerate cells, including those in the hair follicles.(6)
It’s important to know that consistency is vital. Regular, moderate-intensity workouts are generally more beneficial for overall health and hair health than occasional high-intensity sessions. Consulting with a healthcare professional or a registered fitness expert can help individuals devise a personalized exercise regimen that aligns with their preferences, needs, and capabilities.
HRT to Strengthen Hair
In addition to lifestyle changes, HRT can be an effective solution for menopause-related hair thinning. Bioidentical HRT, which uses hormones identical to those naturally produced by the body, may help slow or reverse hair thinning by improving the hair growth cycle.
Estrogen, in particular, plays a crucial role in hair health. Research suggests that it can increase the activity of aromatase, an enzyme in hair follicles that may help protect against hair loss. This is why hair thinning often occurs when estrogen levels drop, such as during menopause or after pregnancy.(1)(8)
Estrogen combined with progesterone has also been shown to support hair growth by increasing the protein that binds sex hormones and reducing androgen production. Androgens, which are predominantly male hormones, can negatively affect hair follicles, so lowering their impact can help prevent hair thinning.(1)(8)
It's important to consult a healthcare provider to tailor HRT to individual needs and ensure that hormone supplementation supports hair restoration effectively.

Restoring Hair Health During Menopause
Every woman’s journey through menopause is unique, with various challenges and symptoms. By understanding the biological and physiological processes involved, women can alleviate some of these challenges, like maintaining hair health and vitality.
Hormones play a critical role in hair health, and fluctuations during menopause can disrupt the hair growth cycle. However, with a comprehensive approach that includes proper nutrition, regular exercise, and targeted interventions like HRT, it’s possible to manage and even reverse menopause-related hair thinning.
With self-care, professional guidance, and patience, maintaining healthy hair during menopause can be a manageable — and often empowering — part of a woman’s wellness journey.
If you’ve entered the menopause transition and are struggling with hair thinning, you don’t have to suffer in silence. Take our brief menopause quiz to see if you’re an eligible candidate for HRT. Get started with Winona to take the first step toward feeling better.