Hair Thinning in Women and What Can Be Done for It

Hair is deeply tied to identity, confidence, and well-being. So when it begins thinning—especially in midlife or after menopause—it can feel like something vital is slipping away.

You’re not alone. Nearly 40% of women experience noticeable hair loss by age 50, and that number grows after menopause. But while it’s common, it’s not something you simply have to accept. With the right insight and treatment, you can take meaningful steps to restore hair health—and confidence.

Why Does Hair Thinning Happen?

For women, the most common causes of hair thinning include:

  • Hormonal changes (especially a drop in estrogen and progesterone)

  • Androgen dominance (relative rise in testosterone or DHT levels)

  • Stress and cortisol imbalances

  • Thyroid dysfunction

  • Nutrient deficiencies (iron, vitamin D, biotin)

  • Genetics

Estrogen supports the hair growth cycle, keeping strands in the growth (anagen) phase longer. After menopause, when estrogen declines, more hairs prematurely enter the shedding phase.

The Connection to Menopause

Postmenopausal hair thinning often shows up as:

  • Widening part lines

  • More visible scalp

  • Hair that feels finer or breaks easily

  • Decreased hair volume or ponytail thickness

These changes are hormone-driven, and treating the root cause often leads to better results than chasing surface-level fixes.

Solutions That Work: Treating the Root Cause

  1. Bioidentical Hormone Therapy (BHRT)

    Balancing estrogen, progesterone, and testosterone with plant-based bioidentical hormones can help stabilize the hair cycle. This not only supports hair retention but may help restart dormant follicles.

    Modern BHRT is safe, effective, and highly personalized. No need to fear hormone therapy—today’s protocols use bioidentical formulations and detailed lab work to tailor treatment specifically to you.

  2. Nutrient Support

    Iron, vitamin D, B-complex vitamins, zinc, and omega-3s all play vital roles in hair health. Supplementation may be recommended after testing for deficiencies.

  3. DHT Blockers and Topicals

    In some cases, targeted medications (like spironolactone or minoxidil) or scalp treatments may be added for additional support.

  4. Stress and Sleep Management

    Chronic stress elevates cortisol and can push hair into a shedding phase. Hormone balance and lifestyle support can help restore internal calm.

You Deserve to Feel Like Yourself Again

At Mark P. Gold MD in New York, NY, we don’t just treat symptoms—we investigate the root cause. If you’re noticing hair thinning or changes in hair texture, let’s uncover what’s really going on and restore your hair—and confidence—from the inside out.

Final Thoughts

Hair thinning can feel personal and emotional—but with the right tools, it’s also treatable. Safe hormone therapy, advanced diagnostics, and targeted care are here to help.


Bioidentical Hormone Replacement Therapy (BHRT) can help support your body's natural functions, improving energy, mental clarity, and overall well-being. Have you ever wondered how BHRT could impact your daily life?

Click the Appointments link below or call our office today to schedule your consultation and find out if BHRT is right for you.

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(212) 288-8300
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