Losing Hair in Perimenopause? Here’s What’s Really Going On — and How to Fix It Naturally

Dr. Jen
3 days ago
3 min read

Hair loss is one of the most frustrating symptoms of perimenopause. For many women, it shows up suddenly: more shedding in the shower, thinning around the hairline, widening part lines, or a loss of overall volume.

The truth is: this is very common, but not inevitable.And with the right root-cause support, hair can grow back healthier and fuller.

Below is your complete guide to understanding perimenopause-related hair loss — and what you can do today to support regrowth naturally.

Why Hair Loss Happens in Perimenopause

Hormone fluctuations during perimenopause directly affect the hair growth cycle. Here’s what’s happening inside your body:

1. Progesterone Drops First

Progesterone blocks the effects of androgens like DHT.

Low progesterone → more androgen sensitivity → thinning hair.

2. Estrogen Becomes Erratic

Estrogen supports hair growth and scalp circulation.

During perimenopause, estrogen surges and crashes destabilize the hair cycle.

3. Cortisol Rises (Stress Hair Loss)

Stress hormones can push follicles into shedding mode.

Perimenopause makes your system more reactive to stress.

4. Thyroid Function Shifts

Perimenopause increases autoimmune risk (including Hashimoto’s).

Low or unstable thyroid hormones = hair loss.

5. Blood Sugar Becomes Less Stable

Insulin resistance activates androgen pathways that shrink follicles.

This combination is why hair loss can hit suddenly in midlife.

Labs to Consider for Hair Loss

For a true root-cause approach, these labs provide invaluable clarity:

Thyroid panel (TSH, Free T4, Free T3, rT3, TPO, TG antibodies)
Ferritin
Vitamin D (goal: 50–80)
Zinc and copper
Fasting insulin (goal: around 5)
Total and free testosterone and DHT
Estradiol and Progesterone
SHBG
DHEA-S
Four point salvia cortisol

If something feels “off,” these labs can identify the why.

How to Support Hair Growth Naturally

Below are strategies I recommend clinically and personally — because they work.

Support Stress + Cortisol Regulation

Stress is one of the fastest ways to trigger shedding.

Stress Less and Stress Adapt a physician-formulated adaptogenic blend to support:

cortisol balance
calmer evenings
better sleep
more resilient hair follicles

👉 Shop Stress Less and Stress Adapt

Nourish Your Hair From the Inside Out

Topical products are helpful, but they do nothing for internal hormonal causes.

That’s why Hairgevity, a clinical-grade formula designed to support hair growth at the follicle level.

Benefits include:✔ thicker, fuller hair✔ less shedding✔ improved hair cycle✔ stronger strands✔ nutrient support for follicles

👉 Shop Hairgevity

Stabilize Blood Sugar

Insulin resistance drives androgenic hair loss.Simple daily habits help:

25–30 g protein at breakfast
strength training
walking after meals
creatine
inositol +

These are foundational for hormone balance and hair growth.

Build Muscle — Your Hormone Bank Account

Muscle is one of the strongest protectors against:

insulin resistance
cortisol dysregulation
inflammation
metabolic slowing

Healthier metabolism → healthier hair.

When Hair Loss Signals Something More

See a provider if you notice:

sudden dramatic shedding
bald patches
eyebrow or eyelash loss
scalp pain or inflammation
very rapid thinning

This may indicate:

thyroid disease
autoimmune alopecia
iron deficiency
severe cortisol dysregulation

Root-cause evaluation matters.

You Can Reverse Perimenopause Hair Loss

With the right combination of hormone support, stress regulation, nutrient replenishment, and metabolic strength, hair can absolutely grow back healthier and thicker.

Your body is capable of healing — and you don’t have to navigate this alone.