As women transition through perimenopause and menopause, a variety of hormonal changes occur, most notably a decrease in estrogen levels along with fluctuations in other hormones like testosterone and progesterone. These hormonal shifts can lead to a range of symptoms, with some of the most noticeable changes affecting the hair and skin. Let’s take a closer look at what happens to our hair and skin during this time, and more importantly, what we can do to address these changes.
Hair Changes During Menopause
A common concern women have during menopause is changes to their hair. Two of the most frequently encountered hair issues are female pattern hair loss (FPHL) and telogen effluvium (temporary shedding and thinning). Both are primarily influenced by hormonal fluctuations, particularly the increase in androgens (Testosterone and DHEA) relative to estrogen levels.
What You Might Experience:
Female Pattern Hair Loss (FPHL): This typically manifests as thinning on the crown of the head and widening of the central part. While FPHL can be distressing, it usually doesn't progress as dramatically as male pattern hair loss.
Telogen Effluvium: This is a temporary form of shedding that can occur due to the stress menopause places on the body. Women may notice increased hair shedding, which may last for several months before normalizing.
Hirsutism: Some women may also experience unwanted facial hair growth, known as hirsutism. This can be particularly frustrating and is due to the hormonal imbalance, where higher levels of androgens can cause hair to grow in areas such as the chin, upper lip, and jawline.
Frontal Fibrosing Alopecia (FFA): After menopause, some women may experience front hairline recession, a condition known as frontal fibrosing alopecia. This results in gradual hair loss along the front of the scalp.
Textural Changes: Hair may also change in texture, becoming drier, thinner, and losing volume. These changes are primarily due to the loss of estrogen, which impacts hair follicle function.
What You Can Do About It:
The good news is that there are several treatments available to address hair loss during menopause:
Platelet-Rich Plasma (PRP) Injections: PRP therapy involves using your own blood platelets to stimulate hair follicles and improve hair growth. Results typically take 4–6 months to become noticeable. We offer these treatments at Skin Worthy.
Minoxidil: Over-the-counter treatments like minoxidil (Rogaine) can help stimulate hair growth and reduce thinning.
Nutritional Support: Addressing any vitamin or mineral deficiencies, particularly with nutrients like biotin, vitamin D, and iron, can be beneficial. A balanced diet rich in these nutrients can help support healthy hair growth.
Skin Changes During Menopause
As we age, skin naturally undergoes changes, but during menopause, the decline in estrogen accelerates many of these processes. Estrogen plays a critical role in maintaining the skin's structure, moisture, and elasticity. As estrogen levels decrease, the skin begins to lose its youthful appearance and texture.
What You Might Experience:
Collagen Loss: In the first five years of menopause, women can lose up to 30% of the collagen in their skin. Collagen is what keeps skin firm and plump, and without it, skin can start to sag and wrinkle more easily. This loss continues at a rate of about 2% per year after that.
Dryness and Thinning Skin: Estrogen loss leads to a reduction in sebum (skin oil) production, which can leave the skin feeling drier and more vulnerable to irritation. Additionally, the skin barrier becomes weaker, making it harder to retain moisture.
Decreased Elasticity: Without sufficient collagen and elastin (the proteins responsible for skin’s elasticity), the skin begins to lose its firmness and may develop sagging, particularly around the cheeks and jawline.
Changes in Blood Flow: As estrogen levels decrease, blood flow to the skin slows, which can make the skin appear dull and more prone to discoloration.
Hyperpigmentation: Women may notice an increase in sunspots or age spots, particularly in sun-exposed areas of the skin, as the production of melanin changes.
What You Can Do About It:
Filler Treatments: Injectable fillers can help restore volume to sunken or hollow areas, such as the cheeks and under-eye region, by stimulating collagen production.
Collagen-Stimulating Treatment and Devices: Treatments like injectable PRP, BBL (Broad Band Light), Halo laser, and micro needling can help stimulate the production of collagen and elastin, which can improve skin texture, reduce wrinkles, and enhance overall skin tone.
Skin Care Products with Retinoids: Using retinoids or peptides in your skincare regimen can help to stimulate collagen and promote skin renewal. These ingredients help smooth fine lines and improve skin texture over time.
Hydration and Moisture: Applying a rich moisturizer daily, especially after a shower or face wash, can help restore the skin's moisture barrier. Look for products with ingredients like hyaluronic acid, ceramides, and fatty acids to lock in hydration.
Sun Protection: Sunscreen becomes even more crucial during menopause as skin becomes more vulnerable to sun damage and pigmentation. Daily application of a broad-spectrum SPF 30 to 50 is essential to prevent further damage and hyperpigmentation.
Menopause is an important phase of life which can significantly impact both hair and skin. The good news is that with the right treatments and lifestyle changes, many of these challenges can be managed effectively. Whether it’s addressing hair thinning with topical treatments or improving skin texture with advanced skincare or aesthetic procedures, there are a variety of options to help women feel confident and radiant during this life transition. If you’re experiencing significant hair or skin changes, don't hesitate to reach out to us here at Sin Worthy to address your concerns.
Warm Regards,
NP Cat
To book your consultation for The Menopause Program with NP Cat, call or text 647-350-7546 or email us at info@sinworthy.ca
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