Navigating Midlife Hair Loss: Why It happens & What To Do About It | Empowering Midlife Wellness



One of the most common and worrisome complaints that I hear in my office surrounds thinning hair, or loss of hair. In this episode, I’ll go through the major categories of hair loss, and how to diagnose hair loss correctly so we can create a treatment plan that addresses the root cause. The good news is that in the great majority of cases, thinning hair or even sudden hair loss can be treated effectively!

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7 thoughts on “Navigating Midlife Hair Loss: Why It happens & What To Do About It | Empowering Midlife Wellness

  1. if it's just normal thinning from menopause, will taking HRT at a higher dose grow back the hair over time? (2 mg. estrodiol, 8mg. testosterone and 200 mg progesterone). It's been 3 months and I am not noticing a difference yet…. but I know it could take a year or 2, right?

  2. Thank you Dr. Susan for all of this detailed information! I took lots of notes. This is the first time I have been able to fully understand the hairloss issues and what is actually happening. It really helps to hear it explained in the clear way you have described everything.
    I would like to know if you can tell us how much oral minoxidil, propecia and biotin is recommended to help with hairloss. Or if you can mention what is a guideline or parameter for these or what is effective in terms of dosing. I have already messaged my dermatologist about it but am not expecting she will have heard of it (or she would have already prescribed). I am looking into getting an appointment with you. My OBGYN works with a compounding pharmacy but I don’t think they prescribe oral minoxidil since I have already asked her about hairloss.

    One other question: does oral progesterone help block DHT?

    Thanks again!

  3. Dr. Susan, does the outcome or success of Platlet Rich Plasma depend on the experience of the doctor? It seems like you have had a lot of success with it. My dermatologist said it is expensive and doesn’t work.
    I have since switch doctors and no one seems to offer any help with female pattern hairloss in my 40’s.

  4. Hi Dr. Susan, the doctors at the Mayo Clinic also recommend pellet therapy like you do, Dr. Fowler recommends Spironalactone to block 5 alpha reductase and says it doesn’t interfere with testosterone pellet therapy. Have you also prescribed spironalactone? What are your thoughts on it?
    Here is a link to the Mayo Clinic doctor discusses spironalactone at 20 minutes.
    https://youtu.be/o37GPBZ1VQQ
    Thank you!

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