Hair Loss in Middle Aged Women: What’s Happening and How to Treat It

Hair loss in middle aged women is more common than many people realize—and it can be emotionally and physically challenging. At Oana Health, we focus on female hormonal health, and that includes helping women understand and treat hair loss with safe, effective solutions tailored to their unique needs.

What Causes Hair Loss in Middle Aged Women?

If you're noticing thinning hair, widening parts, or more strands in your brush, you're not alone. Hair loss in middle age is often linked to hormonal shifts that happen during perimenopause and menopause.

So, what causes hair loss in middle aged women specifically? One key factor is the decline of estrogen and progesterone, which typically protect and support hair growth. As these hormones dip, androgens (male hormones like DHT) can become more dominant. This hormonal imbalance can shrink hair follicles and slow hair growth.

Other contributing factors include:

• Genetics (female pattern hair loss)
• Thyroid dysfunction
• Iron deficiency or other nutrient gaps
• Chronic stress or inflammation
• Underlying health conditions (like PCOS)

Understanding the root cause is crucial, which is why Oana Health starts every treatment journey with thorough lab testing and a telehealth consultation with a licensed clinician.

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Top Treatments for Hair Loss in Middle Aged Women

We believe in evidence-based, hormone-aware care. Two of the most effective treatments we recommend for hair loss in middle aged women are:

1. Oral Minoxidil
Unlike topical versions, oral minoxidil is a low-dose prescription pill that helps stimulate hair follicles from within. It increases blood flow to the scalp and prolongs the growth phase of the hair cycle. Many women prefer it for its convenience and noticeable results over time.

2. Spironolactone
This medication is an androgen blocker, meaning it reduces the levels of male hormones that can trigger hair thinning. It’s especially useful for women who have signs of hormonal imbalance or excess androgen activity, such as acne or unwanted facial hair alongside scalp thinning.

Together, oral minoxidil and spironolactone offer a powerful, synergistic approach for many women—backed by science and personalized by Oana’s expert team.

You Deserve to Feel Like Yourself Again

At Oana Health, we specialize in treating hormonal issues that affect women as they age—including hair loss. Through our telehealth platform, we provide lab testing, diagnosis, and prescription treatments without the guesswork or stigma. Because hair loss in middle aged women isn’t just about appearance—it’s about wellness, identity, and confidence.

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