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Can HRT Impact Hair Loss

Updated: 3 days ago

Hormone dysfunction is extremely common, particularly amongst women and is something we see every day at our hair loss clinic in Birmingham. Hormone replacement therapy (HRT) is often offered to post menopausal women and can significantly impact hair loss in some people, especially in the context of hormonal imbalances. The effect of HRT on hair loss can vary depending on the individual's condition, the type of HRT used, and the underlying cause of hair loss. Obviously, it is important to appreciate the HRT with positives and negatives, which should be discussed with your GP.

Can HRT impact Hair Loss

Menopausal Women

Estrogen Replacement

During menopause, estrogen levels decline, which can often lead to hair thinning. Estrogen replacement therapy can help maintain hair density by prolonging the growth phase of the hair cycle.


Some HRT regimens include progesterone, which can also influence hair health. Synthetic progestins can sometimes cause hair shedding, whereas natural progesterone is less likely to have this effect.

Transgender Individuals

Transgender Women (Male to Female)

HRT typically includes estrogen and anti-androgens. Estrogen can help reduce hair loss and may promote regrowth by counteracting the effects of androgens (like testosterone), which are known to cause hair thinning.

Transgender Men (Female to Male)

HRT typically involves testosterone therapy, which can lead to androgenic alopecia (male pattern baldness) in those who are genetically predisposed.

General Androgenic Alopecia (Male or Female Pattern Baldness)


For individuals experiencing androgenic alopecia, anti-androgens like spironolactone or finasteride/dutasteride can be prescribed as part of HRT. These medications help block the effect of androgens on hair follicles, potentially reducing hair loss and promoting regrowth.

Thyroid Hormone Replacement

Thyroid imbalances (both hypothyroidism and hyperthyroidism) can cause hair loss. Thyroid hormone replacement therapy can help restore normal hair growth by correcting thyroid hormone levels.

Positive Impact

Estrogen and anti-androgens in HRT can help reduce hair thinning and promote regrowth, particularly in conditions related to hormonal imbalances.

Negative Impact

Synthetic progestins and testosterone therapy can potentially exacerbate hair loss in individuals susceptible to androgenic alopecia.

It is important for individuals to consult healthcare providers to tailor HRT to their specific needs and monitor its impact on hair health.

Get in touch to find out further information

Dynamic Regenerative Medicine

01564 330773


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