The Shift Is Real: What Perimenopause Can Change About Your Hair + Scalp

Perimenopause can begin years before menopause, and for some women, hair + scalp changes are part of that transition. Hormonal fluctuations can affect the hair follicle, hair cycle, density + texture.¹

Your Hair Follicles Respond to Hormones

Hair follicles are hormone-sensitive. During the transition to menopause, estrogen levels fluctuate and eventually decline, while the relative influence of androgens can increase.¹

Research has linked this hormonal shift with changes in:

  • hair density
  • strand diameter
  • hair texture
  • the hair growth cycle¹

That can show up as a widening part, a thinner-feeling ponytail, more visible scalp, finer strands or hair that simply feels different than it used to.¹ ³

Importantly, not every change is automatically caused by perimenopause. Female-pattern hair loss often begins in midlife and can look similar, which is why persistent or progressive thinning is worth discussing with a dermatologist.³

It’s Not Just the Hair — Your Scalp Can Shift, Too

The scalp is skin, and menopause-related changes in skin can include increased dryness, reduced ability to hold moisture + greater sensitivity.²

That may help explain why a familiar routine can suddenly feel different.

You may notice:

  • more dryness or tightness
  • new sensitivity or itching
  • more visible flaking
  • changes in how your scalp feels day to day
  • hair that feels finer, rougher or harder to manage¹ ²

Several things can overlap at once — hormones, age, weather, stress + underlying hair or scalp conditions — so it’s also worth looking at the whole picture rather than assuming every change is hormonal.

— the under luna way —

What Can You Actually Do?

The goal isn’t to “fix” perimenopause with shampoo. Hair care can support the scalp + help protect fragile hair, but it cannot treat an underlying hormonal or medical cause of hair loss.

Start by reassessing what has actually changed.

You may need to rethink:

  • how often you wash — if your scalp is becoming oilier, itchy or more buildup-prone, washing a little more will help keep the scalp happy, clean + more comfortable rather than trying to stretch wash days
  • does your shampoo still suit your current scalp — the formula that worked for you a year ago may not be the best match now.
  • how much moisture your scalp + lengths need — if your scalp feels drier or more depleted, consider adding a weekly scalp treatment, like with any of our conditioners (here's how) or a nourishing scalp serum
  • how gently you handle thinning or fragile hair — avoid aggressive brushing, tight styles + unnecessary heat, and focus on keeping the hair conditioned and supported

If shedding or thinning is sudden, significant, patchy or persistent, it’s worth checking in with a dermatologist rather than assuming it’s “just hormones.¹ ³

Your scalp can change. Your routine can too.

Not sure where to start? Take the Hair Quiz →

Sources + Further Reading

1. Gupta AK, Economopoulos V, Mann A, et al. Menopause and hair loss in women: Exploring the hormonal transition. Maturitas. 2025. PubMed

2. American Academy of Dermatology. Caring for your skin in menopause. Read at the AAD

3. American Academy of Dermatology. Thinning hair and hair loss: Could it be female pattern hair loss? Read at the AAD

4. Mirmirani P. Hormonal changes in menopause: do they contribute to a “midlife hair crisis” in women? British Journal of Dermatology. 2011. PubMed