How Hormones Can Cause Thinning Hair

By the Journal Editors Medically Reviewed by: Dr. Maida Sabackic, PharmD, RPh

Dr. Maida Sabackic, PharmD, RPh is a licensed and registered Pharmacist. Dr. Sabackic is a 2011 graduate of Massachusetts College of Pharmacy & Health Sciences in Boston, where she obtained her Doctorate in Pharmacy. She has spent her career in community healthcare with a focus on integrative health and natural medicines. She is the Head of Science & Education at OMI WellBeauty.

Thinning Hair

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Hormones serve many important biological roles: they’re our body’s messengers, regulators, growth managers and much more. But hormones are not static, and will fluctuate and decline throughout our lifespans. This impacts nearly all bodily functions and systems, including the equilibrium of the hair growth cycle. When hormonal balance is disturbed, hair is often one of the first areas to show signs of distress.

Hormonal disruptions can lead to significant and visible changes in hair texture, density, and rate of growth. What’s happening behind the scenes is the disruption of the natural hair growth cycle, which includes four phases, the anagen (growth), catagen (transition), telogen (rest), and exogen (shedding). Ideally, most follicles remain happily in the anagen phase. However, when hormones fall out of alignment, follicles may prematurely shift into the telogen phase, slowing growth and accelerating shedding. This process can cause hair to thin evenly across the scalp or lead to more targeted, patterned loss depending on the hormone involved.

This breakdown of the specific hormones that impact the scalp and follicular health provides a closer look at their impact on hair loss and growth—so you can make more informed decisions about your own hair growth journey.

Thyroid Hormones: Subtle Shifts with Significant Impact

The thyroid gland is a master regulator of metabolism, and its hormones—triiodothyronine (T3) and thyroxine (T4)—play a central role in cellular energy production. These hormones help maintain the structure and function of nearly every tissue in the body, including skin and hair follicles. When thyroid function dips too low (a condition called hypothyroidism), the body begins to slow down, conserving energy by redirecting resources away from non-essential processes like hair growth.

In this state, hair follicles often enter the telogen phase prematurely. The result is diffuse thinning across the scalp, a pattern that can mimic nutritional deficiencies or chronic illness. What makes thyroid-related hair loss particularly insidious is that it rarely shows up in clumps or bald patches; rather, it creates a subtle reduction in volume that gradually worsens over time.

Conversely, an overactive thyroid (hyperthyroidism) can lead to similar symptoms, though through a different mechanism. In this case, the accelerated metabolism speeds up the hair cycle, causing follicles to cycle too quickly through the growth phase and into shedding. Regardless of whether thyroid function is too high or too low, the imbalance creates instability in the hair cycle, leaving follicles weak, undernourished, and unable to sustain normal growth.

Because thyroid disorders often progress slowly and subtly, many people may not realize their hair changes are linked to their thyroid until other symptoms emerge, such as fatigue, weight changes, dry skin, or temperature intolerance. Fortunately, once thyroid hormone levels are stabilized with medication or lifestyle changes, hair health often begins to rebound—although the process can take several months due to the slow turnover of the hair cycle.

Cortisol: The Hormone of Chronic Stress and Follicular Fatigue

In our modern world, few hormones are as chronically elevated as cortisol. Released by the adrenal glands, cortisol helps the body respond to acute stress. In small bursts, it serves an important function—mobilizing energy and alertness in times of need. But when stress becomes chronic, cortisol levels can remain elevated for extended periods, which has a widespread impact on health, including on hair.

When the body is constantly flooded with cortisol, it enters a state of “alert mode,” prioritizing survival functions over secondary ones like digestion, reproduction, and hair growth. As a result, a larger number of follicles may enter the telogen phase all at once. This leads to a noticeable shedding phenomenon known as telogen effluvium. While this condition is typically reversible, it can take time for the hair cycle to normalize after the stressor is removed.

Cortisol also triggers inflammation, which can affect the microenvironment of the scalp. Inflammation may interfere with the delivery of nutrients to the follicles and reduce the effectiveness of pathways that help signal growth. Over time, chronic stress may also contribute to oxidative damage, making the scalp less hospitable to healthy follicle regeneration.

The connection between stress and hair loss can create a vicious cycle: Distress over thinning hair can raise cortisol further and lead to even more shedding. Finding ways to interrupt this loop with stress management techniques, such as meditation, therapy, exercise, or adaptogenic herbs may offer both psychological and physiological relief. Addressing elevated cortisol is not just good for hair, but essential for overall well-being.

Testosterone and DHT: Genetic Hair Loss and Follicle Miniaturization

One of the most well-understood causes of hormonal hair loss involves the hormone testosterone and its more potent metabolite, dihydrotestosterone (DHT). In those genetically susceptible, DHT binds to androgen receptors on hair follicles and initiates a process known as miniaturization, where the follicle becomes progressively smaller, producing thinner and shorter hairs until it eventually ceases hair production altogether.

This pattern of hair loss is referred to as androgenetic alopecia and it’s usually genetic. Also known as male pattern baldness, it typically manifests as a receding hairline and thinning crown, while in women, a diffuse thinning around the part line or crown while preserving the frontal hairline. DHT-related hair loss is gradual but progressive, meaning that without intervention, it tends to get worse over time.

In women, elevated androgens can be particularly distressing because they often result in a combination of hair thinning on the scalp and excess hair growth on the face and body. This dual effect is a hallmark symptom of conditions like polycystic ovary syndrome (PCOS), which is characterized by hormonal imbalances, irregular menstrual cycles, and insulin resistance.

While DHT is a normal byproduct of testosterone metabolism, its impact on hair follicles varies dramatically from person to person. Treatments that aim to block DHT production or prevent it from binding to receptors—such as finasteride, saw palmetto, or pumpkin seed oil—are used to slow down or halt the progression of androgenetic hair loss.

Estrogen: Supporting Growth and Vitality

Estrogen is often described as a “beauty hormone,” and for good reason. In addition to its role in reproductive health, estrogen promotes collagen production, skin hydration, and hair growth. It enhances the anagen phase of the hair cycle, meaning more follicles remain actively growing rather than resting or shedding.

When estrogen levels are high, as they are during pregnancy, women often notice their hair appears thicker, shinier, and more voluminous. This is because fewer hairs are entering the telogen phase, and more are actively growing. However, after childbirth or during menopause, when estrogen levels drop sharply, hair may begin to thin rapidly. Many women experience increased shedding several months after delivery—an effect known as postpartum telogen effluvium. Similarly, during menopause, the long-term decline in estrogen can lead to hair that is dry, brittle, and more prone to breakage.

Low estrogen also affects the scalp’s sebaceous glands, which produce oils that keep hair moisturized. A decrease in sebum production contributes to the dry, lackluster appearance of hair that many women experience in their 40s and 50s. Additionally, lower estrogen levels make the scalp more vulnerable to androgen influence, increasing the effects of DHT.

Maintaining balanced estrogen levels through diet, lifestyle, or medical therapies can help protect against hair thinning during transitional life stages. In some cases, bioidentical hormone replacement therapy (HRT) or phytoestrogens from plants may offer support, but should be discussed with your healthcare to make sure this is the best option for you.

Menopause: The Convergence of Hormonal Disruption

Menopause is often referred to as a hormonal “perfect storm.” During this transition, levels of both estrogen and progesterone decline, leading to a host of systemic changes—from hot flashes and mood swings to bone loss and metabolic shifts. For many women, hair loss becomes an especially distressing symptom.

With estrogen no longer providing protective effects, androgens like DHT can exert greater influence on the hair follicle. The results is the gradual thinning of hair along the part line, temples, and crown. Unlike the dramatic shedding of telogen effluvium, menopausal hair thinning is slow and steady, becoming more noticeable over months or years.

The drop in estrogen also reduces the follicle's access to nutrients and oxygen. Without adequate blood flow and cellular energy, the follicle’s ability to regenerate is diminished. At the same time, emotional stress, sleep disturbances, and systemic inflammation can further aggravate hair loss during this tricky life stage.

Menopausal women may find success with targeted therapies that combine hormonal support, nutritional supplementation, and topical solutions. Improving circulation to the scalp, supporting collagen production, and reducing oxidative stress are all important strategies for preserving hair during and after the menopausal transition.

OMI Hair Growth Peptides: A Science-Driven Solution

Although hormonal balance is essential to sustaining healthy hair growth, addressing the follicle itself is just as crucial. OMI Hair Growth Peptides offer an internal approach to strengthening the hair bulb and supporting resilience from within. These peptides are derived from bioavailable keratin—the very protein that makes up 90 percent of the hair shaft—and are clinically studied for their effects on hair thickness, growth rate, and structural integrity.

Unlike topical treatments that act only on the surface, OMI peptides are ingested and absorbed into the bloodstream, where they are delivered directly to the hair follicle. Once there, they provide amino acid building blocks that reinforce the follicle's ability to retain hair in the growth phase. The result is stronger, thicker hair that is less prone to shedding, breakage, and environmental stress.

In clinical studies, OMI Hair Growth Peptides have shown measurable benefits for people experiencing hair loss due to hormonal changes. For example, those with postpartum shedding or menopausal thinning reported visible improvements in volume and strand strength within three months of consistent use. By supporting the hair’s natural protein structure and enhancing the follicle’s longevity, OMI offers a modern, nutrient-rich solution to a biologically complex problem.

A Comprehensive View: Hormones, Hair, and Holistic Health

Hair loss is rarely the result of one single cause. It’s often the visible expression of multiple systems falling out of balance. While hormones like thyroid hormones, cortisol, DHT, and estrogen are powerful regulators of the hair cycle, their effects are influenced by a person’s overall health, lifestyle, and genetic predisposition.

Nutritional status plays a critical role in how well hormones function. Deficiencies in iron, zinc, biotin, or vitamin D can impair follicle activity and worsen the effects of hormonal imbalance. Chronic inflammation, often driven by poor diet, lack of sleep, or gut dysfunction, also impairs the follicular environment. For this reason, a holistic approach to hair loss—one that includes medical evaluation, hormone testing, stress management, and targeted supplementation—offers the best chance of long-term improvement.

Luckily, hair follicles are remarkably resilient. Given the right conditions, they can shift back into growth mode and begin producing healthy hair once again. Treatments like OMI Hair Growth Peptides, when used in combination with hormonal support and lifestyle optimization, offer a powerful, proactive path forward.

THE TAKEAWAY

Hormonal hair loss is both a signal and a symptom. It reflects the state of internal balance and demands a deeper look into how our bodies respond to stress, aging, and change. By understanding the hormonal mechanisms behind hair thinning—particularly the roles of thyroid hormones, cortisol, androgens, and estrogen—we empower ourselves to seek solutions that go beyond cosmetic fixes.

Whether the goal is to prevent hair loss during menopause, address postpartum shedding, or manage genetic predispositions, tools like OMI Hair Growth Peptides can offer a science-backed, integrative approach to hair restoration. With knowledge, consistency, and the right support, it is entirely possible to preserve and even regrow hair—and take back our confidence and sense of self.

Frequently Asked Questions

1. How do hormones cause hair thinning?

Hormones disrupt the hair growth cycle by pushing follicles into a resting phase too soon, which leads to premature shedding and reduced regrowth.

2. Can stress-related hormones really make my hair fall out?

Yes, chronic stress raises cortisol levels, which can trigger widespread hair shedding known as telogen effluvium.

3. Why does hair thinning often worsen during menopause?

During menopause, declining estrogen allows androgens like DHT to shrink hair follicles, leading to gradual thinning.

4. Is hormonal hair loss reversible?

In many cases, yes—especially when the underlying hormonal imbalance is treated and follicle health is supported.

5. How can OMI Hair Growth Peptides help with hormone-related hair loss?

OMI peptides nourish hair follicles from within, strengthening them and promoting growth even during hormonal fluctuations.

OMI peptides nourish hair follicles from within, strengthening them and promoting growth even during hormonal fluctuations.

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