Hair loss after menopause: treatment in Vancouver
A wider part, a thinner ponytail, more scalp showing under bright light — hair changes are one of the most common and least talked-about parts of menopause. They're also very treatable once you know what's driving them.
- 8 years of hair care
- Thousands of patients treated
- Plans designed for women
Hormones, hair and menopause
As estrogen and progesterone fall, the balance shifts towards androgens. In women who are genetically sensitive, this can shrink (miniaturize) follicles on the top of the scalp — female pattern hair loss — while the hairline usually stays put. Hair can also become finer, drier and slower to grow.
Menopause rarely acts alone. Low iron, thyroid changes, vitamin D, rapid weight change, stress, new medications and scalp inflammation can all add shedding on top of thinning. Finding each contributor is what makes treatment work.
What we check in women over 40
Your analysis looks at the whole picture — hormones, nutrition, scalp health and the pattern of thinning — so treatment matches the cause rather than the symptom.
- Hormone markers relevant to hair, alongside thyroid function
- Iron stores, vitamin D, B12 and other nutrition markers
- Trichoscopy signs of miniaturization along the part
- Shedding (telogen effluvium) on top of thinning
- Your HRT, medications and health history
60 minutes with a doctor
One of the most comprehensive hair analyses in Metro Vancouver — performed and led by a medical doctor, one-on-one and in private. $250 + GST.
- Medical history. Your health, family history, medications and what you've already tried.
- Live HD trichoscopy. A magnified, on-screen look at your scalp and follicles.
- Detailed scalp examination. Inflammation, oil, irritation and overall scalp health.
- Blood test of over 40 biomarkers. Hormones, thyroid, iron, nutrition and more.
- Your recommendations and plan. Shampoo, medical therapy, natural DHT-blocker options and in-clinic treatments — plus a detailed report with your images.
Treatment for menopausal hair loss
Most plans combine an in-clinic treatment with medical therapy at home. Some medications used for men are not suitable for every woman, so every option is chosen around your health history.
If you're on or considering HRT, bring the details to your analysis — we'll take it into account in your plan.
What results look like
The first goal is to slow shedding, usually noticeable within 4–8 weeks. Density then builds from around months 3–4, with the main results by 6–12 months. Progress is measured with photos and trichoscopy, not guesswork.
Related guides
Every plan is overseen by Dr. Eli Akbari
Dr. Eli Akbari, MD, FRCSC is a double board-certified facial plastic surgeon (RCPSC and AAFPRS) trained at the University of British Columbia and the University of Toronto. Our hair program has been established for the past 8 years, and we have treated thousands of patients across Metro Vancouver.
- A scientific, evidence-based approach — treatment chosen from your test results
- A detailed report with your scalp and trichoscopy images
- Rated 4.9 from 495 Google reviews
Menopause hair loss questions
Is hair loss after menopause permanent?
Not necessarily. Thinning from menopause is usually gradual, and treatment can slow it and improve density — especially when it's started early and the other contributors, like iron or thyroid, are corrected.
Does HRT help hair loss?
For some women, hormone therapy can help hair, but it isn't a hair treatment on its own and isn't right for everyone. We take your HRT into account and focus on the treatments that act directly on the scalp.
Is PRP good for women's hair loss?
PRP is one of the treatments we use most for female pattern hair loss, often combined with microneedling and medical therapy. Whether it fits you depends on your analysis.
Can women use minoxidil?
Yes — minoxidil is commonly used for female pattern hair loss, either topically or in other forms prescribed by a doctor. We'll explain the options and side effects.
What does the hair analysis cost?
$250 + GST for 60 private minutes with a doctor, including trichoscopy, a scalp exam, a blood test of over 40 biomarkers and a detailed report with images.
Find out what's causing your hair loss
One private hour with a doctor, a magnified look at your scalp, a 40+ biomarker blood test and a clear plan — with a detailed report and images after your visit.
Request a hair analysis$250 + GST · Only a few spots left this weekPrefer to call? 604-912-0600