Visual summary of menopause phase, self-care steps and when clinical advice is needed. Hair loss in Perimenopause

Perimenopause is the most complex transitional phase - menstrual cycles become irregular, symptoms emerge, but pregnancy is still possible. Duration: 4-7 years average, up to 10 in some. Malaysian women typically enter perimenopause at 42-48 years. Menopausal hair loss is 'female pattern hair loss' type - more frequent at crown and parting. Estrogen protects hair follicles; without it, androgens become relatively more dominant. For hair loss in the perimenopause phase, start with lifestyle basics, then discuss supplements or clinical treatment if symptoms disrupt quality of life. Discuss with Malaysian obstetrics and gynaecology specialist for a next-step plan based on your symptoms, medicines, and screening history.

Quick guide

What should you do next?

  1. Step 1 Track what is happening

    For Hair loss in Perimenopause, note timing, triggers, severity and impact on sleep or work for 2 to 4 weeks.

  2. Step 2 Start with safe basics

    Prioritise sleep, hydration, meals, daily movement and supplement label checks before buying.

  3. Step 3 Discuss care with a clinician

    Seek medical assessment if symptoms disrupt daily life, bleeding is unusual, or you are considering hormone treatment.

    How to find a specialist

Tips for this phase

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More in this phase

Same topic, other phases

Relevant glossary

Frequently asked questions

Further reading