Hair pre & post Hysterectomy

Our hair Post Hysterectomy

Let’s face it—hair is a massive part of our identity, our femininity, and how we feel. So, when I see so many women in hysterectomy support groups feeling sad, broken, and tearful over their post-hysterectomy hair changes, I want to help, solve it, and empower them. That’s why I’ve taken the time to bring a little science, a little prep work, and a little tenderness to this situation.

Hair and Hysterectomies

A hysterectomy is major surgery (I keep forgetting this myself and wondering why I’m not back to full form yet!). Whether you are having everything removed or just part, your body goes through significant changes. Doctors will generally prepare you for most side effects, but they often overlook the impact on hair.

Hysterectomies can lead to noticeable changes in hair, such as shedding, altered texture, and scalp irritation. While this doesn’t happen to everyone and doesn’t happen overnight, many women do experience it.

Why Do Hysterectomies Change Our Hair?

After surgery, hair shedding and texture changes are common. Women who have had their ovaries removed often notice these changes more. Oestrogen and progesterone are key to hair growth, so when levels drop suddenly, shedding can increase, and regrowth may slow down.

Additionally, surgery can cause dips in essential vitamins like iron and zinc, which can weaken hair as it grows back. Surgical stress may also trigger temporary hair loss, as the body prioritises healing over hair growth. When hair does regrow, hormonal changes may cause it to look or feel different than before.

Does Anaesthetic Have a Part to Play?

Anaesthetic itself doesn’t directly cause hair loss, but your body’s reaction to it can. Changes in blood flow during surgery and the stress response may impact hair follicles. Some medications taken after surgery may also contribute to shedding. When medications, including antibiotics, enter the bloodstream, they can be absorbed by hair follicles, potentially altering hair texture, colour, and growth.

Other Reasons Surgery Changes Our Hair

• Reduced oxygen levels reaching the scalp may temporarily affect hair follicles.

• Emotional stress and anxiety can contribute to hair loss, even if you don’t feel particularly stressed yourself.

How Long Does It Last?

Hair loss usually becomes noticeable 2–3 months after surgery. Fortunately, this type of hair loss is typically temporary, with regrowth occurring within 6–12 months as your body recovers. Some women experience quicker regrowth, while others may not notice any changes at all.

How to Prepare Before Surgery

Taking steps before surgery can help delay or reduce hair loss:

• Eat nutrient-rich foods high in iron, vitamin D, B vitamins, zinc, and biotin.

• If necessary, consider supplements (check with your doctor first—some may advise stopping supplements before surgery).

• Avoid aggressive hair treatments or tight hairstyles that put strain on the scalp.

• Practice relaxation and mindfulness techniques to manage stress.

How to Manage Hair Post-Surgery

The steps for post-surgery care are like pre-surgery care:

• Maintain a nutrient-rich diet and continue supplements if appropriate.

• Consider taking biotin to support healthy hair and potentially slow shedding.

• Remember, hair loss may take 3 months to improve, so don’t panic if results aren’t immediate.

I also highly recommend using a good shampoo and conditioner—not just whatever is on offer at the supermarket. Ask your stylist for recommendations. Avoid products filled with sulphates and silicones. One of my favourite brands is Maria Nila’s Heal range, which is fantastic for hair health, but be sure to research and find what works for you.

Will HRT Help?

HRT can help maintain hair health for some women, but it’s not a one-size-fits-all solution. Replacing oestrogen may help support hair confidence. If you’re considering HRT, consult your GP or specialist to see if it’s right for you. (I will be talking about menopausal hair soon in blogs and on my Instagram so keep an eye and ear out for them.)

Final Thoughts

If hair loss persists, consult your GP or a trichologist to rule out any underlying issues. You’re not alone in this journey, and with the right knowledge and care, you can support your hair health through and beyond your hysterectomy.