I am 54 years old and started taking HRT last year because I was feeling moody, irrational and down. I was put on Femoston conti ( low dose ) but I didn't feel any different. I was then put on Activelle and again I didn't really notice any change so I was then put on Livial. Three weeks after taking Livial I noticed an alarming amount of hair loss in the shower. It was very upsetting to say the least ! I tried to think what might have caused it and had a google to try to find out the cause. I had tested positive for covid back at the beginning of May. I was sick in bed for over two weeks, nauseous, vomiting, fever and extreme tiredness. When I googled covid and hairloss I found other people saying they too was experiencing hair loss 2-3 months after having the virus. So, this would tie in. Also, on the 17th July I had my second Pfizer vacc, I wondered if this might have caused the shedding ? Then, on the same day as I took my first Livial (1st July ) I changed my hairdresser and had highlights. It is a reputable salon and she actually used Olaplex with the bleach to help the condition. I have blonde curly hair and it looked really good. I don't think three weeks after having my hair done the highlights would cause my hair to shed, it isn't breaking, it's coming from the root. So, I decided that wasn't the cause. I went to see my doctor and she said " her gut feeling " was it wasn't the Livial and to take it for two more weeks and monitor the hair loss. It kept falling out - so bad it was getting tangled in the curly length and forming big knots. I went back to the hair salon and she cut off a couple of inches. I used to use John Frieda moisturising shampoo for blondes and conditioner but she persuaded me to try Alfaparf shampoo and conditioning reparative mask for damaged hair. Thats another thing - it went very static and frizzy when I started losing hair. Could it have been the very hot weather we had had ?? Anyway, short of it being hot weather, covid, covid vaccine, the only other thing is the Livial. I read that it's androgenic and also may increase free circulating testosterone. I had had my testosterone levels checked before and it was low but not seriously low so could this be the reason for hair loss ? It's been two months of losing it and I'm relieved to say that the hair loss is minimal now compared to the past few weeks. I have been taking "hair gummy supplements " with lot's of biotin in and also I have been using The Ordinary Multi Peptide serum for hair density. In the past my doctor mentioned Utrogestan and oestrogen gel because " it's gentle on the body " but I have been reading about women complaining of hair shedding/loss while on this combination ! It has got me thinking that all HRT can cause hair loss and I'm scared now. I will admit to wanting to use HRT for vanity purposes too, I thought it would help keep me young looking ( who want's wrinkles ) but now I'm wondering if I'm better off just not bothering with it at all. My husband says I've been even tempered while off it and I feel ok. Any thoughts and advice would be gratefully received. I am from the UK but now live in Ireland. I don't have any close friends to chat about this and my sisters are older than me and aren't much help ! PS - I have had blood test to check for ferritin, B vits and D but I'm awaiting results. I eat very healthily, I'm not overweight and I lift weights and run. Kind regards Carol.