PCOS Hair Loss: Why It Happens and What To Do About It

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that can bring about a host of unpleasant symptoms, such as irregular periods, unintended weight gain, increased acne, and notably, both excess hair growth and unexpected hair loss, commonly referred to as androgenic alopecia due to PCOS. In this comprehensive guide, we will delve into the intricacies of PCOS-related hair loss, exploring why it occurs, what can be done to address it, and the support networks available to individuals experiencing this challenging symptom.

Understanding Alopecia and PCOS

What Is PCOS?

Polycystic Ovary Syndrome, or PCOS, is a condition characterized by the overproduction of hormones known as androgens. Androgens, including testosterone, are hormones produced by individuals of all genders. However, cisgender men typically produce higher levels of androgens than cisgender women. Androgens play a pivotal role in initiating puberty and stimulating hair growth in regions like the underarms and pubic area. Additionally, some individuals with PCOS may develop multiple cysts on their ovaries, although this is not a universal feature of the condition.

The formation of cysts occurs when an egg fails to mature and be released during ovulation. These cysts, in turn, produce an excessive amount of androgen hormones, leading to a wide array of symptoms beyond hair loss. These symptoms may encompass irregular menstrual bleeding, excessive body hair growth, weight gain, acne, increased skin oiliness (sebum production), infertility, skin tags, and the development of dark, thick skin patches.

Why Does PCOS Lead to Hair Loss?

Hair loss associated with PCOS primarily revolves around hormonal imbalances. Dr. Meggie Smith, an OB-GYN specializing in reproductive endocrinology and infertility, explains that PCOS can trigger hair loss due to elevated levels of testosterone, a type of androgen. This phenomenon is termed “androgenic alopecia,” and it often manifests as hair loss around the temples and frontal regions of the scalp. It’s important to distinguish this pattern of hair loss from male-pattern baldness, which typically involves a receding hairline and thinning at the crown of the head, as per the American Academy of Dermatology.

However, it’s crucial to note that, unlike excess hair growth, hair loss is not a common symptom of PCOS. Hair loss of this nature requires significantly elevated androgen levels. Dr. Lauren Streicher, a clinical professor of obstetrics and gynecology, clarifies that PCOS primarily leads to excess hair growth in areas such as the face, neck, chest, and torso.

Managing PCOS-Related Hair Loss

When addressing hair loss linked to PCOS, patience is key. It’s essential to manage expectations and understand that visible improvements may take six months or longer to materialize. The natural hair growth cycle is not rapid, and it inherently demands time, irrespective of the circumstances.

Medications

Treatment approaches for PCOS-related hair loss are often tailored to each individual’s specific needs and the severity of their hair loss. Among the most effective treatments is Rogaine (minoxidil), as recommended by Dr. Streicher and Dr. Smith. Additionally, initiating a birth control regimen is a common strategy for managing PCOS and its associated symptoms. Birth control pills help reduce testosterone levels by increasing sex-hormone-binding globulin, primarily aiding in controlling hair growth, particularly above the upper lip or chin.

A 2020 study published in the Journal of the American Academy of Dermatology demonstrated significant hair growth among participants using spironolactone, an oral medication, either alone or in combination with other treatments.

Scalp Massage

Other less-studied methods for stimulating hair growth include daily hair and scalp massages and low-level laser therapy, both of which have shown potential in encouraging hair regrowth.

Natural Remedies

Some individuals explore natural remedies to promote hair growth, such as supplements like biotin, collagen, and zinc. While these supplements are generally considered safe, their efficacy lacks robust scientific backing. It’s important to exercise caution when using dietary supplements, as they are minimally regulated by the FDA and may interact with existing medications. Consulting with a healthcare provider or pharmacist before starting any supplements is advisable.

When to Seek Medical Attention for Hair Loss

If you are experiencing hair loss but have not yet received an official PCOS diagnosis, it is essential to consult healthcare providers. A multidisciplinary approach, involving dermatologists, OB-GYNs, or reproductive endocrinologists, may be necessary. Dermatologists possess specialized expertise in addressing hair loss and can offer valuable guidance and treatment options.

The same holds true for other potential signs and symptoms of PCOS, such as irregular menstrual bleeding, acne, skin oiliness, or excessive body hair growth. Seeking consultation with an OB-GYN is crucial for comprehensive assessment and management.

In Conclusion

Polycystic ovary syndrome (PCOS) is a complex and multifaceted condition that can manifest with a wide array of symptoms, one of which is hair loss. This particular symptom can be distressing for individuals dealing with PCOS, leading them to seek various avenues for treatment and relief. Fortunately, there are several options available to address hair loss associated with PCOS, ranging from medical interventions like medications to holistic approaches such as scalp massages and natural remedies. Exploring these diverse treatment options allows individuals to find the approach that works best for them and effectively manages their hair loss.

It’s essential for individuals grappling with PCOS-related hair loss to understand that they are not alone in their journey. The emotional toll of experiencing hair loss can be significant, but finding support in a community of people who share similar experiences can offer immense solace. These communities provide a platform for individuals to connect, share their stories, exchange tips and advice, and provide emotional support. Moreover, engaging with such communities can potentially lead to the discovery of treatment options and strategies that may not have been previously considered.

Several online resources cater to the needs of individuals dealing with PCOS-related hair loss and other symptoms. Communities such as Soul Cysters, PCOS Challenge, and myPCOSteam offer dedicated forums where members can share their insights, experiences, and coping mechanisms. These platforms foster a sense of camaraderie among those facing the challenges of hair loss and other PCOS-related symptoms, creating a supportive and empathetic environment where individuals can find the information and encouragement they need on their PCOS journey.