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Remember when you used to have long, voluminous hair? Perhaps you were a teenager or a young adult. For many people, not only does the aging process have a profound effect on hair growth, but also the presence of reproductive or hormonal issues. More specifically, polycystic ovary syndrome (PCOS) has been shown to increase hair loss in 20-30% of patients.
If you're reading this, then it's safe to say that either yourself or a loved one may be experiencing PCOS-related hair loss. You're not alone. We spoke with an expert about why this happens, as well as some tips and tricks to prevent (and even reverse) hair loss. Read on to learn more.
But first, what is PCOS?
Polycystic ovary syndrome (PCOS) is a hormonal disorder that can lead to problems such as infertility, ovarian cysts, and even hair loss. According to Yale Medicine, experts believe roughly five to 10 percent of women between the ages 18 to 44 have PCOS with detection typically occurring in the mid-20s.
"Elevated levels of specific hormones such as androgens can cause symptoms including unwanted hair growth, hair loss, acne, and weight gain," says Dr. Cordelia Nwankwo, MD, a board-certified OB/GYN based in Washington, DC.
PCOS can also increase the likelihood of having a miscarriage or experiencing complications during pregnancy.
Does PCOS cause hair loss?
PCOS can cause female pattern hair loss in some individuals, especially those with elevated levels of androgens, such as testosterone. When the body converts testosterone into dihydrotestosterone (DHT), this causes hair follicle miniaturization and, eventually, hair loss or thinning.
The term 'androgenic alopecia' is the formal name for hair loss caused by hormonal changes. Generally, this type of female pattern baldness occurs towards the top of the head, but doesn't affect the hairline at the upper forehead region.
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Will hair loss from PCOS grow back?
PCOS-related hair loss can potentially be resolved and grow back depending on the extent and any damage to the hair follicle, explains Dr. Nwankwo. The likelihood for success with hair regrowth is higher the earlier it's treated.
That said, if you notice any changes in your hair, whether that's increased shedding or bald spots, then you'll want to consult with an OB/GYN or endocrinologist sooner rather than later to get started on a regimen.
What helps with PCOS hair loss?
While there is no definitive cure for PCOS-related hair loss, there are tips and tricks that can be effective and helpful.
Hormonal birth control
Hormonal birth control such as oral contraceptives, IUDs, and vaginal rings can be effective in regulating menstrual cycles and in the treatment of PCOS. "They also can help decrease circulating androgen levels which can promote excess hair growth," explains Dr. Nwankwo.
Spironolactone
Spironolactone, a diuretic medication, is commonly used off-label as a treatment option for PCOS related hair loss. "Spironolactone is an anti-androgen medication that can reduce androgen levels and help with acne and hair loss," says Dr. Nwankwo.
Prescription treatments
A common treatment for hair loss is Minoxidil, which is a prescription-strength topical or oral medication proven to regrow hair in 3-6 months.* It works to enhance blood flow to the scalp, decrease the telogen phase (the resting phase of the hair growth cycle), and stimulate follicle movement — all of which have been shown to increase hair growth.
If you’re finding yourself becoming increasingly self-conscious about your thinning hair, you’re not alone. Hers provides a wide range of prescription hair loss treatments tailored specifically for women, addressing various underlying causes like hormonal imbalances, stress, and age-related thinning. Their offerings include a range of treatments made with Minoxidil, from pills, to chews to serums, with access to a licensed healthcare provider that can help you find the right one for your needs and routine.
The best part? The Hers process is 100% online, making it convenient and accessible for you to receive personalized care from the comfort of your home. After an online consultation, which includes a detailed assessment of your hair loss concerns and medical history, your provider will recommend a tailored treatment plan based on your specific concerns. Once a prescription is issued, your treatments are delivered directly to your doorstep, enabling you to manage your hair loss discreetly and efficiently.
Myo-inositol
Myo-Inositol supplements can help with insulin resistance, promote ovulation, and mitigate weight gain — all of which can exacerbate the severity of PCOS related symptoms such as hair loss, according to Dr. Nwankwo. As always, you’ll want to consult with your OB/GYN or endocrinologist before adding any new medications or supplements to your daily routine to make sure it's safe to do so.
Dealing with PCOS-related hair loss can be challenging, but there are various lifestyle changes and prescription treatment options that can help manage and even reverse the effects. If you’ve been experiencing more hair-shedding than usual or have been noticing more part/scalp or reduced volume, don’t worry! Through Hers, a licensed provider can help you find the right solution for you without getting up from your couch. With the proper approach, there’s hope for regaining both your hair and confidence. Take their hair quiz here!
*Based on studies of topical and oral Minoxidil for 3-6 months.
Casey Clark is a freelance writer from New York City who specializes in beauty, food, and lifestyle content in the commerce sector. Her work has been featured in Women’s Health, Allure, Cosmopolitan, SELF and more. When she’s not writing, you can find her swatching the latest lipsticks or out to brunch with her girlfriends.