PCOS Hair Loss And Treatment

There are many reasons why female hair loss occurs. Sometimes it’s sudden and temporary; other times, it’s gradual and permanent. PCOS hair loss falls in the latter category.

Many women suffer from this disorder. And unfortunately, the exact causes of polycystic ovary syndrome aren’t known.

According to the NHS, it is not possible to cure PCOS, but its symptoms can be treated. It’s also possible for women to experience different symptoms of this disorder or just one. 

What Is Polycystic Ovary Syndrome (PCOS)?

To understand PCOS and hair loss, you need to know what polycystic ovary syndrome is and how it affects the body.

For reasons unknown, people with PCOS produce male hormones “androgens” in excess. This hormonal imbalance is caused by the ovaries.

However, since the level of androgens increases in polycystic ovary syndrome, the release and development of eggs by the ovaries don’t take place normally.

Polycystic Ovary

This disturbance in the ovulation process results in the formation of fluid-filled sacs (which are not always cysts). According to the Office on Women’s Health (OASH), this hormonal disorder affects 1 in 10 women.

With around 5-10% of women between the ages of 15 and 44 affected by PCOS, it is quite common. 

As mentioned above, it is possible that you only experience 1 symptom of this disorder. However, what happens, as a result, is that not many women know that they have PCOS until they’re trying to get pregnant (since it causes infertility).

Therefore, its diagnosis is most common in women who are 20-30. 

A woman who has a family history of PCOS with any of her blood relatives being affected by it is at a higher risk of developing this disorder herself. In addition, it is more common in people who are overweight or obese.

Those who do have PCOS are at a higher risk of developing health conditions such as: 

  • High blood pressure 
  • Diabetes 
  • Sleep apnea 
  • Uterine cancer 
  • Depression and anxiety 
  • Cardiovascular disease 

Here, it’s important to note that these conditions can also cause hair loss. For instance, diabetes hair loss can occur due to high blood sugar, hormonal changes, and autoimmune disorders, among other things. Similarly, anxiety can cause hair loss.

Polycystic ovary syndrome treatment usually includes medications and making lifestyle changes.

Polycystic Ovary Syndrome Symptoms

You shouldn’t be quick to assume that the hair strands that you’re shedding are because of PCOS. Polycystic ovaries syndrome symptoms can also include

  • Irregular periods – too frequent or infrequent. Since it doesn’t result in the release of the egg needed for fertilisation, this is what causes infertility
  • Hirsutism – excessive growth of thick, dark hair like males
  • Acne – on the face, chest, and back
  • Acanthosis nigricans – formation of dark, thick patches of skin due to an increase in cell formation. It usually affects the neck area, groin, armpits, hands, and face
  • Skin tags – small skin flaps
  • Weight gain – due to hormonal imbalance
  • Hair loss – thinning of hair in certain regions of the scalp 
PCOS SYMPTOMS

Polycystic Ovary Syndrome Diet

According to a review published in MÆDICA, dietary changes can help improve the symptoms of PCOS. 

Many women with PCOS have insulin resistance. And insulin is a pancreatic hormone that helps the body use sugar to create energy. However, when a person is insulin resistant, their body cells don’t respond to insulin.

As blood sugar isn’t taken up by the cells, it increases its levels in the blood. That can cause weight gain, increased testosterone levels, and lead to the development of prediabetes and Type 2 diabetes, among other health problems. 

With diet (and exercise), however, it can be possible to manage the symptoms of PCOS. 

In general, you need to avoid foods that are very fatty or sugary. British Dietetic Association recommends low to moderate glycaemic index (GI) foods like:

  • Most fruits
  • Whole grains
  • Dairy
  • Lentils
  • Sweet potatoes
  • Sweet corn
  • Couscous
  • Honey
  • Green vegetables 
  • Fish 
  • Lean meat 

Keep in mind that even within certain food categories, some foods have a higher glycaemic index. For example, watermelon, pineapple, mango, dates, pumpkins and raisins all have a high GI. These can all increase your blood sugar levels quote quickly. 

The Mediterranean diet is often recommended to patients with PCOS because it’s mostly about eating healthy carbs and fats.

Healthy diet (2)

It’s important to eat healthy, balanced meals when on polycystic ovary syndrome diet. And you shouldn’t try to do any crash diets.  

Polycystic Ovary Syndrome Causes 

One explanation for the development of PCOS is that it may be because of the inability of the body to use the insulin present in the blood. This insulin resistance signals the increase in the production of androgens by the ovaries.

However, another one of the polycystic ovary syndrome causes may be chronic low-grade inflammation, which can result in the increased production of androgens.  

Female Hair Loss PCOS

Hair loss from PCOS results from an increase in the level of androgens. These androgens convert testosterone into dihydrotestosterone (DHT) through the enzyme 5-alpha reductase.

However, keep in mind that there’s a genetic component to hair loss due to PCOS. The binding of the DHT hormone results in the miniaturisation of the hair follicles, and it results in female pattern baldness, also known as androgenetic alopeciaThis is what typically causes extreme hair loss in PCOS.

bald spot

Now although hair thinning may occur on the scalp due to PCOS, hair growth can take place in different areas of the body in a process known as virilization.

That results in the growth of thick hair on the face and neck, deepening of the voice and hair loss similar to male pattern baldness, among other symptoms. 

Because of this virilization, female pattern hair loss from PCOS can be of two types:

  • One that has a pattern similar to pattern baldness in males. This means hair loss along the temple region and the hairline (forming an M shape). Moreover, thinning occurs in the crown/vertex region
  • One that normally happens in women, where they start experiencing thinning on the top of the scalp according to the Ludwig scale. The part line widens while the hairline at the front remains intact. 

One more thing that the androgens do is that they end up affecting the sebaceous glands. They become larger and produce more oil. Therefore, some people who have PCOS hair loss also notice increased oiliness and dandruff.

They are more likely to be affected by seborrheic dermatitis. This can result in the overgrowth of a fungus on the scalp, which causes infection. It can also end up causing hair loss.

How To Reverse PCOS Hair Loss

It may be possible to reverse polycystic ovary syndrome hair loss with the help of antiandrogens (finasteride, dutasteride, spironolactone, cyproterone acetate, flutamide), oral contraceptives and minoxidil.

hair loss drugs

You may be prescribed a combination of different treatments, such as oral contraceptives with antiandrogens or minoxidil with antiandrogens. But keep in mind that whether or not these drugs help can depend on the extent of hair loss.

How To Stop PCOS Hair Loss?

Medications and non-surgical treatments may help stabilise hair loss resulting from PCOS.

However, to better deal with this kind of hair loss, you should also consider trying out some of the more “natural” remedies.

For instance, weight loss can lower the levels of sex hormones in your body. And that can help with PCOS-related hair loss. For that reason, it’s important for you to have a healthy and balanced diet.

PCOS Hair Loss Treatment

There are more than a few PCOS hair loss treatments that are available. These are as follows: 

Birth Control Pill 

One way to manage the symptoms of polycystic ovary syndrome is to take a birth control pill. Your doctor might also recommend some other methods of birth control.

However, the intention is to regulate the menstrual cycle so that the hormones are balanced in the body. It’s true that some kinds of contraceptives can cause hair loss. So, make sure to discuss this with your dermatologist. 

Spironolactone 

Spironolactone is another medication that may be prescribed for the treatment of hair loss caused by PCOS because of its anti-androgenic activity.

Instead of letting androgens bind to the hair follicles, spironolactone does that. Therefore, it prevents hair loss resulting from pattern baldness. It can take 6-12 months for you to see results from this treatment. 

Insulin-Sensitising Drugs 

Metformin is an insulin-sensitizing drug that’s used for the treatment of Type 2 diabetes.

However, it is also used for the treatment of PCOS. It works by making the cells use the circulatory insulin in the blood, thus decreasing its overall levels. With less blood sugar, the ovaries aren’t stimulated to produce androgens.  

Lifestyle Changes 

According to the NHS, 5% weight loss can result in an improvement in PCOS. The lower intake of calories due to weight loss will result in a decrease in the levels of insulin in the body.

Not just that, but it will also decrease the production of androgens. This can help you better manage the symptoms of polycystic ovary syndrome. Therefore, you can consider dieting and physical exercise to lose weight.  

Minoxidil 

Another way to treat thinning due to PCOS is to use topical minoxidil. There are different ways in which it can help in the growth of hair follicles.

To begin with, it can dilate the blood vessels, allowing more oxygen and nutrients to be carried to the hair follicles.

It also decreases the duration of the telogen phase of the growth cycle and prolongs the duration for which it stays in the anagen phase of growth. Therefore, your doctor may prescribe this for increasing the hair density from PCOS.  

Anti-Fungal Shampoos 

If you have developed a fungal infection, as may happen in seborrheic dermatitis, you may be prescribed an anti-fungal shampoo.

The itchiness and inflammation can also cause damage to the hair follicles, which is why you may need to use them to ensure healthy hair growth.

Ketoconazole is a type of anti-fungal shampoo. However, it can also help with the androgens that are causing hair loss in the first place. 

Hair Transplant

Since PCOS can result in permanent hair loss, one way to restore the growth is to get hair transplant surgery.

Hair Transplant

It will use the hair follicles that have not been affected by the androgens and place them in the balding regions. This treatment gives permanent results.

Keep in mind that since it’s a cosmetic surgery, you’ll only be able to get it privately. That can be a bit expensive, but you can save costs by getting a hair transplant in Istanbul.

Does PRP Work For PCOS Hair Loss?

Another treatment for PCOS hair loss comes from the blood of the patient, where a concentrate of plasma, proteins and growth factors help in the healing of the hair follicles and increase the blood supply to the scalp.

This can also be helpful in increasing the hair density of the person who has experienced significant hair loss due to PCOS. It is also recommended that you get PRP with a hair transplant to further improve the results of the treatment. 

How To Deal With PCOS Hair Loss?

Hair loss with PCOS can be more than stressful. That’s why finding ways to deal with it can help.

Talking about it can help, which is why you can consider joining a support group. If you’re on a treatment, you should also try to stay patient, as it can take some time to work.

Many women try to cope with hair loss by trying to hide it. You can do that as well by wearing scarves, caps, hats, wigs, makeup, or hair fibres. Trying out a different hairstyle can also help you hide a bald spot in a particular area of the scalp.

Other than that, you should also try to remain gentle with your hair and try to have a healthy and active lifestyle. In any case, it’s important that you seek the help of a board-certified medical professional.

Conclusion 

Polycystic ovary syndrome is a chronic condition. Its exact causes aren’t known, and it cannot be cured. However, its symptoms are treatable. There are different symptoms of this disorder. However, many people come to know that they have it when they’re trying to get pregnant. 

One symptom of this condition is hair loss, where a person experiences thinning due to androgenetic alopecia. This can lead to permanent hair loss.

There are different treatment options that are available for it. It’s important that you discuss these with your dermatologist. 

Reviewed and Approved by Dr. Cagla Yuksel.

FAQ

Does PCOS cause hair loss?

PCOS can cause hair loss by increasing the risk of female pattern baldness due to high levels of androgens.

Can PCOS hair loss grow back?

There are different treatments that can help you grow your hair back after PCOS hair loss. However, they may not completely reverse it.

Is PCOS hair loss permanent?

You may lose your hair permanently as a result of PCOS. That’s because hormonal imbalance can cause permanent miniaturization of the hair follicles on the scalp in pattern baldness.

Does biotin help with PCOS hair loss?

Unless you have a biotin deficiency, this supplement is unlikely to help you with PCOS hair loss.

Does birth control help with PCOS hair loss?

Birth control has been used for the treatment of PCOS, and it can also help with hair loss resulting from it.

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