PCOS and Hair Loss: Causes, Symptoms and Treatment

PCOS and Hair Loss: Causes, Symptoms and Treatment

Updated at Feb 28, 2025
hair restoration

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects women of reproductive age. One of the lesser-known yet distressing symptoms of PCOS is hair loss, which can have a significant impact on self-esteem and quality of life. In this article, we will explore the relationship between PCOS and hair loss, including its causes, symptoms, and treatment options.

What is Polycystic Ovary Syndrome (PCOS) Hair Loss?

PCOS hair loss refers to the thinning or shedding of hair that occurs as a result of hormonal imbalances associated with polycystic ovary syndrome. Women with PCOS often experience elevated levels of androgens, male hormones that can disrupt the normal hair growth cycle. This condition may lead to hair thinning on the scalp, a phenomenon known as androgenic alopecia, or excessive hair growth in other areas, known as hirsutism.

Does PCOS Cause Hair Loss?

Yes, PCOS can cause hair loss. The hormonal imbalances that characterize PCOS, particularly elevated androgen levels, play a crucial role in hair thinning. Many women with PCOS experience hair loss on the scalp, which may be more pronounced around the crown of the head. Understanding the connection between PCOS and hair loss is essential for developing effective treatment strategies.

What Causes PCOS Hair Loss?

The primary cause of hair loss in women with PCOS is the overproduction of androgens, which can disrupt the hair growth cycle. Several factors contribute to this hormonal imbalance:

  1. Insulin Resistance: Many women with PCOS have insulin resistance, which can lead to increased insulin levels. High insulin levels stimulate the ovaries to produce more androgens, contributing to hair loss.
  2. Genetics: A family history of hair loss can also play a role in determining who may experience hair thinning due to PCOS.
  3. Inflammation: Chronic inflammation often found in women with PCOS may further exacerbate hair loss by affecting hair follicles.
  4. Hormonal Fluctuations: The hormonal fluctuations associated with menstrual irregularities in PCOS can lead to cycles of hair growth and shedding, contributing to thinning hair over time.

PCOS Hair Loss Symptoms

The symptoms of hair loss due to PCOS can vary from person to person but often include:

  • Thinning hair on the scalp, particularly at the crown
  • Widening parting in the hair
  • Excessive hair shedding, particularly in the shower or on pillows
  • Changes in hair texture, becoming finer or softer Recognizing these symptoms is crucial for early intervention and treatment.

Is PCOS Hair Loss Reversible?

In many cases, hair loss due to PCOS can be reversible, particularly if the underlying hormonal imbalance is addressed. Treatment options that help regulate hormones and improve overall health can lead to significant improvements in hair growth. However, the extent of recovery can vary depending on the individual and the duration of hair loss.

How To Diagnose Hair Loss Due to PCOS?

Diagnosing hair loss due to PCOS typically involves a comprehensive evaluation, including:

  1. Medical History: A thorough medical history will help identify any symptoms associated with PCOS, such as irregular periods or excessive hair growth.
  2. Physical Examination: A healthcare provider may examine the scalp and assess hair loss patterns.
  3. Blood Tests: Hormonal blood tests can measure levels of androgens, insulin, and other hormones to confirm a diagnosis of PCOS.
  4. Scalp Analysis: In some cases, a scalp analysis may be performed to assess the health of hair follicles and determine the extent of hair loss.

PCOS Hair Loss Treatment

Treatment for hair loss due to PCOS typically focuses on managing the underlying hormonal imbalance and may include:

  1. Medications:
    • Anti-androgens (e.g., spironolactone) can help reduce androgen levels and promote hair regrowth.
    • Hormonal birth control can regulate menstrual cycles and lower androgen production.
    • Minoxidil: Over-the-counter topical treatments may promote hair regrowth.
  2. Lifestyle Changes:
    • Diet and Exercise: Adopting a healthy diet and regular exercise can help manage insulin levels and improve overall hormonal balance.
    • Weight Management: Achieving a healthy weight can significantly improve symptoms and reduce hair loss.
  3. Supplements: Certain supplements, such as inositol, may support ovarian function and improve insulin sensitivity.

PCOS Hair Transplant

For women with significant hair loss due to PCOS, hair transplant surgery may be an option. This procedure involves moving hair follicles from a donor site to the thinning areas of the scalp.

Who is a Good Candidate for PCOS Hair Transplant?

Good candidates for a PCOS hair transplant typically include:

  • Women experiencing substantial hair loss that has not responded to other treatments
  • Individuals with a stable pattern of hair loss
  • Those with healthy donor hair follicles available for transplantation

    How Much Does a PCOS Hair Transplant Cost?

    The cost of a PCOS hair transplant can vary widely based on several factors, including the clinic's location, the surgeon's expertise, and the number of grafts required. On average, hair transplants can range from $4,000 to $15,000, so it's essential to consult with a reputable clinic for a personalized estimate.

    PCOS Hair Transplant Success Rate

    The success rate of hair transplants in women with PCOS is generally high, especially when performed by experienced surgeons. Factors that can influence success rates include the quality of donor hair, the surgical technique used, and the individual’s overall health. Many women report satisfactory results, with improved hair density and natural appearance.

Is hair loss a common symptom of PCOS?

Yes, hair loss is a common symptom of PCOS, affecting many women with this condition. It can significantly impact self-esteem and quality of life.

Can PCOS hair loss affect the entire scalp?

While PCOS-related hair loss often presents as thinning on the crown of the head, it can affect different areas of the scalp, leading to a general reduction in hair density.

In conclusion, understanding the link between PCOS and hair loss is crucial for managing this challenging condition. If you're experiencing hair loss due to PCOS, it's essential to consult with a healthcare provider to explore treatment options.

At the ASMED Surgical Medical Center, we inspire people to look and feel their best by using the most advanced FUE hair transplant (Follicular Unit Extraction) digital technology for scalp analysis and Coverage Value calculations available in the field of hair restoration today. Our scientific, mathematical, and artistic approach, coupled with state-of-the-art devices, ensures that we provide accurate, precise, and natural-looking hair transplant results.

We are dedicated to supporting our patients with their hair loss treatment options and delivering life-changing results.

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