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Writer's pictureMarleen ter Heide

PCOS Facial Hair and Hair Loss

Disclaimer: At Lume, we're passionate about providing research-backed information to help you make informed decisions about your health. However, we're not doctors, and this article is based on our research. Always consult with a qualified healthcare professional before starting any new health regimen.



Welcome back to our PCOS Awareness Month series! So far, we've explored PCOS and fertility, the benefits of Metformin, and nutrition tips for weight management. Today, we're tackling a topic that many of you have been asking about: hair issues in PCOS. Whether you're dealing with thinning hair on your scalp or excess facial hair growth, we've got you covered.


The Hairy Situation: PCOS and Hair Issues

When it comes to PCOS, hair can be a tricky business. On one hand, you might be noticing more hair on your face or body (hello, PCOS facial hair!). On the other, you might be seeing less hair on your head. It's like your hair has a mind of its own! But don't worry, you're not alone in this hairy situation.

Woman holding herself

The PCOS Hair Paradox

PCOS can cause two seemingly opposite hair problems:


  • Hair Loss (Androgenic Alopecia): Thinning hair on the scalp, particularly at the crown and frontal hairline.

  • Excess Hair Growth (Hirsutism): Increased hair growth in typically male pattern areas, like the face (PCOS chin hair), chest, and back.


Feeling frustrated? That's totally normal. But understanding why this happens is the first step in finding solutions.


The Science Behind PCOS Hair Issues

So, why does PCOS cause these hair troubles? It all comes down to hormones, particularly androgens (male hormones like testosterone).

Androgens: The Hair Game-Changer

Women with PCOS often have higher levels of androgens. These hormones affect hair follicles in two ways:


  1. On the scalp: Androgens can shrink hair follicles, leading to thinning hair or hair loss.

  2. On the body: Androgens can stimulate hair follicles, causing excessive hair growth.


It's like androgens are playing favorites with your hair follicles!

A study published in the Journal of Clinical Endocrinology & Metabolism found that women with PCOS had significantly higher levels of androgens compared to women without PCOS.


The Role of Insulin

Remember our discussion about insulin resistance in previous articles? Well, it plays a role here too. High insulin levels can stimulate the ovaries to produce more androgens, exacerbating hair issues.


Types of Hair Symptoms in PCOS

Let's break down the specific hair symptoms you might experience with PCOS:


1. Hair Loss (Androgenic Alopecia)


What it looks like: Thinning hair on the scalp, often starting at the crown and frontal hairline.


hair in brush

2. Excess Hair Growth (Hirsutism)


What it looks like: Coarse, dark hair growing in typically male pattern areas.

Common areas: Face (especially PCOS chin hair), chest, lower abdomen, back, and inner thighs.


3. PCOS Facial Hair


What it looks like: Dark, coarse hair on the upper lip, chin, and sideburns.

How common is it?: One of the most common and distressing symptoms for many women with PCOS.


Treatment Options: Taming the PCOS Hair Beast

Now for the part you've been waiting for - what can you do about these hair issues? Let's explore some options:


For Hair Loss:


  • Minoxidil: An over-the-counter medication that can help regrow hair and prevent further hair loss.

  • Anti-androgen medications: Prescription drugs like spironolactone can help block the effects of androgens on hair follicles.

  • Birth control pills: Can help regulate hormones and reduce androgen levels.


For Excess Hair Growth and PCOS Facial Hair:


  • Hair removal methods: Waxing, plucking, shaving, or laser hair removal can help manage visible hair.

  • Eflornithine cream: A prescription cream that can slow facial hair growth.

  • Electrolysis: A method of permanent hair removal.

laser hair removal

For Both:


  • Lifestyle changes: We'll dive into these in the next section.

  • Medications to manage PCOS: Treating the underlying condition can help with hair symptoms. (Remember our discussion on Metformin?)


Remember, what works best can vary from person to person. It's important to work with your healthcare provider to find the right treatment plan for you.


Lifestyle and Dietary Factors: Natural Ways to Manage PCOS Hair Symptoms

While medical treatments can be effective, there are also lifestyle changes that can help manage PCOS hair symptoms:



Always consult with your healthcare provider before starting any new supplements.


Key Takeaways

  • PCOS can cause both hair loss and excess hair growth due to hormonal imbalances.

  • High androgen levels are the main culprit behind PCOS hair issues.

  • Treatment options range from topical medications to lifestyle changes.

  • A holistic approach addressing diet, exercise, and stress management can help manage PCOS hair symptoms.

  • Working with a healthcare provider is crucial for finding the right treatment plan for your individual needs.


FAQ

Will I definitely experience hair issues if I have PCOS?

Not necessarily. While hair issues are common in PCOS, not everyone experiences them, and the severity can vary greatly between individuals.

Can PCOS facial hair go away on its own?

How long does it take to see results from PCOS hair loss treatments?

Can diet alone fix PCOS hair issues?

Is it safe to use hair removal methods like laser treatment if I have PCOS?


Remember, dealing with PCOS hair issues can be frustrating, but you're not alone. Many women with PCOS successfully manage their hair symptoms with the right combination of treatments and lifestyle changes. Be patient with yourself and your body as you navigate this journey.

In our next article, we'll be exploring another common concern for women with PCOS: the 'PCOS belly'. We'll dive into why PCOS can cause abdominal weight gain and bloating, and share strategies for managing these symptoms. Stay tuned!

P.S. Have you tried any of these treatments for PCOS hair issues? We'd love to hear about your experiences in the comments below!

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