Dealing with Hair Loss and Baldness in PCOS

I lost locks and locks of hair each day after being diagnosed with PCOS. I literally know how I lost all that hair.

I have male pattern baldness – this has been my most embarrassing symptom.

Where I part my hair, it is like I have shaved that area – you can see my scalp!! At this rate, I’d go bald very soon. A nice and a shiny bald head, because that is how much hair I am losing.

These are just some of the messages that we receive on our facebook community page!! It distresses to see that our Cysters are facing this. Let us help you understand what makes you lose your hair in PCOS.

Women lose hair throughout their lives for variety of reasons, primarily due to anemia. It has also been reported that usage of strong antibiotics, like the ones used to treat tuberculosis can lead to excessive hair fall. However these hair loss situations are temporary like after child birth and normalcy is restored

Have you ever wondered why PCOS hair loss is called as Male Pattern Baldness? It is because the culprit here is the excess of male hormones. So this means you will see hair disappearing right above your forehead. Therefore it is important to make sure that you don’t worse your hair loss by vigorously washing and combing in areas where you are losing your hair from.

PCOS hair loss follows the pattern of hair loss as seen in males. Because the main cause of PCOS hair loss is an excess of male hormones in the body. This means you start losing hair around the frontal region of your scalp.  It is therefore advisable to be aware of hair loss patterns while combing and washing.

Since excess testosterone and male hormones is the cause for hair loss in PCOS, your doctor will prescribe drugs to control the over production of male hormones.

Drugs Prescribed For PCOS Hair Loss Include

  • Oral contraceptives: (birth control pills or BCP) in combination with spironolactone
  • Combination of BCP and 5-alpha reductase inhibitors: 5-alpha reductase inhibitors are a class of compounds that have anti-androgen (male sex hormone) activity.
  • Combination of BCP and flutamide: Flutamide is a non-steroidal anti-androgen.
  • Minoxidil: Minoxidil opens potassium channels and widens blood vessels. This helps better transport and supply of nutrients to the hair follicles thereby stimulating hair growth.
  • Finasteride: This drug blocks the conversion of testosterone to DHT.
  • Metformin: It is mainly used as an adjunct (helper) along with any of the above-mentioned drugs. The insulin-sensitizing activity of metformin may help other drugs work better.

Some doctors may also advise a hair transplant for PCOS hair loss. While this does not address the root cause of the problem, it is an attractive option for young women who do not wish to wait for too long to reverse their PCOS hair loss. It is especially helpful in combating a receding hairline or hair loss on the top of the scalp.

Simple Hair Care Tips To Deal With PCOS Hair Loss

Shampoo your hair regularly to keep your hair and scalp clean
Use a good quality conditioner to remove tangles
Use a wide toothed comb
Blow dry with care and use rollers and straighteners in moderation
Do not tie your hair too tightly that results in pulling back the hair from forehead.

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