PCOS Hair Loss: Causes & How to Manage It Naturally

Polycystic ovary syndrome (PCOS) is now a commonly recognised condition, often linked to hormonal imbalances, weight gain, acne, and more. However, its effects aren't just limited to internal health or skin concerns; hair loss and thinning are also key symptoms. Many women with PCOS experience hair thinning, bald patches (androgenic alopecia), or female pattern hair loss. For those living with PCOS, this struggle can be especially overwhelming. And while it may seem like a purely physical issue, it runs deep into your emotional system, shaking your sense of self, confidence, and mental well-being. 

PCOS-related hair loss is largely driven by hormonal imbalances, particularly elevated androgen levels, and can be managed through a combination of lifestyle modifications, natural remedies, and medical treatments. A holistic approach that focuses on both correcting hormonal imbalances and supporting hair health is essential.

Let’s dive into the root causes of PCOS-related hair loss and learn how to identify early signs. We will also share natural regrowth remedies that can reverse hair loss caused by PCOS. 

Can PCOS cause hair loss? Understanding the root cause

When it comes to hormonal imbalances, many people often wonder if PCOS causes hair loss? The answer is yes, PCOS can lead to hair loss. Women diagnosed with PCOS may produce higher levels of androgens (male hormones), which normally help regulate functions such as hair growth in areas like the armpits and pubic region. 

However, elevated levels of androgens can lead to virilisation, the development of masculine traits in women. One of its most noticeable effects is excessive hair growth, known as hirsutism, which commonly appears in areas such as the face, chest, neck, and stomach.

At the same time, increased androgens can also trigger female pattern hair loss, causing hair thinning on the scalp, especially around the front hairline and temples.

Causes of PCOS hair loss 

• Androgen excess: Elevated androgens like testosterone can cause hair thinning and loss on the scalp, known as female pattern hair loss.

• Insulin resistance: Common in PCOS, it can increase androgen production and inflammation, worsening hair loss.

• Stress: High stress raises cortisol levels, disrupting hormonal balance and potentially contributing to hair loss.

• Genetic predisposition: Some women with PCOS may be more genetically susceptible to hair loss.

• Low sex hormone-binding globulin (SHBG): Reduced SHBG increases free testosterone, which can accelerate hair loss.

• Genetic predisposition: Family history is a strong risk factor for both PCOS and female pattern hair loss.

Signs of hairfall due to PCOS

It is completely normal to shed some hair daily, whether in the shower or on your pillowcase. Additionally, changes like dry indoor heating in winter or sun damage in summer can contribute to mild hair shedding. But when it comes to hairfall due to PCOS, the situation becomes a bit more alarming. It often involves excessive shedding or breakage, making it more stressful and noticeable. 

While many think of hair loss as strands falling out from the root, PCOS can also cause hair breakage along the shaft due to increased dryness and damage. You may notice:

• Clumps of hair in the shower

• More strands left on your pillow, clothes, or furniture

• A dry, itchy scalp, sometimes with dandruff

• Increased frizz from breakage (shorter strands that don’t lie flat)

These symptoms can be emotionally challenging, but understanding the signs of PCOS hair loss is crucial. 

Why does PCOS cause hair loss?

PCOS causes a hormonal imbalance in the body, specifically leading to an increase in androgens. While women naturally produce small amounts of androgens, those with PCOS often have higher-than-normal levels.

The hairfall due to PCOS affects the hair growth cycle in two major ways:

1. Scalp hair thinning (female pattern hair loss)
   Excess androgens shrink hair follicles on the scalp, especially around the crown and temples. This leads to thinner, weaker hair and slower regrowth.

2. Excess hair growth in unwanted areas (hirsutism)
   While scalp hair thins, androgens also trigger hair growth on the face, chest, stomach, or back. These are areas more common in male hair patterns.

Additionally, PCOS can also lead to chronic inflammation, insulin resistance, and stress, which further disrupt the hair cycle and overall hair health. 

PCOS hair loss remedies that actually work

Hairfall due to PCOS isn't just a surface-level issue; it often stems from hormonal imbalances that need to be addressed from within. While many topical products and fleeting quick fixes claim to restore hair, what truly works is a holistic approach. This means treating the root cause through nutrition, lifestyle changes, and gentle hair care practices.

Diet:

• Focus on a balanced diet with plenty of fruits, vegetables, and lean protein to support hormone regulation and provide nutrients essential for hair growth. A nutrient-rich, low-carb diet can also help manage PCOS symptoms.

• Include foods high in antioxidants, omega-3 fatty acids, and vitamins, especially biotin, zinc, and vitamin D, to improve hair quality and prevent thinning.

• Limit processed foods, sugar, and excessive caffeine, which can aggravate PCOS and negatively affect hair health.

• Incorporate flaxseeds and soy, which may help naturally balance estrogen levels.

Lifestyle:

• Regular exercise: Promotes blood flow, delivering oxygen and nutrients to the scalp for healthy hair growth.

• Stress management: Practice yoga, meditation, deep breathing, or other relaxation techniques to reduce cortisol levels.

• Adequate sleep: Aim for 7-8 hours per night, as sleep deprivation can disrupt hormonal balance.

Hair care:

• Use gentle, sulfate-free shampoos and conditioners.

• Massage the scalp with essential oils such as rosemary or coconut oil to enhance blood flow to hair follicles.

• Avoid heat styling, harsh chemical treatments, and tight hair ties that can cause damage and breakage.

• Opt for satin or silk pillowcases and wide-tooth combs to minimise friction and hair breakage.

• Practice mindfulness or relaxation techniques to manage stress and lower cortisol levels.

Supplements:

• Consult a doctor or nutritionist before taking supplements.

• Be cautious with supplements, especially with PCOS, and always seek professional guidance before starting any new regimen.

Note: It’s always best to consult a professional before making any dietary changes. Always do a patch test before using any new products.

How long does it take to regrow hair after treating PCOS?

Managing PCOS-related hair fall takes patience, consistency, and resilience. Early intervention and a holistic approach can significantly improve hair health over time. With the right support, lifestyle changes, and consistent care, visible regrowth may begin within six months to a year, though this can vary from person to person. While progress may feel slow, staying committed to the process can help you reverse PCOS hair loss and regain confidence. 

Parting thoughts

Many women with PCOS experience hair thinning or hair fall as a key symptom. Fortunately, as established earlier, hair loss associated with PCOS is reversible. With the right mix of hair care guidance, holistic lifestyle changes, and natural remedies, you can pave the way to healthier hair. That said, consistency and patience are key. Progress may take time, but with the right guidance and a determined mindset, you can not only improve your hair health but also rebuild your self-confidence and emotional well-being.

Frequently Asked Questions

1. Can PCOS really cause hair loss?

Yes, PCOS can lead to hair loss. This is due to the elevated levels of androgens. The imbalance in these hormones causes the hair follicles on the scalp to shrink, leading to hair thinning or female pattern hair loss. 

2. Is hair loss from PCOS reversible?

Yes, in many cases, hair loss from PCOS is reversible. With the right combination of a nutrient-rich diet and lifestyle changes, hair loss caused by PCOS can be reversed over time. However, it is important to remember that patience and consistency are crucial. 

3. What are some natural ways to treat PCOS-related hair loss?

By including a balanced, nutrient-rich, and low-carb diet, avoiding excessive sun exposure, and refraining from using heated hair styling tools, you can treat PCOS-related hair loss naturally.