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June 11, 2025 3 min read
Polycystic Ovary Syndrome (PCOS) is an endocrine disorder affecting millions of women worldwide. Although well-known for its reproductive implications, PCOS also frequently brings along various distressing physical symptoms, including hair loss. If your hair is thinning excessively or falling out and you suspect PCOS might be the culprit, understanding how these two are connected can help you take essential steps toward better health.
Hair loss associated with PCOS often comes down to hormonal imbalances, specifically increased levels of androgens (male hormones) like testosterone. Although a certain level of androgens is normal in all women, PCOS induces higher concentrations that trigger hair thinning and shedding patterns similar to male-pattern baldness, a condition known medically as androgenic alopecia.
Androgenic alopecia in women with PCOS usually means hair gradually thins or falls out around the crown, front, and various spots on the scalp, often leaving a characteristic widening hair part or reduced hair fullness. Elevated male hormones can shrink hair follicles on the scalp, slowing down hair growth cycles and eventually leading to thinner, weaker hair strands that fall out more quickly than normal.
The key to effectively managing hair loss due to PCOS is early recognition. If you're dealing with unexplained hair thinning, particularly if coupled with other potential symptoms of polycystic ovary syndrome—such as irregular periods, acne, weight gain, difficulty losing weight, fatigue, or excessive hair growth on your face or body—it's wise to seek medical evaluation sooner rather than later.
To properly diagnose PCOS, your healthcare professional may ask about your personal and family medical history, perform blood tests to assess hormone levels, and recommend pelvic ultrasounds to determine the presence of polycystic ovaries.
Fortunately, PCOS-related hair loss can typically be managed effectively once proper medical treatments are in place. Your healthcare provider might recommend medications to address hormonal imbalances and reduce androgen levels. These could include oral contraceptives, anti-androgens (such as spironolactone), or insulin-sensitizing drugs (like metformin), especially if insulin resistance is present.
Additionally, topical minoxidil (available over the counter) is commonly suggested as a proven and easy-to-apply treatment option to stimulate hair growth and slow hair follicle miniaturization. Minoxidil can help promote thicker and healthier hair by improving blood flow to scalp hair follicles.
While medical treatments remain a crucial part of managing PCOS-related hair loss, certain lifestyle adjustments can also have significant positive impacts:
Alongside treatment options and lifestyle modifications, hair care habits play an important role in maintaining your hair's health and appearance. Avoid aggressive styling practices, harsh chemicals, and heat-styling devices that weaken hair strands. Choose nourishing shampoos and conditioners formulated for sensitive and thinning hair, and gently towel-dry or air-dry your strands whenever possible.
Experiencing hair falling out due to PCOS can feel overwhelming, but you're certainly not alone—and effective help is readily available. With early intervention, coordinated medical strategies, lifestyle adjustments, and careful hair care routines, you can improve your scalp health, regain confidence in your appearance, and effectively control your symptoms.
If you're currently experiencing noticeable hair thinning along with other typical signs of this condition, consult your healthcare provider promptly to investigate whether PCOS might be at the root of your issue. Prioritizing your care today means preserving your hair health and overall well-being long into the future.