Polycystic Ovary Syndrome (PCOS) and Hair Loss

Polycystic ovary syndrome ( PCOS)  is a rather common condition caused by a hormonal imbalance that occurs when the ovary produces excess hormones. Regardless of its name,  not everyone who has polycystic ovary syndrome has cysts on their ovaries.  Often, the majority of women are not diagnosed until they are of childbearing age and have difficulty conceiving a child. This is also why the majority of women are diagnosed in their 20s and 30s.

There are four types of PCOS

• 1) Insulin resistant
• 2) Medication and substance induced
• 3) inflammatory
• 4) Hidden cause, possibly genetic

How is it Diagnosed?

A diagnosis is made by the presence of any two of the following:

• Menstrual irregularities,
• Polycystic ovarian morphology detected by transvaginal ultrasonography.
• An increased ratio between luteinizing hormone and follicle stimulating hormone detected by blood testing. The normal ratio is 1:1. For women with PCOS the ratio is 2:1 or even 3:1.

What are the symptoms of PCOS?

Some of the more common symptoms of polycystic ovary syndrome are:

• Thinning and patchy areas on the scalp
• irregular periods
• acne issues
• obesity
• abnormal pigmentation of the skin or darkening of the skin
• excessive hair growth on the body, what is referred to as hirsutism. Hirsutism affects upwards of 70% of women with polycystic ovary syndrome
• Some women with  PCOS have cysts on their ovaries but this does not apply to all women with PCOS
• Women with polycystic ovary syndrome generally have a higher level of male hormone specifically the hormone, androgen.

Hormone Imbalance in PCOS

Hormones behave in a balancing manner, similar to see-saw or balancing scale if you will.  Too much of one hormone generally creates a low level  of  another hormone.  Excess androgen  directly impacts  insulin resistance which can lead to diabetes. It also produces  low-grade chronic inflammation throughout the body.  High levels of androgen can also cause acne of both the  cystic and bullous types. Excessive growth of body hair as well as thinning and balding patches on the scalp are also quite common symptoms seen with PCOS and often the first symptom.

What can you do to mitigate symptoms?

• Certain lifestyle choices exacerbate symptoms of PCOS and although a poor diet is not a cause of PCOS, the symptoms of PCOS can be aggravated and become worse with a nutritionally deficient, highly processed diet, especially inflammation throughout the body. To avoid and reduce the risk of the development of diabetes and heart disease a Mediterranean diet, which eliminates saturated fats and refined sugars, or a diet of whole foods is recommended for women who have PCOS. The avoidance of fried foods such as French fries and potato chips, Saturated fats such as butter and margarine. Red meat,  processed luncheon meats including hot dogs and processed bakery goods such as cookies, cakes and pies all should be avoided.
• Diets that eliminate carbs should be avoided because carbohydrates play an important role in maintaining proper blood sugar levels and contribute to overall health.
• Low glycemic carbs are recommended. A great way to stabilize blood sugar is to eat smaller portions more frequently, throughout the day.
• See a hair loss specialist who will asses the level of loss and can offer options to address and restore the patchy and thinning areas of the scalp

Can PCOS be Cured?

Although there is no cure for polycystic ovary syndrome, PCOS can be effectively managed through the development of a plan, support of your hair loss clinic and the dedication and compliance of the patient.  Management and treatment of PCOS includes a lifestyle change, eating a nutritious whole food diet along with daily exercise, and maintaining a healthy body weight. Studies have shown that even a 30-minute walk can produce positive health benefits. Pharmaceuticals can be used that specifically block androgen and hormonal birth control can be used to help those women who have irregular menstrual cycles this will also help stabilize hair loss.

Conclusion

While hair loss associated with PCOS can be distressing, it is important to remember that it is often manageable. The earlier the underlying hormonal imbalance is identified, the sooner a treatment plan can be developed to help slow hair loss, improve scalp health, and in many cases encourage healthier hair growth. Because every woman experiences PCOS differently, there is no one-size-fits-all solution. A thorough assessment is essential to determine whether PCOS is the primary cause of your hair loss or whether other factors may also be contributing. Treating the underlying condition while addressing the hair loss itself often provides the best long-term results.

At De Haar Hair Restoration, we understand that hair loss affects more than just your appearance—it can impact your confidence and quality of life. Our team specializes in diagnosing the underlying causes of hair loss and developing personalized treatment plans designed specifically for you. If you have noticed increased shedding, thinning, or patchy areas of hair loss and think PCOS may be playing a role, we are here to help you understand your options and guide you every step of the way.