Birth Control Pills: Hair Loss and Menstrual Irregularities - Obstetrics and Gynecology

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Contraceptive pill discontinuation related?


I would like to ask if oral contraceptives can cause hair loss as a side effect.
If taken long-term, is it necessary to discontinue use? Previously, my menstrual cycle was irregular, but during the medication period, my cycle became regular.
After finishing the last pack in September, I had my period that month, but my period was late in October.
Is this normal?

Niming, 20~29 year old female. Ask Date: 2016/10/11

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, start taking the contraceptive pill on the fifth day of your menstrual period.
If taken regularly, it will be effective for contraception.
Generally, it does not cause hair loss as a side effect.
It is usually recommended to take it for one year and then take a one-month break.
This month, if your period has not arrived, just observe.
Wishing you good health.

Reply Date: 2016/10/11

More Info


Birth control pills, also known as oral contraceptives, are commonly used for various reasons, including preventing pregnancy, regulating menstrual cycles, and managing hormonal imbalances. However, concerns about side effects, such as hair loss and menstrual irregularities, are not uncommon among users.

Firstly, it is important to understand that hormonal changes can significantly impact hair growth. Birth control pills typically contain synthetic forms of estrogen and progestin, which can influence the hair growth cycle. For some women, these hormones can lead to an increase in hair shedding, particularly during the initial months of use. This condition is often referred to as telogen effluvium, where hair follicles prematurely enter the shedding phase of the hair growth cycle. While this can be alarming, it is usually temporary, and hair growth often returns to normal after a few months.

If you are experiencing hair loss after starting birth control pills, it is essential to consider other factors that may contribute to this condition. Stress, nutritional deficiencies, and underlying medical conditions can also play a significant role in hair health. Therefore, it may be beneficial to consult with a healthcare provider to rule out any other potential causes of hair loss.

Regarding your menstrual cycle, it is not uncommon for women to experience changes in their periods when starting or stopping birth control pills. When you take the pills, they help regulate your menstrual cycle, often leading to more predictable periods. However, once you stop taking them, your body may take some time to readjust to its natural hormonal rhythm. This adjustment period can result in irregularities, such as delayed or missed periods. It is not unusual for your cycle to be irregular for a few months after discontinuing birth control, especially if you had irregular cycles prior to starting the pills.

If your period is delayed for an extended time or if you have concerns about your menstrual health, it is advisable to take a pregnancy test to rule out pregnancy as a cause of the missed period. If the test is negative and your cycle remains irregular, it may be worth discussing with your healthcare provider. They can help determine if further evaluation is needed or if there are alternative contraceptive methods that may be more suitable for you.

In summary, while birth control pills can potentially cause hair loss and menstrual irregularities, these side effects are often temporary and may resolve with time. If you are concerned about the extent of your hair loss or the irregularity of your menstrual cycle, it is best to consult with a healthcare professional. They can provide personalized advice based on your medical history and current health status, ensuring that you receive the most appropriate care for your situation.

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