Is Birth Control Causing My Hair Loss? the Connection - Obstetrics and Gynecology

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Hair loss from birth control pills?


Doctor, I have been taking Diane for about 3 to 4 years.
I stopped taking it once before and I don't remember having any issues.
This July, I decided to get vaccinated and stopped taking the medication for a month.
During that time, I experienced significant hair loss.
I researched online and found that stopping birth control pills can lead to hair loss.
Now I have started taking a new pill, Estelle, but I am still experiencing a lot of hair loss.
I'm not sure what to do.
Today, I went to a large hospital for blood tests, but the results are not out yet.
The doctor mentioned that even if the hair loss is due to the birth control pills, the blood tests won't necessarily show that.

I would like to know how to determine if my hair loss is due to long-term use of birth control pills, stopping the medication, or if I am simply not suited for birth control pills.
If my hair loss is indeed caused by the birth control pills, what should I do? Should I stop taking them? If I stop or continue taking them, how long will it take for the hair loss to stop?

Ms. Li, 30~39 year old female. Ask Date: 2021/09/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, if you are experiencing abnormal hair conditions or excessive hair loss (such as losing more than 100 strands per day), it may be necessary to undergo an examination, as there are many potential causes for excessive hair loss.

1.
Stress can lead to hair loss.

2.
Thyroid disorders, diabetes, systemic lupus erythematosus; infectious hair loss caused by various pathogens; high fever; trichotillomania (hair-pulling disorder).

3.
Long-term use of certain medications, undergoing cancer chemotherapy and radiation, and certain chemical or physical causes of hair loss.

4.
Androgenetic alopecia, which is a polygenic disorder inherited in an autosomal dominant manner.
The majority of male hair loss falls under this category, and many females are also affected.

5.
Insufficient protein and iron intake in the diet, or eating disorders such as anorexia and bulimia, as well as sudden weight fluctuations.

6.
Hormonal imbalances, especially in women, including postpartum hair loss.

Currently, there is no evidence linking birth control pills to hair loss.
It is recommended to consult a physician for relevant examinations if needed.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2021/09/14

More Info


Hair loss can be a distressing experience, and understanding its potential causes is crucial for effective management. In your case, the relationship between birth control pills and hair loss is a valid concern. Let's delve into the connection between hormonal contraceptives, hair loss, and other factors that may be contributing to your situation.

First, it's important to recognize that hormonal changes can significantly affect hair growth cycles. Birth control pills, such as the ones you mentioned (Diane and Alesse), contain synthetic hormones that can influence the levels of estrogen and progesterone in your body. These hormones can affect the hair growth cycle, which consists of three phases: anagen (growth), catagen (transitional), and telogen (resting). When you stop taking birth control pills, the sudden drop in hormone levels can lead to a condition known as telogen effluvium, where a significant number of hair follicles enter the telogen phase simultaneously, resulting in increased hair shedding.

Your experience of increased hair loss after stopping the pill aligns with this phenomenon. It's not uncommon for women to notice hair loss after discontinuing hormonal contraceptives, especially if they have been on them for an extended period. The hair loss typically occurs within a few months after stopping the medication and can last for several months. However, this condition is generally self-limiting, and hair growth often resumes as the body readjusts to its natural hormonal balance.

Regarding your current situation with Alesse, it's worth noting that individual responses to hormonal contraceptives can vary. Some women may experience hair loss as a side effect, while others may not notice any changes. If you suspect that the birth control pill is contributing to your hair loss, it may be beneficial to consult with your healthcare provider. They can help assess your specific situation, consider alternative contraceptive options, or suggest additional treatments to manage hair loss.

In terms of blood tests, while they can provide valuable information about your overall health and hormonal levels, they may not specifically pinpoint the cause of hair loss related to birth control. However, tests can rule out other potential causes of hair loss, such as thyroid dysfunction, iron deficiency, or other hormonal imbalances.

If you determine that the birth control pill is indeed contributing to your hair loss, you may consider the following options:
1. Consult Your Doctor: Discuss your concerns with your healthcare provider. They may recommend switching to a different type of birth control that has a lower risk of hair loss or suggest non-hormonal contraceptive methods.

2. Monitor Your Hair Growth: If you choose to stop taking the pill, give your body time to adjust. Hair growth may take several months to normalize, so patience is key.

3. Consider Hair Care Practices: In the meantime, focus on gentle hair care practices. Avoid tight hairstyles that can cause traction alopecia, and use mild shampoos and conditioners to minimize scalp irritation.

4. Nutrition and Supplements: Ensure you are consuming a balanced diet rich in vitamins and minerals that support hair health, such as biotin, zinc, and iron. Supplements may also be beneficial, but consult your doctor before starting any new regimen.

5. Stress Management: Stress can exacerbate hair loss, so incorporating stress-reducing activities such as yoga, meditation, or regular exercise can be helpful.

In conclusion, while hormonal contraceptives can influence hair loss, it's essential to approach the situation holistically. Consulting with your healthcare provider will provide you with tailored advice and options to manage your hair loss effectively. Remember, hair loss can be a temporary condition, and with the right approach, you can work towards restoring your hair's health.

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