Hair Loss: Is It Related to Polycystic Ovary Syndrome? - Dermatology

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Pubic hair is continuously falling out?


Hello Doctor: I would like to ask if individuals with polycystic ovary syndrome (PCOS) experience hair loss, does this also apply to pubic hair? I have PCOS and have recently noticed significant pubic hair loss, with about ten or more hairs falling out daily.
It seems like my pubic hair is becoming less and less.
Could this hair loss be caused by PCOS, or could there be other reasons? Thank you for your response.

, 20~29 year old female. Ask Date: 2013/05/06

Dr. Li Yufen reply Dermatology


Hello: There are many causes of hair loss.
Hormonal changes caused by polycystic ovary syndrome (PCOS) can lead to hair loss, but other localized skin infections, inflammatory conditions, or issues with internal organs can also contribute to hair loss.
It is recommended that you visit a nearby dermatologist for further diagnosis.
Thank you!

Reply Date: 2013/05/06

More Info


Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder that affects women of reproductive age and is often associated with a range of symptoms, including irregular menstrual cycles, weight gain, and hair loss. One of the significant hormonal imbalances in PCOS is elevated levels of androgens, which are often referred to as male hormones. This hormonal imbalance can lead to a condition known as androgenic alopecia, which is characterized by thinning hair on the scalp and can also affect body hair, including pubic hair.

In your case, the hair loss you are experiencing, particularly in the pubic area, could indeed be related to your diagnosis of PCOS. The hormonal changes associated with PCOS can lead to increased hair shedding and changes in hair growth patterns. While it is more common for women with PCOS to experience thinning hair on the scalp, it is also possible for the condition to affect hair in other areas of the body, including the pubic region.
The fact that you are noticing a significant amount of hair loss in your pubic area—more than ten strands daily—could be concerning. However, it is essential to consider that hair loss can be influenced by various factors, including stress, nutritional deficiencies, hormonal fluctuations, and other underlying health conditions. Therefore, while PCOS is a likely contributor, it is not the only potential cause of your symptoms.

To address your concerns, it is crucial to consult with a healthcare provider who specializes in hormonal disorders or dermatology. They can perform a thorough evaluation, including blood tests to assess hormone levels, and possibly a physical examination to determine the health of your hair follicles. This assessment will help differentiate whether the hair loss is primarily due to PCOS or if other factors are at play.

In terms of treatment, managing PCOS effectively can often lead to improvements in hair loss. Common treatment options include:
1. Hormonal Therapy: Birth control pills are often prescribed to help regulate menstrual cycles and lower androgen levels, which can improve hair loss and other symptoms of PCOS.

2. Anti-androgens: Medications such as spironolactone can block the effects of androgens on hair follicles and may help reduce hair loss and excessive hair growth in unwanted areas.

3. Lifestyle Modifications: Weight management through diet and exercise can significantly impact hormone levels and improve symptoms of PCOS. Regular physical activity and a balanced diet can help regulate insulin levels, which is often a concern in women with PCOS.

4. Topical Treatments: Minoxidil is a topical solution that can be applied to the scalp to promote hair growth and may also be beneficial for other areas of hair loss.

5. Nutritional Support: Ensuring adequate intake of vitamins and minerals, particularly those known to support hair health, such as biotin, zinc, and iron, can be beneficial.

It is also essential to monitor your overall health and well-being, as stress and anxiety can exacerbate hair loss. Engaging in stress-reducing activities, such as yoga, meditation, or counseling, may also be helpful.

In summary, while PCOS is likely contributing to your hair loss, including in the pubic area, it is essential to explore all potential factors with a healthcare professional. With appropriate management and treatment, many women with PCOS see improvements in their symptoms, including hair loss.

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