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PCOS and Hair Loss

PCOS and Hair Loss

Polycystic Ovarian Syndrome (PCOS) affects approximately 5 million women in the US many of whom experience excessive hair loss. Additional PCOS symptoms include irregular periods or cessation of menstrual cycles leading to infertility, increased facial or body hair growth, acne, unexplained weight gain or impaired weight loss.

If you’re experiencing hair loss or thinning hair as a result of PCOS, there’s a reason why and the good news is, you have choices help handle the excess hair in your hairbrush.

What’s going on?

Your HPAO-axis (Hypothalamus-Pituitary-Adrenal-Ovarian) is your body’s central command center for hormone production of essential hormones including estrogen, progesterone, and androgens (such as testosterone, 5-dihydrotestosterone (DHT), dehydroepiandrosterone (DHEA), and androstenedione (A4).  In fact, all your hormones work together like a finely tuned orchestra to produce overall harmony and health throughout your body. The most important hormones affecting the health of your hair are androgens, estrogens, thyroid hormones, and cortisol.  


The “male” sex hormones, androgens are a group of hormones that, along with estrogens, are meant to help maintain balance in a wide variety of bodily processes. It is normal for women to produce some androgens because they play a key role in your mood, libido, and bone health. Unfortunately, though, for many women, especially women with PCOS, androgen levels are relatively high compared with estrogen levels. Along with other effects, high androgen levels can cause hair loss. 


In women, estrogen levels fluctuate in a regular cyclic pattern throughout the month. When estrogen levels are lower than normal during your reproductive years, there is less estrogen to oppose normal levels of androgens leading to hair thinning.  

Thyroid Hormones

The basic role of thyroid hormones is to regulate your body’s overall rate of processing.  Both thyroid hormone deficiency and excess production can cause thinning of hair. In cases of deficiency, hair is brittle and falls out in clumps or diffuse thinning (thinning all over the scalp), whereas in cases of excess production individual hairs are very fine and there is an overall thinning pattern.   


Cortisol is a hormone naturally produced in balanced levels in your adrenal glands, and at increased levels during times of stress. Its intended purpose is to help the body maintain a higher level of activity and alertness in situations of short-term stress, but in today’s environment of chronic, long-term and recurring stressors, cortisol can cause dysfunction rather than help survival. Hair responds to high cortisol by actually falling out, and can take from six to nine months to begin growing back. 

So What can you do?

Birth Control Pill

Doctors often prescribe the birth control pill as a way to provide some hormonal balance, but there are potential health issues associated with it that are a concern.  In addition to possible side effects and only masking the cause instead of providing a long-term solution, the pill only works selectively for excess androgen related causes.

Spironolactone (Aldactone)

Aldactone is an androgen-suppressing drug used as a prescription medication on its own or as an active ingredient in a few birth control pills that contain progestin that are spironolactone type drugs (Yasmin and Yaz). It’s most commonly used to treat high blood pressure and heart failure and is a diuretic. Aldactone does suppress the production of aldosterone (androgens), but potential side effects include drowsiness, dizziness, stomach upset, diarrhea, nausea, vomiting, and headache.

Diet & Nutrition 

While research shows that poor diet alone may not be solely responsible for most skin, hair and nail problems, it is essential to provide your body with the nutrition it needs look and feel healthy. There are several factors to keep in mind.

As a general rule, eating a wide variety of fruits, vegetables and whole grains, drinking plenty of water, exercising and maintaining an active lifestyle, and wearing sunscreen are recommended to help skin, hair and nails stay healthy. 

There are some vitamins and nutrients essential to skin, hair and nail health that the body may not produce on its own, but these can be obtained in adequate amounts through eating nutrient-dense foods.  Some people with deficiencies may need supplementation in addition to the usual dietary intake. Essential vitamins specifically related to skin, hair and nail health are vitamin A, vitamin C, vitamin D, biotin, essential fatty acids and niacin. Additionally, adequate protein intake is necessary for optimal health.


Femmenessence MacaHarmony’s unique mode of action through the HPAO axis where your body controls the hormones needed for healthy hair. Instead of introducing foreign hormones, MacaHarmony supports your body’s natural production of its own hormones.  We have a complimentary team of doctors and educators who are able to answer your PCOS and hair loss questions. It’s important to remember that so many variables exist with PCOS that it may take some time to discover your best solution, but the Femmenessence medical team is known for never giving up! Our Medical Team has worked with thousands of women for positive results and very happy outcomes. Email them today at for personalized support.

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