Polycystic ovary syndrome (PCOS) raises androgens (male-type hormones), which can drive female-pattern hair loss: gradual thinning over the crown and a widening part, often alongside irregular periods, acne, or unwanted facial/body hair (hirsutism). Unlike telogen effluvium, this is a true pattern loss, so it needs hormone-directed treatment, not just better nutrition.
Treatments target the androgens and the pattern loss together: topical minoxidil for regrowth, and anti-androgens such as spironolactone or certain combined oral contraceptives under a doctor's care, plus managing the underlying PCOS (weight, insulin resistance). Because the signs overlap with other conditions, a clinician should confirm PCOS with history, exam and blood tests. If you have thinning plus irregular cycles, acne or extra hair, raise PCOS with your doctor.
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FAQ
How is PCOS hair loss treated?
With minoxidil for regrowth plus anti-androgens (e.g. spironolactone or certain contraceptives) under medical supervision, alongside managing the PCOS itself. A dermatologist and/or gynaecologist guide this.
Is PCOS hair loss reversible?
It's manageable rather than 'cured': treatment can stop and partly reverse the thinning, but it works best started early and needs to be continued. See a doctor to confirm PCOS and start a plan.
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⚠️ When to see a doctor — don’t self-treat
- Sudden patchy or circular bald spots
- Redness, scaling, pus, pain or itch (possible scarring alopecia — treat urgently)
- Broken hairs or rapid loss
- Loss with body-wide signs (weight loss, fatigue, cycle changes, acne, extra hair)
- Loss right after a new medication
- Any hair loss in a child