From Root to Reason: How PCOS Impacts Your Hair

Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal disorders affecting women today. And yet, it’s often misunderstood or misdiagnosed, especially when it comes to how it impacts your hair.

If you’ve been diagnosed with PCOS and are noticing changes in your hair, know that you’re not alone. Let’s break down what PCOS is, how it contributes to hair loss, and what support is available for your scalp and strands.

What Is PCOS?

PCOS (Polycystic Ovary Syndrome) is a hormonal disorder that causes the body to produce excess androgens, or "male" hormones. These androgens can disrupt your hormonal balance, leading to a wide range of symptoms:

• Irregular periods or no periods

• Cysts on the ovaries

• Blood sugar regulation issues

• Excess facial or body hair (hirsutism)

• Painful cycles

• Acne and oily skin

• Early-onset Androgenic Alopecia (AGA)

If you’re experiencing a mix of these symptoms, it’s important to speak with a qualified provider and advocate for your health. PCOS looks different for everyone, and proper diagnosis is key.

How PCOS Causes Hair Loss

One of the most frustrating and emotional symptoms of PCOS is hair loss. The same excess androgens that affect your cycle can also increase levels of dihydrotestosterone (DHT), a hormone that shrinks hair follicles.

For those genetically predisposed to Androgenic Alopecia, this means noticeable thinning, particularly around the temples, part line, and crown. You might also see excessive shedding, breakage, or changes in hair texture. Hair loss from PCOS mirrors female pattern baldness, but there are ways to manage it.

What I Recommend for Support

If you’re navigating PCOS-related hair concerns, my first recommendation is to make sure you’re under the care of an endocrinologist or OBGYN. Hormonal support is essential.

From there, I offer the following support:

• DHT-blocking supplements and topicals

• Professional scalp treatments to keep the scalp clean and healthy

• Lifestyle coaching focused on diet, stress management, and sustainable routines

Western medicine often involves birth control, hormone replacement therapy (HRT), or thyroid medications. These can help reduce hair loss, but they sometimes cause increased shedding while your body adjusts to new dosages.

It’s a Journey, Not a Quick Fix

Managing PCOS-related hair loss is rarely linear. There will be ups and downs. Some seasons require more maintenance, especially during times of stress or hormonal shifts. As things stabilize, the work lightens.

This is why I stay in close contact with my clients through regular rechecks. Together, we can adjust your care plan based on your body’s evolving needs.

If you're ready for a compassionate, knowledgeable guide to support your PCOS hair journey, I'm here. Let’s work together to restore balance inside and out.