While excess body and facial hair is common with polycystic ovary syndrome (PCOS), some people also experience hair loss (androgenetic alopecia). This hormonal condition may cause thinning at the top of the head and a widening middle part.

Hair regrowth is possible with certain treatments, including medications, scalp massage, and supplements.

What Is PCOS?

PCOS is a health condition where the ovaries produce excess androgens—hormones like testosterone that everyone makes, though typically in higher levels in males. These hormones increase during puberty and trigger hair growth in the underarms and pubic areas.

In PCOS, some people develop multiple small cysts (fluid-filled sacs) in the ovaries. These form when an egg does not mature and release during ovulation, leading to the production of more androgens.

Does PCOS Cause Hair Loss?

PCOS can lead to androgenetic alopecia, a type of hair loss that appears differently in females than in males.

Male pattern baldness usually causes a receding hairline and thinning at the crown. In PCOS, hair loss often appears as thinning on the top of the head with a widening middle part.

Although hair loss is less common than excess hair growth, it is still a possible symptom. Higher androgen levels usually cause increased hair growth in areas such as the face, chest, and torso.

Treatment

Management of PCOS-related hair loss depends on its severity and how much it affects daily life. Options may include medications, supplements, or other therapies recommended by a healthcare provider.

laser therapy

At-home devices like laser caps and combs may help thicken hair. This therapy uses light to stimulate tissue repair and hair regrowth, though results vary and more research is needed.

medications

  • Hormonal birth control: Helps lower testosterone levels and can reduce unwanted hair growth, though it is less effective for treating hair loss.

  • Rogaine (minoxidil): A topical treatment applied to the scalp once or twice daily. It can regrow hair and slow further loss.

  • Spironolactone: An oral medication shown to improve female pattern hair loss either alone or with other treatments.

scalp massage

Daily scalp massage may stimulate growth by improving circulation. Techniques include:

  • Pinches: Use one or two hands to pinch the scalp with slight pressure for 1–2 seconds.

  • Presses: Press knuckles or palms onto the scalp for 1–2 seconds.

  • Stretches: Move the scalp gently up and down with your fingers pressing toward the forehead.

supplements

Iron and zinc may support hair growth if deficiencies exist. Blood tests can confirm low levels. Since supplements are lightly regulated, their safety and effectiveness vary. Always consult a healthcare provider before starting them.

When To Contact A Healthcare Provider

If you notice sudden or unexpected hair loss along with other PCOS symptoms, seek medical advice. PCOS may also cause:

  • Acne and oily skin

  • Dark, thick skin patches

  • Excess body hair growth

  • Irregular menstrual cycles

  • Infertility

  • Pelvic pain

  • Weight gain

A dermatologist can provide expert guidance on hair loss, often working alongside an OB-GYN or reproductive endocrinologist.

Can Hair Loss From PCOS Grow Back?

Hair regrowth is possible with early and consistent treatment, though results can take several months. Starting therapy sooner improves the chances of noticeable improvement.

Patience is important, and emotional support can also help. Many people find community in support groups such as Soul Cysters, PCOS Challenge, and myPCOSteam.

A Quick Review

PCOS is a hormonal condition that may cause hair thinning at the top of the head. Treatments like medications, scalp massage, supplements, and laser therapy can help promote regrowth.

You are not alone—support networks and healthcare providers can guide you in managing both the physical and emotional aspects of PCOS-related hair loss.