Female Pattern Hair Loss and Polycystic Ovarian Syndrome: More Than Just Hirsutism

October 2022 in “ Current Opinion in Endocrinology, Diabetes and Obesity ”

Victoria S. Jiang, Spencer D. Hawkins, Amy McMichael

female pattern hair loss polycystic ovarian syndrome hirsutism endocrinological issues gynecologic issues cutaneous issues metabolic issues androgen levels low-level laser therapy platelet-rich plasma FPHL PCOS LLLT PRP

TLDR Female pattern hair loss is common in women with polycystic ovarian syndrome.

The document discusses the relationship between female pattern hair loss (FPHL) and polycystic ovarian syndrome (PCOS). PCOS is the most common cause of infertility among reproductive-aged women and is associated with various endocrinological, gynecologic, cutaneous, and metabolic issues. FPHL is more common in patients with PCOS, although the exact pathophysiology remains unclear as it can occur even with normal androgen levels. Treatment for FPHL in PCOS patients is challenging because common hair growth treatments can worsen hirsutism. Emerging treatments like low-level laser therapy and platelet-rich plasma show promise but lack extensive efficacy data. Multidisciplinary care is essential, and reproductive goals should be considered before starting treatment.

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