Polycystic ovary disease (PCOD), a widely recognised health issue, stands as one of the prevalent hormonal disorders affecting women in their reproductive years. Studies suggest it affects around 813% of women in this demographic, with a substantial portion, up to 70%, remaining undiagnosed. This condition manifests with varied symptoms such as hormonal imbalances, irregular menstrual cycles, elevated androgen levels, and the presence of ovarian cysts (small fluid-filled sacs). Notably, PCOD is also associated with hair loss. In a recent study published in 2020, in the 472 women diagnosed with female pattern hair loss, 38 (8%) had a confirmed history of PCOD. This article aims to enhance your understanding of PCOS and provide practical tips for hair care. 

Understanding Hair Loss in PCOD 

Now that we understand PCOD and its association with elevated levels of androgens (male hormones) in women, let’s see how it is connected to hair loss or thinning. In PCOD, hair typically becomes thinner on the top of the head, while the front hairline remains unchanged. This thinning can resemble androgenic alopecia, a condition where hair falls out from the middle of the scalp. Increased androgen levels disrupt the hair growth cycle, shortening the growth phase of hair and causing terminal (long and dark) hairs to become thinner. Eventually, they transform into fine, nearly invisible short and lighter hairs. 

Hair Care Tips for Hair Loss Management 

If you’re experiencing hair loss due to PCOD, below are some gentle hair care practices that you can follow to manage hair loss: 

• Brush or comb your hair gently, only as much as necessary for styling, to prevent excessive tugging that can contribute to hair loss. 
• Use a gentle shampoo to prevent depleting the moisture from your hair. 
• Apply a moisturising conditioner after each shampoo to coat your strands, reducing breakage and split ends. 
• Apply a leave-in conditioner or detangler post-wash to further minimise breakage, split ends, and frizz. 
• Let go of hot oil treatments as they can further weaken already fragile hair. 
• Minimise the use of flat irons, curling irons, and hot combs, reserving them for only special occasions (like a wedding).  
• Always allow your hair to air dry naturally and if you are using a blow dryer, opt for the lowest heat setting to prevent hair damage. 
• Wrap your hair in a microfiber towel to speed up drying time and reduce reliance on blow-drying, which can damage fragile hair. 
• Avoid twisting or pulling your hair, as these actions can further weaken fragile hair, leading to more hair loss. 
• Refrain from wearing hairstyles that tightly pull back your hair, such as buns, ponytails, or braids, to prevent traction alopecia, a type of hair loss caused by repeated pulling on the hair. 

Scalp Health 

Maintaining scalp health is vital to promote healthy hair growth as it can directly affect the condition of your hair, help prevent diseases, and safeguard against certain types of hair loss. Here are some strategies for maintaining a healthy scalp environment:  

• To properly clean your scalp of debris, oil, and undesired residue, use soap and cold, running water. 

• Break up buildup on the scalp by using an exfoliator specifically designed for this purpose. 
• Choose a shampoo and conditioner tailored to your hair type to ensure proper cleansing and nourishment. 
• Incorporate hair oiling as part of your routine, as it can improve scalp health when used correctly, especially coconut oil according to a recent 2021 study. 
• Brush your hair regularly to prevent tangling and help disperse buildup on the scalp. 
• Avoid sharing personal items like combs, brushes, and towels, and wash clothes and linens regularly, especially if someone in your household has head lice. 

Nutrition and Hair Health 

Since hair follicles are mainly composed of protein, it’s essential not to overlook this nutrient. You should, therefore, include protein-rich foods such as eggs, fish, poultry, dairy products, legumes, and nuts to support hair health. Let’s discuss nutrient-rich foods and supplements that can support hair growth and reduce hair loss: 

• Green leafy vegetables (like spinach): These veggies are rich in essential nutrients like folate, iron, and vitamins A and C, all crucial for promoting healthy hair growth. 
• Avocados: With high levels of vitamin E and omega-3 fatty acids, avocados nourish the hair, promoting hydration and overall hair health. 
• Eggs: Packed with biotin, eggs contribute to the synthesis of hair proteins, supporting hair health and encouraging growth. 
• Red meat: Iron deficiency can lead to hair loss, so ensure you’re getting enough iron from natural sources such as red meat. 
• Berries: Loaded with vitamin C and antioxidants, berries bolster the immune system and aid in collagen production, vital for maintaining hair strength. 
• Fatty fish: Salmon and other fatty fish varieties provide omega-3 fatty acids, which are beneficial for hair growth and scalp health. 
• Multivitamins: Look for multivitamins containing B vitamins, zinc, and vitamin D, all of which play a crucial role in hair follicle health and growth. Always use supplements under a doctor’s supervision as a precaution. 

Treatment Options 

The treatments for hair loss include topical treatment (medicines to be applied on the skin), oral medications, and other treatments. Let us take a look at some of these: 

• Application of minoxidil to the scalp. It is vital to strictly follow its usage instructions and follow precautions. 
• Some classes of oral medications that can help include: 

• Anti-androgens 
• Alpha-reductase enzyme inhibitors 

• Oestrogens 
• Prostaglandin analogues 
• Steroids 
• Alternative treatments that may be useful in hair loss include: 

• Scalp micro-needling (with or without minoxidil application) 
• Laser therapy 
• Platelet-rich plasma (PRP) (injections to stimulate hair growth) 
• Hair transplant surgery 

It’s essential to consult with a healthcare provider before initiating any hair loss treatment for PCOD to determine the most suitable option based on your individual needs and medical history. 

Styling Tips 

Here’s some advice on hair styling techniques and conceal thinning hair: 

• Weaves and extensions offer an excellent method for enhancing both the volume and length of your hair. Choose lightweight weaves or extensions to minimise pulling on your hair. 
• Use covered rubber bands specifically designed for hairstyling purposes. 
• Style your hair such that you do not need styling products to hold the style for a long time. 

Stress Management and Hair Loss 

Research indicates a link between the levels of androgen and feelings of stress. Moreover, long-time stress is also closely associated with hair loss. Therefore, managing stress could help with hair loss in PCOD. Below are some strategies for reducing stress: 

• Replace negative thoughts with positive affirmations. 
• Engage in meditation techniques. 
• Go for a quick stroll to relax. 
• Engage in activities you enjoy, like playing with pets, or practising yoga. 

• Find pleasure in simple things, such as reading a book or meeting a friend for coffee. 
• Divide complex issues into smaller, more doable tasks. 
• Get tested via PCOD test packages and access your hormone levels. 

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Conclusion  

Maintaining healthy hair in individuals with PCOD requires a multifaceted approach. It begins with gentle hair care practices, a nutrient-rich diet, and considering medical treatment options. Psychological support is also crucial, as PCOD often leads to stress, negative self-image, and depression.  By incorporating these strategies and availing of PCOD test packages, individuals with PCOD can promote healthier hair and improve their overall well-being.