Hormonal contraceptives, such as the pill, implant, and intrauterine device (IUD or coil), can have varying effects on hair loss due to their influence on hormone levels in the body. Here's how each type may impact hair loss below.
Contraceptive Pill
The contraceptive pill contains synthetic hormones, either a combination of estrogen and progestin or just progestin. These hormones can influence hair growth and loss in several ways. Some of which are explained below:
Androgenic Activity
Some pills have a higher androgenic activity, which can exacerbate hair loss in individuals predisposed to androgenetic alopecia (pattern hair loss).
Estrogenic Activity
Pills with higher estrogen content may help counteract hair loss by balancing out androgens.
Hormonal Fluctuations
Starting, stopping, or changing the type of pill can cause temporary hair shedding due to changes in hormone levels, a condition known as telogen effluvium.
Contraceptive Implant
The implant, usually containing progestin, can also affect hair loss. Some of the effects explained below:
Androgenic Effects
Progestin-only methods can have androgenic effects, potentially leading to hair thinning or shedding, especially in individuals sensitive to androgens.
Initial Shedding
Some users may experience initial hair shedding when starting the implant due to the body's adjustment to new hormone levels.
Intrauterine Device (IUD or Coil)
There are two main types of IUDs: hormonal (containing progestin) and non-hormonal (copper).
Hormonal IUD
Similar to other progestin-based methods, hormonal IUDs can have androgenic effects that might lead to hair thinning in susceptible individuals. However, the hormone levels are generally lower and more localised, which might result in fewer systemic effects compared to other hormonal contraceptives.
Non-Hormonal IUD
The copper IUD does not affect hormone levels and thus should not have any direct impact on hair loss.
General Considerations
Individual Variation - The impact of contraceptives on hair loss can vary greatly between individuals. Genetic predisposition, underlying health conditions, and individual hormone sensitivity all play roles in how contraceptives affect hair.
Temporary vs Long-term Effects
Overall it is about finding a balance and what suits you best. Some hair loss may be temporary as the body adjusts to the new hormone levels, while in other cases, the hair loss may persist as long as the hormonal contraceptive is used. Balancing out your hormones is the best method to avoid prolonged hair loss.
Get in touch to find out more or pay a visit to your GP to discuss your options.
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