Hair loss can be a distressing experience, especially when it seems linked to birth control. If you’ve noticed thinning hair or increased shedding after starting hormonal contraception, you might be wondering: Does birth control cause hair loss? Let’s separate fact from fiction and explore the real science behind birth control and hair health.

Can Birth Control Really Cause Hair Loss?

Yes, in some cases, hormonal birth control can contribute to hair thinning, but it’s not common for everyone. Birth control affects hormone levels, which play a crucial role in hair growth cycles. However, hair loss from birth control is usually temporary and reversible.

How Birth Control Can Impact Hair Growth

Hair growth occurs in three main phases:

1. Anagen (Growth Phase) – Hair actively grows.
2. Catagen (Transition Phase) – Hair stops growing.
3. Telogen (Resting/Shedding Phase) – Hair falls out naturally.

Birth control pills, particularly those with androgenic progestins, can cause more hairs to enter the telogen phase prematurely, leading to increased shedding. This is known as telogen effluvium.

Myths vs. Facts About Birth Control and Hair Loss

❌ Myth: All Birth Control Pills Cause Hair Loss

✅ Fact: Only certain pills with high androgenic activity have been linked to hair thinning.

❌ Myth: Birth Control-Induced Hair Loss is Permanent

✅ Fact: In most cases, hair regrows once the body adjusts or after stopping the pill.

❌ Myth: If You Experience Hair Loss, You Must Stop Birth Control

✅ Fact: Changing to a low-androgenic pill or using alternative birth control methods may help.

 

Which Types of Birth Control Are More Likely to Cause Hair Loss?

• High-Androgen Progestins: Levonorgestrel, Norgestrel, and Norethindrone have higher androgenic properties.
• Progestin-Only Pills (Mini-Pills): These may trigger hair loss in sensitive individuals.
• Hormonal IUDs: Some users report thinning hair, though this varies.
• Birth Control Implants (Nexplanon): Has been linked to increased shedding in some cases.

Which Birth Control Pills Are Less Likely to Cause Hair Loss?

• Low-Androgen Pills: Desogestrel, Norgestimate, and Drospirenone are better choices.
• Combination Pills: Pills with both estrogen and progestin tend to have less impact on hair.

Signs Your Birth Control Might Be Causing Hair Loss

• Increased shedding in the shower or while brushing
• Thinning hair, especially around the crown or temples
• More hair accumulating on your pillow or clothes
• Hair feeling weaker or more brittle than usual

How to Prevent and Manage Hair Loss While on Birth Control

If you’re concerned about hair loss, here are some strategies to help:

1. Switch to a Low-Androgen Birth Control

Talk to your doctor about switching to a pill with lower androgenic properties, such as Yaz, Ortho Tri-Cyclen, or Desogen.

2. Strengthen Your Hair with Nutrition

• Increase protein intake (eggs, lean meats, beans).
• Take biotin, iron, and vitamin D for stronger hair.
• Drink enough water to support hair follicle health.

3. Use Gentle Hair Care Products

• Avoid harsh shampoos with sulfates.
• Use a volumizing shampoo to counteract thinning.
• Limit heat styling and tight hairstyles.

4. Try Topical Hair Growth Treatments

Minoxidil (Rogaine) is an FDA-approved treatment that may help regrow hair in cases of hormonal shedding.

5. Reduce Stress

Chronic stress can worsen hair loss. Try yoga, meditation, or deep breathing exercises.

 

When to See a Doctor About Hair Loss

You should see a doctor if:

• Hair loss is severe or persistent.
• You notice bald patches or excessive shedding.
• You experience other hormonal imbalance symptoms (irregular periods, acne, fatigue).

A doctor can help determine whether birth control is the cause or if another underlying issue (like thyroid disease or nutritional deficiencies) is contributing to hair thinning.

Can You Reverse Hair Loss After Stopping Birth Control?

Yes, most cases of hair loss from birth control are temporary. Hair typically regrows within 3 to 6 months after stopping or switching contraceptives. However, if shedding continues beyond this period, other treatments may be needed.

Final Thoughts

While birth control can contribute to temporary hair shedding, it does not cause permanent baldness in most cases. Choosing the right contraceptive, maintaining proper nutrition, and taking care of your hair can help minimize hair loss.

If you’re experiencing significant thinning, talk to your healthcare provider about switching to a low-androgen pill or exploring alternative birth control methods.

References

• American Hair Loss Association. “Oral Contraceptives and Hair Loss.” www.americanhairloss.org
• Journal of the American Academy of Dermatology. “Hormonal Factors and Hair Loss in Women.” www.jaad.org
• Cleveland Clinic. “Birth Control and Hair Loss: Is There a Connection?” www.clevelandclinic.org