PCOS and hair growth: A common symptom that is key to diagnosis

Irregular periods and infertility are two of the most well-known symptoms of polycystic ovary syndrome (PCOS). However, they are far from the only issues this condition can cause. One of the most distressing symptoms is related to the link between PCOS and hair growth. The condition can cause hirsutism, which is abnormal hair growth on the face and body. Our Austin PCOS experts recognize unusual hair growth as one of several symptoms indicating a PCOS diagnosis, which is the first step toward making a fertility treatment plan for affected women.

Hormonal imbalances are responsible for hirsutism

One of the drivers of PCOS is elevated androgens, which include hormones like testosterone. Excessive androgens can cause many undesirable symptoms, including hirsutism. Patients with this issue experience abnormal dark hair growth that is most common on the face, chest or belly.

Our Austin PCOS experts can use the Ferriman-Gallwey score to assess hirsutism. This assessment grades hair growth in nine areas of the body on a scale from zero to four.

Historically, a total score of eight or higher was considered abnormal. However, the 2023 international PCOS guidelines recommend using a score of four to six. It’s also important to take ethnicity into account. A score of six may be normal for a patient of Middle Eastern heritage, while it would be abnormal for a Caucasian or African-American patient.

PCOS and hair growth 

Our Austin PCOS experts specialize in fertility treatment for women with this common condition. Because there is no single test that can determine if a woman has polycystic ovary syndrome, we look at several symptoms, including PCOS and hair growth. Other symptoms we watch for include irregular periods, female pattern baldness and acne. Blood tests can also determine if certain hormone levels are abnormal, while an ultrasound exam allows us to visualize cysts that may be present on the ovaries.

If you are trying to conceive and have symptoms of polycystic ovary syndrome, contact us. Effective fertility treatments are available that can help women with PCOS grow their families, and we are here to help.