If one takes a high androgen birth control like Loestrin and it leads to minor hair thinning over the span of 4 years, will stopping the birth control help hair return back to baseline? Or will it just prevent more follicles that were not affected from becoming affected - assuming the birth control is the only cause?
Answer: Stopping a high androgen OCP This is a great question and one that I have managed many, many times. I always tell patients of my own that if they are looking for a simple answer, there unfortunately is not one. This question is very involved. The birth control is never the only cause. There are dozens of genes that are doing their thing here as well. There is not a yes or no answers here - only chances of certain things happening. I would encourage you to review this question in detail with a dermatologist so that he or she can best advise in your specific situation. There are just so many factors here. Let’s look at some scenarios together. 1) First, it’s possible that Loestrin does have a minor role for some. It’s not a definite link but rather a possibility. Some patients who stop Loestrin develop a telogen effluvium just like many women do after stopping birth control. The hair starts to look worse. This now accelerates the underlying androgenetic alopecia. The telogen effluvium eventually slows down and some hair regrows but 6-7 months later the hair density is worse than before going off the Loestrin. This is probably the most likely scenario. What the patient does not realize is that she has actually slowed down the loss in the long run but lost more in the short run. In other words, had she stayed on Loestrin the hair would have been thinner in 5 years down the road than if she stopped. 2) The second possibility is that shedding occurs after stopping Loestrin and over time their is regrowth back to a level above the density before stopping. This is not common but certainly it is a possibility. In this scenario, the hair density does not return back to “normal” but rather improves a bit from what it was while on Loestrin. 3) The third scenario is one where the patient switches from a high androgen birth control pill immediately to a low androgenicity birth control pill. This scenario does not involve actually stopping a birth control pill. This can slow down the rate of loss considerably for many patients. It does not return back to “normal” density like age 15 but does slow or stabilize loss for many. I often explain to patients that instead of moving forward at a rate of losing 3 % of density per year. the rate drops to 1% or 0.5 % - or sometimes zero.
Helpful
Answer: Stopping a high androgen OCP This is a great question and one that I have managed many, many times. I always tell patients of my own that if they are looking for a simple answer, there unfortunately is not one. This question is very involved. The birth control is never the only cause. There are dozens of genes that are doing their thing here as well. There is not a yes or no answers here - only chances of certain things happening. I would encourage you to review this question in detail with a dermatologist so that he or she can best advise in your specific situation. There are just so many factors here. Let’s look at some scenarios together. 1) First, it’s possible that Loestrin does have a minor role for some. It’s not a definite link but rather a possibility. Some patients who stop Loestrin develop a telogen effluvium just like many women do after stopping birth control. The hair starts to look worse. This now accelerates the underlying androgenetic alopecia. The telogen effluvium eventually slows down and some hair regrows but 6-7 months later the hair density is worse than before going off the Loestrin. This is probably the most likely scenario. What the patient does not realize is that she has actually slowed down the loss in the long run but lost more in the short run. In other words, had she stayed on Loestrin the hair would have been thinner in 5 years down the road than if she stopped. 2) The second possibility is that shedding occurs after stopping Loestrin and over time their is regrowth back to a level above the density before stopping. This is not common but certainly it is a possibility. In this scenario, the hair density does not return back to “normal” but rather improves a bit from what it was while on Loestrin. 3) The third scenario is one where the patient switches from a high androgen birth control pill immediately to a low androgenicity birth control pill. This scenario does not involve actually stopping a birth control pill. This can slow down the rate of loss considerably for many patients. It does not return back to “normal” density like age 15 but does slow or stabilize loss for many. I often explain to patients that instead of moving forward at a rate of losing 3 % of density per year. the rate drops to 1% or 0.5 % - or sometimes zero.
Helpful
