PCOS & Skin Changes: What You Can Do

Polycystic Ovary Syndrome (PCOS) is a common hormonal condition affecting women during their reproductive years. Beyond menstrual irregularities and weight fluctuations, PCOS often brings noticeable changes to the skin and hair.

The main culprit is an imbalance in hormones — especially higher levels of androgens (male hormones) and insulin resistance — which can affect how the skin produces oil, grows hair, and responds to inflammation.

Common Skin & Hair Changes in PCOS

  1. Persistent Acne
    Often deep, cystic, and painful — especially along the jawline, chin, and neck. These breakouts are usually stubborn and may not respond to regular over-the-counter treatments.
  2. Excess Facial or Body Hair (Hirsutism)
    Androgen excess can lead to coarse hair growth on the face, chest, abdomen, or back.
  3. Pigmentation Changes
    Acanthosis nigricans causes dark, velvety patches on the neck, underarms, groin, or under the breasts — often linked to insulin resistance.
  4. Hair Thinning – Female Pattern Hair loss

How to Manage PCOS-Related Skin & Hair Concerns

Balanced, PCOS-Friendly Diet

  • Choose low-glycemic index foods like whole grains, leafy greens, berries, nuts, and seeds.
  • Reduce refined carbs and sugar to help regulate insulin levels.
  • Include omega-3-rich foods like walnuts, chia seeds, and flaxseeds for their anti-inflammatory effects.

Consistent Skincare Routine

  • Use a gentle cleanser twice daily to remove excess oil without over-drying the skin.
  • Opt for oil-free, non-comedogenic moisturisers and sunscreens.
  • Look for acne-fighting ingredients like salicylic acid, azelaic acid, or niacinamide (but always patch test first).

Targeted Dermatological Treatments

  • Prescription oral or topical medications can help control acne and excess oil.
  • Chemical peels can treat acne, pigmentation, and rough texture.
  • Laser hair reduction offers a long-term solution for unwanted facial or body hair.
  • PRP therapy or medical hair serums can help with PCOS-related hair thinning.

Supplements (with dermatologist’s advice)

  • Myo-inositol can help improve insulin sensitivity.
  • Vitamin D, zinc, and omega-3 fatty acids support hormone and skin health.
  • Always consult your dermatologist before starting any supplements.

Regular Exercise & Stress Management

  • 30–45 minutes of moderate activity most days improves insulin sensitivity and hormone regulation.
  • Yoga, meditation, or deep breathing can help reduce stress, which may otherwise worsen PCOS symptoms.

PCOS may be a lifelong condition, but its skin and hair effects can be managed effectively with the right approach. A combination of healthy eating, consistent skincare, targeted dermatologist-led treatments, and lifestyle adjustments can restore your skin’s health and boost confidence.

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