Does Endometriosis Cause Hair Loss? Here's Everything You Need To Know

Medically reviewedby Dr. Amy Revene M.B.B.S.
WrittenbyLuat Duong
Last updated

For many women, hair loss can be a distressing and challenging symptom. Whether thinning hair, shedding, or outright bald patches, losing hair can blow one's confidence and self-esteem and cause significant physical and mental stress.

But, what many people don't realize is that hair loss can be a symptom of a much larger underlying condition – endometriosis. 

Endometriosis is a common condition that affects millions of women worldwide. It can cause many symptoms, including pelvic pain, heavy periods, and fertility issues. But can it also cause significant hair loss? 

In this article, we'll dive into the science behind endometriosis and hair loss and explore what you need to know about this potentially distressing symptom.

What is endometriosis?

Endometriosis is a medical condition where tissue similar to the uterine lining grows outside the uterus, often affecting the ovaries, fallopian tubes, and other pelvic organs. This tissue follows the menstrual cycle, expanding and bleeding, but cannot exit the body, leading to inflammation, pain, and potential tissue damage. 

Symptoms include chronic pelvic discomfort, irregular menstrual cycles, infertility, and gastrointestinal issues during menstruation. 

Affecting approximately 190 million people worldwide, endometriosis causes significant physical and emotional stress for those living with the condition.

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Hormonal disbalance and endometriosis medication

endometriosis hair loss

Endometriosis is closely related to hormonal imbalances, particularly involving estrogen, progesterone, and luteinizing hormone (LH). Elevated estrogen levels can promote endometrial tissue growth and exacerbate symptoms like heavy and painful periods. 

Low progesterone levels may contribute to developing endometriosis, and treatment may include progestin, a synthetic progesterone. 

Higher LH levels in women with endometriosis can also stimulate estrogen production, further promoting endometrial tissue growth. 

Hormonal treatments are often used to manage endometriosis symptoms and progression.

Symptoms of endometriosis and related hormones 

Here's how hormones can affect different symptoms of endometriosis:

Weight gain

endometriosis can cause bloating, leading to a feeling of weight gain that's not necessarily fat accumulation. Estrogen triggers fluid retention, while progesterone helps remove excess bodily fluids. 

As a result, people with endometriosis can feel uncomfortable and struggle to fit into their clothes. Understanding this hormonal imbalance can help manage symptoms and alleviate discomfort.


Hormonal imbalances can contribute to fatigue, a common endometriosis symptom. A 2020 study found that most women with moderate to severe endometriosis reported feeling bothered by fatigue. 

Hormonal imbalances can contribute to other endometriosis symptoms, such as pain and heavy periods, as well as the fatigue experienced by those with the condition. Specific endometriosis treatments, such as GnRH analogs, may also cause fatigue as a side effect. 

Managing endometriosis, long-term physical pain, or severe chronic pain can also cause emotional strain, contributing to TE and hereditary hair loss.

Mood changes

Endometriosis can cause premenstrual syndrome (PMS), leading to mood shifts before your period. Hormonal contraceptives are a common treatment option for managing endometriosis symptoms by regulating hormone levels. 

However, changes in hormones can also affect mood and cause emotional instability. Discussing your options with a healthcare provider and being aware of potential side effects is crucial.

How endometriosis might be connected to hair loss

endometriosis hair loss

When it comes to whether endometriosis can lead to hair loss or not, the research is mainly ambiguous. 

There could be several indirect links between endometriosis and hair loss. Let's look at more detailed factors below:

Telogen effluvium

Telogen effluvium (TE) is a type of hair loss that occurs when the body experiences a shock or stressor, causing hair follicles to enter the resting phase of the hair growth cycle temporarily and earlier than expected. This can lead to hair thinning and excess shedding.

This can result in excess hair shedding, which is not considered normal hair loss and can be distressing for those experiencing it.

TE has been linked to endometriosis, as the condition can cause hormonal imbalances in the body that can trigger TE and provoke hereditary hair loss, such as female pattern hair loss.

Specifically, endometriosis can lead to increased production of androgens, such as testosterone, contributing to hair loss. Additionally, the inflammation caused by endometrial tissue growth can affect the hair follicles, leading to TE.

People living with endometriosis may experience TE after undergoing a surgical procedure, such as a laparotomy or laparoscopy, or upon beginning a new medicine.

Managing endometriosis or severe chronic pain can also cause emotional strain, contributing to TE and hereditary hair loss.

Autoimmune conditions

Although endometriosis is not an autoimmune condition, there is evidence suggesting a link between endometriosis and autoimmune disorders due to similarities in inflammation and immune system cell changes. 

One study found an increased risk of alopecia areata (AA), an autoimmune disease causing hair loss, among endometriosis patients. 

Some studies have also found a link between endometriosis and inflammatory bowel disease, which can contribute to inflammation in the body, potentially leading to abnormal hair growth and hair loss.

Further research is needed to confirm these findings, but potential connections may involve shared genetic factors, inflammatory pathways, and hormonal variables.

Hormone treatments

Hormone treatments are a common approach to managing endometriosis, as they can help regulate hormonal imbalances and reduce symptoms. 

Different hormonal therapies are employed, and the course of treatment will usually start with the mildest alternatives and progress to stronger ones as necessary. 

Here are some of the most common hormone treatments for endometriosis:

Birth control pills

Standard birth control, such as the pill, ring, or patch, is the most common and least aggressive hormone therapy. Additionally, although it's not a typical negative impact of birth control, hair loss is likely to occur with this method.

GnRH analogues

These medications work by blocking estrogen production in the body, which can help reduce the growth of endometrial tissue. However, they can also have side effects such as hot flashes, vaginal dryness, bone density loss, and hair loss. 

Progestins and Danazol 

Progestin and Danazol are two more hormonal treatments that inhibit ovulation and raise the body's quantities of male hormones. Hair loss on the scalp is a possible adverse effect of these treatments, in addition to acne, greasy skin, and irregular face and body hair growth. 

How to treat endometriosis hair loss?

1. Scandinavian Biolabs Hair Growth Routine

hair growth routine

Did you know the Scandinavian Biolabs Hair Growth Routine, which is formulated with advanced stem cell technology, could potentially help with hair growth after endometriosis? 

The 3-Step Hair Growth Routine includes the Bio-Pilixin Serum, which contains plant growth factors derived from stem cell technology. These factors can nurture damaged hair follicles and revitalize hair from the roots.

Another great aspect of this routine is the use of niacinamide, which can enhance blood flow to the scalp. The routine also has a blend of an amino acid complex, vanillyl butyl ether, zinc PCA, and aloe vera. 

These ingredients work together to support hair shaft integrity, stimulate blood flow, regulate sebum production, and moisturize the scalp.

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2. Minoxidil

Minoxidil is a medication typically used to treat hair loss and promote growth. It works by widening the blood vessels in the scalp, which increases blood flow to the hair follicles and encourages hair growth. 

While minoxidil is not a natural treatment for endometriosis, it can potentially treat hair loss due to the condition.

Minoxidil is typically applied directly to the scalp as a solution or foam. The medication is generally used once or twice daily and may take several months to see results.

3. Finasteride

Finasteride works by reducing the levels of DHT, a hormone that can cause hair follicles to shrink and stop producing hair.

It is typically taken orally in the form of a tablet. It is essential to follow the instructions provided by your healthcare professional or the product label carefully.

Finasteride may take several months to show results, and it is necessary to continue taking it as directed to see the full benefits. 

4. Balanced diet 

Eating a diet rich in fiber can also help improve bowel movements and reduce inflammation, potentially supporting hair growth in individuals with endometriosis.

Recent research suggests certain foods you should avoid when dealing with endometriosis. For example, it's recommended that you steer clear of trans fats, alcohol, and red meat. 

On the other hand, fish oil capsules and vitamin B12 have been shown to affect endometriosis symptoms positively.

Citrus fruits may also be beneficial, as they contain compounds that could help lower your risk of developing endometriosis - as per research. 

5. Stress management 

Managing stress is crucial for maintaining a healthy mind and body. It is important to prioritize self-care to reduce anxiety and stress caused by endometriosis. Here are some practical ways to manage stress:

  • Ensure you get adequate sleep.
  • Engage in regular exercise.
  • Practice yoga or meditation to calm your mind.
  • Use mindful breathing to connect with yourself.
  • Consider seeking help from a mental health professional, such as a therapist or psychiatrist, or an energy healing practitioner.

6. Avoid chemicals 

Using chemicals like perms and hair dyes can damage your hair and change its structure, leading to breakage and shedding. These treatments can also impede hair growth by being absorbed by your scalp. 

To improve scalp health and strengthen your hair, minimizing the use of these chemicals is essential. Prioritizing natural hair care methods can help you maintain lustrous, healthy hair while reducing hair loss caused by endometriosis.

7. Deep conditioning 

Regularly conditioning your hair is essential to keep it healthy and robust, especially if you have dry or damaged hair. While some may only need to use a deep conditioning product once a week, others may require it more frequently.

By deep conditioning your hair regularly, you can help prevent hair loss caused by endometriosis while promoting healthy hair growth.

Other tips for your hair care routine

Here are some tips for your hair care routine during endometriosis to help alleviate or avoid disasters:

  • Use a gentle shampoo, serum, and conditioner: Opt for hair care products that are free from harsh chemicals or irritants, as they can damage your hair and scalp. Look for products specifically designed for sensitive scalps or those that are sulfate-free.
  • Avoid heat styling tools: Excessive use of heat styling tools, such as flat irons, curling irons, and blow dryers, can weaken your hair and cause breakage. Limit their use or opt for heatless styling methods to protect your hair's health.
  • Be gentle with your hair: When handling your hair, be gentle to avoid causing unnecessary stress or damage. Avoid aggressive towel-drying and brushing, and try to air-dry your hair whenever possible.
  • Protect your hair from the sun: Sun exposure can lead to dry, brittle hair, and color fading. Wear a hat or use a hair product containing UV protection to shield your hair from the sun's harmful rays.
  • Use a wide-toothed comb to avoid breaking hair: Wide-toothed combs can help detangle your hair without causing breakage. Start from the ends and work your way up to the roots to minimize hair damage.
  • Consider using a silk pillowcase to prevent hair breakage: Silk pillowcases can reduce friction between your hair and the pillow, minimizing breakage and promoting smoother, healthier hair.
  • Avoid tight hairstyles or braids that can pull on your hair: Tight hairstyles, such as ponytails or braids, can cause tension on your hair and scalp, leading to breakage and even hair loss. Opt for looser styles to give your hair a break.
  • Massage your scalp to promote blood flow and stimulate hair growth: Regular scalp massages can increase blood circulation to the hair follicles, promoting hair growth and overall hair health.

Read this: 13 Proven Scalp Treatments to Supercharge Hair Growth of 2023


Endometriosis is a medical condition affecting millions of women worldwide, causing chronic pain and other symptoms. Recently, there has been a growing concern about whether endometriosis can cause hair loss. 

While research is still ongoing, some promising findings suggest a link between the two conditions. endometriosis can be a debilitating condition for those who suffer from it, and its impact on various aspects of one's life, including hair loss, should not be ignored. 

It is essential for healthcare professionals and patients alike to be aware of the potential link between the two conditions and to work together to develop effective treatment plans that address all aspects of the patient's mental and physical health. 

If you are experiencing hair loss and suspect it may be related to endometriosis, you must speak with a healthcare professional who can diagnose properly and recommend appropriate treatment options. 


Can endometriosis directly cause hair loss?

While research suggests a potential link between endometriosis and hair loss, it's important to note that the exact relationship between the two conditions is still being studied. Hair loss can have many causes, and endometriosis is just one potential factor.

Can hair loss related to endometriosis be reversed?

The extent to which hair loss related to endometriosis can be reversed depends on the individual case. In some cases, addressing the hormonal imbalances associated with endometriosis may help to restore hair growth. Hair restoration treatments such as hair transplants may be necessary in other cases. 

Can men develop endometriosis-related hair loss?

Endometriosis is a condition that primarily affects women, as it involves the growth of endometrial tissue outside the uterus. However, men can experience hair loss for various reasons, including genetic factors, hormonal imbalances, and certain medications.

Can hair loss be a side effect of endometriosis treatment?

Yes, some treatments for endometriosis, such as hormonal medications, can cause hair loss as a side effect. Speaking with a healthcare professional about the potential side effects of any treatment options you are considering is essential.



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Luat Duong

Luat Duong is a Copenhagen-based writer and content strategist specializing in hair loss and health. His work has been featured in MyHealthGuide, The Right Hairstyles, and Woman's Era. He is a graduate of Vaasa University. You can connect with him on LinkedIn.