Will your hair grow back after IUD removal? (+3 tips)

In this article, we will discuss whether your hair grows back after the removal of an intrauterine device (IUD). We will also discuss some factors which may retard hair growth even after the removal of the IUD. This article will guide you through some of the tips for hair growth and maintenance.

Will your hair grow back after IUD removal?

Yes, your hair will grow back after removing the intrauterine device (IUD). Six weeks after removal of the IUD, you may begin to see hair regrowth. However, complete recovery may take several months.

Any side effects related to IUDs, including hair loss, will most likely lessen once your gynaecologist removes the device. However, it is important to know that hair growth after IUD removal is slow. You may need to see a dermatologist to facilitate your hair growth.

The occurrence of hair loss due to IUD placement is low. However, according to research, progesterone-only IUDs worsen hair fall (alopecia), acne, and excessive hair growth on the chin and face (hirsutism) (1).

What does research suggest?

In one of the case reports, five women reported alopecia because of levonorgestrel IUD. Four women had hair regrowth after the removal of the levonorgestrel IUD, but one woman had not recovered from hair loss (2). 

In another study, 19% of the women discontinued the use of IUDs due to hair loss and weight gain. Other reasons for discontinuing IUD included abdominal pain (13%), unscheduled bleeding (28%), and progestogenic adverse effects (22%) (3).

What factors may retard hair growth after IUD removal?

Some factors that may retard hair growth after removal of an IUD include:

Factor Reason
Thyroid problem Hypothyroidism or hyperthyroidism
Ageing Hair follicle miniaturization, inflammation, and fibrosis (4).
Malnutrition Vitamin A, C, D, and E deficiency. Iron, zinc, and biotin deficiency (5).
Chronic stress Cellular damage of melanocytes and inhibition of keratinocyte proliferation (6).
Pregnancy Hair follicles remain in the anagen phase due to hormonal imbalance (7).
Medicines Such as Abilify (antidepressant), Naproxen (nonsteroidal anti-inflammatory drug) 
Chemotherapy Hair cycle abnormalities and hair follicle damage (8).

What are other side effects of IUDs?

Apart from hair loss, IUDs may cause other side effects, including (9):

  • Acne,
  • Breast soreness,
  • Spotting or bleeding,
  • Backache and muscle cramps,
  • Nausea and vomiting,
  • Changes in vaginal discharge,
  • Hair growth on chin and face,
  • Missed periods,
  • Vulvugenitis, and
  • High blood pressure.

How to promote and manage hair growth after IUD removal?

If you do not see hair growth after several weeks of IUD removal, consult your dermatologist. There are several ways through which you may promote hair growth after IUD removal, including:

Consult your dermatologist

If you feel your hair growth is slow or you are still facing hair loss problems even after the removal of the IUD, consult your dermatologist. Your dermatologist will identify other factors which are retarding your hair growth, such as hyperthyroidism.

Your dermatologist may recommend hair oils, vitamin supplements, hair-strengthening shampoo and conditioner. He may also recommend you reduce the use of hair straightness, bleaching, and dying your hair.

Improve your diet

You should consume protein-rich food to improve hair growth and strength. You should consume eggs, fish, beans, chicken, and nuts. You may take keratin supplements if you feel are a vegetarian or do not prefer eating meat and eggs.

Hair manatainance

Your hairs are most likely to break after the shower, or when they are wet. Avoid rubbing or tugging them when wet. Avoid using excessive chemicals, hair straightening tools, hairstyling sprays, and gels on your hair.

Consider washing your hair less frequently. Try to use lukewarm water to wash your scalp while massaging it to help stimulate hair follicles. Do not use warm water as it may cause hair dehydration.

Medication

If diet, supplements, and hair maintenance still don’t help in hair growth, ask your dermatologist for Minoxidil 2%. Minoxidil is the only Food and Drug Administration (FDA) approved drug for the treatment of alopecia. 

In my experience

According to my knowledge and experience as a pharmacist, your hair will begin to grow back after the removal of an IUD. However, it may take some time. You should maintain a balanced diet and follow the instructions of your dermatologist to get the best result.

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References

1.-

Williams NM, Randolph M, Rajabi-Estarabadi A, Keri J, Tosti A. Hormonal contraceptives and dermatology. American journal of clinical dermatology. 2021 Jan;22:69-80. https://link.springer.com/article/10.1007/s40257-020-00557-5

2.-

Paterson H, Clifton J, Miller D, Ashton J, Harrison-Woolrych M. Hair loss with use of the levonorgestrel intrauterine device. Contraception. 2007 Oct 1;76(4):306-9. https://www.sciencedirect.com/science/article/abs/pii/S0010782407003460

3.-

Daud S, Ewies AA. Levonorgestrel-releasing intrauterine system: why do some women dislike it?. Gynecological Endocrinology. 2008 Jan 1;24(12):686-90. https://www.tandfonline.com/doi/abs/10.1080/09513590802444167

4.-

Trüeb RM, Rezende HD, Dias MF. A comment on the science of hair aging. International journal of trichology. 2018 Nov;10(6):245. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369639/

5.-

Rushton DH. Nutritional factors and hair loss. Clinical and experimental dermatology. 2002 Jul 1;27(5):396-404. https://academic.oup.com/ced/article-abstract/27/5/396/6626095

6.-

Liao S, Lv J, Zhou J, Kalavagunta PK, Shang J. Effects of two chronic stresses on mental state and hair follicle melanogenesis in mice. Experimental Dermatology. 2017 Nov;26(11):1083-90. https://onlinelibrary.wiley.com/doi/full/10.1111/exd.13380

7.-

Gizlenti S, Ekmekci TR. The changes in the hair cycle during gestation and the post‐partum period. Journal of the European Academy of Dermatology and Venereology. 2014 Jul;28(7):878-81. https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.12188

8.-

Paus R, Haslam IS, Sharov AA, Botchkarev VA. Pathobiology of chemotherapy-induced hair loss. The lancet oncology. 2013 Feb 1;14(2):e50-9. https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(12)70553-3/fulltext

9.-

Noa’a Shimoni MD. Intrauterine contraceptives: a review of uses, side effects, and candidates. Semin Reprod Med. 2010;28:118-25. https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0030-1248136