I have spent months and months researching high and low for answers to this one question. Why does birth control and bio identical hormone replacement therapy cause hair loss? Even bigger question is why do they prescribe birth control such as Yaz and Yasmin for androgenetic alopecia? If one of the side effects listed is “scalp hair loss”?? I am peri menopause or early menopause, have tried bio identical HRT, I had bad reactions, has now caused telogen effluvium and have now also been diagnosed with androgenetic alopecia. Mind you I had thick hair months ago! They tell me to take Yaz and spironolactone now. But both of those can cause further hair loss? I’ve asked every doctor, every pharmacist, they don’t know. They just say that hormonal fluctuations can cause hair loss. Um... Well our hormones fluctuate naturally all month long before peri menopause or menopause and people don’t lose their hair... so?? How can adding something you need cause hair loss? Why so many young girls lose their hair at such a young age brought on by birth control? Genetics? I don’t buy it. An imbalance in hormones such as high testosterone, or low levels of female sex hormones makes more sense to me from all I’ve researched. But then why does taking hormones cause hair loss? I feel I’m in a lose, lose situation. I need estrogen and progesterone. If I don’t take it I have so many symptoms including hair loss. If I take it, I’ll have hair loss too! I have spent more hours than you can imagine extensively researching different types of BCP. Meticulously comparing ingredients and dosages trying to figure out which one to try. Which one makes most sense and has least side effects. I actually have a spreadsheet! I obtained extensive information and print outs from a pharmacist who on her own personal time dug up information for me. I have no more room for mistakes to be made as I am losing so much hair as it is already. I have a strong intuition that I NEED estrogen/progesterone to oppose my “normal” testosterone levels that I seem to be sensitive to. But I am terrified when I read about so many women who lost hair because of BCP. And I cannot for the life of me understand why my dermatologist strongly recommends Yaz, but in the same breath says she doesn’t prescribe it, that it’s up to my OB. Well guess what? My OB doesn’t know or care. They say it’s up to me. Am I to interpret all of this as they just don’t have the nerve to tell us there is not a damn thing we can do about our hair loss? So us poor vulnerable women losing our hair by the buckets are running around willing and ready to try anything, costing us further hair loss? All the vitamins, foods, lotions and potions, hormones, countless trips to every different type of doctor that exists and at the end we are just doomed? For some of us this happened slowly, for some almost overnight. And everything they tell us is a load of crap? So we are left to make a career out of analyzing and studying all these hormones, lotions and potions ourselves? I am POSITIVE in 4 months time I have earned some sort of MD. I am not kidding. I have hyper analyzed hormones, hair loss, nutrition until my eyes are bleeding. I usually know more than the doctors and pharmacists I chat with. I just wish with all my heart that I knew if anyone truly has had any luck or success with birth control. Though as a logical person I know I am grasping at straws here because those women who have had success surely are not going to even see this post. They are off living a hairloss carefree life. So I’m just torturing myself. But in the off chance any of you gals have had success, or know someone who has, please share details. I have one last hope to turn my hormones around. Or maybe I don’t and I’m kidding myself. Also, if anyone has anything to share in regard to spironolactone, that would be amazing. I have been prescribed 50mg once a day. I am having acne that I did not have prior to dabbling with HRT. But I keep seeing people say it causes more hair shedding! Then I see people say it stopped their shed?? And how will spironolactone effect me if I have low estrogen and progesterone, “normal” testosterone levels? Thanks to all who read this desperate post!!