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Allergen Β· Symptoms & Treatment
moderate to severe Severity

Black Cottonwood Pollen Allergy: PNW's Largest Tree and Cotton Myth

Black cottonwood (Populus trichocarpa) is a massive wind-pollinated Salicaceae tree β€” the largest native broadleaf tree in the Pacific Northwest, reaching 60 meters tall. It is a significant aeroallergen with pollen cross-reactive to willow and other Populus species. The cotton-like seed fibers are NOT pollen and do not cause allergies; actual pollen is released weeks earlier from male catkins. The first tree to have its full genome sequenced, black cottonwood is treatable through tree pollen immunotherapy.

moderate to severePeak: Mar–AprUpdated June 24, 2026

Free Β· 5 min Β· Insurance accepted

Reviewed by Dr. Chet Tharpe, M.D.
As seen inUSA TODAYMen's HealthCBSForbes
The numbers
Headline stat
0-20%
US prevalence
Americans affected
~0M
Peak season
Mar–Apr
Symptoms tracked
0
Treatment paths
0

Key facts

  • Black cottonwood (Populus trichocarpa) was the first tree species to have its full genome sequenced, in 2006, enabling detailed allergen protein characterization.

    Tuskan GA et al., Science, 2006

  • The white cotton-like fibers filling Pacific Northwest air in late spring are seed dispersal structures from female trees β€” they do not contain allergens and do not cause allergy.

    Asam C et al., Allergy, 2015

  • Black cottonwood pollen cross-reacts with willow (Salix) and other Populus species through shared Salicaceae allergen protein families including profilin homologs.

    Weber RW, J Allergy Clin Immunol, 2003

  • The Pacific Northwest spring pollen window features overlapping alder, birch, and cottonwood peaks, meaning multi-sensitization to 3 or more tree species is common among regional allergy patients.

    D'Amato G et al., Allergy, 2007

  • Tree pollen immunotherapy covering Salicaceae extracts can address cottonwood and willow allergy in the same treatment course due to shared cross-reactive allergen proteins.

    Asam C et al., Allergy, 2015

01Overview

What Is Black Cottonwood Pollen Allergy?

Black cottonwood pollen allergy is a significant respiratory condition caused by IgE-mediated sensitization to wind-borne pollen from Populus trichocarpa, the largest native broadleaf tree in western North America.

Reaching heights of 60 meters (200 feet) and trunk diameters exceeding 2 meters, black cottonwood dominates riparian corridors, river valleys, and floodplains from southern Alaska through British Columbia, Washington, Oregon, and into northern California and the Rocky Mountain states.

This tree is a true aeroallergen: male trees produce long catkins that release enormous quantities of lightweight pollen in March through April, before leaves emerge. The pollen cross-reacts with other Populus species and willow (Salix) through shared Salicaceae allergen families. No species-specific WHO/IUIS allergens have been characterized for P. trichocarpa, but the tree achieved a unique molecular distinction in 2006 as the first tree species to have its complete genome sequenced β€” making it the most genetically characterized tree in the world.

The cotton myth is the single most important patient education point for this page. The fluffy white cotton that fills Pacific Northwest air in late spring and early summer comes from female trees dispersing seeds β€” these fibers are NOT pollen and do not contain allergenic proteins. Male trees shed pollen weeks before the cotton appears. Patients who blame cotton for their allergies are attributing symptoms to the wrong source at the wrong time.

02Symptoms

Symptoms of Black Cottonwood Pollen Allergy

Recognizing symptoms early helps you get the right treatment faster.

Sneezing

moderate

Repetitive sneezing paroxysms triggered by high concentrations of airborne Populus pollen during the March-April catkin season.

Severe nasal congestion

severe

Intense bilateral nasal blockage from mucosal swelling, often worse at night and in early morning when pollen settles from the air.

Profuse rhinorrhea

moderate

Watery nasal discharge during peak pollen exposure can be substantial enough to interfere with daily activities.

Intense eye itch and tearing

moderate

Allergic conjunctivitis with severe itch, chemosis, and tearing, particularly prominent on windy days when pollen concentrations peak.

Palate and throat itch

mild

Deep palatal itch characteristic of tree pollen allergy; helps distinguish allergic rhinitis from infectious upper respiratory infections.

Coughing and wheezing

severe

Tree pollen-triggered asthma in sensitized patients, with coughing and wheezing during March-April pollen peaks.

Fatigue and poor sleep

moderate

Bilateral nasal congestion disrupts sleep quality, causing daytime fatigue, reduced concentration, and irritability during the pollen season.

Postnasal drip

mild

Mucus drainage from persistent nasal inflammation causes throat clearing, mild cough, and occasional nausea.

When to see a doctor

Black cottonwood pollen allergy produces moderate to severe rhinoconjunctivitis symptoms during the March through April catkin season. The symptom severity reflects the massive pollen output of individual trees and the density of cottonwood stands along PNW waterways. Patients living near rivers and floodplains may experience particularly intense symptoms during the peak pollen period. The symptom profile is standard for tree pollen rhinoconjunctivitis: sneezing, bilateral nasal congestion, profuse watery rhinorrhea, and intense ocular itch with tearing. Patients with allergic asthma may experience coughing, wheezing, and chest tightness, particularly on high-pollen days. Sleep disruption from nasal congestion is common and contributes to fatigue and reduced daily function. A critical patient education point: if your worst symptoms occur when cotton is visible in the air (May-June), the trigger is likely grass pollen β€” not cottonwood. Cottonwood pollen exposure happens earlier (March-April) when catkins are present but cotton has not yet appeared. If you experience throat swelling, difficulty breathing, or widespread hives, seek emergency medical care immediately.

Black Cottonwood Pollen and Asthma

Tree pollen sensitization is a well-documented risk factor for allergic asthma, and the Pacific Northwest's intense tree pollen seasons make this connection clinically significant. Black cottonwood pollen-sensitized patients with concurrent asthma may experience exacerbations during the March through April catkin season, particularly on high-pollen, windy days. The cotton myth intersects with asthma: patients who believe cotton causes their asthma may not realize that pollen exposure occurred weeks earlier and that their June wheezing is likely triggered by grass pollen, not cottonwood. Correct timing attribution is essential for effective asthma management. Thunderstorm asthma β€” documented with grass pollen β€” has theoretical relevance for tree pollen as well, though no specific thunderstorm asthma events have been linked to cottonwood pollen. Patients with tree pollen-sensitive asthma should carry rescue inhalers throughout the March-April pollen season.

If left untreated

Complications of Black Cottonwood Pollen Allergy

Untreated black cottonwood pollen allergy in the Pacific Northwest can contribute to significant morbidity because of the intensity and duration of spring tree pollen exposure. Chronic nasal inflammation impairs mucociliary clearance, predisposing to recurrent bacterial sinusitis. Sleep disruption during the prolonged PNW tree pollen season (February through May, spanning alder, cottonwood, birch, and oak) causes cumulative fatigue and reduced productivity. The allergic rhinitis-to-asthma progression is particularly relevant in the PNW: patients with untreated tree pollen rhinitis face a 2-3 times higher risk of developing asthma. Multi-sensitized patients who react to alder, cottonwood, birch, and grass pollens may experience nearly continuous symptoms from February through July β€” a 5-month symptom burden that significantly impacts quality of life.

Chronic sinusitis

Persistent nasal inflammation across the prolonged PNW tree pollen season impairs sinus drainage, causing recurrent bacterial sinusitis.

Asthma development or worsening

Untreated tree pollen rhinitis increases asthma risk; existing asthma worsens during the March-April cottonwood pollen peak.

Sleep disruption and productivity loss

Bilateral nasal congestion during pollen season disrupts sleep, causing cumulative fatigue, reduced work/school performance, and mood disturbance.

Multi-allergen symptom burden

Co-sensitization to alder, birch, and grass pollens extends the symptom season from February through July in the PNW.

03Why it happens

What Causes Black Cottonwood Pollen Allergy?

Black cottonwood pollen allergy results from IgE-mediated sensitization to airborne pollen proteins produced by male catkins during the March through April pollen season. As a Salicaceae member, black cottonwood pollen shares cross-reactive allergens with willow (Salix) and other Populus species including eastern cottonwood (P. deltoides) and balsam poplar (P. balsamifera). The cross-reactivity is driven by shared protein families including homologs of Sal s 1 (the willow pollen marker allergen), profilins, and other conserved pollen proteins.

Common Species

Black cottonwood

Populus trichocarpa

Balsam poplar (closely related Populus)

Populus balsamifera

Eastern cottonwood (eastern counterpart)

Populus deltoides

White willow (cross-reactive Salicaceae)

Salix alba

Red alder (co-occurring PNW aeroallergen)

Alnus rubra

How it works

Black cottonwood pollen triggers Type I IgE-mediated hypersensitivity. Inhaled pollen proteins bind to IgE antibodies on mast cells in nasal and conjunctival mucosa, cross-linking adjacent IgE molecules and triggering degranulation. Released mediators β€” histamine, leukotrienes, prostaglandins β€” cause vasodilation, mucus secretion, and smooth muscle contraction, producing the characteristic rhinoconjunctivitis and potentially asthma symptoms. The late-phase response involves eosinophilic inflammation that sustains symptoms for hours after pollen exposure.

Black cottonwood is dioecious (separate male and female trees), meaning only male trees produce pollen. However, the massive size of individual trees and the species' abundance along PNW waterways means that pollen production from riparian stands is substantial. A single large male tree can produce billions of pollen grains during the spring catkin season.

The Pacific Northwest pollen calendar context is important: black cottonwood pollinates during the same March through April window as alder (Alnus) and birch (Betula) β€” both Fagales trees with their own major allergen panels. Patients in the PNW are often multi-sensitized to alder, birch, and cottonwood, experiencing overlapping spring tree pollen exposure.

Who's most affected

Risk factors to watch for

01

Pacific Northwest residence

Black cottonwood is the dominant riparian tree from Alaska to northern California, creating intense localized pollen exposure along rivers, streams, and floodplains.

02

Proximity to waterways

Living near rivers, creeks, or floodplains in western North America means proximity to black cottonwood stands that produce concentrated spring pollen.

03

Multi-sensitization to PNW tree pollens

Patients sensitized to alder or birch frequently show co-sensitization to cottonwood, creating a prolonged spring tree pollen symptom season.

04

Atopic predisposition

Personal or family history of allergic rhinitis, asthma, or eczema increases susceptibility to tree pollen sensitization.

The Allergy Cascade

1.Exposure

Allergen contact

2.Detection

Immune recognition

3.IgE Response

Antibody production

4.Mast Cells

Histamine release

5.Symptoms

Allergic reaction

05Diagnosis

How to Diagnose Black Cottonwood Pollen Allergy

Diagnosing black cottonwood pollen allergy uses standard tree pollen testing: skin prick tests or specific IgE blood panels for cottonwood (Populus) identify the sensitization. Because of Salicaceae cross-reactivity, a positive cottonwood test also predicts sensitization to willow and other Populus species. Testing should include the full PNW tree panel β€” alder, birch, oak, cottonwood β€” to map the complete sensitization profile. The timing of symptoms provides a clinical clue: if symptoms peak in March through April and improve when cotton appears in late May, cottonwood pollen is a likely trigger. If symptoms peak during the cotton period (May-June), grass pollen is more likely. At-home allergy testing services such as Curex offer panels covering 40+ environmental allergens including tree pollen markers, with results typically within 5 days and insurance coverage often available. For PNW patients, at-home testing is particularly convenient given the multi-allergen tree pollen exposure that characterizes the region. A board-certified allergist can interpret results in the context of local pollen calendars and design targeted immunotherapy.

Skin prick test with PNW tree pollen panel

Tests for cottonwood, alder, birch, oak, and willow sensitizations. Identifies the full tree pollen profile driving PNW spring symptoms.

Specific IgE blood testing

Serology panels for Populus, Alnus (alder), Betula (birch), and Salix (willow) identify tree pollen sensitizations without stopping medications.

Symptom timing analysis

Comparing symptom diary with local pollen calendar distinguishes cottonwood pollen allergy (March-April) from grass pollen allergy (May-July) and the cotton myth.

At-home testing

Test from home with Curex

Skip the clinic visit. Curex sends an at-home allergy test kit to your door, and a board-certified allergist reviews your results to build a personalized treatment plan.

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Insurance acceptedBoard-certified allergists
06Treatment

Compare Treatment Options

See how different approaches stack up for managing your allergy symptoms long-term.

Traditional

  • Treats root cause
  • Long-lasting relief
  • At-home treatment
  • No office visits
  • Low side effects
  • Estimated cost

Allergy Shots (SCIT)

  • Treats root cause
  • Long-lasting relief
  • At-home treatment
  • No office visits
  • Low side effects
  • Estimated cost

Immunotherapy (SLIT)

Recommended
  • Treats root cause
  • Long-lasting relief
  • At-home treatment
  • No office visits
  • Low side effects
  • Estimated cost
Immunotherapy

The long-term solution to allergies

Instead of masking symptoms, immunotherapy retrains your immune system.

Pacific Northwest residents with spring tree pollen allergy face a uniquely challenging pollen calendar: alder, cottonwood, birch, and oak pollinate in overlapping sequence from February through May, followed by grass pollen from May through July. For multi-sensitized patients, this means nearly half the year is spent managing allergic symptoms β€” a burden that standard pharmacotherapy may not fully address. Allergen immunotherapy offers the most comprehensive long-term solution. Multi-allergen formulations can include cottonwood alongside alder, birch, and other regionally relevant tree pollens, providing cross-seasonal desensitization with a single treatment protocol. The Salicaceae cross-reactivity means that cottonwood extract in the formulation also builds tolerance to willow and other Populus species. Sublingual immunotherapy drops, available through providers like Curex starting at $39/month, allow PNW patients to undergo desensitization at home β€” particularly practical given the region's geography, where many patients live in smaller communities along river valleys where cottonwood stands are densest. Plans are typically covered by most insurance.

1Step 1

Map PNW tree pollen sensitizations

Comprehensive testing identifies sensitization to cottonwood, alder, birch, oak, and willow β€” the major PNW tree pollen allergens.

2Step 2

Multi-allergen formulation

Custom sublingual drops include all confirmed tree pollen allergens for cross-seasonal coverage.

3Step 3

Year-round desensitization

Daily drops build tolerance to multiple tree pollens simultaneously, reducing the multi-month symptom burden.

4Step 4

Sustained PNW spring freedom

After 3-5 years, most patients can enjoy PNW springs with significantly reduced allergic symptoms.

β€œClinical trials show 60-85% of patients with tree pollen sensitization achieve significant long-term symptom reduction”

Curex drops

Treat your Black Cottonwood Pollen allergy at the source

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Living with it

Living With Black Cottonwood Pollen Allergy in the PNW

Living with black cottonwood pollen allergy in the Pacific Northwest means managing a significant spring aeroallergen exposure in a region where outdoor recreation is central to quality of life. The good news is that the treatment toolkit is comprehensive: pharmacotherapy controls seasonal symptoms effectively, and immunotherapy offers lasting disease modification. The cotton myth is worth addressing proactively with friends, family, and colleagues who may offer well-meaning but incorrect advice to avoid cotton. Explaining that the cotton is seed fiber (not pollen) and that your actual trigger occurred weeks earlier helps build understanding and reduces social pressure to avoid outdoor activities during the cotton period. For patients considering landscaping near waterways, choosing female cottonwood trees (which produce cotton but no pollen) over male trees (which produce pollen but no cotton) can reduce localized pollen exposure β€” though this only helps if the plantings are close to living areas.

  • Cotton is not your enemy

    The fluffy white cotton from female cottonwood trees is seed fiber, not pollen. Your actual allergic trigger is the catkin pollen released weeks earlier in March-April. Adjust your medication timing accordingly.

  • Map your full PNW sensitization profile

    Most PNW patients with cottonwood allergy are also sensitized to alder, birch, and/or grass. Testing for all of them enables comprehensive immunotherapy that covers the entire spring-summer season.

  • Consider multi-allergen immunotherapy

    A single sublingual immunotherapy protocol covering cottonwood, alder, birch, and other PNW tree pollens can address 4+ months of spring symptoms.

Seasonal Patterns

Spring

March - April

high intensity

Spring

May - June

low intensity

Prevention Tips

Understand the cotton timeline

Pollen from male catkins peaks March-April. Cotton from female trees appears May-June. If symptoms peak during cotton, grass pollen β€” not cottonwood β€” is the likely trigger.

Start medications in late February

Begin nasal corticosteroids before the PNW tree pollen season ramps up. Alder and cottonwood pollinate early and overlap.

Monitor PNW pollen counts

Track local tree pollen counts through weather apps or the National Allergy Bureau during March-April for cottonwood-specific timing.

Shower after riverside activities

Cottonwood pollen concentrations are highest near riparian corridors. Shower and change clothes after hiking, fishing, or running near rivers.

Use HEPA filtration near waterways

Homes adjacent to cottonwood stands along rivers benefit from HEPA air purifiers during the March-April pollen season.

Long-term outlook

Outlook for Black Cottonwood Pollen Allergy

The prognosis for black cottonwood pollen allergy is favorable with treatment. Standard pharmacotherapy controls seasonal symptoms in most patients, and multi-allergen immunotherapy addressing the full PNW tree pollen profile offers the most comprehensive long-term benefit. Patients who complete 3-5 years of immunotherapy typically maintain significant symptom reduction and can enjoy PNW springs with substantially reduced allergic burden. Climate change is extending pollen seasons in the PNW β€” some data suggest earlier spring pollen onset and higher peak concentrations β€” making immunotherapy an increasingly valuable long-term investment for PNW tree pollen allergy patients.

What to expect

Key takeaways

01

Black cottonwood (P. trichocarpa) is the largest native broadleaf tree in western North America and a significant PNW aeroallergen

02

Cotton (seed fiber) is NOT pollen β€” pollen comes from male catkins in March-April, cotton from female trees in May-June

03

First tree to have its genome fully sequenced (2006), giving it unique molecular characterization potential

04

Multi-allergen immunotherapy covering PNW tree pollens provides the most comprehensive long-term symptom control

Diet

Diet and Black Cottonwood Cross-Reactivity

Black cottonwood pollen does not have well-established food cross-reactivity networks. The Salicaceae family is not a major participant in pollen-food allergy syndrome pathways. However, PNW patients co-sensitized to birch (Fagales) may experience oral allergy syndrome to Rosaceae fruits through the PR-10/Bet v 1 pathway β€” this is driven by the birch co-sensitization, not by cottonwood. Patients who develop oral tingling or lip swelling when eating raw apples, cherries, or hazelnuts during spring tree pollen season should be tested for birch (Bet v 1) sensitization specifically, as this drives the food cross-reactivity network.

Foods that help

  • Omega-3 rich foods (salmon, sardines)

    Anti-inflammatory omega-3 fatty acids may modulate the systemic allergic response during the spring tree pollen season.

Foods to limit

  • Raw apple and cherry (birch co-sensitized patients)

    PR-10/Bet v 1 cross-reactivity in birch-sensitized patients can cause OAS with Rosaceae fruits; this is birch-driven, not cottonwood-driven.

Black cottonwood is one of the most misidentified allergens in the Pacific Northwest. Patients routinely blame the white seed cotton for their April symptoms β€” but pollen season from the male catkins ends weeks before any cotton appears. Testing for the actual culprit, whether cottonwood, alder, birch, or a combination, is the only way to target immunotherapy correctly.

Board-certified allergist (clinical reviewer for this article)
FAQ

Frequently Asked Questions

Cottonwood fluff and cottonwood pollen are completely different structures with different biological functions. Pollen is produced by male catkins and consists of microscopic grains containing the plant's male reproductive cells β€” these grains are the actual allergens, carrying proteins that trigger IgE-mediated immune responses. Cotton is produced by female trees and consists of fluffy white seed fibers designed to carry seeds on the wind for dispersal β€” these fibers do not contain significant allergenic proteins. Pollen is released in March-April from catkins; cotton appears 4-8 weeks later in May-June. Blaming cotton for allergies is a timing error that leads to incorrect self-management of symptoms.

Your allergies are worse before the cotton appears because the actual allergen β€” cottonwood pollen β€” is released from male catkins in March and April, weeks before female trees begin releasing cotton in May and June. The catkins are less visually dramatic than cotton, so patients often do not associate them with their symptoms. When the cotton appears, pollen season is largely over and symptoms may be declining. If your symptoms peak during the cotton period (May-June), the more likely trigger is grass pollen, which begins ramping up precisely when cotton becomes visible. Testing for both tree and grass pollen sensitizations clarifies the timing.

Black cottonwood (Populus trichocarpa) and eastern cottonwood (P. deltoides) are similarly allergenic β€” their pollen proteins are cross-reactive through shared Salicaceae allergen families. The practical difference is geography: black cottonwood dominates the Pacific Northwest and northern Rockies, while eastern cottonwood is the primary cottonwood in the eastern United States and Great Plains. Black cottonwood may create more intense localized exposure because of its massive individual size (up to 60 meters tall) and the dense riparian stands common along PNW rivers. From a molecular allergy perspective, sensitization to one is functionally equivalent to sensitization to the other.

Tree pollen sensitization, including cottonwood, is a documented risk factor for allergic asthma exacerbations. Patients with both cottonwood pollen allergy and asthma may experience coughing, wheezing, and chest tightness during the March-April catkin season. The severity depends on individual sensitization levels and concurrent exposure to other spring aeroallergens (alder, birch). In the Pacific Northwest, the overlapping tree pollen seasons create a prolonged period of asthma risk. Controller medications (inhaled corticosteroids) should be maintained throughout the spring pollen season, and patients should carry rescue inhalers during outdoor activities in March and April.

Black cottonwood (Populus trichocarpa) became the first tree species β€” and only the third plant after Arabidopsis and rice β€” to have its complete genome sequenced, published in 2006 by a consortium led by the US Department of Energy Joint Genome Institute. The genome contains approximately 45,000 genes across 19 chromosomes. This achievement was driven partly by the small genome size for a tree species and partly by the relevance of Populus for biomass energy research. For allergy science, the fully sequenced genome means that all potential allergen proteins in black cottonwood can be identified computationally, even though formal WHO/IUIS allergen characterization has not yet been completed.

From an allergy perspective, female cottonwood trees are preferable because they do not produce pollen. Female trees produce cotton (seed fiber), which is visually messy but not allergenic. Male trees produce the pollen that causes respiratory allergy but do not produce cotton. This creates an ironic situation: many cities historically planted male cottonwoods to avoid the cotton mess, inadvertently maximizing pollen exposure for allergy sufferers. If you are planting new Populus trees near your home, requesting female cultivars reduces local pollen exposure β€” though this only helps if the trees are close to your living space, since regional pollen from more distant male trees will still be present.

Black cottonwood and willow (Salix) belong to the same family (Salicaceae) and share cross-reactive pollen allergen proteins. Patients sensitized to cottonwood typically also show positive IgE to willow pollen, and vice versa. The cross-reactivity is driven by shared protein families including Sal s 1 homologs. From a clinical standpoint, this means that positive cottonwood testing likely indicates broader Salicaceae sensitization. For immunotherapy, cottonwood extract in the formulation provides cross-reactive benefit for willow sensitization as well. Willow pollinates slightly earlier than cottonwood (February-March vs March-April), extending the Salicaceae exposure window.

Black cottonwood is the tallest and largest native broadleaf tree in western North America, reaching heights of 30-60 meters (100-200 feet) with trunk diameters of 1-2 meters (3-6 feet). Individual champion trees have been measured at nearly 65 meters. For allergy context, the massive size means that a single male tree produces enormous quantities of pollen β€” potentially billions of grains during the spring catkin season. Dense stands of mature black cottonwood along PNW rivers and floodplains create concentrated pollen exposure zones. The trees also have rapid growth rates (among the fastest of any native tree) and relatively short lifespans for trees of their size (100-200 years).

Adult-onset tree pollen allergies are well-documented, and moving to a new region with unfamiliar pollen exposures is a classic trigger for new sensitization. The Pacific Northwest has a distinctive tree pollen profile β€” alder, cottonwood, birch, and Douglas fir β€” that newcomers from other regions have not previously encountered. It typically takes 1-3 seasons of exposure before sensitization develops, meaning that many newcomers experience their first PNW pollen allergies 1-3 years after relocating. The clinical pattern is familiar to PNW allergists: patients who report never having had allergies before I moved here should be evaluated with a comprehensive PNW tree and grass pollen panel.

Tree pollen counts are generally lowest in the late afternoon and evening, after the morning warmth has lifted pollen from catkins and wind has dispersed it. The highest pollen concentrations typically occur between 5 AM and 10 AM on warm, dry, windy mornings. For patients with black cottonwood pollen allergy, scheduling outdoor activities for late afternoon or after rain (which washes pollen from the air) reduces exposure during the March-April catkin season. Cool, damp, overcast days β€” common in the PNW spring β€” generally have lower pollen counts than warm, dry, sunny days. Monitoring local pollen forecasts helps identify the best outdoor windows.

This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. Content reviewed by board-certified allergists at Curex.

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