Dandruff when pregnant

Dandruff when pregnant

Dandruff during pregnancy is common — hormonal changes can make your scalp oilier or drier, triggering flaking and itchiness. For many people, pregnancy is when your hair can look its best, but for lots of people these changes can leave you with dandruff, sometimes for the first time. Here’s what you should know and how to manage it safely.

What Causes Dandruff in Pregnancy?

During pregnancy, your hormone levels shift — particularly oestrogen and progesterone. These changes can affect the scalp’s oil production and the skin’s microbiome. An overgrowth of the natural yeast Malassezia can lead to seborrhoeic dermatitis, the same condition behind dandruff.

This may cause white or yellow flakes, redness, and mild itching — especially on the scalp, around the hairline, and behind the ears.

Where It Appears

  • Scalp and hairline
  • Eyebrows and sides of nose
  • Behind ears
  • Chest and upper back (less common)

According to NHS guidance, pregnancy can cause changes in skin oiliness and sensitivity, which may make conditions like dandruff more noticeable.

Common Symptoms

  • White or yellowish flakes on the scalp
  • Red or slightly inflamed skin
  • Itchy or tight feeling scalp
  • Greasy patches or mild soreness

If you notice spreading redness, oozing, or thick crusts, see your GP or midwife for advice.

Dandruff and pregnancy

Is Dandruff Normal During Pregnancy?

Yes — mild dandruff or seborrhoeic dermatitis is common in pregnancy. Hormonal fluctuations, increased sweating, and changes in scalp oils can all contribute. The good news: it’s manageable with gentle, pregnancy-safe products and consistent care.

How to Treat & Manage It Safely

  1. Use a Gentle Shampoo: Choose a mild, fragrance-free dandruff shampoo. Ingredients like piroctone olamine are generally considered safe during pregnancy when used topically.
  2. Wash Regularly: Keep your scalp clean, especially if it’s oily. Avoid harsh scrubbing or overwashing, which can irritate the skin.
  3. Avoid Strong Medicated Shampoos: Skip high-strength antifungal or steroid treatments unless advised by your doctor or midwife.
  4. Moisturise the Scalp: Apply a light, non-comedogenic oil like mineral oil or coconut oil if the scalp feels dry. Leave on for 15–30 minutes before washing.
  5. Reduce Stress & Maintain Nutrition: Stress and fatigue can worsen dandruff. Eat a balanced diet rich in zinc, B vitamins, and omega-3s.
  6. When to Seek Help: If symptoms worsen or spread to the face or body, or if you develop painful patches, speak to your GP or a dermatologist.

Is It Safe to Use Dandruff Shampoo When Pregnant?

Yes — most over-the-counter dandruff shampoos are safe when used as directed. Avoid products with salicylic acid or high-dose coal tar unless approved by your healthcare professional. If unsure, check the label or consult your pharmacist.

Quick Summary

  • Dandruff during pregnancy is common due to hormonal changes.
  • Use gentle, pregnancy-safe dandruff shampoos (e.g. piroctone olamine)
  • Avoid harsh medicated treatments unless prescribed.
  • See your GP if symptoms persist or spread.

References

 

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