How to Deal with Greasy Hair with PCOS

Beauty standards come and go. Fortunately, times have changed, and the traditional beauty criteria of past decades have been challenged and replaced by a much more diverse range of what is deemed attractive. A sense of confidence, however, is always desirable – and much of that relies on feeling good within ourselves. Whilst most of this comes with self-acceptance and love, things that help include the likes of a new dress, your favourite pair of shoes or a swish new haircut.

Whilst hairstyles, colours and colours may change, one thing that never goes out of fashion is healthy, clean, and shiny hair. Our hair is our crowning glory, and that just-washed, fresh out the shower feeling is unrivalled. Unfortunately, if you are a sufferer of PCOS you will know all too well that sometimes, this is hard to obtain and hormones can make our hair difficult to manage. You might be wondering how you can deal with the greasy hair that comes with PCOS.

Greasy hair in women with PCOS is caused by higher than normal androgens. Following a good PCOS diet, exercising and focusing on lowering insulin levels are all important. Also, using good hair care product, looking after your scalp and clarifying your hair regularly can help manage greasy hair while your hormones balance out.

Why Does My Hair get Greasy So Quickly?

Women with bith hands in greasy hair in grey t shirtIt is very frustrating to have washed your hair on the morning, only to find by mid to late afternoon that it feels and looks greasy. You might find yourself questioning: Is it my shampoo or conditioner? Have I been touching it too much? Is it the result of a new product?

However – it is not your fault! It is simply your hormones acting up.

The reason that PCOS makes hair greasy is to do with a hormonal imbalance. This condition leads to hyperandrogenism, where the ovaries release extra male hormones such as testosterone.[1] This leads to an increase in sebum production in the glands and can lead to symptoms such as overactive oil glands which annoyingly, affects the scalp resulting in lacklustre, greasy hair.

Although frustrating hair is a symptom of PCOS, it can be managed with a little know-how and care. If you are ready to fight the grease and discover how to get the fresh locks that you have always craved – read on for my top eight tips.


Scalp Care is Key

Our hair is the product of our scalp, and the health of one directly affects the other. Simply put: healthy scalp = healthy hair!

There are haircare products out there specially designed for women with PCOS, however, sometimes all you need is a good quality shampoo and conditioner that are free of nasties like sulphates, parabens, and silicones.

Unfortunately, many high street shampoos contain these which can make our hair feel deceptively clean when they are in fact simply coating the hair shaft and leaving a soapy residue on the scalp. Not only does this affect healthy hair growth, but it can block follicles on the scalp leading to a build of product, and in turn, grease.

It is therefore often worth spending a little more on good haircare that does not contain these. Although it might seem daunting spending more than normal on something as ordinary as shampoo and conditioner – consider it an investment. After all, we are prone to splurging on good skincare and make-up so why should we treat our hair any differently?

Sulphates are what give products that bubbly quality when lathered. One change you will have to get used to when using products that do not contain sulphates or parabens is the fact you will notice much less lather than what you are used to.

It may not feel like it is cleaning your hair properly, but it is! One way to help this is by using more water to encourage more bubbling of the solution. With that, you will also find you will need less product than what you are used to.

Re-balance Your Hormones

Rocks balanced to represent a balance scaleGiven that hormones are the root cause of this particular PCOS problem, it only makes sense to target them in your quest for fresh hair. The first step in addressing this is to visit your GP. They can arrange tests to see whether any particular hormones need balancing and can advise you on the steps to do so. Hormone balancing can also be achieved through some more holistic lifestyle changes, such as diet too.

Research has shown that the main culprit in PCOS symptoms is that of insulin. I have written a great deal on how this affects PCOS sufferers in the past, so helping this is incredibly beneficial in treating your PCOS more broadly. Insulin is released in response to the small sugar molecule known as carbohydrate. However, when someone has a resistance to it, the body does not respond as well as it should which lead to higher levels within the blood and other symptoms such as low energy.

As time progresses, increasing levels of insulin are required before glucose can be interacted with by the body and over time the body deals with sugar differently. Research has shown there is a strong correlation between PCOS sufferers and insulin resistance- which can lead to secondary conditions such as type 2 diabetes and obesity. [2]

Checking that your hormones are okay, and efforts to get them balanced if not, is therefore key.

Plan Ahead and Pack Accordingly

Whilst you adjust to using new products or a new routine, there are some great short-term fixes that can help whilst you await the long-term results and changes.

One way is to plan ahead – if you know that you have a long day in front of you, wash your hair on the morning and realise that dry shampoo is your best friend. In addition to being incredibly easy to use, it is affordable, convenient, and small enough to throw in your handbag. Simply hold the can about 30cm away from the scalp and spray directly onto the areas that need to be freshened up.

You might notice that upon first application there is a white or greyish residue resulting from the powder. To remove this, use a brush or your fingers in the hair to help distribute the product. The powder of the dry shampoo will absorb any grease and make your hair look fresher. Not only is this good for cleaning, but the powder also bulks out the hair shaft making your hair feel and look thicker – which is great for those of us with finer hair!

Clarify Regularly

If you wash your hair every day with unsuitable products, this can cause an unwelcome layer to reside on the shaft of your hair and scalp. This can be difficult to remove, even with thorough shampooing.

A good way to get rid of this is by using a clarifying shampoo; a type of product that is specially designed to thoroughly cleanse the hair and remove any problematic build-up. As these are created to get rid of excess product, they can be quite harsh on the hair and therefore should not be used every day and rather once every two weeks or so. If you find that your hair responds well, or products build up quickly it may be worth increasing this to once a week – but always keep a note of changes in your hair to ensure its optimisation. For example, if the hair starts to feel dry or rough, this is a sign you may be clarifying too much or using too little aftercare/conditioner.

Clarifying shampoos are easy to locate when shopping as most have labels clearly stating what they are as well as instructions on how to use them.

Avoid Washing Your Hair Everyday

Woman washing her hairAlthough it is tempting to step into the shower and lather up the hair that has been bothering you all day, research has shown washing your hair every day can actually have an adverse effect.

This is because the more you clean your hair, the more oil that is produced by your scalp to compensate. Take a step back from the shampoo and try at first to only to wash every two days or so. It may feel uncomfortable for a while but over time your scalp will adjust and stop producing quite so much oil. Whilst waiting for this to kick in, use the aforementioned dry shampoo or cover problem areas of your scalp with fun hairbands, hats or practical updos.

Not washing your hair every day has benefits beyond scalp hair, too. If you have bleached or damaged hair you will notice a difference. Over-washing strips your hair of its natural oils and encourages breakage and dryness, so giving it a break will allow the natural oils to nourish and permeate any problem areas.

Stay Active

As insulin is cited as a key factor in both causing and exacerbating PCOS symptoms it helps to address some of the secondary problems it prompts. One of these is obesity, which can in turn affect the severity of other symptoms by putting extra pressure on the joints or prompting feelings of sluggishness and lethargy. Keeping active will not only increase your overall fitness, but also help lower insulin production that encourages PCOS symptoms.

Therefore, a key objective in PCOS control is weight management which is achievable through staying active. I am a big believer in keeping moving to keep healthy and have written a range of blogs on how to start; click here for some motivation!

Change your Diet

Very often, when women talk about “diet” it is often referred to in the context of weight loss. But, we know that the way that we eat is crucial to managing PCOS, whether or not weight loss is even a goal. There are many women with lean PCOS who struggle with high androgens and the greasy hair that this brings. In light of that, I really believe that all women with PCOS would benefit from making some dietary changes. In my mind, there are 3 main pillars of a healthy PCOS diet:

By following these three guidelines, you will be better able to manage your insulin levels and therefore your testosterone levels.

Incorporate Omega 3

Research has shown that Omega 3 is a very important supplement for PCOS sufferers. In addition to helping lower testosterone levels and having an anti-inflammatory effect, the fatty acids within Omega 3 are believed to also be advantageous for hair health, helping nourish hair follicles and promoting hair growth.

If the hair and scalp are balanced and happy, then the follicles or hair shaft should not be overly dry or greasy. Therefore, it is useful to grasp any opportunity to help improve the quality of both. Nourish your locks from within and consider either increasing your intake of Omega 3 rich foods or taking a supplement containing it.

Summing It Up

If you have struggled with greasy hair and PCOS and have found a solution that works for you – please comment below! Although PCOS is thought to affect nearly 1 in 5 women[3], I have found that everyone’s experiences can vary and love hearing from different people about their own personal journey with this chronic condition. What have you tried that has worked for you?

Join the PCOS Weight Loss Program:


MORE Related Posts

Tarryn Poulton

Tarryn Poulton

Tarryn Poulton is a PN1 Certified Nutrition Coach and PCOS expert who has been a leader in the online PCOS space for over 8 years. Tarryn has the support of leading clinicians from around the world who support her scientific approach to understanding and talking about PCOS this includes all medical journals and ongoing research. You can read more about Tarryn and the team here.

3 Responses

3 Responses

  1. Agreed. I can’t go two days because my hair is wet half way through the day. I’ve tried to stretch my time between washes to 2 days but it never becomes less oily I tried for a whole month during Covid since I only left the house for work and no one saw me there really, but my scalp oil never adjusted, it resulted in me just having hair coated about three inches it in oil from noon the day I washed it, to about 5 inches that evening, to entirely oily the next day. I think this advice is only good for people with regular hormones as it’s never worked for me and is profoundly uncomfortable and distressing. Especially when you can’t put your fine, oily, short hair up, because it’s fine, oily, and short.

    I also find using any clarifying shampoo strips my hair and where I have hair loss from pcos, every time I use a clarifying shampoo, it tangles my hair easily and it falls out more easily in clumps, so I’m afraid to use this shampoo. My scalp is also irritated by many ingredients in shampoo so I don’t know which might be easier in my scalp and cause less hair fall. I wish we didn’t have to deal with looking like Andrew W.K. From that album cover, except also balding. But it seems like that’s how it is.

    I’ve been following a pcos diet for years and haven’t found it’s made a difference in my symptoms, although maybe I would have gotten steadily worse if I wasn’t following a gluten, dairy, low sugar, low alcohol, nut free, low fodmap diet with birch pollen allergy syndrome syndrome. It’s an extremely limited diet but I do it anyway on the chance it’s making me feel better with it me realizing it. It helps sometimes with fatigue, but I still have all of the other symptoms. I also exercise daily but chronic pain and lichen schlerosus limit what I can do. Even with a limited diet and daily exercise, I can’t get below 130 lbs and I’m 5 feet tall. The whole thing is hard. I feel for everyone having to deal with it. Especially since the only treatments are birth control which I’m already taking, which at least my mental health is improved during PMS so that I’m no longer a danger to myself once a month, but it doesn’t help anything else. And metformin which is extremely hard on the body and you really only want to use if you absolutely can’t manage the sugars in your body.

    I wish there was more funding for research. But we’re women sooo….

  2. I think some of the information on this page is incorrect. My dermatologist told me that when you have an oily scalp you must wash it every day otherwise the oil build-up can cause/aggravate seborrheic dermatitis. This does not damage your hair as long as you’re using a shampoo that is formulated for everyday use. Also sulphate free shampoos are not good for oily scalps as they do not cleanse the hair and scalp properly and again can lead to seborrheic dermatitis and blocked pores on the scalp.

    1. Thanks so much for your feedback and comments. I appreciate the input and will relook at it!

Leave a Reply

Your email address will not be published. Required fields are marked *