Moving hair of a woman
Doctor Amaro de Hospital Capilar Pontevedra

Dr. Raquel Amaro Silva
SURGEON PONTEVEDRA
Collegiate No. 362607457

Graduated in Medicine and Surgery from the University of Santiago de Compostela with a Master's Degree in Aesthetic Medicine and Trichology and Hair Micrograft. She currently works as a doctor and hair surgeon in Hospital Capilar as head of the headquarters Hospital Capilar Pontevedra.

March 16th 2026

Malassezia on the scalp: symptoms and treatment

Malassezia is a fungus whose presence produces certain very common diseases on the scalp. Knowing how Malassezia manifests itself on the scalp, as well as its symptoms and treatments is key to knowing what to do in the event of similar symptoms and when it is necessary to see a medical professional.

From Hospital Capilar, an expert clinic in medicine and hair surgery, we tell you everything you need to know about Malassezia on the scalp: What are its symptoms? It has a solution? Why does it appear? Can it cause baldness?

What is Malassezia?

Malassezia is a type of fungus that all of us have naturally on our skin. When we talk about the presence of Malassezia in the development of certain skin diseases, we are actually referring to the proliferation of this fungus and not to the new contagion, as is the case with other fungi that cause diseases such as tinea capitis.

When due to certain circumstances, such as stress or excess sebum production, the natural balance of the microbiota is altered, an abnormal increase in the Malassezia fungus is generated on the scalp. This proliferation of fungi can cause seborrheic dermatitis, folliculitis, atopic dermatitis or Psoriasis, being dandruff the most common manifestation of this fungus.

Causes of Malassezia imbalance

An imbalance of the Malassezia fungus on the scalp can lead to conditions such as cAspa, seborrheic dermatitis, or folliculitis. Among the most common causes are:

  • Excessive sebum production (hyperseborrhea): an oily scalp promotes the proliferation of the fungus.
  • Stress: alters the balance of the hair microbiome and can increase Malassezia activity.
  • Use of unsuitable products: shampoos, conditioners or hair treatments that irritate or saturate the scalp.
  • Insufficient hygiene: the accumulation of sweat, oil and dead cells facilitates fungal colonization.
  • Immune system disorders: a weakened or dysregulated immune system facilitates the overgrowth of Malassezia on the scalp.
  • Hormonal alterations: hormonal changes can increase sebum production and promote fungal proliferation.
  • Humid or hot climate: excess humidity and high temperature create a favorable environment for Malassezia.

Malassezia symptoms on the scalp

Malassezia is not a disease as such, but the fungus that can cause certain conditions. Therefore, depending on the type of fungal infection that triggers, there will be some particular symptoms. However, there are common symptoms caused by the proliferation of the Malassezia fungus on the scalp. Knowing and identifying them could indicate the development of an infection by this fungus.

itching and stinging

The most common symptom of Malassezia on the scalp, regardless of the condition it triggers, is itching and stinging. The person with dandruff, seborrheic dermatitis or folliculitis experience itching and stinging in the affected area. In these cases, it is essential to avoid intense scratching as it would aggravate the symptoms.

Dandruff

The appearance of whitish scales on the scalp, or dandruff, is another of the symptoms associated with Malassezia on the scalp. They usually have a greasy appearance and can affect the eyebrows, beard, mustache and trunk or retro-articular area.

Redness and inflammation of the scalp

In many cases there is also a reddening of the affected area that can lead to inflammation of the scalp.

Oily scalp

An oily scalp is a common symptom of Malassezia overgrowth, caused by excess sebum (hyperseborrhea). It contributes to dandruff, itching, and inflammation. Some of the symptoms include:

  • Oily dandruff or yellowish flakes stuck to the scalp.
  • Constant itching or irritation.
  • Redness or mild inflammation of the scalp.
  • Hair that gets greasy quickly even after washing.
  • Feeling of heavy or dirty scalp.
  • Occasionally, a bad smell may occur due to excess sebum and fungal growth.

 

Maintaining proper hygiene, avoiding overly aggressive products, and using specific shampoos or sebum regulators can help control this symptom and reduce the proliferation of the fungus.

How to remove Malassezia from the scalp?

It is advisable to go to a specialist if we experience some of the symptoms mentioned above for a long time. The most recommended treatments against Malassezia of the scalp are mainly topical.

Fungicides

It is very effective to use shampoos with fungicidal active ingredients to eliminate Malassezia on the scalp. Products with selenium sulfide, ketoconazole or terbinafine are normally used. This should be recommended by a professional and establish the employment guideline based on each particular case.

Anti-dandruff shampoos

Another option to reduce the excessive flaking caused by this fungus is anti-dandruff shampoos. Although they do not usually treat the proliferation of Malassezia as such, they do control the production of sebum that aggravates the symptoms.

Can an excess of Malassezia cause alopecia?

Malassezia in the scalp is not identified as a cause of alopecia as such. Although there are different types of alopeciaNormally, hormonal imbalances and the genetic factor cause irreversible hair loss. 

In any case, in the event of unusual hair loss that is accompanied by areas without hair, it is essential to see a specialist to start the most appropriate treatment before the visual impact is greater. When there is follicular destruction, the only way to recover that hair that has fallen is with the hair graft.

Frequently Asked Questions about Malassezia

What is the Malassezia fungus?

The Malassezia fungus is a microorganism that is part of the natural microbiome of the scalp and skin. It is not a disease in itself, but its overgrowth can cause dandruff, seborrheic dermatitis, folliculitis, and oily scalp.

Is Malassezia contagious?

No, Malassezia is not contagious. Symptoms only appear when there is an imbalance or excessive growth, influenced by factors such as sebum production, stress, or immune system disorders.

Does Malassezia cause hair loss?

Indirectly, yes. Although it doesn't directly affect the follicle, severe inflammation, excess oil, and intense scratching can weaken it, leading to hair loss or even scarring alopecia if not treated promptly.

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In case of hair loss, consult in Hospital Capilar

En Hospital Capilar We have effective hair treatments to stop hair loss and improve its quality. To know which is the best in our particular case, a prior medical diagnosis is necessary. In Hospital Capilar the diagnosis is free and without obligation! Request more information and put yourself in expert hands. 

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