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Skin changes during menopause are very common. You may notice that before and during this time, your skin feels dry and thin, or you may begin to see more wrinkles. Some people may experience acne during menopause because of hormonal fluctuations. According to the American Academy of Dermatology, collagen drops 30% in the first 5 years of menopause, then approximately another 2% each year for the next 20 or so years. Estrogen helps skin produce oil and hold onto water, so extremely dry skin during menopause is common thanks to a drop in this hormone. 

Are skin changes during menopause preventable?

Well, that answer is complicated. You may not be able to prevent menopause from taking a toll on your skin, but you can certainly take steps at home to make your skin look its best.

Lifestyle Changes:

  • Stay Hydrated: Drink plenty of water throughout the day to maintain skin hydration and elasticity.
  • Use Sunscreen: Apply broad-spectrum SPF 30 or higher daily to protect your skin from harmful UV rays, which can worsen dryness and age spots.
  • Moisturize Regularly: Use rich, hydrating creams and lotions containing ingredients like hyaluronic acid, glycerin, or ceramides to keep your skin moisturized and smooth.
  • Follow a Healthy Diet: Incorporate foods rich in antioxidants, vitamins (A, C, E), and omega-3 fatty acids (found in fish, nuts, seeds, and vegetables) to support skin health.

Medical Treatments:

  • Hormone Replacement Therapy (HRT): HRT can help replenish estrogen levels, reducing dryness and thinning of the skin associated with menopause.
  • Topical Retinoids: These vitamin A derivatives help promote collagen production, reduce wrinkles, and improve skin texture.
  • Chemical Peels: Professional treatments that can remove dead skin cells, improve skin texture, and reduce fine lines and pigmentation issues.
  • Microneedling: A procedure that stimulates collagen production by creating tiny punctures in the skin, which can improve skin texture and reduce signs of aging.

Alternative Therapies:

  • Herbal Supplements: Herbs like evening primrose oil, flaxseed, and soy isoflavones may help manage skin dryness and boost collagen production.
  • Aloe Vera: Applying aloe vera gel can soothe dry, irritated skin and promote healing.
  • Coconut Oil: Known for its moisturizing properties, coconut oil can help alleviate skin dryness and provide a protective barrier.

Menopause is an inevitable part of life for all menstruating people. In addition to hot flashes, fatigue, weight gain, and sometimes irritability and night sweats, skin changes are also common and may include increased hormonal acne, dryness, and thinning or sagging of the skin.

February 3, 2025
Dr. Kelly Barron
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