Understanding Menopause and Its Impact on Skin Health

Written and edited by Sarah Bonza MD, MPH, FAAFP, DipABLM, NBC-HWC

Many women are surprised with the changes they see in their skin with aging. It is important to understanding how changes in our hormones influence not only how we feel, but also changes in how we look in the mirror.

Menopause marks a significant phase in a woman’s life, officially beginning one year after the last menstrual period. This period brings profound changes, not just internally but also externally, particularly affecting the skin and hair. With plummeting hormone levels, women often experience drier, slacker, and thinner skin, alongside an increase in facial hair and a decrease in scalp hair. However, proper skin care can mitigate these effects significantly.

Key Skin Changes During Menopause

1. Dryness and Loss of Elasticity: As estrogen levels fall, skin loses its ability to retain moisture and elasticity, leading to dryness and a more pronounced appearance of fine lines and wrinkles.
2. Increased Hair Growth on Face: Decreased estrogen can lead to increased facial hair, a condition that can be both surprising and distressing.
3. Thinning Hair on Scalp: Many women experience thinning of scalp hair, which can affect self-esteem and personal identity.
4. Age Spots and Sun Damage: Years of sun exposure can become more evident with age spots and other pigmentation changes becoming more prominent.
5. Skin Thinning and Bruising: Lower estrogen levels lead to thinner skin, which bruises more easily.
6. Risk of Skin Cancer: The risk of developing skin cancers and pre-cancerous growths increases with age, making regular screenings vital.

Strategies for Managing Skin Changes

Perimenopausal woman applying sunscreen

Protecting Your Skin

• Sun Protection: Apply a broad-spectrum sunscreen with SPF 30 or higher daily to protect against UV radiation and prevent new age spots.
• Skin Cancer Screenings: Regular dermatological check-ups and skin self-exams are crucial to detect any early signs of skin cancer.

Enhancing Skin Health

• Moisturizers and Cleansers: Use gentle, hydrating cleansers and moisturizers rich in hyaluronic acid or glycerin to combat dryness.
• Treatment for Age Spots and Hair Removal: Consult with a dermatologist to choose the right treatments for age spots and safe methods for hair removal, such as laser treatments or prescription creams.

Advanced Care Options

• Retinoid Creams and Laser Treatments: These can help improve skin texture and address severe dryness or thinning.
• Collagen Supplements: Supplementing with collagen can help improve skin elasticity. Collagen supplements, on the other hand, may help in maintaining skin firmness and reducing the appearance of wrinkles by boosting the skin’s collagen density.
• Menopause hormone therapy: Estrogen supplementation can replenish hydration in skin, promotes natural collagen production, improved skin thickness, reduces wrinkles and regulates skin pigmentation.

Lifestyle Adjustments

In addition to medical treatments, lifestyle choices play a significant role:

• Healthy Diet: Eating foods rich in antioxidants and omega-3 fatty acids supports skin health.
• Adequate Hydration: Keeping hydrated helps maintain skin moisture.
• Regular Exercise: This can improve circulation and skin health.

Conclusion

Menopause is a natural, albeit challenging, part of aging, but its effects on the skin don’t have to be detrimental. With the right care, advice from dermatologists, and possible use of supplements like estrogen and collagen, the health and appearance of your skin can be preserved and even enhanced. Understanding these changes and how to effectively manage them can empower women to face menopause with confidence.