Oestrogen helps skin hold water, make collagen and keep its barrier strong. As levels fluctuate in perimenopause and fall after menopause, skin changes, sometimes quickly. Many women are surprised by how much: dryness, itching, breakouts and a sudden loss of firmness are all common.
Common skin changes
- Dryness and itching: the barrier weakens and skin holds less water.
- Thinning and sagging: collagen drops by about 30% in the first five years after menopause.
- Adult acne: hormonal shifts can trigger breakouts along the chin and jaw.
- Sensitivity and flushing: hot flushes and a weaker barrier make skin react more easily.
- Slower healing and more visible dark spots.
A crawling, prickling or itchy feeling (formication) is a recognised perimenopause symptom. Persistent itching, rashes or skin changes still deserve a check with your doctor.
Adjusting your routine
- Switch to a cream cleanser and lukewarm water.
- Use a richer moisturiser with ceramides, glycerin and squalane, morning and night.
- Keep a retinoid for collagen, but use it as often as your skin tolerates.
- Use niacinamide or azelaic acid for breakouts and redness without over-drying.
- Daily sunscreen, especially as dark spots become more stubborn.
Medical options
Menopausal hormone therapy can improve skin thickness, hydration and elasticity for some women, but it is prescribed for overall symptoms and has risks and benefits to weigh with a doctor. For hormonal acne, options like spironolactone may help. Talk to your doctor or a dermatologist.
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Frequently asked questions
How does menopause change your skin?
Falling oestrogen makes skin drier, thinner and less firm, slows healing, and can trigger adult acne, sensitivity and itching.
What skincare is best for menopausal skin?
A gentle cream cleanser, a rich ceramide moisturiser, a retinoid used as tolerated, niacinamide or azelaic acid for breakouts and redness, and daily sunscreen.
Can perimenopause cause itchy or crawling skin?
Yes. Dryness and a weakened barrier cause itching, and a crawling sensation is a recognised symptom. Persistent itching or rashes should be checked by a doctor.
Does hormone therapy help menopausal skin?
It can improve skin thickness, hydration and elasticity for some women, but it is prescribed for overall menopause symptoms after weighing risks with a doctor.