Complete Guide to Menopause and Skin Changes - Stella

Menopause skin changes


​​From dryness to rashes, menopause has many different effects on your skin. It’s all down to your changing hormone levels, which can cause menopause skin changes and some of these can really make life difficult. Find out which treatment options are available and when to see a doctor.


  • General ageing of skin, such as wrinkles and reduction in elasticity
  • Skin dryness and itching
  • Acne – menopausal breakouts can be quite common
  • Increased skin sensitivity
  • Redness associated with hot flushes
  • Rosacea – a condition that can cause face flushing, spots and skin tightness
  • Facial hair (hirsutism)
  • Hair thinning and changes in hair texture
  • Changes to the skin around the genital area 
  • Haxthausen disease – a scaly thickening of the skin on the hands and feet
  • A possible improvement in psoriasis, if you have suffered from it previously

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  • Most women notice some skin changes at menopause – the type and degree of change is unique to each woman
  • One third of women experience hair thinning at the front and crown of the head

Some conditions are not related to menopause skin changes and if you notice differences in your skin appearance or texture, talk to your doctor. Read more about the stages of menopause.


1. Look after your lifestyle. An intentional, healthy lifestyle is always a good idea to improve health now and in later life. Try to exercise daily, focus on good nutrition, keep well hydrated, cut down on alcohol and avoid smoking. Get inspired with our menopause-friendly recipes.

2. Manage hot flushes and night sweats. Wet skin and rapid temperature changes can trigger itchy episodes once the hot flush or sweat has passed. Download Stella for a personalised plan to reduce these bothersome symptoms.

3. Skincare routine. Avoid soap and harsh facial cleansers. Use a regular facial moisturiser to help your skin stay hydrated – hyaluronic acid and ceramides are key ingredients to look out for. Talk to your pharmacist about heavier body moisturisers that may help too.


Yes. Use of oestrogens has been shown to reduce the skin changes associated with menopause, including the decreased levels of collagen and glycoaminoglycans.

However, HRT is not used purely to reduce the signs of ageing as it comes with risks and is not suitable for everyone. HRT is usually prescribed to help improve sleep, mood and hot flushes during menopause. Read more about the HRT debate.


Damage limitation

Dry skin can feel incredibly itchy so take care when scratching as your skin is thinner and prone to tear. Try to pat or rub the area through your clothes instead of scratching. If you need to scratch, keep your nails short to minimise damage.

Overhaul your routine

Avoid perfumed bath products that may irritate your skin and use skin-kind detergents. Go for shorter, tepid showers rather than long, hot baths to prevent your skin drying out further. Some people find applying a body moisturiser straight after a shower can help the skin feel moisturised for longer. 

Turn down the heating

In colder months, take care with the central heating and fires as this can dry your skin.

Keep it natural

Wear natural fibres that allow your skin to breath rather than manmade, which may make you sweat and feel itchy. 

Seek help

If your skin is unbearable, your doctor may be able to suggest treatments. If hair is thinning, your doctor may do tests to rule out an easily treatable cause like iron deficiency anaemia or thyroid disease. Avoiding heat treatments, extensions and harsh chemicals to slow hair loss.

If you have any persistent rashes – blotches, bumps, scaly areas or persistent red patches – see your doctor as they may be able to prescribe an effective treatment depending on the cause.


The ‘female’ hormone oestrogen has many functions throughout the body, including in the skin.

The high levels of oestrogen seen in younger women help to keep the skin healthy and plump by stimulating the production of collagen, glycosaminoglycans and natural oils. These help the skin to remain supple and hydrated.


When it comes to menopause and skin, your body begins to produce much less oestrogen and you see the effects. Menopause also changes the way your circulation supplies the skin – reduced blood flow and flushing become more common. Hair thinning may be caused by the decrease in another ‘female’ hormone, progesterone.

See a doctor if you have:

  • A rash all over your body or which is spreading rapidly
  • A rash with a fever, which feels hot to the touch or which is leaking pus
  • A rash that is persistent
  • Ulcers, scabs or non-healing spots anywhere on your body
  • Any moles which have changed or look unusual
  • Are concerned for any other reason


Some of my itching is due to an autoimmune skin condition, Lichen Sclerosus. It’s a condition that can occur before or at menopause and is manageable”



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