Hormones and skin: impact and solutions for women

Hormones are chemical messengers that regulate various functions throughout the body. During menopause, hormone levels drop significantly, and fluctuations in oestrogen can have a direct impact on the skin. Some of the key hormones that influence skin changes during this phase include:

• Oestrogen and progesterone
  These hormones support collagen production, skin elasticity, and hydration. Within five years of menopause, your skin can lose up to 30% of its collagen.
• Testosterone (androgens)
  The changing balance between oestrogen and testosterone can sometimes make your skin oilier and more prone to acne.
• Cortisol (stress hormone)
  During menopause, fluctuating hormone levels often coincide with increased stress. This raises cortisol levels, which can weaken the skin barrier and exacerbate inflammation. Many women notice that stress visibly worsens their skin concerns during this time.
• Thyroid hormones
  Thyroid issues are more common in women around menopause and can amplify skin changes, such as dryness or thinning.

During menopause, your skin may behave in ways you’re not accustomed to. Hormonal changes often manifest as the following issues:

• Acne: Due to the changing hormonal balance, acne can reappear, even if you haven’t experienced it in years.
• Dryness and sagging: These are common as oestrogen levels decline during (peri)menopause.
• Redness and inflammation: A frequent complaint during (peri)menopause, caused by the drop in oestrogen that supports collagen and elasticity.
• Pigmentation (melasma): While melasma is often associated with pregnancy or contraceptive use, menopause can also trigger it due to fluctuating oestrogen levels combined with sun exposure.
• Worsening of eczema or rosacea: Some women find these conditions intensify during menopause, although further research is needed to fully understand this connection.

Lifestyle

• Nutrition: Consume a varied diet rich in antioxidants, vitamins C and E, and omega-3 fatty acids. While evidence is limited, these nutrients may support skin health.
• Exercise: Regular physical activity helps reduce stress and improves circulation.
• Sleep: Adequate sleep is essential for recovery and hormonal balance.

Skincare

• Opt for gentle cleansers and hydrating creams containing hyaluronic acid or ceramides.
• For acne, ingredients such as salicylic acid, benzoyl peroxide, or niacinamide can be beneficial.
• Daily sun protection is crucial to minimise ageing and pigmentation.

Stress management

Many women find that yoga, meditation, or breathing exercises help reduce stress, which in turn benefits the skin.

Medical or professional help

• Dermatological treatments, such as laser therapy, chemical peels, or microneedling, can be effective, although results vary by individual and are often based on small studies.
• Hormone replacement therapy (HRT) is sometimes prescribed under medical supervision to alleviate menopause symptoms. An added benefit can be improved skin condition.
• Small studies suggest that hormone creams applied directly to the skin may improve elasticity. However, large-scale evidence is lacking, and such treatments should always be used under medical supervision.

Hormones influence your skin more than you might realise. Some changes are temporary, while others are permanent. By taking proper care of your skin, maintaining a healthy lifestyle, and seeking professional advice when necessary, you can address many concerns. However, the effects will vary from person to person.

Lia van Pruijssen is a skin expert and Dermalogica specialist with 25 years of experience. She supports women through menopause, helping them achieve healthy, radiant skin. Her advice and treatments are grounded in scientifically proven insights and deliver highly effective results. With the right care and attention, the skin can adapt and even rejuvenate.