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Is Your Skin Rash Hormone Related?

Woman-walking-on-the-beach

Have you noticed a rash occurring on your skin lately?

This subject came up in our community recently. Although, it’s not one of the more common signs of peri/menopause and we promised to look into it for you. Because we understand that the arrival of a rash of any kind can be distressing. 🆘🆘🆘

This Time In Our Lives Has The Greatest Impact On Our Health Share on X

These days more and more women are talking about peri/menopause and searching for answers. As a result, health pro’s are realising that perimenopause/menopause and post-menopause may have the greatest impact on women’s health during their lifetimes. However, research on the topic is limited. And by the same token, many GPs don’t know a lot about it.

It’s a maybe

It turns out that rashes are not a direct result or actual sign of menopause. However,, broadly speaking, a rash may be exacerbated or brought on by hormonal changes. (Sigh!)

What is peri/menopause?

As you probably already know – especially if you’re here on the regular – peri/menopause is a time of massive physical change within the body. Indeed, it’s the lead-up to and the ending of our periods and fertility. This process affects several different hormones with estrogen and progesterone being major players (but don’t rule out cortisol, thyroid and insulin).

It’s a time when estrogen production in our ovaries slows, we stop producing eggs and our periods come to an end. As a result of changing hormone levels, many of us experience things like hot flushes, vaginal itchiness or dryness, joint aches, and/or mood swings.

So far, so well-known right?

Estrogen, skin & sensitivity

Declining levels of estrogen can also lead to skin problems, but once again the research is limited.

But, one thing we do know is that diminishing estrogen causes our skin to become drier and more prone to wrinkles (sob!). Or as some people like to say to leave marks of a life well lived (!) 😊

One of the lesser-known facts of the physiological alterations is that the body temperature fluctuations and changes to our skin can also make it more sensitive. Itchy skin, paresthesia and formication are also common signs of peri/menopause, and our body’s thermostatic system goes a little haywire at this time. And it tends to redden as it heats up into a hot flush.

This sensitivity could also make your skin more susceptible to irritation (hello rash?). In addition, it might become more reactive to fragrances, skincare and/or fabrics than you’ve been at other times in your life.

Rosacea & eczema

During our 30s and 40s, we can also become more susceptible to developing rosacea (a reddening around the nose, cheeks and/or forehead) and eczema. Although these aren’t believed to be related to hormonal changes.

Allergies

However, one thing that comes up with common signs and symptoms of perimenopause is allergies. And this can be behind a skin rash because we often experience changes in our histamine response which is a key player in our immune system.

We have mast cells in our bodies which release histamine to help minimise an allergic reaction. These mast cells also host estrogen and progesterone receptors too which is why things can change during menopause. Most mast cells are in the gut but they’re also in other areas such as the skin. To put it simplistically, when histamine is released, it may expand blood vessels so the area becomes inflamed and hello, skin rash. Does that make sense?

Every Body is different

Notice I’ve used the words could, may and can over will, does and is. 😊 This is definitely one of those cases where Every Body is different. And what affects Joan won’t necessarily impact Jill.

What can you do?

There are a few tried and true soothers for irritated skin that may help.

Conclusion

There doesn’t seem to be a definitive answer to rashes during the meno years. If you’re experiencing them or are concerned about other skin changes make an appointment with a dermatologist or your GP to talk it over. There could be many reasons you’re experiencing a rash.

Photo Credit: Jeremy Bishop

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Post-menopause


This is the time when menstruation is well and truly over, the ovaries have stopped producing high levels of sex hormones and for many ladies, perimenopause symptoms subside.

Estrogen has protective qualities and the diminished levels mean organs such as your brain, heart and bones become more vulnerable. It’s also a key lubricant so your lips may become drier, your joints less supple and your vagina might be drier. In addition, your thyroid, digestion, insulin, cortisol and weight may alter.

At this juncture, a woman might experience an increase in the signs of reduced estrogen but she should have a decrease of perimenopause symptoms. That said, some women will experience symptoms like hot flushes for years or even the rest of their lives.

Perimenopause

Peri = ‘near’

Most females begin to experience the symptoms of perimenopause in their mid-forties. Your progesterone levels decline from your mid-30s but it’s generally from around 40 that the rest of your sex hormones begin to follow suit. 

Perimenopause is a different experience for every woman and some women may barely notice it. The first indicators are usually changes to the monthly cycle. This means that for some ladies, this can be accompanied by things like sore breasts, mood swings, weight gain around the belly, and fatigue as time goes on.

For those with symptoms it can be a challenging time physically, mentally and emotionally.

Importantly, perimenopause lasts – on average – four to 10 years. The transition is usually a gradual process and many women enter perimenopause without realising.