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Writer's pictureRuth Dewar

The Perimenopause: How It Affects Our Skin

The Perimenopause: How It Affects Our Skin

Perimenopause is a significant phase in a woman's life when her body undergoes multiple transitions, including skin changes. As menopause approaches, our skin responds to hormonal fluctuations, creating various transformations. 


Understanding Perimenopause and Its Impact on Our Skin

Perimenopause is the body's natural progression towards menopause, often beginning in a woman's 40s, though it may start in the mid-30s in some cases. During this stage, oestrogen levels, an essential hormone, begin to fluctuate and progressively decline, triggering physical changes, including notable transformations in the skin's appearance and texture.

A reduction in oestrogen levels can lead to a decrease in the skin's natural oils, resulting in drier skin. Additionally, the drop in oestrogen levels also affects collagen production. Collagen is a crucial protein that keeps our skin elastic and firm. However, when its production dwindles during perimenopause, the skin may lose its volume and firmness, leading to a more wrinkled or saggy appearance.

Many women also experience a change in their skin's overall texture during this time. The complexion might seem patchy or uneven, contributing to an overall tired and dull appearance. This can be attributed to the imbalance of hormones and the ensuing effect on our skin's tone and texture.


Acne and Perimenopause - An Unexpected Connection

It might come as a surprise to learn that perimenopause can trigger acne outbreaks. This stems from the hormonal imbalance that transpires during this transition stage. As the levels of oestrogen decline, the androgen hormones, including testosterone, can gain the upper hand, stimulating an overproduction of sebum. This excess sebum can clog pores, creating an ideal environment for acne-causing bacteria to thrive. 

Although an unwelcome side effect, acne during perimenopause can be managed with a variety of treatments. From topical applications to hormonal therapy, there are several routes you can explore to tackle these unwelcome breakouts. Lifestyle adjustments, such as maintaining a healthy diet, staying hydrated, and managing stress, can also contribute significantly to managing acne effectively during perimenopause. 


The Role of Hyperpigmentation in Perimenopausal Skin Changes

Hyperpigmentation is a commonly reported skin alteration during perimenopause, and it usually manifests as discolouration or darkening of certain patches of skin. The condition can present in various forms, such as age spots or freckles, and sometimes, it might involve larger sections of the skin surface. This uneven skin tone is often a result of the overproduction of melanin, the pigment that gives our skin its colour.

This heightened melanin production is primarily influenced by the hormonal fluctuations characteristic of perimenopause. As oestrogen levels drop, the balance between different hormones is upset. This imbalance is known to stimulate an increase in melanin synthesis. The surplus melanin, in turn, starts depositing in various layers of the skin, leading to visible discolouration or hyperpigmentation.

Although hyperpigmentation is not harmful or painful, its aesthetic implications can impact self-esteem. Therefore, understanding this skin issue and exploring potential ways to manage it can help ensure your skin remains vibrant and healthy throughout the perimenopausal period. 


Effective Skincare Regimen for Perimenopausal Skin

Maintaining an optimised skincare routine during the perimenopausal stage can alleviate various skin issues. Key to this routine is ensuring your skin remains well-hydrated. This can be achieved using products infused with hyaluronic acid, ceramides, and other moisture-locking components. These ingredients can help to ward off dryness and support a healthy skin barrier.

Introducing regular exfoliation into your skincare regimen is also beneficial. This process aids in removing dead skin cells and encourages new cell generation. It can also assist in diminishing the visibility of hyperpigmentation. However, caution is advised as excessive exfoliation can lead to skin irritation and further exacerbate dryness.


In addition to a suitable skincare regimen, incorporating a diet rich in antioxidants and omega fatty acids can support skin health from within. Antioxidants fight against skin-damaging free radicals, while omega fatty acids help maintain the skin's natural oil barrier, keeping it hydrated and plump.

Finally, it is imperative to introduce broad-spectrum SPF into your daily routine. Due to declining oestrogen levels, the skin becomes more susceptible to UV damage during perimenopause. Sun protection can prevent premature skin ageing and reduce the risk of hyperpigmentation.


Remember, the effectiveness of skincare routines varies from person to person. Finding what works best for your skin might take some trial and error. 


The Importance of Professional Skin Consultation during Perimenopause

During the perimenopausal stage, seeking guidance from skincare experts is highly beneficial. These professionals, including dermatologists, possess knowledge and experience in addressing specific skin issues associated with perimenopause. They can offer personalised advice and recommendations based on your unique skin type, your medical background, and any particular skin concerns you may have.

Expert consultations can help identify the most suitable treatments and products to manage skin transformations effectively during this period. This might include prescribing certain creams for controlling acne, suggesting light therapy to address hyperpigmentation, or recommending professional-grade skincare products to boost hydration and stimulate collagen production.


It's vital to remember that your skin's changes during perimenopause are a natural part of the ageing process. By understanding these transformations and learning how to adjust your skincare routine accordingly, you can help maintain your skin's health and vibrancy during this phase. Furthermore, enlisting the assistance of a professional can provide an additional layer of support, ensuring you're well-equipped to navigate these changes confidently and effectively.


TO BOOK YOUR SKIN ANALYSIS CONSULTATION PLEASE CALL OR EMAIL THE CLINIC.





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