Perimenopause and dry skin

During the menopause transition, skin can lose some of its ability to hold moisture. You may notice tightness, rough patches, flaking or itch, often on the face, hands, arms or legs. Hot showers, fragranced products, dry air and frequent washing can add irritation. Dry skin can also result from eczema, contact allergy, thyroid problems or medicines, so the timing alone cannot identify the cause.

Tell a clinician if itching is widespread, disturbs sleep, or comes with a new rash. Mention other changes such as irregular periods, hot flushes or night sweats, because the overall pattern helps guide assessment.

Use a gentle, fragrance-free cleanser and apply a thick moisturiser soon after bathing, while skin is still slightly damp. Keep showers warm rather than hot, pat skin dry, and choose soft breathable clothing. Avoid scratching; cool compresses and short nails can reduce damage. If a product stings or causes redness, stop using it. A pharmacist or clinician can advise whether a medicated cream is suitable for a particular rash.

Arrange a medical review for cracked, bleeding, painful or oozing skin, a spreading rash, signs of infection, or itch that does not settle with gentle care. Seek urgent help for swelling of the lips or tongue, breathing difficulty, or a rapidly spreading blistering rash.

Ask whether the pattern fits perimenopause, which ingredients to avoid, whether another condition or medicine could be involved, and what treatment is appropriate for inflamed or broken skin.