Perimenopause and oily skin

During the menopause transition, oestrogen and other reproductive hormones fluctuate rather than changing in a smooth pattern. Some people notice a shinier T-zone, blocked pores or spots on the face, chest or back. Skin can also feel dry or sensitive at the same time, so oiliness does not mean your skin needs harsh treatment. Acne that begins suddenly, is painful or leaves marks deserves individual assessment because medicines, skin conditions and other hormone changes can also contribute.

Wash gently with lukewarm water and a non-comedogenic cleanser, then use a light moisturiser even if your skin feels greasy. Choose products labelled non-comedogenic, remove makeup before bed and avoid scrubbing, picking or repeatedly washing the face. Introduce one new product at a time so you can identify irritation. A pharmacist or clinician can suggest an acne treatment that fits sensitive skin, pregnancy possibility and any medicines you use.

Arrange a clinical review for deep or painful spots, rapidly changing skin, widespread inflammation, scarring or symptoms that are affecting confidence. Seek prompt advice for a new rash with facial swelling, breathing difficulty, fever or eye involvement. Oily skin can occur alongside other transition symptoms such as [Hot Flushes](/symptoms/hot-flushes/) or [Irregular Periods](/symptoms/irregular-periods/), but it should not be used to diagnose perimenopause by itself.

Ask whether the pattern fits perimenopause, whether another cause should be checked, and which cleanser, moisturiser or acne treatment is suitable for your skin. Mention your cycle changes, current medicines, contraception and any chance of pregnancy.